93 results on '"Shoji Takahashi"'
Search Results
2. A case of surgically diagnosed intrapulmonary schwannoma
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Shoji Takahashi, Hideaki Kojima, Mitsuhiro Isaka, Yoshiyuki Yasuura, Yukihiro Terada, and Yasuhisa Ohde
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medicine.medical_specialty ,business.industry ,Medicine ,Radiology ,Schwannoma ,business ,medicine.disease - Published
- 2018
3. Long-term survival after pulmonary resections for multiple metastases from gastric cancer: A case report
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Shoji Takahashi, Hideaki Kojima, Mitsuhiro Isaka, Nozomu Machida, Kazuhito Funai, and Yasuhisa Ohde
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Cancer ,Pulmonary resection ,medicine.disease ,Article ,Metastasis ,Early Gastric Cancer ,Pulmonary metastasectomy ,03 medical and health sciences ,0302 clinical medicine ,Pulmonary metastasis ,030220 oncology & carcinogenesis ,Long term survival ,Medicine ,030211 gastroenterology & hepatology ,Surgery ,In patient ,Gastrectomy ,Radiology ,Metastasectomy ,business ,Gastric cancer - Abstract
Highlights • We report a case of long-term survival after pulmonary resections for multiple metastases from gastric cancer. • The prognosis of pulmonary resection for metastatic gastric cancer is poor even though solitary metastasis. • Recently, however, cases of long-term survival have been reported. • By contrast, long-term survival after pulmonary resections for multiple pulmonary metastases from gastric cancer is extremely rare. • Our case suggests that pulmonary metastasectomy could be a therapeutic option even in patients involving multiple pulmonary metastases., Introduction The prognosis of pulmonary resection for metastatic gastric cancer is poor even though solitary metastasis. Long-term survival after pulmonary resections for multiple pulmonary metastases from gastric cancer is extremely rare. Case presentation The patient was 67-year old man who underwent a distal gastrectomy for early gastric cancer. Wedge resections of the right upper and lower lobes and right lower lobectomy were performed for metastases from gastric cancer at 29 months and 55 months after the gastrectomy, respectively. As of 96 months after the first pulmonary metastasectomy, this patient continues to be recurrence-free. Discussion Multiple pulmonary metastases after gastrectomy are not considered candidates for surgery. Although systemic chemotherapy is the standard therapy for metastatic gastric cancer, the prognosis is extremely poor. In this case with favorable prognostic factors, such as long disease-free intervals or absence of extrapulmonary metastasis, pulmonary metastasectomy could be a therapeutic option in patients despite the presence of multiple pulmonary metastases. Conclusions Our case suggests that even in cases involving multiple pulmonary metastases, pulmonary metastasectomy might be an effective therapeutic option that can improve survival.
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- 2018
4. Risk factors for local recurrence after lobectomy and lymph node dissection in patients with non-small cell lung cancer: Implications for adjuvant therapy
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Shoji Takahashi, Hideaki Kojima, Yasuhisa Ohde, Katsuhiro Omae, and Mitsuhiro Isaka
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Adult ,Male ,Pulmonary and Respiratory Medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,Platinum Compounds ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,medicine ,Adjuvant therapy ,Humans ,Stage (cooking) ,Risk factor ,Pneumonectomy ,Lung cancer ,Lymph node ,Aged ,Neoplasm Staging ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Hazard ratio ,Middle Aged ,medicine.disease ,Survival Analysis ,Dissection ,medicine.anatomical_structure ,030228 respiratory system ,Chemotherapy, Adjuvant ,030220 oncology & carcinogenesis ,Mediastinal lymph node ,Lymph Nodes ,Neoplasm Recurrence, Local ,business ,Follow-Up Studies - Abstract
The objective of this study was to investigate clinicopathological risk factors for local recurrence in patients who underwent either complete resection with lobectomy or more extensive resection with hilar and mediastinal lymph node dissection for non-small cell lung cancer (NSCLC). The role of adjuvant therapy was also explored.We reviewed the records of 1012 consecutive stage I-III NSCLC patients who underwent complete resection. The median follow-up time was 59 months. The risk factors for local recurrence were investigated by multivariate analysis using Cox's proportional hazards regression model.Local recurrence was identified in 9.4% of the patients. The most significant risk factor for local recurrence was lymph node metastasis (N1: hazard ratio [HR]=2.27, p=0.009; N2: HR=6.85, p0.0001). For the subgroup of patients with lymph node metastasis (n=289), the independent risk factors for local recurrence were N2 disease with N1 metastasis (N2 with N1; HR=3.46, p0.0001) and non-receipt of adjuvant platinum-based chemotherapy (HR=1.91, p=0.018). The 5-year freedom from local recurrence rates were 96.1%, 84.1%, 85.0%, and 53.5% for N0, N1, skip N2, and N2 with N1 stages (p0.0001).Local recurrence is significantly associated with poor overall survival. Therefore, local control is essential for radical cure of NSCLC. N2 with N1 status was the primary risk factor for local recurrence, while adjuvant chemotherapy improved local control. These data have important implications for postoperative radiotherapy and highlight the need to devise more effective eligibility criteria for this modality in patients with lymph node metastasis.
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- 2018
5. Can 18F-FDG PET predict the grade of malignancy in thymic epithelial tumors? An evaluation of only resected tumors
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Hiroaki Kurihara, Takashi Terauchi, Yasuhisa Ohde, Masahiro Endo, Kazuo Nakagawa, and Shoji Takahashi
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Pathology ,medicine.medical_specialty ,Thymoma ,business.industry ,Significant difference ,Cancer ,Standardized uptake value ,030204 cardiovascular system & hematology ,medicine.disease ,Malignancy ,World health ,03 medical and health sciences ,0302 clinical medicine ,Oncology ,030220 oncology & carcinogenesis ,Tumor stage ,Medicine ,business ,Thymic carcinoma - Abstract
Objective Although 18-fluorine fluorodeoxyglucose positron emission tomography (18F-FDG PET) is thought to be useful for predicting the histological grade of thymic epithelial tumors (TETs), it remains controversial. To date, just a few of many previous studies have included only resected cases. Therefore, we investigated 18F-FDG PET findings only in patients with resected TETs. Patients and methods A total of 112 patients with TETs consisting of 92 thymomas and 20 thymic carcinomas (TCs), resected at two institutes (Shizuoka Cancer Center [Shizuoka] and National Cancer Center Hospital [Tokyo]) between October 2002 and December 2015, were evaluated. Spearman rank correlation coefficient was used to assess the association between the maximum standardized uptake value (SUVmax) in the tumor and both the histological subtype and tumor stage. The cutoff value of SUVmax for differentiating thymoma from TC was calculated. Results The SUVmax was strongly related to both the World Health Organization (WHO) histological subtype and tumor stage based on the eighth edition of the tumor-node-metastasis (TNM) classification (Spearman rank correlation coefficient =0.485 and 0.432; p = 0.000 and 0.000, respectively). There was a significant difference between thymoma and TC. The optimal SUVmax cutoff value for differentiating thymoma from TC was 4.58 (sensitivity: 80% and specificity: 78.3%). In contrast, there was no significant difference between low-risk (type A, AB, and B1) and high-risk (type B2 and B3) thymoma, or between type B3 thymoma and the other subtypes. Conclusion Our results suggest that 18F-FDG PET is useful for differentiating thymoma from TC, but not for predicting the histologic grade of thymoma.
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- 2017
6. Survival data for postoperative adjuvant chemotherapy comprising cisplatin plus vinorelbine after complete resection of non-small cell lung cancer
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Haruyasu Murakami, Kazushige Wakuda, Hideaki Kojima, Tateaki Naito, Mitsuhiro Isaka, Shoji Takahashi, Masahiro Endo, Toshiaki Takahashi, Kazuhisa Nakashima, Hirotsugu Kenmotsu, Shota Omori, Akira Ono, and Yasuhisa Ohde
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Adult ,Male ,0301 basic medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,medicine.medical_treatment ,Antineoplastic Agents ,Vinblastine ,Toxicology ,Vinorelbine ,Disease-Free Survival ,03 medical and health sciences ,0302 clinical medicine ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,medicine ,Humans ,Pharmacology (medical) ,Lung cancer ,neoplasms ,Survival rate ,Aged ,Pharmacology ,Cisplatin ,Chemotherapy ,Univariate analysis ,business.industry ,Cancer ,Middle Aged ,medicine.disease ,Survival Analysis ,respiratory tract diseases ,030104 developmental biology ,Chemotherapy, Adjuvant ,030220 oncology & carcinogenesis ,Female ,business ,Adjuvant ,medicine.drug - Abstract
Despite the efficacy of postoperative adjuvant cisplatin (CDDP)-based chemotherapy for patients who have undergone surgical resection of non-small cell lung cancer (NSCLC), few reports have presented survival data for Asian patients treated with adjuvant chemotherapy involving a combination of CDDP and vinorelbine (VNR). This study was performed to evaluate the survival of patients with NSCLC who received postoperative adjuvant chemotherapy comprising CDDP + VNR. We retrospectively evaluated patients with NSCLC who received adjuvant chemotherapy comprising CDDP + VNR at the Shizuoka Cancer Center between February 2006 and October 2011. One hundred patients who underwent surgical resection of NSCLC were included in this study. The patients’ characteristics were as follows: median age 63 years (range 36–74 years), female 34%, never-smokers 20%, and non-squamous NSCLC 73%. Pathological stages IIA, IIB, and IIIA were observed in 31, 22, and 47% of patients, respectively. The 5- and 2-year overall survival rates were 73 and 93%, respectively. The 5- and 2-year relapse-free survival rates were 53 and 62%, respectively. Univariate analysis of prognostic factors showed that patient characteristics (sex, histology, and pathological stage) and CDDP dose intensity were not significantly associated with survival. In 48 patients who developed NSCLC recurrence, the 5-year survival rate after recurrence was 29%, and the median survival time after recurrence was 37 months. Our results suggest that the prognosis after surgical resection of NSCLC and adjuvant chemotherapy comprising CDDP + VNR might be improving compared with previous survival data of adjuvant chemotherapy for NSCLC.
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- 2017
7. Relationship between the Inclination of Adjacent Teeth Caused by Vertical Malposition of the Second Primary Molar – in Relation to Development Stage of First Molar
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Takashi Sasabe, Shigeru Watanabe, Koji Watanabe, Shoji Takahashi, Akihiro Nakamura, and Reina Odai
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Molar ,Environmental Engineering ,business.industry ,Dentistry ,Medicine ,Stage (hydrology) ,Second primary cancer ,business ,Mandibular first molar ,Industrial and Manufacturing Engineering - Published
- 2017
8. Clinical Differentiations in Stump Granuloma and Stump Recurrence After Lung Resection for Malignancy Using a Stapler
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Hideaki Kojima, Reiko Shimizu, Kiyomichi Mizuno, Shoji Takahashi, Mitsuhiro Isaka, Yasuhisa Ohde, Shoko Hayashi, Hiroyuki Kayata, and Yoshiyuki Yasuura
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,030204 cardiovascular system & hematology ,medicine.disease ,Malignancy ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Oncology ,030220 oncology & carcinogenesis ,Granuloma ,medicine ,Lung resection ,business - Published
- 2017
9. Designing for Turbine Housing Weight Reduction Using Thermal Fatigue Crack Propagation Prediction Technology
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Shoji Takahashi, Mitsumasa Sorazawa, and Toshikazu San'o
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Thermal fatigue ,Materials science ,business.industry ,Fracture mechanics ,Structural engineering ,business ,Turbine ,Fatigue limit ,Finite element method ,Turbocharger - Published
- 2019
10. Learning Behavior of Sanukite Knapping Among the Upper Palaeolithic Communities of Suichoen, Japan
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Yoshihiro Nishiaki and Shoji Takahashi
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geography ,geography.geographical_feature_category ,Knapping ,Reading (process) ,media_common.quotation_subject ,Archipelago ,Learning behavior ,Cognitive psychology ,media_common - Abstract
This paper presents a case study of the learning behaviors among Upper Palaeolithic modern humans in the Japanese Archipelago. The study is based on an analysis of numerous refit sets of lithic artifacts excavated in situ at the Suichoen site in western Japan, dated from between approximately 30 and 20 ka. The analysis used three steps: (1) reading more than 150 refits to evaluate the knappers’ skills, (2) identifying the individual knapper in each lithic concentration (i.e., “post”), and (3) analyzing the spatial and contextual relationships of the knappers/lithic concentrations, and hence communication between the knappers. Based on the results, the learning behaviors at this site can best be described as laissez-faire, with experts having limited control of beginners. At the same time, the practice of specific behaviors (i.e., demonstrating, ordering, and teaching) was also suggested. These features match well with the learning behaviors observed in ethnographies of modern hunter-gatherers.
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- 2019
11. Outcomes of initial surgery in patients with clinical N2 non-small cell lung cancer who met 4 specific criteria
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Masahiro Endo, Mitsuhiro Isaka, Tomohiro Maniwa, Yasuhisa Ohde, and Shoji Takahashi
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Adult ,Male ,medicine.medical_specialty ,Lung Neoplasms ,Time Factors ,030204 cardiovascular system & hematology ,Metastasis ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Surgical oncology ,Carcinoma, Non-Small-Cell Lung ,medicine ,Humans ,In patient ,Pneumonectomy ,Lung cancer ,Aged ,Aged, 80 and over ,business.industry ,Single station ,Treatment options ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Treatment Outcome ,Chemotherapy, Adjuvant ,Lymphatic Metastasis ,Positron-Emission Tomography ,030220 oncology & carcinogenesis ,Mediastinal lymph node ,Lymph Node Excision ,Female ,Non small cell ,Radiology ,business ,Follow-Up Studies - Abstract
The role of surgery for patients with non-small cell lung cancer (NSCLC) with clinical mediastinal lymph node metastasis (N2) remains controversial. We specified 4 criteria for performing initial surgery in these patients (single-station N2, non-bulky N2, N2 with regional mode of spread, and N2 without N1) and examined the outcomes to validate the treatment options.Between September 2002 and December 2010, of 1290 patients who underwent complete resection for NSCLC, 808 patients underwent initial standard resection, including 779 patients with cN0-1 and 29 with cN2. We compared the outcomes, and evaluated patients with cN2-pN2.The median follow-up was 45.5 months (3-119 months). Seventy (9.0 %) and 24 (82.8 %) patients had p-N2 in the cN0-1 and cN2 groups, respectively (p 0.0001). The 5-year disease-free survival (DFS) rates in the cN0-1 and cN2 groups were 73.3 and 50.6 %, respectively (p = 0.0053), and the 5-year overall survival (OS) rates were 81.3 and 71.1 %, respectively (p = 0.051). The 5-year DFS and OS of patients with cN2-pN2 were 52.5 and 72.6 %, respectively.Patients with clinical N2 disease based on our criteria represent a highly specific group with a favorable prognosis. Resection should therefore be the initial treatment for these patients.
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- 2015
12. High-Grade Neuroendocrine Carcinoma with Bronchial Intraepithelial Tumor Spread
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Kazuhito Funai, Shoji Takahashi, Reiko Watanabe, Naoko Miyata, Hideaki Kojima, Mitsuhiro Isaka, Toru Kameya, Ichiro Ito, Yasuhisa Ohde, Tomohiro Maniwa, Reiko Shimizu, Takashi Nakajima, and Hiroyuki Kayata
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Pulmonary and Respiratory Medicine ,Bronchus ,Neoplasm Grading ,Pathology ,medicine.medical_specialty ,Lung ,business.industry ,respiratory system ,medicine.disease ,Primary tumor ,respiratory tract diseases ,medicine.anatomical_structure ,Oncology ,medicine ,Carcinoma ,Bronchial neoplasm ,Immunohistochemistry ,business ,Lung cancer - Abstract
Introduction During surgical resection of a peripherally located high-grade neuroendocrine carcinoma (HGNEC), we unexpectedly discovered prominent bronchial intraepithelial tumor spread up to the surgical end of the bronchus. Because bronchial intraepithelial tumor spread of peripherally located HGNEC has been rarely reported, we conducted a retrospective analysis at our hospital. Methods We histologically reviewed surgically resected HGNEC cases to assess bronchial intraepithelial spread of tumor cells. HGNECs with bronchial intraepithelial tumor spread were further studied by immunohistochemistry for neuroendocrine markers, and their clinicopathological characteristics were evaluated. Results Of 1778 cases of surgically resected lung cancer in our hospital, 47 cases of HGNEC were evaluated. Bronchial intraepithelial tumor spread was observed in nine cases (19.1%); eight of these cases were large-cell neuroendocrine carcinoma (LCNEC) or small-cell lung carcinoma with an LCNEC component. Moreover, bronchial intraepithelial tumor spread was continuous from the primary tumor to the resected end of the bronchus in four cases, and all these cases had an LCNEC component. Furthermore, HGNEC with bronchial intraepithelial tumor spread was associated with a higher recurrence rate than no bronchial intraepithelial tumor spread. Conclusion The results of this study suggest that bronchial intraepithelial tumor spread is commonly observed in cases of peripherally located HGNEC and may be a unique form of tumor invasion, especially tumors with LCNEC morphology. Therefore, surgeons and pathologists should be cognizant of bronchial intraepithelial tumor spread in peripherally located HGNEC, as well as its potential role as an indicator of HGNEC aggressiveness.
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- 2015
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13. High-resolution computed tomography findings of early mucinous adenocarcinomas and their pathologic characteristics in 22 surgically resected cases
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Masahiro Endo, Toru Kameya, Mitsuhiro Isaka, Hideaki Kojima, Naoko Miyata, Shoji Takahashi, Takashi Nakajima, Yasuhisa Ohde, and Tomohiro Maniwa
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Adult ,Male ,medicine.medical_specialty ,High-resolution computed tomography ,Lung Neoplasms ,Adenocarcinoma in Situ ,medicine ,Adenocarcinoma of the lung ,Humans ,Radiology, Nuclear Medicine and imaging ,Ct findings ,Lung cancer ,Lung ,Pathological ,medicine.diagnostic_test ,business.industry ,Mean value ,General Medicine ,medicine.disease ,Adenocarcinoma, Mucinous ,Mucinous Adenocarcinomas ,Radiographic Image Interpretation, Computer-Assisted ,Adenocarcinoma ,Female ,Radiology ,Tomography, X-Ray Computed ,business - Abstract
Background The pathological criteria of early-stage mucinous adenocarcinoma of the lung have recently been defined; however, its characteristic radiologic imaging findings are still poorly understood. Thus, this study aimed to clarify the radiologic and pathological findings of early-stage mucinous adenocarcinoma. Materials and methods In this study, we clinicopathologically reviewed 22 cases of surgically resected mucinous adenocarcinoma in situ (AIS) and minimal invasive adenocarcinoma (MIA), and attempted to elucidate the characteristic radiologic features of early mucinous adenocarcinomas using high-resolution computed tomography (HRCT). Results Radiologically, the mean value of the maximum diameter of 22 tumours was 2.1 cm (range, 1.0–2.9 cm). Based on the HRCT findings, the tumours were divided into part-solid ground glass nodules (n = 11) and solid nodules (n = 11). The mean CT attenuation value was 25.7 HU (range, 17–35 HU). All tumours, except 3 tumours pathologically diagnosed as AIS, showed air-containing features. According to the preoperative CT findings, 7 (35%) cases were diagnosed as inflammatory nodules. Of these, 4 cases had lobular-bounded margins, and 3 showed vaguely outlined ground glass shadows. Conclusion The characteristic HRCT findings of mucinous AIS and MIA were solid or part-solid nodules with air-containing spaces. However, some AIS and MIA nodules showed lobular-bounded margins or marginally vaguely outlined ground glass shadows, and were difficult to differentiate from inflammatory nodules.
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- 2015
14. Prognostic factors of pulmonary metastasectomy for osteosarcoma and soft tissue sarcoma
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Naoko Miyata, Hirohisa Katagiri, Shoji Takahashi, Tomohiro Maniwa, Yasuhisa Ohde, Mitsuhiro Isaka, Reiko Shimizu, Hideaki Kojima, and Hiroyuki Kayata
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medicine.medical_specialty ,business.industry ,Soft tissue sarcoma ,Medicine ,Osteosarcoma ,Radiology ,Metastasectomy ,business ,medicine.disease - Published
- 2015
15. Fluoride retention in the mouth during awake and sleep
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Takahiro Miki, Yoshiaki Ono, Kosuke Tanase, Tethufumi Sano, Chenghua Pai, Hidekazu Oba, Shoji Takahashi, Shigeru Watanabe, and Koji Watanabe
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chemistry.chemical_compound ,chemistry ,business.industry ,Anesthesia ,Medicine ,business ,Sleep in non-human animals ,Fluoride - Published
- 2017
16. Continuous infusion of recombinant activated factor VII for bleeding control after lobectomy in a patient with inherited factor VII deficiency
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Yasuhisa Ohde, Naoko Miyata, Hideaki Kojima, Mitsuhiro Isaka, Shoji Takahashi, Tomohiro Maniwa, and Osamu Takamiya
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Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Factor VII Deficiency ,Hemorrhage ,Factor VIIa ,Disease ,Postoperative Hemorrhage ,030204 cardiovascular system & hematology ,Asymptomatic ,03 medical and health sciences ,chemistry.chemical_compound ,Rare Diseases ,0302 clinical medicine ,Surgical oncology ,hemic and lymphatic diseases ,medicine ,Humans ,cardiovascular diseases ,Infusions, Intravenous ,Pneumonectomy ,Lung cancer ,Coagulation Disorder ,Factor VII ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Recombinant Proteins ,Surgery ,Cardiac surgery ,chemistry ,Cardiothoracic surgery ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,030215 immunology - Abstract
Inherited factor VII (FVII) deficiency is a rare recessive inherited coagulation disorder with limited available information, especially in patients undergoing major thoracic surgery. In addition, an optimal management strategy for the disease has not been defined. We herein report a case involving a 61-year-old man with asymptomatic FVII deficiency who underwent a right middle and lower lobectomy to treat lung cancer. To the best of our knowledge, the present report is the first to describe the use of recombinant activated FVII continuous infusion for bleeding control after a major thoracic surgery in a patient with inherited FVII deficiency.
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- 2014
17. Results of Surgical Treatment for Non-Small Cell Lung Cancer with Positive Sputum Cytology: Experience from a Single Institution
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Shoji Takahashi, Mitsuhiro Isaka, Tomohiro Maniwa, Yoshiki Kozu, and Yasuhisa Ohde
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Adult ,Male ,Pulmonary and Respiratory Medicine ,Oncology ,medicine.medical_specialty ,Sputum Cytology ,Lung Neoplasms ,medicine.medical_treatment ,Kaplan-Meier Estimate ,Disease-Free Survival ,Pneumonectomy ,Japan ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,Carcinoma ,medicine ,Humans ,Lung cancer ,Lymph node ,Aged ,Neoplasm Staging ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Incidence ,Incidence (epidemiology) ,Sputum ,Retrospective cohort study ,Middle Aged ,Prognosis ,medicine.disease ,respiratory tract diseases ,Survival Rate ,Treatment Outcome ,medicine.anatomical_structure ,Adenocarcinoma ,Female ,Surgery ,Neoplasm Recurrence, Local ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
Background Little is known about the prognostic value of positive sputum cytology in patients with non-small cell lung cancer (NSCLC). Patients and Methods We retrospectively examined the clinicopathological data of 30 patients who had undergone complete resection for NSCLC with positive sputum cytology between September 2002 and June 2011. Results Distant recurrence occurred significantly more frequently in the patients with adenocarcinoma (Ad) than in those with squamous cell carcinoma ( p = 0.01). The most frequent metastatic site after surgery was the brain, occurring in five patients with Ad. The 5-year disease-free survival (DFS) and overall survival (OS) rates of the 30 patients were 53 and 49%, respectively. In multivariate analyses, radiographic feature of pneumonic-type shadow and pathological N (pN) 1–2 status were the independent factors significantly correlated with poor DFS ( p = 0.009, 0.001, respectively), whereas pN 1–2 status was the only independent factor significantly correlated with poor OS ( p = 0.009). Conclusion Surgical outcome for NSCLC with positive sputum cytology was unfavorable at our institution. Close surveillance after a curative resection is mandatory for those patients presenting with radiographic feature of pneumonic-type shadow as those with lymph node metastases because they are at high risk for recurrence.
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- 2014
18. Variation in 18F-FDG PET findings in a patient with synchronous multiple thymoma
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Yasuhisa Ohde, Tomohiro Maniwa, Takashi Nakajima, Shoji Takahashi, Masahiro Endo, Haruhiko Kondo, Mitsuhiro Isaka, and Chihiro Yamatani
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Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Thymoma ,medicine.medical_treatment ,Standardized uptake value ,Anterior mediastinum ,Neoplasms, Multiple Primary ,Fluorodeoxyglucose F18 ,Surgical oncology ,hemic and lymphatic diseases ,medicine ,Humans ,neoplasms ,Pathological ,Aged ,medicine.diagnostic_test ,business.industry ,Thymus Neoplasms ,General Medicine ,Thymectomy ,medicine.disease ,Median sternotomy ,Positron emission tomography ,Cardiothoracic surgery ,Positron-Emission Tomography ,Surgery ,Radiology ,Radiopharmaceuticals ,Cardiology and Cardiovascular Medicine ,business ,Nuclear medicine - Abstract
We herein present a case of synchronous multiple thymoma that was suspected based on the findings of positron emission tomography with fluorine-18-labeled-fluorodeoxyglucose ((18)F-FDG PET). The patient was a 70-year-old male with two similarly sized and heterogeneously enhanced masses on the right side of the anterior mediastinum on chest computed tomography. (18)F-FDG PET revealed variation in FDG accumulation between the masses, in which the maximum standardized uptake value was 4.4 in Tumor 1 and 8.7 in Tumor 2. Based on these imaging findings, the masses were suspected to be independent, likely synchronous double primary thymoma. Total thymectomy with removal of the two tumors was performed via median sternotomy. A pathological examination identified Tumor 1 as type AB thymoma and Tumor 2 as type A thymoma. This is the first reported case of synchronous multiple thymoma which was suspected based on a variation in the (18)F-FDG PET findings between the tumors.
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- 2013
19. Anterior mediastinal cystic seminoma
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Hidenori Goto, Kazutoshi Isobe, Megumi Wakayama, Kazutoshi Shibuya, Keigo Takagi, Fumitomo Sato, Shoji Takahashi, Kazuyoshi Tamaki, and Yoshinobu Hata
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Pulmonary and Respiratory Medicine ,Fluorodeoxyglucose ,medicine.medical_specialty ,Chemotherapy ,endocrine system diseases ,medicine.diagnostic_test ,business.industry ,Mediastinal Seminoma ,medicine.medical_treatment ,Mediastinal tumor ,Magnetic resonance imaging ,General Medicine ,Seminoma ,urologic and male genital diseases ,medicine.disease ,Radiation therapy ,Oncology ,Adjuvant therapy ,medicine ,Radiology ,business ,medicine.drug - Abstract
Mediastinal cystic seminoma is uncommon; only 17 cases have been reported, most diagnosed postoperatively, without recurrence on follow-up, even without radiotherapy. Here, we report a mediastinal seminoma showing a unilocular cyst with enhancing thickened wall in computed tomography (CT) and septal structures in magnetic resonance imaging (MRI) in a 24-year-old man. Fluorodeoxyglucose (FDG) uptake was not significant. Histopathologically, seminoma cells were found scattered in the cyst wall. Twenty months after resection, the patient's quality of life is good, without chemotherapy or radiation. Cystic seminoma has a good prognosis and complete resection without adjuvant therapy might be sufficient for young patients of reproductive age.
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- 2013
20. Continuous paravertebral block using a thoracoscopic catheter-insertion technique for postoperative pain after thoracotomy: a retrospective case-control study
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Tomohiro Maniwa, Eiji Ando, Kamon Ando, Shoji Takahashi, Yoshikane Yamauchi, Mitsuhiro Isaka, Yasuhisa Ohde, Keita Mori, and Hideaki Kojima
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Pulmonary and Respiratory Medicine ,Adult ,Male ,medicine.medical_specialty ,medicine.drug_class ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Catheterization ,Postoperative pain ,03 medical and health sciences ,0302 clinical medicine ,Paravertebral block ,030202 anesthesiology ,medicine ,Humans ,Paravertebral Block ,Ropivacaine ,Thoracotomy ,Anesthetics, Local ,Aged ,Pain Measurement ,Retrospective Studies ,Aged, 80 and over ,Pain, Postoperative ,Catheter insertion ,Urinary retention ,business.industry ,Thoracoscopy ,Anticoagulant ,Nerve Block ,General Medicine ,Middle Aged ,Amides ,Surgery ,Cardiac surgery ,Catheter ,Treatment Outcome ,Cardiothoracic surgery ,Anesthesia ,Case-Control Studies ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Abstract
Background Thoracic epidural analgesia (EDA) is the gold standard for pain control after thoracotomy. However, because of its severe side effects, it is contraindicated in patients taking anticoagulant or antiplatelet drugs. In addition, some patients’ anatomy can make epidural catheter insertion challenging. We therefore investigated the safety and efficacy of paravertebral block (PVB) using a thoracoscopic insertion technique, which avoids damage to the parietal pleura, for postoperative pain after thoracotomy. Methods Patients who underwent thoracotomy with thoracic PVB in our hospital between March 2013 and March 2014 were examined retrospectively. Prior to creating the thoracotomy incision, a catheter for PVB was inserted percutaneously into the paravertebral space under thoracoscopic guidance. A matched-pair control group was selected at a 1:2 ratio from patients who underwent thoracotomy with thoracic EDA in our hospital from April 2011 to February 2013. Pain control and side effects were compared between groups and the results statistically analyzed. Results Thoracic PVB was performed in 56 patients during this period, and 112 patients were selected as matched controls. Numeric Rating Scale scores on postoperative day 2 did not differ significantly between the PVB group (3.25 ± 1.80) and the EDA group (3.56 ± 2.05) (p = 0.334). In terms of side effects, urinary retention occurred less frequently in thoracic PVB patients (p = 0.03). Conclusion Under the conditions of the present study, continuous thoracic PVB was at least as effective as epidural analgesia for postoperative pain control after thoracotomy with lung resection. Electronic supplementary material The online version of this article (doi:10.1186/s13019-017-0566-8) contains supplementary material, which is available to authorized users.
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- 2016
21. [Thoracic Paravertebral Block in Patients Ineligible for Epidural Block]
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Hideaki, Kojima, Mitsuhiro, Isaka, Yoshiyuki, Yasuura, Reiko, Shimizu, Hiroyuki, Kayata, Shoji, Takahashi, Eiji, Ando, and Yasuhisa, Ohde
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Adult ,Aged, 80 and over ,Anesthesia, Epidural ,Male ,Humans ,Female ,Middle Aged ,Thoracic Surgical Procedures ,Anesthesia, Spinal ,Spine ,Aged ,Retrospective Studies - Abstract
We retrospectively assessed the effectiveness and the safety of thoracic paravertebral block(PVB) in patients ineligible for epidural block (EP). Eleven PVB patients and 33 EP patients were enrolled. Postoperative pain was evaluated using a numerical rating scale (NRS). The mean NRS ± standard deviation at rest 24 and 48 hours after surgery were 1.36 ± 1.63 and 0.55 ± 1.03 in the PVB group and 1.07 ± 1.47 and 1.38 ± 1.31 in the EP group, respectively. There were no statistically significant differences in the NRS scores. Approximately 10% of the EP patients had complications such as hypotension, nausea and vomiting, or urinary retention. On the other hand, there were no adverse events in the PVB group. PVB can provide pain relief comparable to EP with a better side-effect profile. There were no technical complications associated with PVB. Thoracic PVB is an effective and safe method of postoperative analgesia for patients undergoing thoracic surgery with ineligibilities for EP.
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- 2016
22. Pathological response and prognosis of stage III non-small cell lung cancer patients treated with induction chemoradiation
- Author
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Shoji Takahashi, Yoshinobu Hata, Atsuro Terahara, Susumu Sakamoto, Fumitomo Sato, Keita Sato, Shinji Sakaguchi, Keishi Sugino, Yujiro Takai, Kazutoshi Isobe, Aki Mitsuda, Go Sano, Kazutoshi Shibuya, Sakae Homma, and Keigo Takagi
- Subjects
Oncology ,medicine.medical_specialty ,business.industry ,Induction chemotherapy ,General Medicine ,medicine.disease ,Carboplatin ,chemistry.chemical_compound ,Docetaxel ,chemistry ,Internal medicine ,medicine ,Carcinoma ,Stage (cooking) ,business ,Pathological ,Survival analysis ,Chemoradiotherapy ,medicine.drug - Abstract
Aim: The aim of this study was to clarify the relationship between pathological effects and the prognosis of patients with stage III non-small cell lung cancer (NSCLC) treated with induction chemoradiation. Methods: Patients who were untreated and potentially resectable with stage III NSCLC were enrolled. They received carboplatin and docetaxel with concurrent radiotherapy (5 × 2 Gy/week with a total dose of 40 Gy) followed by surgery. We assessed the relationship between the pathological effect (Ef) (Ef 1: slight pathological response, Ef 2: moderate pathological response, Ef 3: complete pathological response) and prognosis. Results: In all, 30 patients with stage III NSCLC (24 men and 6 women, mean age 60.7 years, 17 with adenocarcinomas and 13 with squamous cell carcinomas, 21 with clinical stage IIIA and nine with stage IIIB) participated in the trial and underwent induction chemoradiation. A total of 27 patients (90%) with complete response, partial response and stable disease had surgical resection. The pathological effect was Ef 1 and Ef 2 in 10 patients each, and Ef 3 in seven patients. Median survival was 10.9 months in patients with Ef 1 and 49.6 months in patients with Ef 2. Six out of seven Ef 3 patients are alive at the time of writing with a mean survival of 77.1 months (14–104 months). There was a significant difference in overall survival based on pathological effect rating (P = 0.0036). Conclusion: The Ef rating was well correlated with prognosis after induction chemoradiation.
- Published
- 2012
23. Compositional Dependence of the Thermal Properties and Structure of CaO-Al2O3-SiO2 Glasses with a molar ratio of CaO/Al2O3 ^|^gt; 1
- Author
-
Kou Ueda, Shoji Takahashi, Akira Saitoh, and Hiromichi Takebe
- Subjects
Materials science ,Molar ratio ,Thermal ,Analytical chemistry ,Mineralogy - Published
- 2012
24. Strength Property of Soil Improvement Auxiliary Material Utilizing Stone Sludge
- Author
-
Masahide Ishizuka, Shuichi Hasegawa, Hirohiko Iwahara, Shoji Takahashi, and Minoru Yamanaka
- Subjects
Materials science ,Property (philosophy) ,Waste management ,Mechanics of Materials ,Mechanical Engineering ,General Materials Science ,Condensed Matter Physics - Published
- 2012
25. P2.05-007 Outcomes after Stereotactic Body Radiothrapy/Proton Beam Therapy or Wedge Resection for Stage I Non-Small-Cell Lung Cancer
- Author
-
Shigeyuki Murayama, Shoji Takahashi, Keita Mori, Hiroyuki Kayata, Yoshiyuki Yasuura, Mitsuhiro Isaka, Hideyuki Harada, Toshiaki Takahashi, Reiko Shimizu, Hideaki Kojima, Tetsuo Nishimura, Yasuhisa Ohde, Shoko Hayashi, and Kiyomichi Mizuno
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Stage I Non-Small Cell Lung Cancer ,Oncology ,business.industry ,Medicine ,Radiology ,business ,Beam (structure) ,Wedge resection (lung) - Published
- 2017
26. P3.04-004 The Risk Factor of the Thrombus Formation in Pulmonary Vein Stump after Left Upper Lobectomy for Lung Cancer
- Author
-
Yoshiyuki Yasuura, Kiyomichi Mizuno, Masahiro Endo, Hideaki Kojima, Yasuhisa Ohde, Shoko Hayashi, Shoji Takahashi, Reiko Shimizu, Hiroyuki Kayata, and Mitsuhiro Isaka
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,medicine.disease ,030218 nuclear medicine & medical imaging ,Pulmonary vein ,03 medical and health sciences ,0302 clinical medicine ,Oncology ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Cardiology ,Thrombus ,Risk factor ,business ,Lung cancer - Published
- 2017
27. Repair Strategies Used by Verbal Students With Autism During Free Play
- Author
-
Shoji Takahashi, Michael L. Wehmeyer, Yoshihisa Ohtake, Masafumi Yanagihara, and Akitaka Nakaya
- Subjects
Cognitive Neuroscience ,Interpersonal communication ,medicine.disease ,Developmental psychology ,Psychiatry and Mental health ,Nonverbal communication ,Neurology ,Free play ,Pediatrics, Perinatology and Child Health ,medicine ,Autism ,Neurology (clinical) ,Meaning (existential) ,Communication skills ,Psychology - Abstract
This study assessed the repair strategies used by verbal students with autism (N = 12) when faced with verbal requests for clarification, gestural requests, not attending and not responding, and wrong responses. Data were collected in request contexts contrived by the communication partner during free play. The results indicated that most of the students repaired more than 80% of the communication breakdowns. In addition, they tended to choose communication forms that reflected the social meaning of the breakdown. However, they were likely to rely on unconventional forms when they faced wrong response breakdowns.
- Published
- 2011
28. Suppressive effects of saliva against enamel demineralization caused by acid beverages
- Author
-
Kun Xuan, Xiaojing Wang, Shigeru Watanabe, Koji Watanabe, Takashi Ogihara, and Shoji Takahashi
- Subjects
Orange juice ,Saliva ,Enamel paint ,Chemistry ,business.industry ,Dentistry ,Chewing gum ,Sports drink ,stomatognathic diseases ,fluids and secretions ,stomatognathic system ,Distilled water ,visual_art ,visual_art.visual_art_medium ,Enamel demineralization ,Titration ,Food science ,business - Abstract
This study aimed to clarify the ability of the buffer systems of saliva to inhibit enamel demineralization after intake of an acid beverage. In the first experiment, titrable acidity tests were carried out. Ten milliliters of saliva stimulated by chewing gum base was obtained from 10 healthy adult subjects and the pH of each saliva sample was measured. The beverages used for the experiment were a carbonated soft drink (pH 2.2), a sports drink (pH 3.5), and 100% orange juice (pH 3.8). Distilled water adjusted to the pH of each saliva sample was used as a control. In the second experiment, the suppressive ability of saliva against enamel demineralization was quantitatively analyzed using quantitative light- induced fluorescence (QLF). Aliquots of stimulated saliva obtained from a subject were mixed with 15 ml of 100% orange juice in saliva:orange juice ratios of 1/30, 1/15, 1/10 and 1/5, and bovine teeth were soaked for 24 hours in the solutions. The △Q of the QLF analyses of the enamel was then measured. The lowest titrant volume which reduced the pH of the initial saliva (7.7 on average) to pH 5.4 was that of the orange juice. No relationship was found between the buffer capacity and the pH of the acid beverages. From the QLF measurement, the saliva-orange juice group showed a significantly decreased amount of enamel demineralization (p < 0.01 at 20% level) compared with the distilled water-orange juice group. In conclusion, saliva acts as a buffer to suppress enamel demineralization caused by low-pH beverages.
- Published
- 2011
29. Relation between counts of periodontopathic bacteria in the tongue coat of healthy subjects and the concentration of volatile sulfur compounds in their breath
- Author
-
Shoji Takahashi, Hiroshi Sakagami, Yoshihiro Ohmori, Shigeru Watanabe, Shigeru Amano, and Reina Kuroshita
- Subjects
biology ,Aggregatibacter actinomycetemcomitans ,Prevotella intermedia ,biology.organism_classification ,Microbiology ,stomatognathic diseases ,medicine.anatomical_structure ,Tongue ,Pediatrics, Perinatology and Child Health ,medicine ,Dentistry (miscellaneous) ,Anaerobic bacteria ,Fusobacterium nucleatum ,Putrefaction ,Porphyromonas gingivalis ,Bacteria - Abstract
The substances that cause physiological halitosis have been found to be mainly volatile sulfur compounds (VSCs) [hydrogen sulfide (H 2 S), methylmercaptan (CH 3 SH) and dimethylsulfide (CH 3 ) 2 S] produced by putrefaction of anaerobic bacteria. In order to clarify the role of these periodontopathic bacteria in halitosis, we investigated the amounts of four species of bacteria, Prevotella intermedia , Fusobacterium nucleatum , Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans in 10 μl of the tongue coats of healthy people using quantitative PCR and examined the correlation with the concentrations of VSCs present in the subject's breath (physiological halitosis). The following results were obtained. 1.H 2 S in the oral breath of the subjects showed a positive correlation with the detected counts of A. actinomycetemcomitans, P. intermedia, P. gingivalis, F. nucleatum and the total bacteria. 2.CH 3 SH in the oral breath of the subjects showed a positive correlation with the detected count of P. gingivalis. 3.(CH 3 ) 2 S in the oral breath of the subjects showed a positive correlation with the detected counts of A. actinomycetemcomitans, P. intermedia and total bacteria. 4.The concentrations of VSCs in the oral breath of the subjects showed a positive correlation with the total count of bacteria. These results suggest that periodontopathic bacteria present in the tongue coat of healthy people might be the cause of physiological halitosis.
- Published
- 2010
30. P3.16-011 Correlation Between Pulmonary Vein Stump Thrombus and Cerebral Infarction After Left Upper Lobectomy of the Lung
- Author
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Hiroyuki Kayata, Shoji Takahashi, Hideaki Kojima, Mitsuhiro Isaka, Y. Terada, K. Sato, Kiyomichi Mizuno, Yoshiyuki Yasuura, Yasuhisa Ohde, and Shoko Hayashi
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Lung ,Cerebral infarction ,business.industry ,medicine.disease ,Pulmonary vein ,medicine.anatomical_structure ,Oncology ,Internal medicine ,medicine ,Cardiology ,Radiology ,Thrombus ,business - Published
- 2017
31. P3.05-006 Integrated Genomic Analysis to Assess the Molecular Signature of Japanese Patients with Non-Small Cell Lung Cancer
- Author
-
M. Kusuhara, Shoji Takahashi, Akira Ono, T. Sugino, Hideaki Kojima, Yasuhisa Ohde, Masakuni Serizawa, T. Nagashima, Keiichi Ohshima, Ken Yamaguchi, K. Urakami, Mitsuhiro Isaka, Sumiko Ohnami, and Toshiaki Takahashi
- Subjects
Pulmonary and Respiratory Medicine ,Oncology ,medicine.medical_specialty ,business.industry ,Internal medicine ,medicine ,Non small cell ,Lung cancer ,medicine.disease ,business ,Signature (logic) - Published
- 2017
32. P2.15-008 Genomic Analysis to Assess a Molecular Signature in Japanese Patients with Pulmonary High Grade Neuroendocrine Carcinoma
- Author
-
T. Sugino, Ken Yamaguchi, Sumiko Ohnami, K. Urakami, Hideaki Kojima, Shoji Takahashi, Mitsuhiro Isaka, Keiichi Ohshima, Toshiaki Takahashi, Akira Ono, M. Kusuhara, Masakuni Serizawa, Yasuhisa Ohde, and T. Nagashima
- Subjects
Pulmonary and Respiratory Medicine ,Pathology ,medicine.medical_specialty ,Oncology ,business.industry ,Medicine ,Neuroendocrine carcinoma ,business - Published
- 2017
33. The Private Finance Initiative Projects in Medical Institutions
- Author
-
Shoji, Takahashi
- Published
- 2009
34. Asymmetric Rolling Process Design Using Crystal Plasticity Multiscale Analysis
- Author
-
Nguyen Ngoc Tam, Shoji Takahashi, Hiroyuki Kuramae, Eiji Nakamachi, Hideo Morimoto, Kazuto Tanaka, and Tsutao Katayama
- Subjects
Materials science ,Mechanics of Materials ,business.industry ,Mechanical Engineering ,General Materials Science ,Process design ,Structural engineering ,business ,Crystal plasticity - Published
- 2009
35. Socio-economic effects of the material science in JAERI
- Author
-
Shoji Takahashi and Kazuaki Yanagisawa
- Subjects
Feeling ,Basic research ,Political science ,Atomic energy ,media_common.quotation_subject ,General Social Sciences ,Library and Information Sciences ,Environmental economics ,Social science ,Computer Science Applications ,media_common - Abstract
A socio-economic networking (SEN) of the public funded basic research (PFBR) in the Japan Atomic Energy Research Institute (JAERI) was studied by the bibliometric method combined with the international nuclear database INIS. As PFBR, Material Science (MS) research of JAERI is chosen. The appropriateness of the present bibliometric method is discussed. The authors believe that this method is applicable to studying the socio-economic effect on PFBR. The shortcoming of it is, however, the use of the inevitable usage of biased EBRF (ranked keywords), accompanied with the feeling of unfairness. The authors confirm that the S-matrix has a potential capability to show the quantitative magnitude of co-operation among research institutions avoiding significant bias.
- Published
- 2008
36. Two cases of lung adenocarcinoma in the right upper lobe who developed acute preoperative respiratory failure: Usefulness of emergency rigid bronchoscope intervention
- Author
-
Kazuyoshi Tamaki, Nobuhide Kato, Shoji Takahashi, Yoshinobu Hata, Shuichi Sasamoto, and Keigo Takagi
- Subjects
medicine.medical_specialty ,Lung ,medicine.anatomical_structure ,Respiratory failure ,business.industry ,Rigid bronchoscope ,medicine ,Adenocarcinoma ,Right upper lobe ,Radiology ,business ,medicine.disease - Abstract
主気管支腔内を中枢側進展し,一側無気肺による急性呼吸不全を来たした右上葉肺癌に対し,全身麻酔硬性気管支鏡下腫瘍debulkingを施行し,その後待機的根治切除を行った2例を経験した.いずれも低分化型腺癌で,右主気管支の腫瘍を硬性外筒でcore outし,無気肺を改善させてから,待機的に右上葉管状切除術を施行した.症例1は46歳,男性,病理病期III b期(p-T4N2M0)で,現在術後39ヵ月で無再発生存中であり,症例2は79歳男性,病理病期II b期(p-T3N0M0)で,術後日常生活に復したが術後5ヵ月で腫瘍死となった.硬性気管支鏡下腫瘍debulkingは,QOLの一時的な改善のみならず,肺癌に対するその後の集学的治療をすすめる上で有用であった.
- Published
- 2008
37. High-Grade Neuroendocrine Carcinoma with Bronchial Intraepithelial Tumor Spread: Possibly a New Histologic Feature of Large-Cell Neuroendocrine Carcinoma
- Author
-
Hideaki, Kojima, Reiko, Watanabe, Mitsuhiro, Isaka, Reiko, Shimizu, Hiroyuki, Kayata, Naoko, Miyata, Tomohiro, Maniwa, Shoji, Takahashi, Ichiro, Ito, Toru, Kameya, Kazuhito, Funai, Yasuhisa, Ohde, and Takashi, Nakajima
- Subjects
Aged, 80 and over ,Male ,Bronchial Neoplasms ,Carcinoma, Large Cell ,Humans ,Female ,Middle Aged ,Neoplasm Grading ,Aged ,Carcinoma, Neuroendocrine - Abstract
During surgical resection of a peripherally located high-grade neuroendocrine carcinoma (HGNEC), we unexpectedly discovered prominent bronchial intraepithelial tumor spread up to the surgical end of the bronchus. Because bronchial intraepithelial tumor spread of peripherally located HGNEC has been rarely reported, we conducted a retrospective analysis at our hospital.We histologically reviewed surgically resected HGNEC cases to assess bronchial intraepithelial spread of tumor cells. HGNECs with bronchial intraepithelial tumor spread were further studied by immunohistochemistry for neuroendocrine markers, and their clinicopathological characteristics were evaluated.Of 1778 cases of surgically resected lung cancer in our hospital, 47 cases of HGNEC were evaluated. Bronchial intraepithelial tumor spread was observed in nine cases (19.1%); eight of these cases were large-cell neuroendocrine carcinoma (LCNEC) or small-cell lung carcinoma with an LCNEC component. Moreover, bronchial intraepithelial tumor spread was continuous from the primary tumor to the resected end of the bronchus in four cases, and all these cases had an LCNEC component. Furthermore, HGNEC with bronchial intraepithelial tumor spread was associated with a higher recurrence rate than no bronchial intraepithelial tumor spread.The results of this study suggest that bronchial intraepithelial tumor spread is commonly observed in cases of peripherally located HGNEC and may be a unique form of tumor invasion, especially tumors with LCNEC morphology. Therefore, surgeons and pathologists should be cognizant of bronchial intraepithelial tumor spread in peripherally located HGNEC, as well as its potential role as an indicator of HGNEC aggressiveness.
- Published
- 2015
38. Retrocardiac lung hernia after thoracic esophagectomy: report of a rare case
- Author
-
Yasuhiro Tsubosa, Masahiro Niihara, Keisuke Kawamorita, Yasuhisa Ohde, Shoji Takahashi, and Akinobu Furutani
- Subjects
Esophageal surgery ,medicine.medical_specialty ,Lung ,business.industry ,medicine.medical_treatment ,Lung hernia ,Mediastinum ,Case Report ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Esophagectomy ,Laparotomy ,medicine ,Hernia ,Thoracotomy ,business ,Bulla (amulet) - Abstract
A retrocardiac lung hernia is an extremely rare complication after esophagectomy. A 56-year-old man was admitted to our hospital with advanced middle thoracic esophageal cancer and a giant bulla at the apical portion of the right lung. Since it appeared that dissection of the upper mediastinum would most likely require resection of the right bulla, a two-stage operation for esophageal cancer was planned. During the first-stage operation, thoracic esophagectomy and resection of the right giant bulla were performed. Fourteen days after the first-stage operation, the patient underwent laparotomy as the second-stage operation to reconstruct a narrow gastric tube via a retrosternal route. After the second-stage operation, the inflammatory reaction was prolonged. Therefore, a thoracoabdominal computed tomography scan was performed, showing retrocardiac pulmonary atelectasis. The patient was diagnosed with a retrocardiac left lung hernia in which the left lower lobe was displaced into the right thoracic cavity. Because the inflammatory reaction was due to effects of the lung hernia, a repair operation was performed via a left seventh intercostal thoracotomy. At thoracotomy, the left basal segment of the lung was atelectatic and reddish and had herniated into the right thoracic cavity through an opening between the aorta and pericardium. The herniated lung tip adhered strongly to the subcarina, and synechiotomy was performed. We believe that simultaneous removal of the right giant bulla with esophagectomy was the important cause of this complication.
- Published
- 2015
39. Repair Strategies Used by Elementary-Age Beginning Communicators With Autism
- Author
-
Minoru Tanaka, Masafumi Yanagihara, Shoji Takahashi, Akitaka Nakaya, Yoshihisa Ohtake, and Etsuko Sato
- Subjects
050103 clinical psychology ,Cognitive Neuroscience ,05 social sciences ,Psychological intervention ,050301 education ,Interpersonal communication ,medicine.disease ,Developmental psychology ,Psychiatry and Mental health ,Neurology ,Pediatrics, Perinatology and Child Health ,medicine ,Autism ,0501 psychology and cognitive sciences ,Neurology (clinical) ,Descriptive research ,Psychology ,0503 education ,Competence (human resources) - Abstract
This descriptive study extends previous studies on communication repairs by (a) involving elementary-age children With autism Who are prelinguistic to emergent one-Word communicators and (b) examining repair strategies in terms of the relationships betWeen the conventionality and functionality of communication forms and the type of breakdoWn. Communication initiations and repairs emitted by three students With autism Were observed in natural settings in Which communication breakdoWns Were intentionally introduced. The students repaired almost all the breakdoWns regardless of type. Furthermore, they repaired communication breakdoWns effectively by adding semantic categories. They Were likely to adjust their repair strategies according to the social meaning of “Without attention.” When they repaired communication breakdoWns by modifications, they Were more likely to use less-conventional forms. The results are discussed in relation to interventions in communication competence.
- Published
- 2005
40. Enzymatic Assay for<scp>D</scp>-Aspartic Acid Using<scp>D</scp>-Aspartate Oxidase and Oxaloacetate Decarboxylase
- Author
-
Tohru Yoshimura, Yoshio Kera, Shoji Takahashi, Shiro Kato, Tomoyuki Ikuta, and Hisashi Hemmi
- Subjects
Male ,D-aspartate oxidase ,D-Aspartate Oxidase ,Carboxy-Lyases ,Swine ,Stereochemistry ,Phaeophyta ,Applied Microbiology and Biotechnology ,Biochemistry ,Analytical Chemistry ,chemistry.chemical_compound ,D-Aspartic Acid ,Testis ,Animals ,Molecular Biology ,Enzyme Assays ,chemistry.chemical_classification ,Aspartic Acid ,Oxidase test ,biology ,α keto acid ,Organic Chemistry ,General Medicine ,biology.organism_classification ,Lactic acid ,Enzyme ,Oxaloacetate decarboxylase ,chemistry ,Bacteria ,Biotechnology - Abstract
An enzymatic assay system for D-Asp was established using D-aspartate oxidase and oxaloacetate decarboxylase. In this system, D-Asp is converted to pyruvate, which is determined fluorometrically with 1,2-diamino-4,5-methylenedioxybenzene. This method makes possible D-Asp measurement at the micromolar level. The D-Asp contents of an edible brown alga, Hijika fusiforme, a lactic acid bacteria beverage, and pig testis were determined by the method.
- Published
- 2012
41. Comparison of Clinically Relevant Mutation Profiles Between Preoperative Biopsy and Corresponding Surgically Resected Specimens in Japanese Patients With Non–Small-cell Lung Cancer by Amplicon-based Massively Parallel Sequencing
- Author
-
Shoji Takahashi, Tateaki Naito, Hirotsugu Kenmotsu, Nobuyuki Yamamoto, Kazushige Wakuda, Haruyasu Murakami, Yasuhiro Koh, Masakuni Serizawa, Isamu Hayashi, Takashi Nakajima, Keita Mori, Toshiaki Takahashi, Masahiro Endo, Yasuhisa Ohde, Tomohiro Maniwa, Masato Abe, Akira Ono, and Mitsuhiro Isaka
- Subjects
Male ,0301 basic medicine ,Pulmonary and Respiratory Medicine ,Cancer Research ,Pathology ,medicine.medical_specialty ,Lung Neoplasms ,Biopsy ,Concordance ,DNA Mutational Analysis ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Gene Frequency ,Japan ,Carcinoma, Non-Small-Cell Lung ,medicine ,Humans ,Postoperative Period ,Lung cancer ,Allele frequency ,Aged ,Aged, 80 and over ,Mutation ,Lung ,Massive parallel sequencing ,business.industry ,High-Throughput Nucleotide Sequencing ,Reproducibility of Results ,DNA, Neoplasm ,Middle Aged ,Amplicon ,medicine.disease ,Primary tumor ,030104 developmental biology ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Preoperative Period ,Female ,business - Abstract
Background Amplicon-based massively parallel sequencing (MPS) is an effective platform for identifying clinically actionable mutations across many genes in limited amounts of tissue. Most lung cancers are diagnosed and staged using small tissue samples obtained by transbronchial biopsy (TBB). To determine whether the mutations in TBB specimens detected by amplicon-based MPS reflect those present in the tumors, we compared the mutational profiles of preoperative TBB specimens and corresponding surgically resected specimens. Patients and Methods Fresh-frozen primary tumor specimens from non–small-cell lung cancer patients (n = 46) obtained preoperatively by TBB and during surgical resection were analyzed. The concordance of mutations detected by amplicon-based MPS in the 2 sample types was investigated, and the allele frequency of the mutations common to both specimens from the same patient was determined. Results An initial assessment of DNA quantity revealed that 46% of the TBB specimens (21 of 46) had less than the lower limit for amplicon-based MPS. These 21 TBB specimens were consequently omitted from the analysis. Of the 29 mutations detected in the TBB and/or surgically resected specimens from 25 patients, 23 were present in both samples, for a concordance rate of 79%. Conclusion Amplicon-based MPS with TBB specimens approximately reflects clinically relevant tumor mutation profiles. However, the rate of TBB specimens with sufficient DNA quantity for amplicon-based MPS was only around 50%. Therefore, surgically resected specimens have a valuable role in exploratory and comprehensive genomic profiling.
- Published
- 2017
42. OA18.05 FDG-PET in Thymic Epithelial Tumors: An Evaluation of Only Resected Tumors
- Author
-
Takashi Terauchi, Yasuhisa Ohde, Kazuo Nakagawa, Shoji Takahashi, and Hiroaki Kurihara
- Subjects
Pulmonary and Respiratory Medicine ,Pathology ,medicine.medical_specialty ,Oncology ,business.industry ,Medicine ,business - Published
- 2017
43. P1.08-075 Salvage Surgery for Stage IV Non-Small Cell Lung Cancer
- Author
-
Toshiaki Takahashi, Reiko Shimizu, Yoshiyuki Yasuura, Hideaki Kojima, Mitsuhiro Isaka, Shoji Takahashi, Hiroyuki Kayata, Yasuhisa Ohde, Shoko Hayashi, and Kiyomichi Mizuno
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Oncology ,business.industry ,Locally advanced ,Medicine ,Salvage surgery ,business ,Stage IV non-small cell lung cancer ,Surgery - Published
- 2017
44. P2.02-031 Survival Data of Postoperative Adjuvant Chemotherapy of Cisplatin plus Vinorelbine for Completely Resected NSCLC: A Retrospective Study
- Author
-
Haruyasu Murakami, Masahiro Endo, Yasuhisa Ohde, Shoji Takahashi, Shota Omori, Toshiaki Takahashi, Kazuhisa Nakashima, Hirotsugu Kenmotsu, Hideaki Kojima, Mitsuhiro Isaka, Kazushige Wakuda, Tateaki Naito, and Akira Ono
- Subjects
Pulmonary and Respiratory Medicine ,Oncology ,Cisplatin ,medicine.medical_specialty ,Adjuvant chemotherapy ,business.industry ,Multimodality Treatment ,Retrospective cohort study ,Vinorelbine ,Survival data ,Internal medicine ,medicine ,business ,medicine.drug - Published
- 2017
45. Prospective genetic profiling of squamous cell lung cancer and adenosquamous carcinoma in Japanese patients by multitarget assays
- Author
-
Yasuhisa Ohde, Mitsuhiro Isaka, Masakuni Serizawa, Tetsuhiko Taira, Isamu Hayashi, Shoji Takahashi, Yasuhiro Koh, Takashi Y. Nakajima, Masahiro Endo, Hirotsugu Kenmotsu, Nobuyuki Yamamoto, Akira Ono, Tomohiro Maniwa, Masato Abe, Toshiaki Takahashi, and Keita Mori
- Subjects
Adult ,Male ,Oncology ,Neuroblastoma RAS viral oncogene homolog ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,DNA Copy Number Variations ,Genotyping Techniques ,Adenosquamous carcinoma ,PIK3CA mutation ,medicine.disease_cause ,Carcinoma, Adenosquamous ,Asian People ,Japan ,Risk Factors ,Squamous cell carcinoma ,Internal medicine ,Genotype ,Genetics ,medicine ,ROS1 ,Humans ,Genetic profiling ,Prospective Studies ,Lung cancer ,Aged ,Biological Specimen Banks ,Neoplasm Staging ,Aged, 80 and over ,business.industry ,Gene Expression Profiling ,Cancer ,Driver mutation ,Middle Aged ,medicine.disease ,Adenosquamos carcinoma ,FGFR1 copy number gain ,Mutation ,Carcinoma, Squamous Cell ,Adenocarcinoma ,Female ,KRAS ,Neoplasm Grading ,business ,Research Article - Abstract
Background Despite considerable recent progress in the treatment of lung adenocarcinoma, there has been little progress in the development of efficacious molecular targeted therapies for squamous cell lung cancer. In addition to the recent comprehensive genome-wide characterization of squamous cell lung cancer, it is also important to genotype this form of cancer. We therefore conducted the Shizuoka Lung Cancer Mutation Study to analyze driver mutations in patients with thoracic malignancies. Here we report the results of genotyping in patients with squamous cell lung cancer. Methods Based on the biobanking system, in conjunction with the clinic and pathology lab, we developed a genotyping panel designed to assess 24 mutations in 10 genes (EGFR, KRAS, BRAF, PIK3CA, NRAS, MEK1, AKT1, PTEN, HER2 and DDR2), EGFR, MET, PIK3CA, FGFR1 and FGFR2 copy numbers, and EML4-ALK and ROS1 translocations, using pyrosequencing plus capillary electrophoresis, quantitative polymerase chain reaction (PCR) and reverse-transcription PCR, respectively. Results A total of 129 patients with squamous cell lung cancer and adenosquamous carcinoma were enrolled in this study between July 2011 and November 2012. We detected genetic alterations in 40% of all cases. Gene alterations included: EGFR mutations, 6%; KRAS mutations, 4%; PIK3CA mutations, 13%; NRAS mutations, 1%; KIF5b-RET fusion gene, 1%; EGFR copy number gain, 5%; PIK3CA copy number gain, 15%; and FGFR1 copy number gain, 5%. Twelve patients (9%) harbored simultaneous genetic alterations. Genetic alterations were detected more frequently in surgically-resected, snap-frozen samples than in formalin-fixed, paraffin-embedded samples (50% vs. 29%). In addition, patients aged ≤70 years old and never-smokers showed high frequencies of genetic alterations. Conclusions This study represents one of the largest prospective tumor-genotyping studies to be performed in Asian patients with squamous cell lung cancer. These results suggest that incorporation of genetic profiling into lung cancer clinical practice may facilitate the administration of personalized cancer treatments in patients with squamous cell lung cancer. Electronic supplementary material The online version of this article (doi:10.1186/1471-2407-14-786) contains supplementary material, which is available to authorized users.
- Published
- 2014
46. An evaluation of the association between molecular signature and postoperative recurrence in patients with non-small cell lung cancer
- Author
-
H. Murakami, Ken Yamaguchi, Tsuyoshi Takahashi, A. Ono, Shoji Takahashi, Kazushige Wakuda, Hideaki Kojima, M. Isaka, Masakuni Serizawa, Y. Ohde, Kazuhisa Nakashima, M. Kusuhara, Takashi Nakajima, T. Naito, Shota Omori, Hirotsugu Kenmotsu, and K. Urakami
- Subjects
Oncology ,Cancer Research ,medicine.medical_specialty ,business.industry ,Internal medicine ,Medicine ,In patient ,Non small cell ,business ,Lung cancer ,medicine.disease - Published
- 2016
47. Molecular profiling of small cell lung cancer in a Japanese cohort
- Author
-
Hirotsugu Kenmotsu, Kazushige Wakuda, Akira Ono, Masakuni Serizawa, Shoji Takahashi, Keita Mori, Takashi Y. Nakajima, Nobuyuki Yamamoto, Tetsuhiko Taira, Yasuhisa Ohde, Tateaki Naito, Haruyasu Murakami, Mitsuhiro Isaka, Yasuhiro Koh, Masahiro Endo, and Toshiaki Takahashi
- Subjects
Pulmonary and Respiratory Medicine ,Oncology ,Neuroblastoma RAS viral oncogene homolog ,Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,DNA Mutational Analysis ,Mutation, Missense ,medicine.disease_cause ,law.invention ,Cohort Studies ,Japan ,law ,Internal medicine ,ROS1 ,Medicine ,PTEN ,Humans ,Lung cancer ,neoplasms ,Polymerase chain reaction ,Genetic Association Studies ,Aged ,Aged, 80 and over ,biology ,business.industry ,Middle Aged ,medicine.disease ,Small Cell Lung Carcinoma ,respiratory tract diseases ,Neoplasm Proteins ,Reverse transcription polymerase chain reaction ,biology.protein ,Adenocarcinoma ,Female ,KRAS ,business - Abstract
Objectives Advances in the molecular profiling of lung adenocarcinoma over the past decade have led to a paradigm shift in its diagnosis and treatment. However, there are very few reports on the molecular profiles of small cell lung cancers (SCLCs). We therefore conducted the present Shizuoka Lung Cancer Mutation Study to analyze genomic aberrations in patients with thoracic malignancies. Materials and methods We collected samples of SCLC from a biobank system and analyzed their molecular profiles. We assessed 23 mutations in nine genes ( EGFR , KRAS , BRAF , PIK3CA , NRAS , MEK1 , AKT1 , PTEN , and HER2 ) using pyrosequencing plus capillary electrophoresis. We also amplified EGFR , MET , PIK3CA , FGFR1 , and FGFR2 using quantitative real-time polymerase chain reaction (PCR) and the fusion genes ALK , ROS1 , and RET using reverse transcription PCR. Results Between July 2011 and January 2013, 60 SCLC patients were enrolled in the study. Samples included eight surgically resected snap-frozen samples, 50 formalin-fixed paraffin-embedded samples, and seven pleural effusion samples. We detected 13 genomic aberrations in nine cases (15%), including an EGFR mutation ( n = 1, G719A), a KRAS mutation ( n = 1, G12D), PIK3CA mutations ( n = 3, E542K, E545K, E545Q), an AKT1 mutation ( n = 1, E17K), a MET amplification ( n = 1), and PIK3CA amplifications ( n = 6). EGFR and KRAS mutations were found in patients with combined SCLC and adenocarcinoma. No significant differences were detected in the characteristics of patients with and without genomic aberrations. However, serum neuron-specific enolase and progastrin-releasing peptide levels were significantly higher in patients without genomic aberrations than in those with aberrations ( p = 0.01 and 0.04, respectively). Conclusion Genomic aberrations were found in 15% SCLC patients, with PIK3CA amplifications most frequently observed. To further our understanding of the molecular profiles of SCLC, comprehensive mutational analyses should be conducted using massive parallel sequencing.
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- 2013
48. Pulmonary adenosquamous carcinoma with mucoepidermoid carcinoma-like component with characteristic p63 staining pattern: either a novel subtype originating from bronchial epithelium or variant mucoepidermoid carcinoma
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Mitsuhiro Isaka, Reiko Watanabe, Yasuhisa Ohde, Shoji Takahashi, Masaki Shimoji, Tomohiro Maniwa, Masato Abe, Takashi Nakajima, Haruhiko Kondo, Chihiro Yamatani, and Ichiro Ito
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Pulmonary and Respiratory Medicine ,Male ,Cancer Research ,Pathology ,medicine.medical_specialty ,Lung Neoplasms ,Adenosquamous carcinoma ,Biology ,Carcinoma, Adenosquamous ,Mucoepidermoid carcinoma ,Risk Factors ,medicine ,Humans ,Lung cancer ,In Situ Hybridization, Fluorescence ,Aged ,Neoplasm Staging ,medicine.diagnostic_test ,Tumor Suppressor Proteins ,Nuclear Proteins ,Gene rearrangement ,Middle Aged ,medicine.disease ,Immunohistochemistry ,Staining ,DNA-Binding Proteins ,Oncology ,Tubular Adenocarcinoma ,Trans-Activators ,Carcinoma, Mucoepidermoid ,Female ,Fluorescence in situ hybridization ,Transcription Factors - Abstract
Background Our previous study found unique adenosquamous carcinomas (ADSQs) containing a mucoepidermoid carcinoma (MEC)-like component and a characteristic p63 staining pattern. This study focused on these unique ADSQs. Methods Thirty ADSQ cases were studied histologically and by immunohistochemistry for TTF-1 and p63. Of these 30 ADSQs, eight were selected as unique ADSQs. The clinicopathological characteristics of these ADSQs were further studied, and the gene rearrangement of mammalian mastermind-like 2 (MAML2) was investigated by fluorescence in situ hybridization (FISH) for differentiation from pulmonary MEC. Results The clinicopathological characteristics between the eight ADSQs and the other ADSQ cases showed no statistically significant differences, except for serum CEA level. Histologically, the eight ADSQs contained varying degrees of the MEC-like component, which consisted of solid nests with mucin-filled cysts or a cribriform-like structure. Immunohistochemically, p63-positive nuclei characteristically encircled the tumor nests, although TTF-1 was completely negative. All unique ADSQs not only had a variable degree of squamous cell carcinoma component in addition to the MEC-like component, but also contained a small tubular adenocarcinoma component in three tumors. FISH analysis revealed no MAML2 gene rearrangement in the eight ADSQs. Conclusions Of the 30 ADSQs investigated in this study, eight contained a MEC-like component with a characteristic p63 basilar staining pattern similar to that of bronchial basal cells. These unique ADSQs shared clinical characteristics with ordinary ADSQs, but clinicopathologically differed from pulmonary ordinary MEC. Therefore, these unique ADSQs may be either a novel ADSQ subtype originating from bronchial epithelium or variant-type MEC.
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- 2013
49. Prognostic significance of postoperative serum carcinoembryonic antigen levels in patients with completely resected pathological-stage I non-small cell lung cancer
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Mitsuhiro Isaka, Takashi Nakajima, Yoshiki Kozu, Shoji Takahashi, Tomohiro Maniwa, and Yasuhisa Ohde
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Adult ,Male ,Pulmonary and Respiratory Medicine ,Oncology ,medicine.medical_specialty ,Lung Neoplasms ,medicine.medical_treatment ,Gastroenterology ,Carcinoembryonic antigen ,Japan ,Non-small cell lung cancer ,Antigens, Neoplasm ,Carcinoma, Non-Small-Cell Lung ,Unfavorable prognostic factor ,Internal medicine ,medicine ,Carcinoma ,Humans ,Postoperative Period ,Lung cancer ,neoplasms ,Pathological ,Survival analysis ,Aged ,Retrospective Studies ,Aged, 80 and over ,Keratin-19 ,Chemotherapy ,biology ,business.industry ,Retrospective cohort study ,Pathological-stage I ,General Medicine ,Perioperative ,Middle Aged ,Prognosis ,medicine.disease ,Survival Analysis ,Carcinoembryonic Antigen ,Adjuvant chemotherapy ,Chemotherapy, Adjuvant ,Multivariate Analysis ,biology.protein ,Female ,Surgery ,Postoperative carcinoembryonic antigen level ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Abstract
Background Until date, there are no clear recommendations for regular perioperative measurements of serum CEA levels for lung cancer in any guidelines. The purpose in the present study is to evaluate the prognostic significance of perioperative serum carcinoembryonic antigen (CEA) levels in patients with pathological-stage I non-small cell lung cancer (NSCLC). Methods We retrospectively reviewed 263 completely resected pathological-stage I NSCLC patients whose preoperative and postoperative serum CEA levels were measured. Patients were subdivided according to the perioperative change of CEA levels: continuously normal CEA levels (NN group), continuously high CEA levels (HH group), and high preoperative CEA levels that returned to normal levels post-operation (HN group). The clinicopathological factors and overall survival (OS) among these 3 groups were compared. Univariate and multivariate analyses of the correlation between clinicopathological factors and OS were performed. Results High preoperative CEA levels significantly correlated with men aged >70 years with smoking history, high serum CYFRA 21–1 levels, greater tumor diameter, presence of visceral pleural invasion (VPI), and moderate-to-poor differentiation. Five-year OS rates in the NN and HH groups were 95.5% and 59.3%, respectively. Four-year OS rate in the HN group was 85.5%. Multivariate analyses indicated tumor diameter of more than 30 mm, presence of VPI, and the HH group were independent unfavorable prognostic factors. Conclusions A high postoperative CEA level was an independent unfavorable prognostic factor in pathological-stage I NSCLC patients. Patients with high postoperative CEA levels may benefit from adjuvant chemotherapy.
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- 2013
50. Risk factors for both recurrence and survival in patients with pathological stage I non-small-cell lung cancer
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Yoshiki Kozu, Tomohiro Maniwa, Takashi Y. Nakajima, Mitsuhiro Isaka, Yasuhisa Ohde, and Shoji Takahashi
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Pulmonary and Respiratory Medicine ,Oncology ,Adult ,Male ,medicine.medical_specialty ,Lung Neoplasms ,Kaplan-Meier Estimate ,Preoperative care ,Disease-Free Survival ,Carcinoembryonic antigen ,Recurrence ,Risk Factors ,Internal medicine ,Carcinoma, Non-Small-Cell Lung ,Medicine ,Humans ,Risk factor ,Lung cancer ,Pathological ,Aged ,Retrospective Studies ,Aged, 80 and over ,Analysis of Variance ,biology ,business.industry ,Cancer ,Histology ,General Medicine ,Middle Aged ,medicine.disease ,Carcinoembryonic Antigen ,biology.protein ,Population study ,Surgery ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
OBJECTIVES: Even after curative resection, a significant fraction of patients with stage I non-small-cell lung cancer (NSCLC) die primarily because of systemic relapse. The purpose of the present study was to investigate the risk factors for both recurrence and poor survival in patients with pathological (p-) stage I NSCLC. METHODS: We retrospectively reviewed 467 consecutive patients from a single institution with completely resected p-stage I NSCLC. Patients with multiple lung tumours or malignancies from other organs and those who had undergone preoperative therapies were excluded. The correlation between clinicopathological factors and surgical outcomes, including disease-free survival (DFS) and overall survival (OS), was analysed. The clinicopathological factors examined were age, gender, smoking history, serum carcinoembryonic antigen (CEA) levels, serum cytokeratin 19 fragment levels, surgical procedure, tumour histology, p-stage, angiolymphatic invasion and differentiation grade. RESULTS: The 5-year DFS and OS rates of the total study population were 91.4 and 92.8%, respectively. Multivariate analysis results indicated that high serum CEA levels (>5.0 ng/ml) and p-stage IB were independent factors for recurrence, whereas older age (>70 years), high serum CEA levels and p-stage IB were independent factors for poor survival. The risks of recurrence and death in patients with both high serum CEA levels and p-stage IB was 10.3 and 5.2 times higher than those observed in patients with both normal serum CEA levels and p-stage IA, respectively. CONCLUSIONS: High serum CEA levels and p-stage IB were independent factors for both recurrence and poor survival in p-stage I NSCLC patients.
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- 2013
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