1,067 results match your criteria: "National Kyushu Cancer Center[Affiliation]"

Introduction: Fluorouracil, leucovorin, irinotecan, and oxaliplatin (FOLFIRINOX) improve overall survival (OS) and progression-free survival (PFS) in patients with pancreatic cancer, compared with gemcitabine (GEM). However, whether PFS is a surrogate marker of OS in pancreatic cancer chemotherapy focusing on FOLFIRINOX or GEM plus nab-paclitaxel remains unknown. We aimed to verify whether PFS can be a surrogate marker of OS in prognosis prediction.

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  • Researchers studied immune cells in patients with esophageal squamous cell cancer undergoing immune checkpoint blockade (ICB) therapy to understand what makes the treatment effective.
  • They found a specific group of CD39PD-1CD8 T cells, particularly the TCF1 subset known as precursor exhausted T (CD39 Tpex) cells, which were linked to better treatment outcomes.
  • These CD39 Tpex cells are mostly found in the tumor's supportive tissue and are recruited from tertiary lymphoid structures (TLS), indicating a significant role in the immune response against tumors during ICB therapy.
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  • Peritracheostomal pharyngocutaneous fistula (PCF) is a serious complication after laryngectomy that can lead to severe health issues like pneumonia and requires effective management.
  • This study evaluated a new minimally invasive method combining local skin flap placement with negative-pressure wound therapy (NPWT) to treat and close PCFs.
  • In a retrospective analysis of six patients, NPWT was used for an average of 18.2 days, showing effectiveness in managing the condition and reducing complications.
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  • - This study compared the effectiveness of second-line treatments for patients with unresectable pancreatic cancer who previously received gemcitabine plus nab-paclitaxel (GnP), analyzing 318 patients treated with nanoliposomal irinotecan plus 5-fluorouracil/folinic acid (NFF), S-1, or FOLFIRINOX.
  • - Results showed that the median overall survival (OS) for the NFF group was significantly better at 9.08 months compared to 4.90 months for S-1, while FOLFIRINOX had an OS of 4.77 months with no significant difference from NFF.
  • - Factors like serum levels and duration
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Nanoliposomal irinotecan with fluorouracil and folinic acid (NFF) is a standard regimen after gemcitabine-based therapy for patients with unresectable or recurrent pancreatic cancer. However, there are limited clinical data on its efficacy and safety in the real-world. We therefore initiated a retrospective and prospective observational study (NAPOLEON-2).

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Acquired tracheobronchomalacia developed following voice prosthesis implantation.

Auris Nasus Larynx

June 2024

Department of Head and Neck Surgery, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan.

Acquired tracheobronchomalacia (ATBM) is a condition in which the tracheobronchial wall and cartilage progressively lose their rigidity, resulting in dynamic collapse during exhalation. In this report, we present a case of ATBM that developed following voice prosthesis implantation. To the best of our knowledge, this is the first documented case of such a condition in the medical English literature based on a PubMed search.

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  • Hypersensitivity reactions (HSRs) to chemotherapy, particularly carboplatin, are significant adverse events that can affect cancer drug therapy, prompting a study on desensitization methods.
  • The study included 136 patients with gynecological cancers undergoing carboplatin desensitization therapy between 2016 and 2020, tracking their treatment responses and HSR symptoms.
  • Findings revealed a 75% success rate for desensitization, with common symptoms like erythema and itching, while no deaths occurred during the study, indicating the need for awareness of potential HSRs.
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Aims: p16 is a sensitive surrogate marker for transcriptionally active high-risk human papillomavirus (HR-HPV) infection in endocervical adenocarcinoma (ECA); however, its specificity is not perfect.

Methods And Results: We examined p16 and Rb expressions by immunohistochemistry (IHC) and the transcriptionally active HR-HPV infection by mRNA in-situ hybridisation (ISH) with histological review in 108 ECA cases. Thirteen adenocarcinomas of endometrial or equivocal origin (six endometrioid and seven serous carcinomas) were compared as the control group.

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Background/aim: Recent research has demonstrated that laparoscopic multivisceral resection (MVR) for advanced colorectal cancer is safe, practicable, and yields satisfactory oncological results, which is in line with the growing usage of laparoscopic surgery. The effectiveness of laparoscopic MVR is still debatable, though. The goal of this study was to compare the short- and long-term results of patients with advanced colorectal cancer treated with open MVR with laparoscopic procedures.

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First-line chemotherapy for patients with metastatic pancreatic cancer (MPC) includes gemcitabine plus nab-paclitaxel (GnP) and FOLFIRINOX (FFX). However, the efficacy of second-line chemotherapy and the role of combination chemotherapy in clinical practice is still unknown. Data was gathered from 14 hospitals in the Kyushu area of Japan from December 2013 to March 2017.

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Background/aim: Radiomics, which links radiological image features with patient prognoses, is expected to be applied for the prediction of the clinical outcomes of radiotherapy. We investigated the clinical and radiomic factors associated with recurrence patterns after stereotactic body radiotherapy (SBRT) for non-small cell lung cancer (NSCLC).

Patients And Methods: We retrospectively analyzed 125 patients with histologically confirmed NSCLC who underwent SBRT between April 2003 and June 2017 at our institution.

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Background/aim: This study aimed to evaluate the clinical impact of the level of inferior mesenteric artery (IMA) ligation in patients with advanced low rectal cancer.

Patients And Methods: All enrolled patients (n=350) underwent curative resection of rectal cancer with D3 lymph node dissection, with either IMA (high-tie) or superior rectal artery (SRA) (low-tie) ligation.

Results: There were 27 and 65 patients in the high-tie and low-tie groups, respectively.

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  • Limited biomarkers exist for predicting prognosis in unresectable pancreatic cancer patients undergoing chemotherapy.
  • A study of 255 patients found that lower C-reactive protein/albumin ratio (CAR) and several other inflammatory markers were linked to better overall survival (OS) in first-line treatment.
  • CAR was identified as the most effective prognostic indicator, suggesting it could serve as a valuable biomarker for assessing patient outcomes in both first- and second-line chemotherapy.
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  • Patients with metastatic pancreatic cancer who do not respond to first-line chemotherapy have limited treatment options, and it's uncertain which patients benefit from second-line chemotherapy.
  • A study involving 233 patients analyzed the effectiveness of second-line chemotherapy compared to best supportive care, using a scoring system based on specific prognostic factors like serum albumin and CA19-9 levels.
  • Results showed that patients with scores of 0 and 1 had a significant survival benefit from second-line chemotherapy, while those with score 2 did not experience similar advantages.
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Background: Long-term survival can be achieved with radical local therapy in some cases of postoperative recurrence of non-small cell lung cancer (NSCLC). Here, we evaluated post-recurrence survival (PRS) after treatment of postoperative recurrent epidermal growth factor receptor (EGFR) mutated NSCLC and examined the effectiveness of radical local therapy.

Methods: This multicenter prospective cohort study was conducted in 14 hospitals.

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Cofilin activation in pancreatic acinar cells plays a pivotal convergent role for mediating CCK-stimulated enzyme secretion and growth.

Front Physiol

April 2023

Digestive Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, United States.

The actin regulatory protein, cofilin plays a key signaling role in many cells for numerous cellular responses including in proliferation, development, motility, migration, secretion and growth. In the pancreas it is important in islet insulin secretion, growth of pancreatic cancer cells and in pancreatitis. However, there are no studies on its role or activation in pancreatic acinar cells.

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Purpose: The TORG0503 study was undertaken to select a preferred platinum-based third-generation regimen for patients with completely resected non-small cell lung cancer (NSCLC). This study aimed to describe the quality of life (QOL) analysis of that study.

Methods: Patients with completely resected NSCLC were randomized to receive three cycles of docetaxel plus cisplatin (DC) or paclitaxel plus carboplatin (PC) on day 1 every 3 weeks.

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  • Recent advances in chemotherapy for unresectable pancreatic cancer (uPC) offer the possibility of conversion surgery (CS), but its effectiveness with specific treatments like FOLFIRINOX (FFX) and gemcitabine plus nab-paclitaxel (GnP) is still being evaluated.
  • A study reviewed 318 uPC patients treated with FFX or GnP and found that CS was achieved in only 4.3% of cases, with a higher success in locally advanced pancreatic cancer (LAPC) compared to metastatic cases (MPC).
  • Factors linked to a higher chance of CS include having LAPC, absence of liver metastasis, lower CA19-9 levels, and a good response to chemotherapy; overall
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Background/aim: Peritoneal metastasis (PM) of gastric cancer (GC) leads to poor clinical outcomes. Tumor-derived exosomes promote metastasis via communication between tumor cells and host cells. In this study, we investigated the effect of Rab27, which is required for exosome secretion, on the PM of GC.

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Aims: Collecting duct carcinoma (CDC) and fumarate hydratase-deficient renal cell carcinoma (FH-deficient RCC) have similar histological morphologies and both show a poor prognosis. Programmed death ligand 1 (PD-L1) inhibitor has been approved for the treatment of RCC. However, tumour-infiltrating neutrophils stimulated by interleukin-8 (IL-8) interfere with PD-L1 inhibitors.

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  • The study compares the efficacy and toxicity of the original FOLFIRINOX (oFFX) and a modified version (mFFX) for treating metastatic pancreatic cancer (mPC) in a Japanese patient population.
  • A multicenter analysis of 318 patients revealed no significant difference in overall survival and progression-free survival between oFFX and mFFX, although oFFX had higher rates of thromobocytopenia and liver dysfunction.
  • The findings suggest that mFFX is as effective as oFFX while causing fewer side effects, making it a safer option in clinical practice.
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Videofluorographic Analysis of Swallowing Function after Total Glossolaryngectomy.

Plast Reconstr Surg

November 2022

From the Department of Plastic and Reconstructive Surgery, Kyushu University Hospital; Division of Plastic and Reconstructive Surgery, National Kyushu Cancer Center; and Department of Otorhinolaryngology and Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University.

Summary: Surgeons have traditionally believed that swallowing is mainly dependent on gravity after total glossolaryngectomy. However, swallowing function after total glossolaryngectomy varies widely among patients, and a thorough analysis is lacking. The authors aimed to clarify the swallowing function after total glossolaryngectomy and determine whether it is primarily dependent on gravity.

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Objectives: The optimal treatment for recurrent non-small cell lung cancer (NSCLC) has not been standardized. In this prospective cohort study, we evaluated post-recurrence survival (PRS) after treatment of recurrent NSCLC and identified prognostic factors after recurrence.

Methods: This multicenter prospective cohort study was conducted in 14 hospitals.

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Background/aim: This study investigated the effectiveness of pembrolizumab with or without chemotherapy on advanced-stage head and neck cancer (HNC), including nasopharyngeal, sinonasal cavity and external auditory canal cancer, in a real-world setting.

Patients And Methods: We retrospectively collected data from 97 HNC patients who were treated with pembrolizumab alone (n=60) or with chemotherapy (n=37), and we investigated the association between clinicopathological findings and treatment response or prognosis.

Results: Patients treated with pembrolizumab and chemotherapy had a 1-year overall survival (OS) of 72.

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