1,394 results match your criteria: "Shikoku Cancer Center[Affiliation]"

The present study aimed to evaluate the optimal timing of radium-223 chloride (Ra-223) administration among patients with bone metastasis from castration-resistant prostate cancer (BmCRPC). Patients, who were diagnosed with BmCRPC and treated with Ra-223 therapy between October, 2016 and January, 2022, were reviewed. The survival time was calculated from the initiation of Ra-223 administration.

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  • Nivolumab is an effective treatment for advanced gastric cancer, but identifying reliable biomarkers like TP53 mutations could help predict patient response.
  • A study involving 913 patients found that those with TP53 wild type (wt) had a higher response rate to nivolumab (24.6%) compared to TP53 mutant patients (14.8%).
  • For TP53 mutants, those with the frameshift type had a slightly better response rate and progression-free survival compared to other mutation types, suggesting some variants may still benefit from treatment.
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Background: This study is part of the SNPs in Nivolumab PD-1 inhibitor for RCC (SNiP-RCC). Here we aimed to reveal clinical factors for tumor response, progression, and survival in nivolumab for advanced clear cell renal cell carcinoma (RCC) in Japanese patients.

Methods: We included patients from 23 institutions in Japan.

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  • The study aimed to clarify the effectiveness of endocrine therapy in postmenopausal women with advanced or metastatic breast cancer that is both estrogen receptor-positive and HER2-positive.
  • Researchers analyzed the data from 94 patients enrolled in a larger study, focusing on treatment outcomes such as time to treatment failure (TTF) and overall survival (OS) based on the timing of therapy.
  • Results showed that patients treated with fulvestrant (F500) earlier in their treatment had longer TTF and that those who started therapy without chemotherapy and had a time to chemotherapy (TTC) of 3 years or more experienced significantly better OS.
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  • * The study analyzed data from 1025 patients who underwent systemic chemotherapy from 2012 to 2018 at various Japanese institutions, using the Cox proportional hazards regression model to determine key prognostic factors.
  • * Eight significant prognostic factors were identified, with findings showing that patients treated with trastuzumab had better survival rates compared to those who received standard chemotherapy alone, emphasizing the importance of tailored treatment strategies.
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Background: In men undergoing upfront active surveillance, predictors of adverse pathology in radical prostatectomy specimens, including intraductal carcinoma of the prostate and cribriform patterns, remain unknown. Therefore, we aimed to examine whether adverse pathology in radical prostatectomy specimens could be predicted using preoperative patient characteristics.

Methods: We re-reviewed available radical prostatectomy specimens from 1035 men prospectively enrolled in the PRIAS-JAPAN cohort between January 2010 and September 2020.

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Background: Limited information on anticancer therapy for super-elderly patients with non-small-cell lung cancer is available. Immune checkpoint inhibitors offer long-term survival to elderly patients aged ≥65 years with non-small-cell lung cancer. However, the efficacy and safety of immune checkpoint inhibitors in more elderly patients are not well understood.

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  • The study investigates the genetic background, clinical features, and treatment options for low-grade and high-grade endometrial stromal sarcomas (LGESS and HGESS) and undifferentiated uterine sarcomas (UUS) in light of recent changes in classification and staging.
  • The analysis included 72 LGESS, 25 HGESS, and 16 UUS patients, highlighting that LGESS has a 5-year overall survival (OS) rate of 94%, whereas HGESS and UUS rates are significantly lower at 53% and 25%, respectively.
  • Key findings indicate that poor OS in LGESS is linked to advanced stage, incomplete surgery, and lack of progesterone receptors, while UUS has
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Introduction: Splenectomy for proximal gastric cancer was found to offer no survival benefit in a randomized trial clarifying the role of splenectomy (JCOG0110 study). Although many studies have explored risk factors for morbidities following total gastrectomy, none have assessed the risk factors for postoperative complications in spleen-preserving total gastrectomy.

Methods: Using data from 505 patients enrolled in a previous randomized trial, risk factors for postoperative complications were identified by multivariable logistic regression analysis.

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Background: The coronavirus disease (COVID-19) pandemic has reduced diagnosed cancer cases worldwide. This study aimed to elucidate the recovery of cancer care from the COVID-19 pandemic in Ehime Prefecture, Japan.

Methods: This study collected data from the hospital-based cancer registry (HBCR) as well as the number of outpatients, medical information provision fee payments (MIP2) and second opinion patients (SOP) from the Council of Ehime Cancer Care Hospitals (ECCH).

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  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are serious skin reactions that require early mortality prediction for effective treatment.
  • A new clinical risk score called CRISTEN was created using data from 382 patients, focusing solely on clinical factors instead of blood tests.
  • The CRISTEN score effectively predicts mortality with good accuracy (AUC = 0.884 in the development study and 0.827 in the validation study), and can help guide treatment decisions for SJS/TEN patients.
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Benign notochordal cell tumor (BNCT) is a benign lesion derived from notochordal cells. Although it is relatively common in intraosseous lesion, pulmonary BNCT is extremely rare. We present a case of 54-year-old male with multiple pulmonary nodules, in which were considered to be metastatic chordomas initially.

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Purpose: We previously reported the primary results of JCOG0701, a randomized, multicenter, phase 3, noninferiority trial comparing accelerated fractionation (Ax) to standard fractionation (SF) for early glottic cancer. In the primary results, although the similar efficacy of 3-year progression-free survival and toxicity of Ax compared with SF was observed, the noninferiority of Ax was not confirmed statistically. To evaluate the long-term follow-up results of JCOG0701, we conducted JCOG0701A3 as an ancillary study of JCOG0701.

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Background: Primary lung tumors are sometimes resected when either pleural dissemination (PD) or malignant pleural effusion (MPE) exists. This study clarified the prognostic factors for non-small cell lung cancer (NSCLC) with either PD and MPE, or both, detected during or after surgery.

Patients And Methods: We examined patients with NSCLC from a multicenter database who had either PD, MPE, or both, detected during or after surgery between 2005 and 2015.

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  • Circulating tumor DNA (ctDNA) genotyping using next-generation sequencing (NGS) may aid in targeted therapy for metastatic colorectal cancer (mCRC), but its effectiveness in assessing the V600E mutation and guiding therapies needs further validation.
  • A study compared NGS-based ctDNA testing to traditional tissue testing in 212 mCRC patients, showing high concordance, sensitivity, and specificity rates for detecting V600E mutations, particularly when ctDNA levels were ≥1.0%.
  • The results indicate that ctDNA genotyping is a reliable method for identifying V600E mutations and can inform treatment decisions for anti-EGFR and BRAF therapies, highlighting its potential role in improving patient outcomes.
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  • Undifferentiated carcinoma (UC) of the pancreas is a rare and aggressive type of pancreatic cancer with a median survival of less than one year, although cases with osteoclast-like giant cells (UCOGCs) may have better outcomes.
  • The World Health Organization classifies UC into three subtypes (anaplastic, sarcomatoid, and carcinosarcoma) and distinguishes UCOGCs based on their unique histological features.
  • Currently, surgical resection is the only curative treatment, but promising results from paclitaxel-based chemotherapy and anti-programmed death-ligand 1 therapies highlight potential avenues for improving UC treatment options.
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Bone metastasis is common in advanced lung cancer, with the incidence reported to be 30%, and radiotherapy (RT) is used for pain relief from bone metastasis. The present study aimed to identify factors affecting local control (LC) of bone metastasis from lung cancer and to assess the significance of moderate RT dose escalation. This was a retrospective cohort study, where LC of bone metastasis from lung cancer that had received palliative RT was reviewed.

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  • The DESTINY-CRC01 trial tested trastuzumab deruxtecan (T-DXd) for patients with HER2-expressing metastatic colorectal cancer (mCRC) who had previously undergone at least two treatments.
  • The primary endpoint was the objective response rate (ORR), which was 45.3% in cohort A (HER2-positive patients), while no responses were observed in cohorts B and C.
  • Safety results indicated that the most common severe side effects included decreased neutrophil count and anemia, with some cases of drug-related lung disease, supporting further research on T-DXd's effectiveness in HER2-positive mCRC.
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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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Background: This study aimed to devise a simple assessment system for bone metastases (BMs) from lung cancer (LC).

Methods: A total of 368 LC patients with BMs who underwent radiotherapy (RT) were retrospectively reviewed. Prognostic factors were evaluated using multivariate analysis, and a scoring system based on regression coefficients was devised.

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Background: Mucosal patterns (MPs) observed on blue laser imaging in patients with atrophic gastritis can be classified as spotty, cracked, and mottled. Furthermore, we hypothesized that the spotty pattern may change to the cracked pattern after () eradication.

Aim: To further substantiate and comprehensively investigate MP changes after eradication in a larger number of patients.

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Background: This study aimed to evaluate the factors that affect the local control (LC) of bone metastases from radioresistant carcinomas (renal cell carcinoma, hepatocellular carcinoma [HCC], and colorectal carcinoma [CRC]) treated with palliative external-beam radiotherapy (EBRT).

Methods And Materials: Between January 2010 and December 2020, 211 bone metastases in 134 patients were treated with EBRT in two hospitals (a cancer center and university hospital). Based on follow-up CT, these cases were reviewed retrospectively to evaluate LC at the EBRT site.

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An observational study of the impact of immediate breast reconstruction on perioperative inflammatory cytokines.

Surg Today

November 2023

Department of Plastic and Reconstructive Surgery, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine, Kita-ku, Okayama Prefecture, Japan.

Purpose: Perioperative inflammatory cytokines may be related to cancer proliferation, although few studies have investigated this issue in patients undergoing breast reconstruction surgery.

Methods: We conducted a prospective study of patients scheduled for mastectomy only, mastectomy plus deep inferior epigastric perforator flap reconstruction (DIEP), or mastectomy plus tissue expander reconstruction (TE), with or without axial dissection (Ax), for primary breast cancer. Blood samples were collected for analysis of serum IL-6 and VEGF preoperatively, then within 24 h postoperatively (POD 1), and 4-6 days postoperatively (POD 4-6).

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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: It is shown that the postoperative adjuvant chemotherapy for non-small cell lung cancer (NSCLC) was associated with survival benefit in an elderly population. We aimed to analyze the feasibility and efficacy of alternate-day S-1, an oral fluoropyrimidine, for adjuvant chemotherapy in elderly patients with completely resected pathological stage IA (tumor diameter > 2 cm) to IIIA (UICC TNM Classification of Malignant Tumours, 7th edition) NSCLC.

Methods: Elderly patients were randomly assigned to receive adjuvant chemotherapy for one year consisting of either alternate-day oral administration of S-1 (80 mg/m2/day) for 4 days a week (Arm A) or a daily oral administration of S-1 (80 mg/m2/day) for 14 consecutive days followed by 7-day rest (Arm B).

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