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TACHIHARA MotokoUniversity Hospital / Respiratory MedicineAssociate Professor
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- LESSONS LEARNED: The results of the APPEARANCE trial indicate that adapalene does not prevent acne-like rash over placebo when added to topical moisturizer and oral minocycline but instead may have a detrimental effect. Therefore, adapalene is not recommended as prophylaxis against acne-like rash induced by anti-epidermal growth factor receptor therapies.Given that acne-like rash was completely controlled with placebo in approximately half of patients, predictive measures to identify patients needing intensive prophylaxis are required. BACKGROUND: Anti-epidermal growth factor receptor (EGFR) therapies are frequently associated with acne-like rash. To evaluate the prophylactic efficacy of adapalene, a topical retinoid used as first-line therapy for acne vulgaris, we conducted a randomized, placebo-controlled, evaluator-blinded, left-right comparative trial. METHODS: Patients with non-small cell lung, colorectal, or head and neck cancer scheduled to receive anti-EGFR therapies were randomly assigned to once-daily adapalene application on one side of the face, with placebo on the other side. All patients had topical moisturizer coapplied to both sides of the face, and received oral minocycline. The primary endpoint was the difference in total facial lesion count of acne-like rash at 4 weeks. Secondary endpoints included complete control rate (CCR) of acne-like rash (≤5 facial lesions) and global skin assessment (Investigator's Global Assessment [IGA] scale, grade 0-4) at 4 weeks. Two blinded dermatologists independently evaluated the endpoints from photographs. RESULTS: A total of 36 patients were enrolled, of whom 26 were evaluable. Adapalene treatment was associated with a greater lesion count than placebo at 4 weeks, although the difference was not statistically significant (mean, 12.6 vs. 9.8, p = .12). All four patients with a difference >10 in lesion count between face sides had a greater count on the adapalene-treated side. No significant differences were observed in CCR of acne-like rash (54% vs. 50%) or IGA scale (mean grade, 1.9 vs. 1.7) between the adapalene and placebo sides. CONCLUSION: Adapalene is not recommended as prophylaxis against acne-like rash induced by anti-EGFR therapies.Jul. 2019, The oncologist, 24(7) (7), 885-e413, English, International magazine[Refereed]Scientific journal
- Transformation to small cell lung cancer is one phenomenon of acquired resistance to anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors in ALK rearrangement-positive non-small cell lung cancer (NSCLC). Few case reports have focused on other types of histological transformation. We report a case of transformation of ALK rearrangement-positive adenocarcinoma to NSCLC with neuroendocrine differentiation during alectinib therapy. A 36-year-old woman presented with a tumor in the left lower lobe and bone metastases. She was diagnosed with ALK rearrangement-positive adenocarcinoma by histopathology of the primary tumor. Alectinib had been effective for 8 months before new lesions appeared. Histopathological re-examination of a recurrent tumor revealed poorly differentiated carcinoma with insulinoma-associated protein 1 (INSM1) expression, which remained ALK-positive. Expression of CD133, BCL-2, and SOX2 was positive in comparison to the initial tumor. Expression of SOX2 became more strongly positive than it was before treatment. The immunohistochemical findings of these markers associated with cancer stem-like cells and/or neuroendocrine differentiation suggest that cancer stem cells play a role in the mechanisms of histological transformation and acquired resistance of ALK rearrangement-positive cancer. To our knowledge, this is the first report to suggest an association between cancer stem-like cells and histological transformation in ALK rearrangement-positive lung cancer.May 2019, Pathology international, 69(5) (5), 294 - 299, English, International magazine[Refereed]Scientific journal
- BACKGROUND/AIM: Immune checkpoint inhibitors (ICI) are a novel medication for non-small cell lung cancer (NSCLC). Recent reports indicated that baseline tumor size (BTS) relates to the efficacy of ICI therapy for melanoma, but no study exists for NSCLC. This study aimed to evaluate the utility of BTS for ICI therapy. PATIENTS AND METHODS: Data from 58 patients diagnosed with NSCLC who underwent ICI monotherapy, were retrospectively analyzed. Patients were divided into two groups according to BTS (below 101 mm, above 101 mm). The primary endpoint was progression-free survival (PFS) and the secondary endpoint was overall survival (OS). RESULTS: PFS of patients with a large BTS was significantly shorter than that of those with a small BTS (median; 2.07 [95% confidence interval [CI]=0.99-6.77] months versus 6.39 [95%CI=4.17-11.50] months) (p=0.044). OS of patients with large BTS was also significantly shorter (p<0.01). CONCLUSION: BTS is a predictive and prognostic negative factor of ICI therapy for NSCLC.Feb. 2019, Anticancer Res, 39(2) (2), 815 - 825, English, International magazine[Refereed]Scientific journal
- (NPO)日本呼吸器内視鏡学会, Jan. 2019, 気管支学, 41(1) (1), 40 - 45, Japanese局所麻酔下胸腔鏡下生検で診断した肺癌肉腫の芽腫様亜型の1例[Refereed]Scientific journal
- Jan. 2019, Intern Med, EnglishSuccessful Treatment of ROS1-rearranged Lung Cancer Complicated by Hypertrophic Pulmonary Osteoarthropathy with Crizotinib Therapy: A Case Report[Refereed]Scientific journal
- ROS proto-oncogene 1 receptor tyrosine kinase (ROS1)-rearranged lung cancer is rare and comprises only 1% of lung adenocarcinoma cases. It has recently been reported to have good response to crizotinib, a tyrosine kinase inhibitor of anaplastic lymphoma kinase. Driver oncogene mutations with approved therapies seldom coexist with a high expression of Programmed death-ligand 1 (PD-L1). The present case report describes a rare case of ROS1 rearrangement with high-PD-L1-expressing occult lung adenocarcinoma. A 32-year-old woman presented with chest pain and a prolonged cough. Chest computed tomography (CT) revealed a 57×36-mm tumor in the mediastinum, with no tumors detected in other regions. Positron emission tomography (PET)-CT showed a strong fluorodeoxyglucose accumulation in the tumor (SUVmax 13.2). Mediastinal tumor resection was completely resected using a video-assisted thoracic surgery approach. Pathological examination showed the tumor cells were positive for thyroid transcription factor 1, Napsin-A, ROS1, and PD-L1 (tumor proportion score >99%). ROS1 rearrangement was confirmed by fluorescence in situ hybridization. The mediastinal tumor was diagnosed as mediastinal lymph node metastasis of ROS1-rearranged PD-L1 high-expression undifferentiated lung adenocarcinoma (pathological stage 3, TxN2M0). Two months after the operation, the CT scan showed multiple mediastinum lymph nodes metastases with rapid tumor growth. The patient achieved a complete response after three cycles of S-1 plus cisplatin with concurrent radiotherapy 60 Gy/30 Fr.Jan. 2019, Oncol Lett, 17(1) (1), 488 - 491, English, International magazine[Refereed]Scientific journal
- Jan. 2019, In Vivo, 33(1) (1), 213 - 220, EnglishPrognostic Value of Red Blood Cell Distribution Width in Non-small Cell Lung Cancer Treated With Anti-programmed Cell Death-1 Antibody[Refereed]Scientific journal
- Jan. 2019, Respirol Case Rep, 7(3) (3), e00404, EnglishNon-parallel anti-tumour effects of pembrolizumab: a case of cardial tamponade[Refereed]Scientific journal
- Oct. 2018, Lung Cancer, 124, 65 - 70, EnglishPhase II trial of gefitinib plus pemetrexed after relapse using first-line gefitinib in patients with non-small cell lung cancer harboring EGFR gene mutations[Refereed]Scientific journal
- Oct. 2018, BMC CANCER, 18(1) (1), 946, EnglishEfficacy of anti-PD-1/PD-L1 antibodies after discontinuation due to adverse events in non-small cell lung cancer patients (HANSHIN 0316)[Refereed]Scientific journal
- (NPO)日本呼吸器内視鏡学会, Mar. 2018, 気管支学, 40(2号) (2号), 163 - 167, Japanese[Refereed]Scientific journal
- Bronchoscopy Using Virtual Navigation and Endobronchial Ultrasonography with a Guide Sheath (EBUS-GS) with or without Fluoroscopy for Peripheral Pulmonary LesionsOBJECTIVE: Endobronchial ultrasonography and guide sheath (EBUS-GS) technique has high diagnostic yield in lung nodules. Virtual bronchoscopic navigation (VBN) can lead bronchoscope to the target bronchi. The aim of this prospective study was to compare the diagnostic yield of two bronchoscopic procedures: bronchoscopy under EBUS-GS and VBN with or without x-ray fluoroscopy in small peripheral pulmonary lesions (PPLs, ≤30mm) with apparent CT-bronchus sign. METHODS: 31 patients with PPLs which had apparent CT-bronchus sign were randomly assigned to the X-ray or the non-X-ray groups (18 with and 13 without fluoroscopy) between September 1, 2012, and September 30, 2015. A bronchoscope was introduced into the target bronchus using the VBN system. Sites of specimen sampling were verified using EBUS-GS with or without fluoroscopy. RESULTS: The overall diagnostic yield was 83.3% in the X-ray and 69.2% in the non-X-ray group. The diagnostic yield of malignancy was 88.2% and 81.8%, respectively. The duration of the examination and time elapsed until the first EBUS visualization were similar in the X-ray and the non-X-ray group (9.0 (5.8-20.) min vs 11.0 (5.3-17.3) min, and 2.5 (1.3-14.2) min vs 4.1 (1.4-8.1) min, respectively). The fluoroscopy exposure time was 3.7 (2.9-10.56) min. The only adverse event was mild pneumothorax in a patient from the non-X-ray group, who had consequent TBB under fluoroscopy. CONCLUSIONS: There was a possibility that VBN-guided EBUS-transbronchial diagnosis without fluoroscopy might be equivalent to that under fluoroscopy. Further multi-center randomized study may be desired. (UMIN000008592).Mar. 2018, Kobe J Med Sci, 63(4) (4), E99 - E104, English, Domestic magazine[Refereed]Scientific journal
- Public Library of Science, Feb. 2018, PLoS ONE, 13(2) (2), e0193018, English[Refereed]Scientific journal
- Japanese Society of Internal Medicine, 2018, Internal Medicine, 57(1) (1), 91 - 95, English[Refereed]Scientific journal
- Jul. 2017, CANCER SCIENCE, 108(7) (7), 1368 - 1377, English[Refereed]Scientific journal
- May 2017, LANCET ONCOLOGY, 18(5) (5), 663 - 671, English[Refereed]Scientific journal
- May 2017, ANTICANCER RESEARCH, 37(5) (5), 2225 - 2231, English[Refereed]Scientific journal
- Elsevier B.V., Mar. 2017, Respiratory Investigation, 55(2) (2), 161 - 165, English[Refereed]Scientific journal
- 2017, INTERNAL MEDICINE, 56(21) (21), 2953 - 2954, English[Refereed]Scientific journal
- 2017, INTERNAL MEDICINE, 56(24) (24), 3333 - 3339, English[Refereed]Scientific journal
- Nov. 2016, 気管支学, 38(6号) (6号), 515 - 520, JapaneseAllergic bronchopulmonary aspergillosis(ABPA)様の画像を呈したピーナッツ気管支異物の1例[Refereed]Scientific journal
- Nov. 2016, Respir Res, 17(1) (1), 146, EnglishAdministration of JTE013 abrogates experimental asthma by regulating proinflammatory cytokine production from bronchial epithelial cells[Refereed]Scientific journal
- Sep. 2016, ONCOTARGET, 7(36) (36), 58492 - 58499, English[Refereed]Scientific journal
- Aug. 2016, Respirology, 21(6) (6), 1100 - 5, EnglishDiagnostic utility of additional conventional techniques after endobronchial ultrasonography guidance during transbronchial biopsy[Refereed]Scientific journal
- Elsevier B.V., Mar. 2016, Respiratory Investigation, 54(2) (2), 109 - 115, English[Refereed]Scientific journal
- Aug. 2015, Lung Cancer (Auckl), 89(2) (2), 146 - 53, EnglishA randomized phase II study of bevacizumab in combination with docetaxel or S-1 in patients with non-squamous non-small-cell lung cancer previously treated with platinum based chemotherapy (HANSHIN Oncology Group 0110)[Refereed]Scientific journal
- Jul. 2015, Anticancer Res, 35(7) (7), 3885 - 91, EnglishEffectiveness of Tyrosine Kinase Inhibitors in Japanese Patients with Non-small Cell Lung Cancer Harboring Minor Epidermal Growth Factor Receptor Mutations: Results from a Multicenter Retrospective Study (HANSHIN Oncology Group 0212)[Refereed]Scientific journal
- We report herein on a case of allergic bronchoalveolar aspergillosis (ABPA) with hyphae and Charcot-Leyden crystals against a necrotic background stained with Papanicolaou stain. Lung carcinoma was initially suspected before bronchoscopic brush cytology. Lung carcinoma or tuberculosis is sometimes suspected first in cases of aspergillosis. The pathological diagnosis is important because the seroprevalence and culture-positive rate are very low, and degenerated or vacuolated Aspergillus hyphae do not stain well with Papanicolaou stain. Careful observation of cytological specimens in a necrotic background is therefore required, considering the possibility of aspergillosis.The Japanese Society of Clinical Cytology, May 2015, 日本臨床細胞学会雑誌, 54(3号) (3号), 221 - 222, Japanese[Refereed]Scientific journal
- Feb. 2015, Lung Cancer, 87(2) (2), 136 - 40, EnglishA phase 2 study of bevacizumab in combination with carboplatin and paclitaxel in patients with non-squamous non-small-cell lung cancer harboring mutations of epidermal growth factor receptor (EGFR) after failing first-line EGFR-tyrosine kinase inhibitors[Refereed]Scientific journal
- 2015, Intern Med, 54(9) (9), 1021 - 5, EnglishVirtual bronchoscopic navigation improves the diagnostic yield of radial-endobronchial ultrasound for peripheral pulmonary lesions with involved bronchi on CT[Refereed]Scientific journal
- 2015, Intern Med, 54(21) (21), 2791 - 2, EnglishGradually Enlarging Crazy-paving Appearance[Refereed]Scientific journal
- 2015, 臨床血液, 56, 749, JapaneseFDG-PETで両肺にびまん性異常集積を認めた血管内大細胞型B細胞リンパ腫(図説)[Refereed]Scientific journal
- Aug. 2014, Jpn J Clin Oncol, 44(8) (8), 762 - 4, EnglishSuccessful crizotinib rechallenge after crizotinib-induced interstitial lung disease[Refereed]Scientific journal
- May 2014, 気管支学, 36(3号) (3号), 298 - 303, JapaneseGround glass opacity(GGO)主体肺末梢病変のendobronchial ultrasonography(EBUS)像について[Refereed]Scientific journal
- Feb. 2014, Cancer Lett, 343(1) (1), 74 - 9, EnglishSynergistic effects of pemetrexed and amrubicin in non-small cell lung cancer cell lines: Potential for combination therapy[Refereed]Scientific journal
- 2014, 肺癌, 54(7) (7), 978 - 982, JapaneseEGFR-TKIによるざ瘡様皮疹に対しアダパレンが有効であった2例 Successful Treatment with Adapalene for EGFR-TKI-induced Acneiform Eruptions[Refereed]Scientific journal
- Background. The utility of the virtual bronchoscopic navigation system (VBN) for small peripheral pulmonary lesions is widely known. However, applications of VBN as a guide for diagnosing mediastinal or hilar lesions have yet to be reported. Case. A 49-year-old woman consulted a local doctor with dyspnea on exertion. Chest computed tomography (CT) showed tumor adjacent to the left pulmonary artery. She was referred to our hospital, where she subsequently underwent bronchoscopy. Tumor was not visible on bronchoscopy, so we performed transbronchial needle aspiration (TBNA) of B^<1+2>c; however, no tumor could be diagnosed. TBNA of the upper dorsal B^<1+2>a inlet was then performed under VBN guidance. Histopathological examination revealed mucosa-associated lymphoid tissue (MALT) lymphoma of the lung. Conclusion. Conventional TBNA for mediastinal and hilar lesions is a fairly blind technique that does not allow visualization of the target. We suggest that TBNA under VBN guidance is an effective diagnostic approach for mediastinal and hilar lesions.The Japan Society for Respiratory Endoscopy, Nov. 2013, 気管支学, 35(6号) (6号), 671 - 676, Japanese[Refereed]Scientific journal
- Jul. 2013, Lung Cancer, 81(1) (1), 91 - 6, EnglishRandomized phase II trial of uracil/tegafur and cisplatin versus vinorelbine and cisplatin with concurrent thoracic radiotherapy for locally advanced unresectable stage III non-small-cell lung cancer: NJLCG 0601[Refereed]Scientific journal
- Oct. 2012, 肺癌, 52(5号) (5号), 724, Japanese当科における傍腫瘍性神経症候群合併小細胞肺癌の臨床的検討Research society
- Sep. 2012, Intern Med, 51(9) (9), 1099 - 102, EnglishFour cases of Trousseau's syndrome associated with lung adenocarcinoma[Refereed]Scientific journal
- (NPO)日本肺癌学会, Jun. 2012, 肺癌, 52(3) (3), 353 - 354, Japanese肺内転移やリンパ節転移との鑑別が困難であった扁平上皮腺上皮性混合型乳頭腫の1例Research society
- May 2012, 気管支学, 34(Suppl.) (Suppl.), S226, JapaneseBf-NAVI併用によるTBNAにて確定診断しえた肺MALT Lymphomaの一症例Research society
- Jan. 2012, 日本臨床細胞学会雑誌, 51巻, 1号, pp. 7-12, Japanese集検喀痰細胞診で発見された喉頭癌と早期中心型肺癌の細胞像の比較検討[Refereed]Scientific journal
- Dec. 2011, 肺癌, 51巻, 7号, pp. 820-824, Japanese局所再発を繰り返し、外科切除にて混合型小細胞肺癌と診断した1例[Refereed]Scientific journal
- Aug. 2011, Journal of clinical oncology, Vol. 29, No. 23, pp. e675-7, EnglishIncrease of ascites and pleural effusion misleading assessment of antitumor response to erlotinib in adenocarcinoma of the lungScientific journal
- Background. Bronchoscopic examination by endobronchial ultrasonography with a guide sheath (EBUS-GS) is becoming more common in the diagnosis of peripheral pulmonary lesions. However, no standards have been established for the order in which bronchial brushing and transbronchial biopsy are performed in bronchoscopy with EBUS-GS. Objective. This prospective bronchoscopic study by EBUS-GS examined whether bronchial brushing or transbronchial biopsy should be performed first, by comparing diagnostic accuracy. Subjects and Methods. Lesions that were visualized on EBUS images and were subjected to bronchial brushing and transbronchial biopsy were analyzed. The order of specimen collection was divided into 2 periods: brushing followed by biopsy (from June 1, 2007 to March 31, 2008; cohort A) or biopsy followed by brushing (from April 1, 2008 to January 31, 2009; cohort B). Diagnostic accuracy was assessed. We also evaluated whether the order of specimen collection affected proper specimen preparation in brushing cytology. Results. In cohort A, EBUS-GS was used in 81 lesions, and 72 lesions were visualized on EBUS (EBUS visualization rate, 88.9%). Both brushing and biopsy were performed for 69 lesions. In cohort B, EBUS-GS was used in 71 lesions, and 68 lesions were visualized (95.8%); both brushing and biopsy were performed for 66 lesions. The mean maximum diameter was 28.6mm for both cohorts A and B. Diagnostic accuracy for all 135 lesions was 83.0% (112/135 lesions), and diagnostic accuracy for all malignancies was 90.8% (108/119 lesions). For the 119 malignant lesions, diagnostic accuracies of biopsy, brushing, and the 2 procedures combined were 77.2%, 78.9% and 87.7%, respectively in cohort A and 85.5%, 87.1% and 93.5%, respectively in cohort B. There was no significant difference between the cohorts. Moreover, the order of specimen collection had no effect on specimen preparation for cytology. Conclusion. In bronchoscopic examination with EBUS-GS, as long as lesions can be visualized by EBUS, the order of brushing and biopsy does not affect diagnostic accuracy.The Japan Society for Respiratory Endoscopy, Sep. 2010, 気管支学, 32(5号) (5号), 395 - 401, Japanese[Refereed]Scientific journal
- Lung cancer is the leading cause of cancer death worldwide. Molecular targeted therapy has greatly advanced the field of treatment for non-small cell lung cancer (NSCLC), which accounts for the majority of lung cancers. Indeed, gefitinib, which was the first molecular targeted therapeutic agent, has actually doubled the survival time of NSCLC patients. Vigorous efforts of clinicians and researchers have revealed that lung cancer develops through the activating mutations of many driver genes including the epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), c-ros oncogene 1 (ROS1), v-Raf murine sarcoma viral oncogene homolog B (BRAF), and rearranged during transfection (RET) genes. Although ALK, ROS1, and RET are rare genetic abnormalities, corresponding tyrosine kinase inhibitors (TKIs) can exert dramatic therapeutic effects. In addition to anticancer drugs targeting driver genes, bevacizumab specifically binds to human vascular endothelial growth factor (VEGF) and blocks the VEGF signaling pathway. The VEGF signal blockade suppresses angiogenesis in tumor tissues and inhibits tumor growth. In this review, we also explore immunotherapy, which is a promising new NSCLC treatment approach. In general, antitumor immune responses are suppressed in cancer patients, and cancer cells escape from the immune surveillance mechanism. Immune checkpoint inhibitors (ICIs) are antibodies that target the primary escape mechanisms, immune checkpoints. Patients who respond to ICIs are reported to experience longlasting therapeutic effects. A wide range of clinical approaches, including combination therapy involving chemotherapy or radiation plus adjuvant therapy, are being developed.Dec. 2018, Curr Cancer Drug Targets, 19(8) (8), 595 - 630, English, International magazine[Refereed]Introduction scientific journal
- Treatment with epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) improves the overall survival of patients with EGFR-mutated non-small-cell lung cancer (NSCLC). First-generation EGFR-TKIs (e.g., gefitinib and erlotinib) or second-generation EGFR-TKIs (e.g., afatinib and dacomitinib) are effective for the treatment of EGFR-mutated NSCLC, especially in patients with EGFR exon 19 deletions or an exon 21 L858R mutation. However, almost all cases experience disease recurrence after 1 to 2 years due to acquired resistance. The EGFR T790M mutation in exon 20 is the most frequent alteration associated with the development of acquired resistance. Osimertinib-a third-generation EGFR-TKI-targets the T790M mutation and has demonstrated high efficacy against EGFR-mutated lung cancer. However, the development of acquired resistance to third-generation EGFR-TKI, involving the cysteine residue at codon 797 mutation, has been observed. Other mechanisms of acquired resistance include the activation of alternative pathways or downstream targets and histological transformation (i.e., epithelial⁻mesenchymal transition or conversion to small-cell lung cancer). Furthermore, the development of primary resistance through overexpression of the hepatocyte growth factor and suppression of Bcl-2-like protein 11 expression may lead to problems. In this report, we review these mechanisms and discuss therapeutic strategies to overcome resistance to EGFR-TKIs.Nov. 2018, Cells, 7(11) (11), English, International magazine[Refereed]Introduction scientific journal
- 第58回 日本肺癌学会学術集会, Nov. 2018, Japanese, 横浜, Domestic conference免疫チェックポイント阻害薬で治療したPD-L1陽性肺癌に対する好中球リンパ球比の検討Oral presentation
- 第59回 日本肺癌学会学術集会, Nov. 2018, Japanese, 横浜, Domestic conference免疫チェックポイント阻害剤投与例における赤血球容積粒度分布幅の有用性Oral presentation
- 第60回 日本肺癌学会学術集会, Nov. 2018, Japanese, 横浜, Domestic conference無症候性脳転移を有する非小細胞肺癌に対するシスプラチン+ペメトレキセド+ベバシズマブの第II相試験Oral presentation
- 第61回 日本肺癌学会学術集会, Nov. 2018, Japanese, 横浜, Domestic conference間質性陰影合併肺癌における抗PD-1抗体による間質性陰影増悪のリスク因子の検討Oral presentation
- Asian Pacific Society of Respirology 2018, Nov. 2018, English, Taipei, International conferenceGemcitabine enhances anti-tumor activity of Paclitaxel by Modulating Tubulin AcetylationOral presentation
- 24th World Asthma Congress 2018, Oct. 2018, English, INTERASTHMA Globa Asthma Association, Tokyo, International conferenceXenon Ventilation Computed Tomography and Bronchial Thermoplasty for AsthmaOral presentation
- 第221回 日本内科学会 近畿地方会, Sep. 2018, Japanese, 大阪, Domestic conference多発神経炎の発症に,腫瘍由来の自己抗体の関与が疑われた肺小細胞肺癌の1例Oral presentation
- 第221回 日本内科学会 近畿地方会, Sep. 2018, Japanese, 大阪, Domestic conferenceペムブロリズマブ投与後に免疫関連胆管炎を発症した肺腺癌の1例Oral presentation
- 19th world conference on lung cancer, Sep. 2018, English, Toronto, International conferenceNab-paclitaxel plus gemcitabine in advanced NSCLC after platinum-based chemotherapy: final results and caveolin-1 expressionOral presentation
- 第16回 日本臨床腫瘍学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conference無症候性脳転移を有する非扁平上皮非小細胞肺癌に対する初回治療のシスプラチン+ペメトレキセド+ベバシズマブの第II相試験Oral presentation
- 第16回 日本臨床腫瘍学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conference非小細胞肺癌(非扁平上皮癌)完全切除症例に対するCDDP+PEMショートハイドレーション療法による術後補助化学療法の認容性試験Oral presentation
- 第16回 日本臨床腫瘍学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conferenceプラチナ製剤無効後の既治療非小細胞肺癌患者に対するweekly Nab-paclitaxelとGemcitabine併用療法の第II相試験Oral presentation
- 第91回 日本呼吸器学会, Jul. 2018, Japanese, 神戸, Domestic conferenceアレクチニブによる治療中に神経内分泌癌へ形質転換したと考えられたALK融合遺伝子陽性肺腺癌の一例Oral presentation
- 第108回肺癌学会関西支部会, Jun. 2018, Japanese, 大阪, Domestic conference肺性肥大性骨関節症を合併したROS1融合遺伝子陽性肺癌の一例Oral presentation
- American Society of Clinical Oncology Annual Meeting 2018, Jun. 2018, English, Chicago, International conferenceAdapalene gel 0.1% vs. placebo as prophylaxis for anti-EGFR-induced acne-like rash: a randomized left-right comparative evaluation (APPEARANCE)Poster presentation
- 第41回日本呼吸器内視鏡学会学術集会, May 2018, Japanese, 東京, Domestic conference当科における気管支鏡検査後に発症した呼吸器感染症の検討Oral presentation
- 第41回日本呼吸器内視鏡学会学術集会, May 2018, Japanese, 東京, Domestic conference当科におけるEBUS-TBNA検査の実態に関する検討Oral presentation
- 第58回日本呼吸器学会学術講演会, Apr. 2018, Japanese, 大阪, Domestic conference連続パルスオキシメトリーによる在宅酸素療法患者の夜間低酸素血症の調査Poster presentation
- European Lung Cancer Congress 2018, Apr. 2018, English, Geneva, International conferenceFeasibility study of adjuvant chemotherapy with cisplatin and pemetrexed short hydration regimen for completely resected non-small cell lung cancerOral presentation
- European Lung Cancer Congress 2018, Apr. 2018, English, Geneva, International conferenceA Phase II Trial of Nab-Paclitaxel and Gemcitabine in Patients with Non-Small-Cell Lung Cancer Previously Treated with Platinum Based ChemotherapyOral presentation
- 第90回日本呼吸器学会近畿地方会, Dec. 2017, Japanese, 日本呼吸器学会, 大阪, Domestic conference化学療法により症状の改善を認めたLambert-Eaton症候群合併肺小細胞癌の1例Poster presentation
- 第58回日本肺癌学会学術集会, Oct. 2017, Japanese, 日本肺癌学会, 横浜, Domestic conferenceNivolumab投与例における末梢血好中球/リンパ球比(NLR)の変化とその有用性Oral presentation
- 27 th ERS international congress, Sep. 2017, English, European Respiratory Society, ミラノ, イタリア, International conferenceThe clinical survey of lettuce-associated respiratory symptomsPoster presentation
- 第89回日本呼吸器学会近畿地方会, Jul. 2017, Japanese, 日本呼吸器学会, 大阪, Domestic conferenceNivolumab 投与後に腱鞘炎,多発関節炎を発症した肺腺癌の1例Oral presentation
- 第216回日本内科学会近畿地方会, Jul. 2017, Japanese, 日本内科学会, 大阪, Domestic conferenceHDR症候群に肺扁平上皮癌を発症した1例Oral presentation
- 日本睡眠学会第42回定期学術集会, Jun. 2017, Japanese, 日本睡眠学会, 横浜, Domestic conference閉塞性睡眠時無呼吸症候群における減量とAHIの改善Poster presentation
- 第106回日本肺癌学会関西支部学術集会, Jun. 2017, Japanese, 日本肺癌学会, 大阪, Domestic conference当科の非小細胞肺癌に対するニボルマブの治療成績に関する検討Poster presentation
- 第66回日本アレルギー学会学術大会, Jun. 2017, Japanese, 日本アレルギー学会, 東京, Domestic conferenceJTE013による気道上皮を介した喘息の抑制作用Oral presentation
- 第40回日本呼吸器内視鏡学会学術集会, Jun. 2017, Japanese, 日本呼吸器内視鏡学会, 長崎, Domestic conferenceEGFR遺伝子変異陽性肺癌における気管支鏡での再生検についての検討Oral presentation
- 第40回日本呼吸器内視鏡学会学術集会, Jun. 2017, Japanese, 日本呼吸器内視鏡学会, 長崎, Domestic conferenceEBUS-GS後のTBAC追加による末梢肺病変診断への有用性に関する検討Oral presentation
- 第105回日本肺癌学会関西支部学術集会, Jan. 2017, Japanese, 日本肺癌学会, 大阪, Domestic conference当科でのEGFR遺伝子変異陽性肺癌における再生検についての検討Oral presentation
- 第105回日本肺癌学会関西支部学術集会, Jan. 2017, Japanese, 日本肺癌学会, 大阪, Domestic conferenceオシメルチニブに起因する薬剤性間質性肺炎発症後にステロイド内服下でのオシメルチニブ再投与が奏功した一例Poster presentation
- 第88回日本呼吸器学会近畿地方会, Dec. 2016, Japanese, 日本呼吸器学会, 京都, Domestic conference病因と考えられる肺炎を確認できたSwyer-James症候群の一例Oral presentation
- 第88回日本呼吸器学会近畿地方会, Dec. 2016, Japanese, 日本呼吸器学会, 京都, Domestic conference肺移植後の経過でアスペルギルス症による喀血をきたした肺リンパ脈管筋腫症の一例Oral presentation
- 第57回日本肺癌学会学術集会, Dec. 2016, Japanese, 日本肺癌学会, 福岡, Domestic conference全身PET/MRI、MRI、PET/CT及び通常画像検査における胸腺上皮性腫瘍の病期診断能の比較Oral presentation
- 第57回日本肺癌学会学術集会, Dec. 2016, Japanese, 日本肺癌学会, 福岡, Domestic conference次元CTコンピューター体積測定システムの臨床応用 経過観察CTによる良・悪性結節鑑別能評価Oral presentation
- 第57回日本肺癌学会学術集会, Dec. 2016, Japanese, 日本肺癌学会, 福岡, Domestic conference3次元肺癌CT検診用コンピューター支援診断システムの低線量化における再構成の影響に関する比較検討Oral presentation
- 第57回日本肺癌学会学術集会, Dec. 2016, Japanese, 日本肺癌学会, 福岡, Domestic conference3次元 CTコンピューター体積測定システムの臨床応用:経過観察CTによる良・悪性結節鑑別能評価Poster presentation
- 第214回日本内科学会近畿地方会, Nov. 2016, Japanese, 日本内科学会, 大阪, Domestic conference胸水貯留で発症したIgG4関連肺疾患の1例Oral presentation
- The 29th Annual Meeting of the Japanese Society for Radiation Oncology, Nov. 2016, Japanese, Japanese Society for Radiation Oncology, 京都, Domestic conferenceOutcomes of Sequential Chemoradiotherapy for Small-Cell Lung Cancer in Patients Unsuitable for CCRTPoster presentation
- 第104回日本肺癌学会関西支部学術集会, Jul. 2016, Japanese, 日本肺癌学会, 大阪, Domestic conference潰瘍性大腸炎に合併した大腸転移を伴う小細胞肺癌の一例Oral presentation
- 第14回日本臨床腫瘍学会学術集会, Jul. 2016, Japanese, 日本臨床腫瘍学会, 神戸, Domestic conference大腸がん合併肺腫瘍の検討Poster presentation
- 第99回日本呼吸器内視鏡学会近畿支部会, Jul. 2016, Japanese, 日本呼吸器内視鏡学会, 大阪, Domestic conference気管支鏡により診断しえた炎症性筋線維芽細胞腫の一例Oral presentation
- 第104回日本肺癌学会関西支部会, Jul. 2016, Japanese, 日本肺癌学会, 大阪, Domestic conference悪性黒色腫の肺転移と思われた1例Poster presentation
- 第14回日本臨床腫瘍学会学術集会, Jul. 2016, Japanese, 日本臨床腫瘍学会, 神戸, Domestic conferenceアファチニブ初回治療耐性後に再生検を施行した症例の検討Poster presentation
- 第39回日本呼吸器内視鏡学会学術集会, Jun. 2016, Japanese, 日本呼吸器内視鏡学会, 名古屋, Domestic conference小型末梢肺病変に対するEBUS-GSとVBN併用下でX線透視の必要性に関する検討Poster presentation
- 医療薬学フォーラム2016, Jun. 2016, Japanese, 日本薬学会, 滋賀, Domestic conference経口マグネシウム製剤投与によるシスプラチンの腎障害予防効果の検討Poster presentation
- 第21回日本緩和医療学会学術大会, Jun. 2016, Japanese, 日本緩和医療学会, 京都, Domestic conference局所進行期肺扁平上皮癌に対して放射線化学療法中に気管支食道瘻をきたし、頚部食道瘻造設により嘔気などの症状緩和に成功した一例Poster presentation
- 第39回日本呼吸器内視鏡学会学術集会, Jun. 2016, Japanese, 日本呼吸器内視鏡学会, 名古屋, Domestic conferenceEBUS-GSにてwithinが確認されたにもかかわらず診断がつかなかった症例の後方視的検討Oral presentation
- 19th WCBIP/WCBE World Congress, May 2016, English, WCBIP/WCBE, Italy, Florence, International conferenceBronchoscopy using virtual navigation and EBUS-GS with or without fluoroscopy for peripheral lesionsOral presentation
- 第56回日本呼吸器学会学術講演会, Apr. 2016, Japanese, 日本呼吸器学会, 京都, Domestic conference肺癌細胞株におけるアムルビシン耐性化機序の検討Poster presentation
- 第113回日本内科学会講演会, Apr. 2016, Japanese, 日本内科学会, 東京, Domestic conference腎移植後のタクロリムス内服中に反復する肺炎を来たし肺ノカルジア症と診断した1例Poster presentation
- 第56回日本呼吸器学会学術講演会, Apr. 2016, Japanese, 日本呼吸器学会, 京都, Domestic conferenceEGFR-TKI耐性クローンに対する糖代謝阻害剤,癌幹細胞治療薬の有効性についてPoster presentation
- Nov. 2014, Japanese, Domestic conferenceプラチナ製剤既治療非小細胞肺癌に対するプラチナ製剤再投与の検討Oral presentation
- 第24回国際喘息学会日本・北アジア部会, Jul. 2014, Japanese, 名古屋, International conferenceFindings from the Hyogo “HAGAKI” project about children’s follow-up consultations after emergency department visits for asthma attacksPoster presentation
- The 52th Annual Meeting of Japan Society of Clinical Cytology, Oct. 2013, Japanese, Japan Society of Clinical Cytology, 大阪, Domestic conference気管支擦過細胞診にてアレルギー性気管支肺アスペルギルス症が疑われた1症例Poster presentation
- 18th International Congress of Cytology, May 2013, English, パリ, フランス, International conferenceUtility of cell blocks obtained by catheter aspiration via a guide sheath with Endobronchial UltrasonographyOral presentation
- 第98回肺癌学会近畿地方会, Feb. 2013, Japanese, The japan lung cancer society, 大阪, 【背景】 傍腫瘍性神経症候群(paraneoplastic neurological syndrome: PNS)は担癌患者に生じる、自己免疫学的機序によると考える神経障害である。PNSの頻度は約1%で、肺小細胞癌患者に頻度が高いとされている。PNSによる症状は多彩であるが、今回は肺小細胞癌に合併した癌関連網膜症の2例に関して報告する。【症例1】 80歳女性。左視力低下で発症し、その後右目の視力の低下もきたした。網膜電図で網膜全体に著しい電位の低下を認め癌関連網膜症が疑われ、全身精査にて肺癌と診断された。【症例2】 68歳男性。左視力低下で眼科を受診し、自己免疫性網膜炎を疑われて全身精査を行った結果肺小細胞癌と診断された。, Domestic conference癌関連網膜症を発症した肺小細胞癌の2例Oral presentation
- 第97回日本肺癌学会関西支部会, Feb. 2013, Japanese, The Japan Lung Cancer Society, 大阪, Domestic conference癌関連網膜症を合併した肺小細胞肺癌の2例Oral presentation
- 第5回肺機能イメージング研究会学術集会, Jan. 2013, Japanese, 肺機能イメージング研究会, 徳島, 【背景】肺末梢病変に対する仮想気管支鏡ナビゲーションシステム(Bf-NAVI, OLYMPUS)の有用性は知られてきている.またBf-NAVIは肺門・縦隔病変に対する穿刺ナビゲーションの機能も有している.今回,我々は,肺末梢病変の診断および中枢病変に対する経気管支診断において,Bf-NAVIが有用であった症例を経験したので報告する.【症例1】72歳, 男性.食道癌・喉頭癌の既往があり,歯肉癌の精査加療目的に入院中,右S1胸膜直下に9×7mm大の結節が認められ,気管支鏡検査を施行した.Bf-NAVIにて5次分岐まで確認し,生検施行,原発性肺腺癌と診断した.【症例2】49歳,女性.呼吸困難感を主訴に来院.胸部CTにて左肺動脈に接して28mm大の結節を認め,気管支鏡検査を施行した.可視範囲に腫瘍の表出はなく,X線透視下にて穿刺を行ったが,出血のみで確定診断, Domestic conference仮想気管支鏡ナビゲーション(Bf-NAVI)併用気管支鏡検査が有用であった症例の検討Oral presentation
- 第80回 日本呼吸器学会畿地方会, Dec. 2012, Japanese, 呼吸器学会近畿地方会, 神戸, 2011年4月から2012年3月までの間に当院呼吸器内科入院中に死亡した26例の検討を行った。原疾患は悪性腫瘍が22件、間質性肺炎が4件であった。死因は原疾患の進行に伴うものが21例で、治療関連死と考えられるものが5例であった。3例でNPPVの使用が行われたが、喀血に対する気道確保目的で挿管された1例をのぞいては、挿管下での人工呼吸器管理は行われなかった。ミダゾラムの使用は11件。オピオイドの使用は21件。持続的深い鎮静を行った症例は6件であった。間質性肺炎の終末期についてもオピオイドや鎮静薬の使用を必要とする症例が多く、非癌呼吸器疾患についても苦痛緩和のための鎮静に関するガイドラインが必要と考えられた。, Domestic conference当院呼吸器内科での1年間の死亡症例26例の鎮静についての検討Oral presentation
- 第92回日本気管支内視鏡学会近畿支部会, Dec. 2012, Japanese, The Japan Society for respiratory bronchoscopy, 大阪, 【背景と目的】当院では2011年6月より,肺末梢病変に対し,仮想気管支内視鏡ソフトウェア(Bf-NAVI,オリンパスメディカルシステムズ)を併用して気管支内視鏡検査を施行している.今回,Bf-NAVIを用いて気管支鏡検査を施行した症例について,有効性の検討を行うとともに,その使用経験を報告する.【結果】病変は30病変で,病変の平均長径は21.4mm(8-42mm)であった. 21例で確定診断(肺癌19例,炎症性疾患2例)がつき,診断率は70%であった.細胞診は全症例で施行され,診断率は66%(20/30例)であった.組織診は25例で施行され,診断率は60%(15/25例)であった.また、30例中20例はガイドシース併用気管支腔内超音波断層法(EBUS-GS)を併用した.うち,EBUS-GSを併用し病変が描出できた症例は18症例であり,診断率は72%(, Domestic conference当院における仮想気管支内視鏡(BF-NAVI)の使用経験Oral presentation
- 第80回 日本呼吸器学会畿地方会, Dec. 2012, Japanese, 呼吸器学会近畿地方会, 神戸, 前立腺がんに対する抗アンドロゲン療法により発症した薬剤性間質性肺炎の1例, Domestic conference前立腺がんに対する抗アンドロゲン療法により発症した薬剤性間質性肺炎の1例Oral presentation
- 第80回日本呼吸器学会近畿地方会, Dec. 2012, Japanese, 日本呼吸器学会, 神戸, 症例は77歳、女性。近医で左下肺野腫瘤影を指摘され、2011年10月に当院紹介となる。初回の気管支鏡での細胞診にて小細胞癌の所見であったが、EGFRmutation陽性の所見も同時に得ていた。1 st lineとして、CBDCA+VP‐16を4コース施行しPRであったが、2012年4月に骨転移病変出現を認め、原発巣も増大を認めた。気管支鏡検査にて再検した結果、組織診にて大細胞神経内分泌癌の診断に至った。, Domestic conferenceEGFRmutation陽性であった 肺大細胞神経内分泌癌の一例Oral presentation
- 第80回日本呼吸器学会近畿地方会 第110回日本結核病学会, Dec. 2012, Japanese, The Japanese Respiratory Society, 神戸, 睡眠時無呼吸症候群合併の難治性高血圧において、CPAP治療でも改善がみられない場合は複合型睡眠時無呼吸症候群の可能性を考え、タイトレーションの上、ASVデバイスも考慮する必要がある。, Domestic conferenceASVにより難治性高血圧症が改善した複合型睡眠時無呼吸症候群の一例Oral presentation
- 第53回日本肺癌学会総会, Nov. 2012, Japanese, The Japan Lung Cancer Society, 岡山, Domestic conference当科における傍腫瘍性神経症候群合併小細胞肺癌の臨床的検討Poster presentation
- ERS ANNUAL CONGRESS 2013, Sep. 2012, English, Europian Respratory society, Vienna, RDI of SD-101 has very close correlation with AHI of PSG, however SD-101 may not detect hypopnea exactly in hypopnea predominant patients., International conferenceUsefulness of the SD-101 for screening of Sleep Apnea SyndromePublic symposium
- 第79回日本呼吸器学会近畿地方会, Jun. 2012, Japanese, The Japanese society internal medicine, 京都, 45歳女性。リンパ脈管筋腫症:LAMに対し片肺移植後、経過中に大量喀血。入院後、LAM肺側からの再喀血による気管支閉塞認め、片肺挿管、人工呼吸管理とした。その後気管支動脈塞栓術:BAE施行となった。, Domestic conference大量喀血を来した肺移植後のリンパ脈管筋腫症の一例Oral presentation
- 第79回日本呼吸器学会近畿地方会, Jun. 2012, Japanese, 日本呼吸器学会, 京都, 症例は76歳、女性。胸腺腫治療のため、CBDCA+PTXを2コース施行した後遷延する四肢の末梢院系障害症状に加え、膀胱直腸障害、疼痛症状の出現を認めていた。精査をおこなった結果胸腺腫に合併したIsaacs症候群と診断した。, Domestic conference胸腺腫に対しCBDCA、PTX投与後に発症し、診断に苦慮したIsaacs症候群の一例Oral presentation
- ATS 2013 Conference, May 2012, English, American Thoracic Society, San francisco, High prevalence of sleep apnea was detected in patients with arrhythmia. The patients with both arrhythmia and other heart disease had higher prevalence of SDB and were sever than with arrhythmia alone. Although EF of patients that had arrhythmia only kee, International conferenceScreening of Sleep Disordered Breathing in patients with arrhythmiasPublic symposium
- 第35回日本呼吸器内視鏡学会学術集会, May 2012, Japanese, 日本呼吸器内視鏡学会, 東京, 症例は49才、女性。平成20年12月頃に呼吸困難感を自覚し近医受診。胸部造影CTにて左肺動脈内の血栓を疑われ、肺塞栓症の診断にて抗凝固療法を開始された。その後の経過中症状は消失し、経過観察されていたが平成22年1月に再度呼吸困難感が出現。再検査の結果左肺動脈内の血栓様陰影が残存していたため精査目的に当院当科紹介となる。各種画像やその他検査所見から肺血栓塞栓症は否定的と考え、左肺動脈に近接する腫瘍を疑ったため気管支鏡検査を施行するも病理学的に有意な所見を得られず。腫瘍は肺動脈に近接したB1+2c入口部背側の粘膜下付近に存在し、再検として盲目的なTBAC針による細胞採取の危険性を鑑み、仮想気管支ナビゲーションシステム(Bf-NAVI OLYMPUS)を用いて腫瘍の位置、TBAC針の穿刺部位を設定した上で再度気管支鏡によるアプローチを試み細胞を採取、確定診, Domestic conferenceBf-NAVI併用によるTBNAにて確定診断しえた肺MALT Lymphomaの一症例Poster presentation
- 学術研究助成基金助成金/基盤研究(C), Apr. 2017 - Mar. 2020Competitive research funding
- 学術研究助成基金助成金/基盤研究(C), Apr. 2013 - Mar. 2016, Principal investigatorCompetitive research funding
- 革新的がん医療実用化研究事業, 2016, Principal investigator(AMED)高齢者進行非扁平上皮非小細胞肺癌に対する標準的化学療法の確立に関する研究/JCOG1210/WJOG7813L『高齢者進行非扁平上皮非小細胞肺癌に対するドセタキセル単剤療ICompetitive research funding