186 results match your criteria: "Toshima Hospital.[Affiliation]"

Retiform hemangioendothelioma of the breast in a man with F-flurodeoxyglucose accumulation on positron emission tomography: a case report.

Surg Case Rep

April 2023

Department of Pathology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan.

Background: Retiform hemangioendothelioma (RH) is a rare, intermediate-grade vascular tumor that often arises in the trunk and extremities. The clinical and radiological features of RH remain largely unknown.

Case Presentation: A male patient in his 70s presented with shortness of breath on exertion, and computed tomography incidentally revealed a tumor in his right breast.

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Article Synopsis
  • The study aimed to determine if SARS-CoV-2 infection leads to acute encephalopathy in children and to identify the prevalent syndromes and their outcomes among pediatric patients in Japan from January 2020 to May 2022.
  • A nationwide survey of the Japanese Society of Child Neurology found 31 eligible patients, with common diagnoses being biphasic seizures and cases linked to multisystem inflammatory syndrome in children (MIS-C).
  • Out of the 31 patients studied, 29% experienced severe outcomes or died, highlighting the seriousness of encephalopathy associated with severe COVID-19 symptoms.
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Objective/aim: We aimed to demonstrate the anatomical relationship between the recurrent laryngeal nerves (RLNs), thin membranous dense connective tissue (TMDCT [e.g., the visceral or vascular sheaths around the esophagus]), and the lymph nodes around the esophagus at the curving portion of the RLNs for rational and efficient lymph node dissection.

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  • The study aimed to determine how the location of brain infarcts, measured by the posterior circulation Alberta Stroke Program Early Computed Tomographic Score (pc-ASPECTS), affects patient outcomes after endovascular therapy for basilar artery occlusion.
  • Among 100 participants, 51% achieved favorable outcomes, with younger age, lower pre-treatment stroke severity, and higher pc-ASPECTS scores linked to better recovery.
  • The research concluded that higher pc-ASPECTS scores are predictive of better outcomes, while bilateral cerebellar infarction is associated with poorer recovery chances.
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The aim of this study was to determine the proportion of near-miss dispensing errors in hospital pharmacies in Japan. A prospective multi-center observational study was conducted between December 2018 and March 2019. The primary objective was to determine the proportion of near-miss dispensing errors in hospital pharmacy departments.

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We report a 14-year-old girl with a heterozygous p. Gln403Arg variant in the gene, who had five episodes of encephalopathy. She experienced reduced consciousness, numbness in the arm, and impaired verbal communication from day 4 of SARS-CoV-2 infection.

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Unilateral methotrexate-induced lung injury with foreign bodies in the airway: A case report.

Respir Med Case Rep

January 2022

Department of Respiratory Medicine, Toshima Hospital, Tokyo Metropolitan Health and Hospitals Corporation, 33-1, Sakaecho, Itabashi-Ku, Tokyo, 173-0015, Japan.

A 75-year-old woman who had been taking methotrexate presented to our hospital for fever and dry cough. Chest computed tomography showed ground-glass opacity in the upper lobe of the right lung and foreign bodies in the lower lobe of the right bronchus. During bronchoscopy, foreign bodies were removed from the airway.

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Although the novel coronavirus disease 2019 (COVID-19) causes severe viral pneumonia, it has also been reported, in some cases, to co-exist with ST-segment elevation myocardial infarction. Here, we describe the case of a patient with COVID-19 and coronary risk factors for hypertension, including smoking and obesity, who developed acute myocardial infarction due to primary coronary artery thrombosis and was treated with transcatheter thrombus aspiration and percutaneous transluminal coronary recanalization (PTCR) with intracoronary urokinase administration. A large volume of thrombus was collected and thrombolysis in myocardial infarction flow grade 3 was obtained after the procedures.

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Background/aim: The effect of β-adrenergic blockers on everolimus-eluting stent (EES) implantation is unknown. We aimed to investigate how β-blockers affect the outcomes of EES by using the Tokyo-MD PCI registry data and analyse real-world data in this drug-eluting stent era in Japan.

Patients And Methods: We selected 1,899 patients who underwent EES implantation.

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Purpose: To compare the real-world effectiveness of antipsychotic treatments focusing on long-acting injectable antipsychotic medications (LAIs) and antipsychotic polytherapies except polytherapy involving clozapine (APEC) for patients with schizophrenia.

Methods: This prospective study was conducted over a 19-month period in 12 psychiatric emergency hospitals in Japan. Patients who were newly admitted to psychiatric emergency wards between September 2019 and March 2020 because of acute onset or exacerbation of Schizophrenia and Other Psychotic Disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, were included.

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Deep neural network for video colonoscopy of ulcerative colitis: a cross-sectional study.

Lancet Gastroenterol Hepatol

March 2022

Tokyo Medical and Dental University Advanced Research Institute, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address:

Background: A combination of endoscopic and histological evaluation is important in the management of patients with ulcerative colitis. We aimed to adapt our previous deep neural network system (deep neural ulcerative colitis [DNUC]) to full video colonoscopy and evaluate its validity in the real-time detection of histological mucosal inflammation.

Methods: In this multicentre, cross-sectional study, we prospectively enrolled consecutive patients (≥15 years) with ulcerative colitis who had an indication for colonoscopy at five hospitals in Japan.

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Article Synopsis
  • Excimer laser coronary atherectomy (ELCA) is a treatment for removing blood clots in patients with acute myocardial infarction (AMI) and may reduce in-hospital mortality compared to conventional treatments.
  • In a study involving 104 patients treated with ELCA and 89 with conventional methods, the in-hospital mortality rate was significantly lower in the ELCA group (2.9% vs. 13.5%).
  • Key predictors of in-hospital mortality included the use of ELCA, presence of dyslipidemia, shock, and patients’ left ventricular ejection fraction, suggesting ELCA’s effectiveness in improving outcomes during the drug-eluting stent era.
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Introduction: Increasing physical activity (PA) improves glycemic control in patients with type 2 diabetes mellitus (T2DM). However, whether long-term objectively measured PA is related to glycemic control remains unclear. The aim of this study was to investigate the relationship between long-term objectively measured PA and glycemic control in T2DM patients.

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A 72‒year‒old man visited our hospital with a chief complaint of epigastralgia. Upper gastrointestinal endoscopy revealed type 3 advanced gastric cancer at the body of the stomach. Following an investigation, he was diagnosed with human epidermal growth factor receptor 2‒positive gastric cancer with invasion to the pancreas as well as the paraaortic lymph node, and multiple liver metastases were also observed.

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Trifluridine/tipiracil (TAS-102) is an important chemotherapeutic agent recommended by the Japanese guidelines as third- or fourth-line treatment for colorectal cancer. Some studies have reported that administration of TAS-102 concomitant with bevacizumab prolongs progression-free and overall survival in colorectal cancer. We describe 2 patients treated with a chemotherapeutic regimen comprising TAS-102 concomitant with bevacizumab for recurrent colorectal cancer.

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  • The study investigated the presence of thin membranous dense connective tissue around the esophagus in the middle and lower mediastinum, following earlier findings in the upper mediastinum.
  • Semi-sequential sections from two cadavers were analyzed using specific staining methods to identify these connective tissues.
  • Results showed that while a complete "visceral sheath" was not found in the middle mediastinum, two distinct connective tissues were observed in the lower mediastinum, suggesting their potential utility as dissection layers during radical esophagectomy.
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Histological changes in the human esophagus following triamcinolone injection to prevent esophageal stricture after endoscopic submucosal dissection.

Esophagus

July 2021

Department of Gastrointestinal Surgery, Graduate School of Medical and Dental Sciences (Medicine), Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.

Article Synopsis
  • The study investigated histopathological changes in the esophagus after locoregional triamcinolone acetonide (TA) injection post-endoscopic submucosal dissection (ESD) to understand its effects on preventing esophageal stricture.
  • The research involved 13 patients who underwent esophagectomy after ESD, comparing 7 patients injected with TA and 6 not injected, primarily examining the characteristics of esophageal ulcer scars.
  • Results showed that TA injection correlated with significantly thinner subepithelial fibrous tissue in the ulcer scars, suggesting it may help prevent esophageal stricture by inhibiting fibrous tissue proliferation.
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Impact of domestic travel restrictions on transmission of COVID-19 infection using public transportation network approach.

Sci Rep

February 2021

Division of Biostatistics and Bioinformatics, Graduate School of Public Health, St. Luke's International University, OMURA Susumu and Mieko Memorial, St. Luke's Center for Clinical Academia, 5th Floor 3-6-2 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.

The international spread of COVID-19 infection has attracted global attention, but the impact of local or domestic travel restriction on public transportation network remains unclear. Passenger volume data for the domestic public transportation network in Japan and the time at which the first confirmed COVID-19 case was observed in each prefecture were extracted from public data sources. A survival approach in which a hazard was modeled as a function of the closeness centrality on the network was utilized to estimate the risk of importation of COVID-19 in each prefecture.

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We herein report 2 cases of gastric cancer treated by S-1 and oxaliplatin combination therapy before later undergoing gastrectomy. The pathological results of both cases demonstrated complete response. Case 1 had a giant tumor which was suspected to have invaded the pancreas.

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The patient, a male in his 70s, visited our hospital with a chief complaint of general fatigue and weight loss. Upon a detailed examination, he was diagnosed with sigmoid colon cancer, para-aortic lymph node metastases, and multiple liver metastases, for which he was hospitalized due to a poor performance status(PS). FOLFOX therapy was administered as the symptoms caused by the primary lesion were not recognized and his general condition was considered to be poor and thus he was deemed to be inoperable.

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A 74-year-old male with post-prostatectomy incontinence underwent artificial urinary sphincter replacement due to device malfunction. Three months after the replacement surgery, he presented for a consultation due to a bulging area in his lower abdomen. Computed tomography revealed a hernia of the pressure-regulating balloon (PRB), while the device was working well.

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An outbreak of coronavirus disease 2019 (COVID-19) that began in Wuhan, China, has spread rapidly to many countries. We herein report four cases of COVID-19 confirmed in Japan among passengers of the cruise ship Diamond Princess and describe the clinical features, clinical course, and progression of chest computed tomographic images, chest radiographs, and treatment. Although these four patients had symptoms that included a fever, malaise, runny nose, and cough, one patient had no symptoms on admission.

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Aggregatibacter actinomycetemcomitans, an etiological agent associated with periodontitis, endocarditis, and other infections, has rarely been implicated in spondylitis. A 70-year-old man with aortic valve replacement presented with a 4-month history of lower back pain and was diagnosed with spondylitis. Prolonged incubation of blood cultures and a biopsy yielded A.

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