68 results match your criteria: "Red Cross Akita Hospital[Affiliation]"

Tumor-associated erythema annulare centrifugum is commonly observed in leukemia and lymphoma. In this case, we reported erythema annulare centrifugum associated with lung cancer that resolved following targeted drug therapy. A 71-year-old man with psoriasis visited our hospital with erythema annulare and pruritus.

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  • A 65-year-old female with myasthenia gravis underwent surgery for a tumor suspected to be a thymoma following CT scans that indicated an anterior mediastinal mass.
  • During surgery, it was found that her tumor was a combination of a B3 thymoma and thymic squamous cell carcinoma, which is a rare occurrence.
  • Post-surgery, she received adjuvant radiotherapy and is currently being monitored with no signs of cancer recurrence noted in follow-up scans.*
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Background And Aims: The impact of hepatitis C virus (HCV) eradication via direct-acting antiviral (DAA) therapy on overall mortality, particularly non-liver-related mortality, is understudied.

Methods: We recruited 4180 patients with chronic HCV infection who achieved sustained virological response (SVR) (HCV eradication) through DAA therapy (n = 2501, SVR group) or who did not receive antiviral therapy (n = 1679, non-SVR group); 1236 from each group were chosen using propensity score matching. Causes of death and all-cause mortality, including non-liver-related diseases, were investigated.

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Aflibercept (AFL) plus FOLFIRI prolongs overall survival (OS) in patients with metastatic colorectal cancer (mCRC). However, there is limited evidence on the efficacy and safety of AFL plus FOLFIRI previously treated with anti-epidermal growth factor receptor (EGFR) agents. Therefore, we conducted a prospective open-label phase II trial evaluating the efficacy and safety of AFL plus FOLFIRI in Japanese patients with mCRC failing a prior oxaliplatin-based chemotherapy plus an anti-EGFR agent.

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  • G-CSF-producing lung tumors are rare and their imaging characteristics and effective treatments are not well understood; one case showed them mimicking a lung abscess.
  • In this case, a 61-year-old man with cough and fever was initially treated for a lung abscess but was later diagnosed with lung adenocarcinoma that had a MET exon 14 skipping mutation.
  • Treatment with tepotinib resulted in a reduction of the tumor size and G-CSF levels, indicating that tepotinib could be effective for patients with this specific mutation, even in G-CSF-producing lung cancers.
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Objective: To test the hypothesis that neoadjuvant chemoradiotherapy (NACRT) is more effective against hot esophageal squamous cell carcinoma (ESCC) and that it may upregulate tumor immunogenicity.

Background: There have been several recent reports showing the efficacy of immune check-point inhibitors (ICIs) against esophageal cancer, especially immunologically hot tumors. In addition, several studies have suggested that chemotherapy and radiotherapy may convert cold tumors to hot tumors.

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  • A study investigated the effectiveness of 8-week vs. 12-week glecaprevir and pibrentasvir (GLE/PIB) treatment for chronic hepatitis C, focusing on both non-cirrhotic and cirrhotic patients in Japan.
  • The study enrolled 1,275 patients and primarily measured the sustained virological response (SVR) rates for different treatment durations and liver conditions.
  • Results showed high SVR rates (98.9% to 100%) across all groups, indicating that both 8-week and 12-week treatment regimens are effective regardless of liver fibrosis status.
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Clinical roles of plasma IL-6 levels have been reported in patients with various cancers, including non-small cell lung cancer (NSCLC), treated with immune checkpoint inhibitors (ICIs). However, the roles of other IL-6 signaling components, soluble IL-6 receptor (sIL-6R) and soluble gp130 (sgp130), in the plasma have not been elucidated. Blood was collected from 106 patients with NSCLC before initiation of ICI treatment (anti-PD-1 or anti-PD-L1 antibody).

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Systemic lupus erythematosus is known to cause autoimmune hyperlipidemia. We present a case in which hypertriglyceridemia was exacerbated by dermatomyositis. A 53-year-old woman with a medical history of undertreated hypertriglyceridemia complained of dyspnea and arthralgia.

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  • Atypical femoral fractures (AFF) involve low-energy breaks in specific areas of the femur, and even after healing, there's a risk of similar fractures in the opposite leg.
  • The study analyzed 111 femurs from 104 patients to identify factors affecting the likelihood of complete fractures in the contralateral femur, categorizing them into groups based on their fracture status.
  • Key findings included that thicker lateral cortical bone and thigh pain indicated worse outcomes, while using eldecalcitol and previous bisphosphonate or denosumab treatments were protective against future complete fractures.
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  • The study investigates the effectiveness of preoperative neoadjuvant chemoradiotherapy (NACRT) in patients with borderline resectable (cT3br) thoracic esophageal cancer compared to those with resectable (cT3r) cases.
  • Out of 186 patients, 68 were cT3br and showed significantly more advanced disease characteristics but had similar overall survival rates post-surgery compared to the cT3r group.
  • The results suggest that NACRT could be a beneficial treatment option for patients with borderline resectable thoracic esophageal squamous cell carcinoma.
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  • A 71-year-old man experienced a life-threatening hypercalcemic crisis due to primary hyperparathyroidism caused by a parathyroid adenoma.
  • Standard treatment typically involves early hemodialysis or hemodiafiltration with low-calcium solutions, but this patient was successfully treated with continuous hemodialysis using regular calcium concentration dialysate.
  • After the patient's condition improved, a parathyroidectomy was performed, leading to his recovery; this case highlights the importance of timely intervention and the need for effective management strategies in similar crises.
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  • A study was conducted to evaluate the effectiveness and safety of Capecitabine plus oxaliplatin (CapeOX) as a first-line treatment for advanced gastric cancer in patients aged 70 years and older.
  • The trial included 108 chemotherapy-naive patients, who were given either the original or reduced doses of CapeOX, with overall survival (OS) being the primary measurement.
  • Results showed a median OS of 12.9 months, with some patients experiencing significant side effects, mainly neutropenia and anemia, indicating that CapeOX is a viable treatment option for older patients with advanced gastric cancer.
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Introduction: Vasculitis does not usually induce glandular tissue lesions. Herein, we present a case of vasculitis with a distribution similar to that of immunoglobulin-G4-related disease (IgG4-RD), including that of the submandibular and lacrimal glands, and periaortitis.

Case Report: A 70-year-old man presented with shortness of breath.

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Background And Aim: Hepatocellular carcinoma (HCC) surveillance in low-risk patients (annual incidence <1.5%) is not recommended per the American Association for the Study of Liver Diseases guidelines. Because patients with chronic hepatitis C with non-advanced fibrosis who have achieved sustained virological response (SVR) have a low risk of HCC, HCC surveillance is not recommended for them.

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  • A 79-year-old man with chronic obstructive pulmonary disease (COPD) developed empyema while being treated with inhaled corticosteroids (ICS) as part of triple therapy.
  • After diagnosing the infection through pleural effusion culture, the treatment was modified, reducing the therapy to a double combination without ICS.
  • The patient's condition improved significantly, allowing for his discharge after 49 days in the hospital, suggesting that ICS may increase the risk of infection in COPD patients.
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The effects of gene polymorphisms or prior irinotecan treatment on treatment outcomes of nanoliposomal-irinotecan plus 5-fluorouracil/leucovorin (nal-IRI+5-FU/LV) in patients with unresectable pancreatic ductal adenocarcinoma (PDAC) are not established. This multicenter, retrospective cohort study compared treatment outcomes in patients with and those with or genotypes. We also analyzed the impact of prior irinotecan treatment on survival outcomes in 54 patients treated with nal-IRI+5-FU/LV.

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  • Pseudo-Meigs' syndrome occurs when uterine fibroids lead to complications, such as fluid accumulation in the chest.
  • A 48-year-old woman experienced respiratory difficulties after starting treatment with GnRH agonists for her fibroids, resulting in massive pleural effusion and ascites.
  • After undergoing a total laparoscopic hysterectomy, her condition improved, confirming the diagnosis of pseudo-Meigs' syndrome linked to her uterine fibroids.
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Background: Although initial therapy with a parenteral anticoagulant is required before edoxaban, this strategy is frequently avoided in actual clinical practice because of its complexity. This study assessed the feasibility of edoxaban without initial heparin usage for asymptomatic cancer-associated thrombosis (CAT) in Japanese patients with gastrointestinal cancer (GIC) at high risk of bleeding.

Methods: In this multicenter prospective feasibility study conducted at 10 Japanese institutions, patients with active GIC who developed accidental asymptomatic CAT during chemotherapy were recruited.

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Intestinal tuberculosis can cause strangulated small bowel obstruction. Strangulated small bowel obstruction usually requires surgery. We report a case of a patient with intestinal tuberculosis, who developed a spontaneously resolving strangulated small bowel obstruction after the commencement of anti-tuberculosis drugs.

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Background/aim: For patients with T1a muscularis mucosae (MM) esophageal squamous cell carcinoma (ESCC) with lymphovascular invasion (LVI) or T1b submucosal (SM) ESCC, endoscopic resection is non-curative, and adjuvant treatment entailing esophagectomy or definitive chemoradiotherapy is necessary. This is because about 30% of these cases have lymph node (LN) metastasis. The purpose of this study was to test the utility of a CRP genetic polymorphism test kit for determining the risk of LN metastasis with the aim of eliminating additional invasive adjuvant therapy.

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  • The study aims to assess the safety and effectiveness of FOLFIRI combined with aflibercept (AFL) as a second-line chemotherapy for patients with metastatic colorectal cancer (mCRC) who are resistant to prior treatments involving anti-EGFR antibodies.
  • The main goal is to evaluate the 6-month progression-free survival (PFS) rate, with secondary goals including overall survival, response rates, and potential adverse effects, based on a sample size of 41 participants.
  • This research is necessary due to the lack of clinical trial data specifically for mCRC patients who have failed anti-EGFR therapy, highlighting the need for a prospective study to fill this knowledge gap.
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  • * The study involved 905 treatment-naive CHB patients monitored for over six years, and identified key predictive factors for HCC, including older age, cirrhosis, lower platelet counts, and specific scores like the albumin-bilirubin (ALBI) and alpha-fetoprotein (AFP).
  • * The predictive models aMAP and REAL-B demonstrated strong accuracy (over 0.80 for predicting HCC at
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  • - Spinocerebellar ataxia type 7 (SCA7) is a rare genetic disorder that causes progressive movement issues and retinal degeneration, identified in a 34-year-old Japanese man who had 49 CAG repeats in the ataxin 7 gene.
  • - Over 26 years, the patient experienced worsening symptoms, including gait disturbances, loss of vision, and neurological impairments, eventually becoming wheelchair-dependent by age 51 and dying from pneumonia at age 60.
  • - Autopsy revealed significant brain and spinal cord atrophy, with neuronal loss and reactive changes in various regions, indicating that the patient's neurological symptoms were linked to widespread degeneration in sensory and motor pathways.
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