200 results match your criteria: "Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital.[Affiliation]"

Microtubule-stabilizing agents (enfortumab vedotin and brentuximab vedotin) and microtubule-disrupting agents (docetaxel and paclitaxel) are used as anticancer agents but can also induce drug eruptions. Recently, mitotic arrest figures have been reported in various non-neoplastic cells as the histopathologic side effect of these drug eruptions. Therefore, we performed a comparative analysis of drug eruptions associated with these microtubule-targeting agents.

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Spitz melanoma is extremely rare, and only a few cases of distant metastases have been reported. Herein, we describe a case of Spitz melanoma with multiple distant metastases. A 37-year-old woman presented with a 5.

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  • - The study investigated the differences between evidence-based practices and actual practices among endoscopists diagnosing esophageal squamous cell carcinoma (ESCC), finding that many procedures diverged from recommended standards due to various reasons.
  • - An online survey of 819 endoscopists revealed that most preferred specific imaging techniques, with 64% using low-concentration iodine solutions, and a significant number routinely checked the oral cavity and pharynx in high-risk patients.
  • - The results indicate notable gaps in adhering to evidence-based guidelines, highlighting the need for better dissemination of these standards to improve patient care in the diagnosis of ESCC.
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  • * Most patients received paclitaxel-based treatments (49%), followed by fluoropyrimidines plus platinum (44%), and irinotecan (7%), with overall response rates of 28.7% and disease control rates of 54.1%.
  • * Results indicated a median progression-free survival (PFS) of 5.1 months and overall survival (OS) of 12.9 months, with the combination of paclitaxel and ramucirumab
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  • - NRAS Q61 mutations are common in melanocytic nevi and were found in a unique case of a 71-year-old Japanese man with a melanocytic tumor that had characteristics similar to a blue nevus.
  • - Histopathological analysis showed dense spindle-shaped melanocytes, with additional features like hyperpigmentation and mild nuclear atypia; targeted RNA sequencing confirmed two mutations (NRAS c.182A>G and FGFR2 c.-157A>G) without other significant alterations.
  • - Despite presenting similar morphology to a compound-type blue nevus ("Kamino nevus"), the tumor genetically aligns more closely with conventional melanocytic nevi driven by NRAS mutations, lacking the coexistence of ID
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The perioperative treatments for non-small cell lung cancer (NSCLC) should control both local and microscopic systemic disease, because the survival of patients with NSCLC who underwent surgical resection alone has been dismal except in stage IA patients. One way to improve surgical outcome is the administration of chemotherapy before or after the surgical procedure. During the last two decades, many clinical studies have focused on developing optimal adjuvant or neoadjuvant cisplatin-based chemotherapy regimens that can be combined with surgical treatment and/or radiotherapy.

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Background: High breast density found using mammographs (MGs) reduces positivity rates and is considered a risk factor for breast cancer. Research on the relationship between Volpara density grade (VDG) and compressed breast thickness (CBT) in the Japanese population is still lacking. Moreover, little attention has been paid to pseudo-dense breasts with CBT < 30 mm among high-density breasts.

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Wnt/β-Catenin-Activated Nonpilomatrical Carcinoma of the Skin: A Case Series.

Mod Pathol

November 2024

Department of Pathology, Université de Tours, Centre Hospitalier Universitaire de Tours, Tours, France; "Biologie des infections à polyomavirus" Team, UMR INRA ISP 1282, Université de Tours, Tours, France.

Article Synopsis
  • The study investigates 16 primary cutaneous carcinomas with mutations in genes that activate the Wnt/β-catenin pathway, noting that these tumors lack matrical differentiation, which is typically associated with such mutations.
  • The tumors predominantly affected elderly patients, with a median age of 80, and were mainly located on the head, neck, and upper limbs, leading to metastatic cases in some patients.
  • Key findings include poor differentiation in tumor structure, distinct immunohistochemical profiles, and recurrent mutations in APC and CTNNB1, indicating that these tumors represent a unique group apart from other established skin tumor types.
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Hidrocystoma is thought to be a benign retention cyst of sweat ductal units. The lesion is usually located in the periorbital skin; however, lesions with similar histopathological features are rarely observed in extra-facial sites. Herein, we present four cases of hidrocystoma-like tumours in extra-facial skin sites that harboured a RET or ALK rearrangement.

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  • * A total of 189 patients who underwent total mesorectal excision and LLND were included, and data on local recurrence (LR) and lateral lymph node recurrence (LLNR) were analyzed after matching similar patient characteristics.
  • * While 39 patients had pathological LLNM, the analysis showed similar rates of LR and LLNR in both groups after balancing their characteristics, suggesting LLND can provide comparable local control regardless of LLNM presence.
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  • Anti-PD-1 antibodies, commonly used to treat advanced melanoma, have reduced effectiveness in Asian patients and necessitate alternative therapies, prompting the investigation of TM5614 combined with nivolumab for treating patients with unresectable melanoma.
  • The TM5614-MM study, a phase 2 clinical trial, enrolled patients who had not responded to previous anti-PD-1 treatments, administering nivolumab every 4 weeks with TM5614 taken orally in specified doses for 8 weeks.
  • Results showed a 25.9% overall response rate after 8 weeks in 27 anti-PD-1 refractory patients, with a manageable safety profile, indicating that the combination therapy could benefit this patient population.
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WHO Classification of Skin Tumors, fifth edition (2023) has newly described primary cutaneous NUT carcinoma; however, information on this cancer type remains scarce. Herein, we performed clinicopathologic and genetic analyses of 4 cases. Four elderly women (median age 77 y, range: 68 to 82 y) were included.

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  • The study focused on the genetic changes in extramammary Paget disease (EMPD), specifically looking at CDKN2A and MTAP alterations and their impact on disease progression.
  • Researchers analyzed 24 invasive/metastatic EMPD cases using immunohistochemistry and DNA sequencing, finding that p16 expression was mostly preserved in early-stage tumors but significantly lost in invasive and metastatic stages.
  • The study confirmed CDKN2A deletions in all five metastatic cases tested, suggesting that loss of p16 expression and CDKN2A alterations are common in aggressive forms of EMPD.
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Curative criteria for endoscopic treatment of oesophageal squamous cell cancer.

Best Pract Res Clin Gastroenterol

February 2024

Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Tokyo, Japan. Electronic address:

Endoscopic treatment of early oesophageal squamous cell carcinoma is widely accepted. ESD (Endoscopic Submucosal Dissection), which allows en bloc resection regardless of size, provides resected specimens that facilitate histological evaluation of curability. In the histological investigation, the determination of tumor depth, lymphovascular involvement, and lateral and vertical margins play a great role in the assessment of curability.

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Sweat-gland carcinoma with neuroendocrine differentiation (SCAND) was recently proposed as a new cutaneous adnexal neoplasm with neuroendocrine differentiation; however, its genetics are not well known. Herein, we performed clinicopathologic and genetic analyses of 13 SCAND cases and 5 control cases of endocrine mucin-producing sweat gland carcinoma (EMPSGC). The SCAND group included 11 males and 2 females with a median age of 68 years (range, 50 to 80 y).

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Background: We investigated the impact of the prognostic nutritional index (PNI) on esophageal cancer survival and recurrence after curative treatment.

Methods: This study included 120 patients who underwent curative surgery followed by the adjuvant treatment for esophageal cancer between 2008 and 2018. The risk factors for overall survival (OS) and recurrence-free survival (RFS) were identified.

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Background: We previously developed a Japan Esophageal Society Barrett's Esophagus (JES-BE) magnifying endoscopic classification for superficial BE-related neoplasms (BERN) and validated it in a nationwide multicenter study that followed a diagnostic flow chart based on mucosal and vascular patterns (MP, VP) with nine diagnostic criteria. Our present post hoc analysis aims to further simplify the diagnostic criteria for superficial BERN.

Methods: We used data from our previous study, including 10 reviewers' assessments for 156 images of high-magnifying narrow-band imaging (HM-NBI) (67 dysplastic and 89 non-dysplastic histology).

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  • - The study investigates the medical care costs associated with breast cancer treatment in Japan, focusing on costs related to different cancer stages using national health insurance claims data.
  • - Researchers categorized breast cancer patients into curable and non-curable groups based on their treatment types and calculated total and treatment-specific costs over a five-year period.
  • - Findings indicate that patients in the curable group incurred significantly lower medical costs compared to those in the non-curable group, suggesting early detection may lead to cost savings in treatment.
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Introduction: Due to the increase in the number of early-stage breast cancer patients, there is growing interest in minimally invasive local therapies for breast cancer. Radiofrequency ablation (RFA) therapy is one of the most promising minimally invasive treatments. The Radiofrequency Ablation Therapy for Early Breast Cancer as Local Therapy (RAFAELO) study, a multicenter collaborative study that aims to validate the efficacy and safety of RFA and to standardize its use for early-stage breast cancer, was conducted under the Advanced Medical Care B system in 2013.

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Apocrine carcinoma cases with sebaceous differentiation have not been reported and can be misdiagnosed as sebaceous carcinoma. We present two cases of apocrine carcinoma with marked sebocyte-like cytological features. Tumors were observed in the left axilla of a 68-year-old man (Case 1) and the right axilla of a 72-year-old man (Case 2).

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  • TRPS1, a transcription factor linked to breast and liver cancer, was analyzed for its expression in normal skin and various skin tumors.
  • In normal skin, TRPS1 was absent in the epidermis but present in other skin structures like hair follicles and sebaceous glands.
  • TRPS1 positivity varied across different cutaneous tumors, being particularly high in cases like extramammary Paget disease and metastatic breast cancer, while absent in several common skin cancers like melanoma and basal cell carcinoma.
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Background And Aims: The diagnostic performance of EUS-guided fine-needle aspiration/biopsy sampling (EUS-FNAB) for pancreatic ductal adenocarcinoma (PDAC) ≤10 mm in diameter is relatively low. Pancreatic juice cytology (PJC) has gained attention because of its high sensitivity for small PDACs. We aimed to clarify the diagnostic ability of EUS-FNAB and the salvage ability of PJC for PDAC ≤10 mm.

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Objectives: Patients with malignant wounds suffer from physical and psychological symptom burden. Despite psychological support being required, the impact of malignant wounds on patients' psychological distress is poorly investigated. We evaluated psychological distress associated with malignant wounds for patients at their end of life.

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