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眞庭 謙昌医学部附属病院教授
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■ 論文- OBJECTIVES: Intimal sarcoma is a rare vascular malignancy with a poor prognosis and no established treatment. This study aimed to identify clinicopathological and transcriptomic factors associated with disease progression to uncover potential therapeutic targets. METHODS: Ten patients with surgically resected intimal sarcoma were included. Ribonucleic acid (RNA) sequencing was performed on formalin-fixed, paraffin-embedded tumour samples, of which 8 passed quality control. Patients were stratified by the median overall survival of 17 months. Differentially expressed genes (DEGs) were identified and analysed using Gene Ontology (GO), Enrichr, and Gene Set Enrichment Analysis (GSEA). Immunohistochemistry was used to validate selected protein expression. RESULTS: The primary tumour site was the pulmonary artery in 8 cases and the heart in 2 cases. The median survival was 17 months, with a 5-year survival rate of 13.3%. Twenty-eight DEGs (|logFC| > 2, P < 0.01) were identified, most of which were upregulated in poor-prognosis tumours. GO and Enrichr analyses revealed enrichment in ribosome-related processes, including cytoplasmic translation and ribosomal biogenesis. GSEA showed enrichment of MYC targets and oxidative phosphorylation; epithelial-mesenchymal transition was moderately enriched, and myogenesis was downregulated. Immunohistochemistry confirmed overexpression of RPS27 and RPL26 in poor-prognosis tumours. CONCLUSIONS: Transcriptomic analysis revealed upregulation of ribosome-related genes in aggressive intimal sarcoma. Aberrant protein synthesis may contribute to poor prognosis and represent a novel therapeutic vulnerability.2025年08月, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 67(8) (8), 英語, 国際誌研究論文(学術雑誌)
- OBJECTIVE: We developed a novel, noninvasive, extended reality-aided marking procedure for tumor localization and aimed to evaluate its feasibility and safety for sublobar resection in minimally invasive surgery. METHODS: We prospectively evaluated the concordance rate between extended reality-aided marking and actual tumor localization for 20 patients who underwent sublobar resection, including wedge resection and segmentectomy. During sublobar resection, the augmented reality image of the 3-dimensional pulmonary anatomy and the tumor were overlaid onto the thoracoscopic monitor. This allowed the surgeons to observe the tumor location with the head-mounted mixed reality display during the surgery. Marking concordance was defined as the difference of 10 mm or less between the distances from the actual tumor margin and the identified marking point on the extended reality to the margin. RESULTS: We enrolled 11 patients who underwent wedge resection and 9 patients who underwent segmentectomy. For each case, the pulmonary anatomy and tumor were successfully overlaid onto the operative image. The median computed tomography tumor size was 13.5 mm (interquartile range, 10.7-21.7 mm). The extended reality-aided marking method accurately delineated 90% of cases (18 of 20). The median distance from the actual surgical margin was 18 mm (interquartile range, 11-23.5 mm). The median duration of surgery was 117 (interquartile range, 64-147) minutes, and the perioperative courses were uneventful for all cases except for paroxysmal atrial fibrillation in 1 patient. CONCLUSIONS: Our novel, noninvasive, extended reality-based marking method is safe and feasible for identifying tumor locations during sublobar resection.2025年08月, JTCVS techniques, 32, 157 - 162, 英語, 国際誌研究論文(学術雑誌)
- BACKGROUND: Post-bullectomy pleural-covering procedures using reinforcement materials, particularly polyglycolic acid (PGA) sheets, are routinely performed to prevent postoperative recurrence of pneumothorax (PORP). However, the optimal size of PGA sheets remains unknown, causing variability in surgical practice. We evaluated the prognostic significance of larger PGA sheets for reducing PORP rates. METHODS: This single-center retrospective study included patients who underwent thoracoscopic bullectomy for primary spontaneous pneumothorax (PSP) between March 2006 and March 2020. Participants were stratified according to the size of the PGA sheets used for pleural covering (large, 225 cm2 and small, 100 cm2). Using Cox proportional hazards regression and inverse probability of treatment weighting (IPTW), the intergroup difference in PORP rates was analyzed to determine the impact of PGA sheet size on postoperative outcomes. RESULTS: In the study cohort with 185 participants, 152 and 33 were assigned to the large and small groups, respectively. PORP incidence was significantly lower in the large group (3.9%, 6/152) than in the small group (12.1%, 4/33), and IPTW-adjusted multivariable Cox regression analysis indicated a significantly reduced recurrence rate in the large group than in the small group (hazard ratio, 0.11, P<0.01). CONCLUSIONS: Using larger PGA sheets to cover the staple line during bullectomy for PSP significantly reduces the postoperative recurrence rate. Adequately sized PGA sheets should be used to provide sufficient coverage beyond the staple line to optimize patient outcomes.2025年07月, Journal of thoracic disease, 17(7) (7), 4576 - 4586, 英語, 国際誌研究論文(学術雑誌)
- PURPOSE: This study examined the learning curve of segmentectomy using the "fused surgery" approach. METHODS: We retrospectively collected data from 100 patients who underwent segmentectomy via fused robot-assisted thoracoscopy at our institution between September 2020 and February 2024. The learning curve was evaluated using the cumulative sum of the operative times in all cases and was analyzed separately for simple and complex segmentectomies. RESULTS: After applying the cumulative sum method to all cases, we obtained a graph of the operative time that showed three well-differentiated phases: phase 1 (n = 23), the initial learning phase; phase 2 (n = 28), the increased competence phase; and phase 3 (n = 49), the highest skill phase. Comparing phases 1 and 2 with phase 3, we found significant differences in operative time (P < 0.001); however, no significant differences were observed in bleeding or rate of postoperative complications. We observed a significant reduction in operative time after 25 simple segmentectomies and 22 complex segmentectomies. CONCLUSIONS: The data suggested that the inflection point of the learning curve was achieved in 51 cases. Complex segmentectomy requires the same cases to achieve the same level of competence as simple segmentectomy.2025年06月, Surgery today, 55(6) (6), 823 - 829, 英語, 国内誌研究論文(学術雑誌)
- OBJECTIVE: High-grade neuroendocrine carcinoma (HGNEC) with dominant POU2F3 expression exhibits non-neuroendocrine features. However, clinical data regarding this subset of pulmonary HGNECs are scarce, and its clinical characteristics remain unclear. METHODS: Clinicopathological data from 109 patients who underwent surgery for HGNEC were collected and analyzed based on transcription factor expression. Patients were divided into a POU2F3-dominant group (HGNEC-P) and a non-dominant group (HGNEC-non-P) according to immunohistochemical analysis. The clinicopathological characteristics of the two groups were compared, and univariate and multivariate analyses were conducted to identify prognostic factors. RESULTS: The HGNEC-P group comprised 26 patients, while the HGNEC-non-P group comprised 83 patients. The HGNEC-P group showed significantly lower expression of carcinoembryonic antigen (CEA) (p < 0.001) and a lower rate of vascular invasion (p = 0.021) compared to the HGNEC-non-P group. In addition, the HGNEC-P group exhibited a unique tumor marker profile, with lower serum CEA and higher serum cytokeratin antigen (CYFRA) levels (p < 0.001 and p = 0.046, respectively). Complete resection was achieved in all HGNEC-P cases, whereas only 75.9% of HGNEC-non-P cases achieved complete resection. Multivariate analysis identified POU2F3 expression as an independent prognostic factor for recurrence-free survival (RFS) and disease-specific survival (DSS) (p = 0.037 and p = 0.038, respectively). In patients with pathological Stage I disease, the HGNEC-P group showed significantly better RFS (p = 0.010). CONCLUSIONS: POU2F3-dominant HGNEC is associated with distinct clinicopathological features and favorable prognosis, particularly in early-stage disease. These findings may support the identification of this subset and inform the development of more effective treatment strategies.2025年04月, Cureus, 17(4) (4), e82758, 英語, 国際誌研究論文(学術雑誌)
- PURPOSE: We aimed to identify preoperative risk factors for secondary spontaneous pneumothorax surgery. METHODS: The National Clinical Database of Japan, with six annual datasets from 2014 to 2019, was used. All patients who underwent surgery for secondary spontaneous pneumothorax were included, excluding those < 15 years old and those with incomplete data. The effects of preoperative risk factors were analyzed for operative mortality (mortality during hospitalization or within 30 days, regardless of hospitalization status), 30-day mortality, and postoperative respiratory morbidities. RESULTS: Of the 18,309 patients enrolled in the study, operative mortality, 30-day mortality, and postoperative respiratory morbidities were observed in 654 (3.6%), 343 (1.9%), and 2258 (12.3%) patients, respectively. Increasing age, male sex, body mass index < 18.5 or > 30, performance status > 2, emergent surgery, interstitial pneumonia, and diabetes in preoperative co-morbidity, tumors, and other diseases in underlying lung disease were significant risk factors for operative mortality. Those for 30-day mortality included autoimmune disease instead of male sex and diabetes, while those for postoperative respiratory morbidities included lymphangiomyomatosis instead of a body mass index > 30. CONCLUSION: We identified many preoperative risk factors for operative mortality, 30-day mortality, and postoperative respiratory morbidities in secondary spontaneous pneumothorax surgery. These findings will assist in selecting appropriate surgical candidates.2025年03月, Surgery today, 55(3) (3), 393 - 404, 英語, 国内誌研究論文(学術雑誌)
- OBJECTIVE: The postoperative respiratory function has been compared between lobectomy and segmentectomy based on the resting spirometric change in many previous studies. However, spirometric change has only been assessed in static conditions, and it is unclear whether it accurately reflects the cardiopulmonary function. METHODS: We used spirometry and a 6-min walk test to evaluate patients who underwent lobectomy and segmentectomy and examined the changes in heart rate (HR), respiratory rate (RR), and saturation of percutaneous oxygen (SpO2) before and after walking between the two groups. RESULTS: The present study included 24 patients who underwent segmentectomy and 21 who underwent lobectomy. There was no significant difference in the reduction of the median forced expiratory volume in 1 s (FEV1.0) after surgery. In the 6-min walk test, the increase in HR and RR after surgery has no significant differences between lobectomy and segmentectomy (HR: p = 0.372 and RR: p = 0.131). However, the two groups showed a significant difference in the reduction of SpO2 (p < 0.001). In addition, correlation analysis found that the more the number of resected segments, the more the reduction of SpO2 with a statistical significance (p = 0.002). CONCLUSIONS: Patients who received segmentectomy showed to suppress the reduction of SpO2 with a statistical difference after the 6-min walk test in comparison to those who received lobectomy. These results suggest that segmentectomy has less impact on the cardiopulmonary function and the 6-min walk test is useful for evaluating the postoperative cardiopulmonary function.2025年02月, General thoracic and cardiovascular surgery, 73(2) (2), 96 - 101, 英語, 国内誌研究論文(学術雑誌)
- PURPOSE: The underlying mechanism why segmentectomy has demonstrated the non-inferiority to lobectomy in several randomized trials remains unclear. Computed tomography (CT)-measured pulmonary artery (PA) enlargement reflects PA pressure and predicts the prognosis of certain respiratory diseases. We compared the preoperative and postoperative PA diameter to the ascending aorta diameter (PA/A) ratio, investigating its impact on right ventricular function in lung resection. METHODS: This retrospective study was conducted in patients with lower-lobe lung tumors who underwent anatomical lung resection between 2017 and 2022. The PA diameter at the bifurcation and the ascending aorta diameter at the same CT image slice were measured preoperatively and postoperatively. We calculated the enlargement of PA/A ratio (PA/A change) and compared lobectomy and segmentectomy. RESULTS: This analysis included 279 patients (235 with lobectomy and 44 with segmentectomy). The PA/A change was significantly greater in patients with lobectomy than segmentectomy (104% vs. 102%, P = 0.02). In the multivariable analysis, airflow obstruction (yes, P = 0.04) and the type of surgery (segmentectomy, P = 0.04) were independent prognostic factors for PA/A change. CONCLUSIONS: The PA/A change was greater in lobectomy than in segmentectomy. This change could reflect a burden on right ventricular function after lobectomy.2025年, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 31(1) (1), 英語, 国内誌研究論文(学術雑誌)
- Abstract Purpose This study evaluated the efficacy of ninjin’yoeito for alleviating postoperative symptoms after lung cancer surgery. Methods Overall, 140 patients who underwent lobectomy were randomized into a conventional treatment group and a ninjin’yoeito group. The primary endpoint was change in the Cancer Fatigue Scale (CFS) score from baseline and the secondary endpoints were the Cancer Dyspnea Scale (CDS) scores, the Kihon Checklist, and respiratory function. Results The mean change in the CFS score 8 weeks postoperatively was − 5.56 in the ninjin’yoeito group and − 5.53 in the conventional treatment group (P = 0.425), but this outcome did not meet the primary endpoint. Changes in the mean CDS scores 8 weeks postoperatively were − 5.60 and − 3.38 in the ninjin’yoeito and conventional groups, respectively, with a difference of − 1.95 (P = 0.049). The changes in the mean vital capacity 8 weeks postoperatively were − 340.5 mL in the ninjin’yoeito group and − 473.5 mL in the conventional treatment group, with a difference of + 135.1 mL (P = 0.041). The ninjin’yoeito group had a significantly lower proportion of patients with malnutrition 16 weeks postoperatively than the conventional treatment group (P = 0.040). Conclusion The results of this study show that ninjin’yoeito is effective for alleviating respiratory symptoms and improving malnutrition after lung cancer surgery.Springer Science and Business Media LLC, 2024年12月, Surgery Today, 55(5) (5), 693 - 704, 英語, 国内誌研究論文(学術雑誌)
- PURPOSE: Given that left upper lobe and right upper and middle lobes share a similar anatomy, segmentectomy, such as upper division and lingulectomy, should yield identical oncological clearance to left upper lobectomy. We compared the prognosis of segmentectomy with that of lobectomy for early stage non-small-cell lung cancer (NSCLC) in the left upper lobe. METHODS: We retrospectively examined 2115 patients who underwent segmentectomy or lobectomy for c-stage I (TNM 8th edition) NSCLC in the left upper lobe in 2010. We compared the oncological outcomes of segmentectomy (n = 483) and lobectomy (n = 483) using a propensity score matching analysis. RESULTS: The 5-year recurrence-free and overall survival rates in the segmentectomy and lobectomy groups were comparable, irrespective of c-stage IA or IB. Subset analyses according to radiological tumor findings showed that segmentectomy yielded oncological outcomes comparable to those of lobectomy for non-pure solid tumors. In cases where the solid tumor exceeded 20 mm, segmentectomy showed a recurrence-free survival inferior to that of lobectomy (p = 0.028), despite an equivalent overall survival (p = 0.38). CONCLUSION: Segmentectomy may be an acceptable alternative to lobectomy with regard to the overall survival of patients with c-stage I NSCLC in the left upper lobe.2024年10月, Surgery today, 54(10) (10), 1162 - 1172, 英語, 国内誌研究論文(学術雑誌)
- Lineage plasticity in small cell lung carcinoma (SCLC) causes therapeutic difficulties. This study aimed to investigate the pathological findings of plasticity in SCLC, focusing on combined SCLC, and elucidate the involvement of YAP1 and other transcription factors. We analysed 100 surgically resected SCLCs through detailed morphological observations and immunohistochemistry for YAP1 and other transcription factors. Component-by-component next-generation sequencing (n = 15 pairs) and immunohistochemistry (n = 35 pairs) were performed on the combined SCLCs. Compared with pure SCLCs (n = 65), combined SCLCs (n = 35) showed a significantly larger size, higher expression of NEUROD1, and higher frequency of double-positive transcription factors (p = 0.0009, 0.04, and 0.019, respectively). Notably, 34% of the combined SCLCs showed morphological mosaic patterns with unclear boundaries between the SCLC and its partner. Combined SCLCs not only had unique histotypes as partners but also represented different lineage plasticity within the partner. NEUROD1-dominant combined SCLCs had a significantly higher proportion of adenocarcinomas as partners, whereas POU2F3-dominant combined SCLCs had a significantly higher proportion of squamous cell carcinomas as partners (p = 0.006 and p = 0.0006, respectively). YAP1 expression in SCLC components was found in 80% of combined SCLCs and 62% of pure SCLCs, often showing mosaic-like expression. Among the combined SCLCs with component-specific analysis, the identical TP53 mutation was found in 10 pairs, and the identical Rb1 abnormality was found in 2 pairs. On immunohistochemistry, the same abnormal p53 pattern was found in 34 pairs, and Rb1 loss was found in 24 pairs. In conclusion, combined SCLC shows a variety of pathological plasticity. Although combined SCLC is more plastic than pure SCLC, pure SCLC is also a phenotypically plastic tumour. The morphological mosaic pattern and YAP1 mosaic-like expression may represent ongoing lineage plasticity. This study also identified the relationship between transcription factors and partners in combined SCLC. Transcription factors may be involved in differentiating specific cell lineages beyond just 'neuroendocrine'.2024年09月, The journal of pathology. Clinical research, 10(5) (5), e70001, 英語, 国際誌研究論文(学術雑誌)
- PURPOSE: Robotic-assisted thoracoscopic surgery (RATS) is a relatively new approach to lung cancer surgery. To promote the development of RATS procedures, we investigated the factors related to short-term postoperative outcomes. METHODS: We analyzed the records of patients who underwent RATS lobectomy for primary lung cancer at our institution between June, 2018 and January, 2023. The primary outcome was operative time, and the estimated value of surgery-related factors was calculated by linear regression analysis. The secondary outcome was surgical morbidity and the risk was assessed by logistic regression analysis. RESULTS: The study cohort comprised 238 patients. Left upper lobectomy had the longest mean operative time, followed by right upper lobectomy. Postoperative complications occurred in 13.0% of the patients. Multivariate analysis revealed that upper lobectomy, the number of staples used for interlobular fissures, and the number of cases experienced by the surgeon were significantly associated with a longer operative time. The only significant risk factor for postoperative complications was heavy smoking. CONCLUSION: Patients with well-lobulated middle or lower lobe lung cancer who are not heavy smokers are recommended for the introductory period of RATS lobectomy. Improving the procedures for upper lobectomy and dividing incomplete interlobular fissures will promote the further development of RATS.2024年08月, Surgery today, 54(8) (8), 874 - 881, 英語, 国内誌研究論文(学術雑誌)
- Patient-derived xenografts (PDXs) are increasingly utilized in preclinical drug efficacy studies due to their ability to retain the molecular, histological, and drug response characteristics of patient tumors. This study aimed to investigate the factors influencing the successful engraftment of PDXs. Lung adenocarcinoma PDXs were established using freshly resected tumor tissues obtained through surgery. Radiological data of pulmonary nodules from this PDX cohort were analyzed, categorizing them into solid tumors and tumors with ground-glass opacity (GGO) based on preoperative CT images. Gene mutation status was obtained from next generation sequencing data and MassARRAY panel. A total of 254 resected primary lung adenocarcinomas were utilized for PDX establishment, with successful initial engraftment in 58 cases (22.8 %); stable engraftment defined as at least three serial passages was observed in 43 cases (16.9 %). The stable engraftment rates of PDXs from solid tumors and tumors with GGO were 22.1 % (42 of 190 cases) and 1.6 % (1 of 64 cases), respectively (P < 0.001). Adenocarcinomas with advanced stage, poor differentiation, solid histologic subtype, and KRAS or TP53 gene mutations were associated with stable PDX engraftment. Avoiding tumors with GGO features could enhance the cost-effectiveness of establishing PDX models from early-stage resected lung adenocarcinomas.2024年08月, Lung cancer (Amsterdam, Netherlands), 194, 107863 - 107863, 英語, 国際誌研究論文(学術雑誌)
- PURPOSE: To evaluate the safety and efficacy of new staple-line reinforcement (SLR) in pulmonary resection through a prospective study and to compare the results of this study with historical control data in an exploratory study. METHODS: The subjects of this study were 48 patients who underwent thoracoscopic lobectomy. The primary endpoint was air leakage from the staple line. The secondary endpoints were the location of air leakage, duration of air leakage, and postoperative pulmonary complications. RESULTS: The incidence of intraoperative air leakage from the staple line was 6.3%. Three patients had prolonged air leakage as a postoperative pulmonary complication. No malfunction was found in patients who underwent SLR with the stapling device. When compared with the historical group, the SLR group had a significantly lower incidence of air leakage from the staple line (6.3% vs. 28.5%, P < 0.001) and significantly shorter indwelling chest drainage time (P = 0.049) and length of hospital stay (P < 0.001). CONCLUSIONS: The use of SLR in pulmonary resection was safe and effective. When compared with conventional products, SLR could control intraoperative air leakage from the staple line and shorten time needed for indwelling chest drainage and the length of hospital stay.2024年07月, Surgery today, 54(7) (7), 779 - 786, 英語, 国内誌研究論文(学術雑誌)
- OBJECTIVES: This study aimed to analyse the surgical outcomes for recurrent thymic epithelial tumours and identify the factors associated with post-recurrence survival, using an updated Japanese nationwide database. METHODS: The cohort that developed recurrence after the initial resection was extracted from an updated database of patients whose thymic epithelial tumours were treated surgically between 1991 and 2010. Furthermore, we reviewed clinicopathological and prognostic factors of re-resected cases. Post-recurrence survival outcomes and cause-specific deaths in non-re-resected cases were also reviewed. RESULTS: We enrolled 191 patients who underwent re-resection and 259 patients who did not. In the surgery group, more patients with early stage disease, less aggressive World Health Organization (WHO) histological classification, initial complete resection and shorter recurrence-free intervals were included. Non-thymic carcinoma, absence of preoperative treatment, longer recurrent-free interval, single-site recurrence and R0-1 re-resection were all significantly favourable prognostic factors for post-recurrence survival in the surgery group, according to univariable analyses. Non-thymic carcinoma histology, longer recurrence-free interval and R0-1 re-resection were identified as independent prognostic factors according to multivariable analysis. The post-recurrence survival of the entire cohort with R2 re-resection was significantly better than that of the non-surgery group, although it was not demonstrated that patients with thymoma who underwent R2 re-resection had significantly better post-recurrence and lower cause-specific death. CONCLUSIONS: R0-1 re-resection was newly identified as a prognostic factor after re-resection, in addition to non-thymic carcinoma histological classification and longer recurrence-free intervals, as documented in the initial report.2024年06月, Interdisciplinary cardiovascular and thoracic surgery, 38(6) (6), 英語, 国際誌研究論文(学術雑誌)
- Irgb6 is a priming immune-related GTPase (IRG) that counteracts Toxoplasma gondii. It is known to be recruited to the low virulent type II T. gondii parasitophorous vacuole (PV), initiating cell-autonomous immunity. However, the molecular mechanism by which immunity-related GTPases become inactivated after the parasite infection remains obscure. Here, we found that Thr95 of Irgb6 is prominently phosphorylated in response to low virulent type II T. gondii infection. We observed that a phosphomimetic T95D mutation in Irgb6 impaired its localization to the PV and exhibited reduced GTPase activity in vitro. Structural analysis unveiled an atypical conformation of nucleotide-free Irgb6-T95D, resulting from a conformational change in the G-domain that allosterically modified the PV membrane-binding interface. In silico docking corroborated the disruption of the physiological membrane binding site. These findings provide novel insights into a T. gondii-induced allosteric inactivation mechanism of Irgb6.2024年01月, Genes to cells : devoted to molecular & cellular mechanisms, 29(1) (1), 17 - 38, 英語, 国際誌研究論文(学術雑誌)
- (株)医学書院, 2024年01月, 臨床外科, 79(1) (1), 44 - 47, 日本語
- In the last decade, even thoracic surgery has seen an increase in the use of robotic surgical systems, and robot-assisted thoracic surgery (RATS) is considered one of the main issues. While RATS is associated with solo manipulative freedom and high-definition optical systems, several disadvantages, such as the lack of tactile sensation and difficult learning curves for the whole team, have been raised. Therefore, to overcome these issues, we developed a 'fusion surgery' approach combining a robotic procedure with manual maneuvers, where the table surgeon retracts the lung and staples the pulmonary vasculature and bronchus. Herein, we introduce our 'fusion surgery' procedure and elaborate on its advantage from technical and educational perspectives.2023年12月, General thoracic and cardiovascular surgery, 71(12) (12), 730 - 732, 英語, 国内誌研究論文(学術雑誌)
- BACKGROUND: Overlapping morphological features of mesothelial cells have been rendered it difficult to distinguish between reactive and malignant conditions. The development of methods based on detecting genomic abnormalities using immunohistochemistry and fluorescence in situ hybridization have contributed markedly to solving this problem. It is important to identify bland mesothelioma cells on cytological screening, perform efficient genomic-based testing, and diagnose mesothelioma, because the first clinical manifestation of pleural mesothelioma is pleural effusion, which is the first sample available for pathological diagnosis. However, certain diagnostic aspects remain challenging even for experts. CASE PRESENTATION: This report describes a case of a 72-year-old man with a history of asbestos exposure who presented with pleural effusion as the first symptom and was eventually diagnosed as mesothelioma. Mesothelioma was suspected owing to prominent cell-in-cell engulfment in mesothelial cells on the first cytological sample, and the diagnosis of mesothelioma in situ was confirmed by histology. Unexpectedly, sarcomatoid morphology of mesothelioma was found in the second pathology samples 9 months after the first pathological examination. Both the mesothelioma in situ and invasive lesion showed immunohistochemical loss of methylthioadenosine phosphorylase (MTAP) and homozygous deletion of cyclin dependent kinase inhibitor 2A (CDKN2A) on fluorescence in situ hybridization. The patient received medication therapy but died of disease progression 12 months after the diagnosis of the sarcomatoid morphology of mesothelioma. CONCLUSION: Our case suggests that cell-in-cell engulfment can be conspicuous in early-stage mesothelioma with inconspicuous nuclear atypia and few multinucleated cells. In addition, the presence of MTAP loss and CDKN2A homozygous deletion are suspected to be involved in early formation to invasive lesions and/or sarcomatoid morphology. We believe that it is important to consider genetic abnormalities when deciding on individual patient management. Furthermore, cases of mesothelioma, even those of an in situ lesion, with MTAP loss and/or CDKN2A deletion should be carefully followed up or subjected to early treatment.2023年11月, Diagnostic pathology, 18(1) (1), 126 - 126, 英語, 国際誌研究論文(学術雑誌)
- Considering the differences in protein expression in small cell lung carcinoma (SCLC) by molecular classification, it is likely that there are differences in morphology, but the relationship between molecular classification and morphology has not been examined. Furthermore, there are limited reports concerning this molecular classification for large cell neuroendocrine carcinoma (LCNEC) and SCLC simultaneously. Therefore, we investigated the relationship between immunohistochemistry-based molecular classification and morphology, protein expression, and clinical features of 146 consecutive resection specimens of pulmonary neuroendocrine carcinoma (NEC), focusing mainly on POU2F3, the master transcription factor involved in tuft cell generation. POU2F3-dominant SCLC (n=24) and LCNEC (n=14) showed overlap in cytomorphology, while non-POU2F3-dominant SCLC (n=71) and LCNEC (n=37) showed distinct differences in cytomorphology. In addition, POU2F3-dominant NEC exhibited significantly more abundant tumor stroma, more prominent nest formation, more frequent bronchial intraepithelial involvement, and less frequent background fibrosis than non-POU2F3-dominant NEC. Immunohistochemically, POU2F3-dominant SCLC and LCNEC were characterized by lower expression of TTF-1, CEA, and neuroendocrine markers and higher expression of bcl-2, c-Myc, and c-kit. Clinically, POU2F3-dominant NEC had a significantly better prognosis than non-POU2F3-dominant NEC for recurrence-free survival. POU2F3-dominant NEC had a higher smoking index than non-POU2F3-dominant NEC. POU2F3-dominant NEC forms a unique population, exhibiting intermediate morphologic features between SCLC and LCNEC, with distinct protein expression as tuft cell-like carcinoma. Recognition of this unique subtype may provide clues for solving the long-standing issues of NEC and appropriate therapeutic stratification. It is important to accurately identify POU2F3-expressing carcinomas by immunohistochemistry and to analyze their clinicopathological features.Ovid Technologies (Wolters Kluwer Health), 2023年10月, American Journal of Surgical Pathology, 48(1) (1), 4 - 15, 英語, 国際誌研究論文(学術雑誌)
- AIMS: Cytoplasmic p53 expression indicates a high frequency of TP53 abnormalities in gynaecological carcinoma. However, the implication of this expression in pulmonary neuroendocrine carcinoma (NEC) remains unclear. Thus, our study aimed to fill this research gap. METHODS AND RESULTS: Immunohistochemistry (IHC) of p53 was performed on 146 cases of resected small-cell lung carcinoma and large-cell NEC, and next-generation sequencing was conducted on cases showing cytoplasmic and wild-type p53 expression. IHC revealed overexpression in 57% of the cases (n = 83), complete absence in 31% (n = 45), cytoplasmic expression in 8% (n = 12) and wild-type expression in 4% (n = 6) of the cases. TP53 mutations were identified in nine of the 13 cases with available genetic analysis. The TP53 mutation rates in cases with cytoplasmic and wild-type p53 expression were 88% (seven of eight) and 40% (two of five), respectively. All seven cases showing cytoplasmic expression with TP53 mutations harboured loss-of-function type mutations: four had mutations in the DNA-binding domain, two in the nuclear localisation domain and one in the tetramerisation domain. Clinically, cases with cytoplasmic p53 expression had a poor prognosis similar to that in cases with p53 overexpression or complete absence. CONCLUSIONS: Cytoplasmic p53 expression in patients with pulmonary NEC suggests a high TP53 mutation rate, which is associated with a poor prognosis similar to that in patients with p53 overexpression or complete absence. This cytoplasmic expression should not be misidentified as a wild-type expression. This is the first report, to our knowledge, that demonstrates the implication of cytoplasmic p53 expression in pulmonary NEC.2023年10月, Histopathology, 84(2) (2), 336 - 342, 英語, 国際誌研究論文(学術雑誌)
- [Perioperative Strategy of Fluid and Nutrition in the Compromised Patients After Lung Resection].The strategy for the administration of fluid and nutrition management after lung resection is not unusual, as compared to the other ordinal surgeries. However, it should be kept in mind that relative reduction in right ventricular function could occur following lung resection due to increased pulmonary vascular resistance. The surgical trauma such as pulmonary arterial clamp and lymphadenectomy as well as the removal of the lung, and perioperative factors such as single lung ventilation, could also increase pulmonary vascular resistance, all of which could be related to acute lung injury. Regarding the fluid management, excessive fluid administration could cause pulmonary edema, decreased alveolar gas permeability, atelectasis, and hypoxia, while restrictive fluid management could induce complication related to hypoperfusion. Since these adverse effects are highly associated with the main causes of morbidity and mortality particularly in the compromised patients, a proper assessment and monitoring of fluid balance (fluid optimization) would be required. In addition, along with the increasing number of the elderly patients, particular concerns must be given to the patients with the sarcopenia or frailty. The appropriate nutritional support following lung surgery is necessary to reduce surgical morbidity and morbidity especially for the malnourished and elderly patients.2023年09月, Kyobu geka. The Japanese journal of thoracic surgery, 76(10) (10), 870 - 873, 日本語, 国内誌研究論文(学術雑誌)
- The molecular etiology of idiopathic pulmonary fibrosis (IPF) has been extensively investigated to identify new therapeutic targets. Although anti-inflammatory treatments are not effective for patients with IPF, damaged alveolar epithelial cells play a critical role in lung fibrogenesis. Here, we establish an organoid-based lung fibrosis model using mouse and human lung tissues to assess the direct communication between damaged alveolar type II (AT2)-lineage cells and lung fibroblasts by excluding immune cells. Using this in vitro model and mouse genetics, we demonstrate that bleomycin causes DNA damage and activates p53 signaling in AT2-lineage cells, leading to AT2-to-AT1 transition-like state with a senescence-associated secretory phenotype (SASP). Among SASP-related factors, TGF-β plays an exclusive role in promoting lung fibroblast-to-myofibroblast differentiation. Moreover, the autocrine TGF-β-positive feedback loop in AT2-lineage cells is a critical cellular system in non-inflammatory lung fibrogenesis. These findings provide insights into the mechanism of IPF and potential therapeutic targets.2023年08月, Nature communications, 14(1) (1), 4956 - 4956, 英語, 国際誌研究論文(学術雑誌)
- The left upper lobe is one of the largest lobes of the lung; left upper segmentectomy is well established among thoracic surgeons. In uniportal left S1 + 2 segmentectomy, dissection of the vasculature, bronchus, and intersegmental plane can be performed anteriorly. Given that the fissureless technique is commonly used in uniportal video-assisted thoracoscopic surgery, S1 + 2 segmentectomy exhibits high affinity with the unidirectional approach. We have frequently performed left S1 + 2 segmentectomy for early non-small cell lung cancer located in the apical segment, since this procedure has the potential to preserve pulmonary function over tri-segmentectomy. Herein, we introduce our approach to uniportal left S1 + 2 segmentectomy as a minimally invasive alternative for preserving lung function.2023年07月, General thoracic and cardiovascular surgery, 71(7) (7), 432 - 435, 英語, 国内誌研究論文(学術雑誌)
- BACKGROUND: Identifying the preoperative risk factors for lymph node upstaging could contribute to the development of individualized perioperative treatment for patients with non-small cell lung cancer (NSCLC). The current study aimed to evaluate the risk factors for lymph node upstaging, including gene mutation and programmed death ligand-1 expression in patients with resectable NSCLC. METHODS: Data on the clinicopathological characteristics of patients who underwent lobectomy for clinical N0 NSCLC at our institution were collected. The clinicopathological findings of the pathological N0 and lymph node upstaging groups were then analyzed. Univariate and multivariate analyses were performed to examine the predictive factors for nodal upstaging. RESULTS: Of 291 patients, 40 had postoperative nodal upstaging (n = 25, N1; n = 15, N2). Large tumor size and high maximum standardized uptake value were significantly associated with nodal upstaging. The nodal upstaging group had a higher proportion of patients with solid adenocarcinoma and lymphatic, vascular, and pleural invasion than the pathological N0 group. Further, the nodal upstaging group had a higher proportion of patients with positive programmed death ligand-1 expression than the pathological N0 group. Univariate and multivariate analyses showed that tumor size and positive programmed death ligand-1 expression were associated with nodal upstaging. CONCLUSION: The appropriate therapeutic strategy including preoperative treatment and resection should be cautiously considered preoperatively in patients with clinical N0 NSCLC who have large tumors and positive programmed death ligand-1 expression.2023年06月, Thoracic cancer, 14(18) (18), 1774 - 1781, 英語, 国際誌研究論文(学術雑誌)
- BACKGROUND: Syphilis is a chronic disease that progresses in the primary, secondary, latent, and tertiary stages. Pulmonary manifestations of syphilis are rare, and their histological features have not been well-described. CASE PRESENTATION: A 78-year-old man was referred to our hospital because of a solitary nodular shadow in the right middle lung field on a chest radiograph. Five years prior, a rash appeared on both legs. He was tested for syphilis at a public health center, and the non-treponemal test result was negative. When he was approximately 35 years old, he had unspecified sexual intercourse. Chest computed tomography showed a 13-mm nodule with a cavity in S6 of the right lower lobe of the lung. Robot-assisted resection of the right lower lobe was performed because of suspected localized right lower lobe lung cancer. A cicatricial variant of organizing pneumonia (CiOP) was observed, and immunohistochemistry identified Treponema pallidum inside the macrophages in the nodule cavity. The rapid plasma regain (RPR) value was negative, and the Treponema pallidum hemagglutination assay was positive. The patient was diagnosed as having secondary syphilis with pulmonary involvement. Insidious progression of secondary syphilis may result in CiOP and a negative RPR test result. CONCLUSIONS: We report the first case of pulmonary syphilis with a histological pattern of CiOP. It may be asymptomatic and difficult to diagnose because the RPR test may be negative for a long period of time. When either non-treponemal or treponemal test results are positive, the possibility of pulmonary syphilis should be considered along with appropriate medical treatment.2023年05月, BMC pulmonary medicine, 23(1) (1), 170 - 170, 英語, 国際誌研究論文(学術雑誌)
- Langerhans cell histiocytosis (LCH) is a rare neoplastic disorder characterized by inflammatory lesions arising from the anomalous accumulation of pathogenic CD1a+ CD207+ dendritic cells (DCs). SIRPα is a transmembrane protein highly expressed in myeloid cells such as DCs and macrophages. Here we show that SIRPα is a potential therapeutic target for LCH. We found that SIRPα is expressed in CD1a+ cells of human LCH lesions as well as in CD11c+ DCs in the spleen, liver, and lung of a mouse model of LCH (BRAFV600ECD11c mouse), in which an LCH-associated active form of human BRAF is expressed in a manner dependent on the mouse Cd11c promoter. BRAFV600ECD11c mice manifested markedly increased numbers of CD4+ T cells, regulatory T cells, and macrophages as well as of CD11c+ MHCII+ DCs in the spleen. Monotherapy with a mAb to SIRPα greatly reduced the percentage of CD11c+ MHCII+ DCs in peripheral blood, LCH-like lesion size in the liver, and the number of CD11c+ MHCII+ DCs in the spleen of the mutant mice. Moreover, this mAb promoted macrophage-mediated phagocytosis of CD11c+ DCs from BRAFV600ECD11c mice, whereas it had no effects on the viability or CCL19-dependent migration of such CD11c+ DCs or on their expression of the chemokine genes Ccl5, Ccl20, Cxcl11, and Cxcl12. Our results thus suggest that anti-SIRPα monotherapy is a promising approach to the treatment of LCH that is dependent in part on the promotion of the macrophage-mediated killing of LCH cells.2023年05月, Cancer science, 114(5) (5), 1871 - 1881, 英語, 国際誌研究論文(学術雑誌)
- OBJECTIVES: Thoracotomy is a reliable approach for descending necrotizing mediastinitis (DNM), and the use of video-assisted thoracic surgery (VATS), a minimally invasive procedure, has been increasing. However, which approach is more effective for DNM treatment is controversial. METHODS: We analysed patients who underwent mediastinal drainage via VATS or thoracotomy, using a database with DNM from 2012 to 2016 in Japan, which was constructed by the Japanese Association for Chest Surgery and the Japan Broncho-esophagological Society. The primary outcome was 90-day mortality, and the adjusted risk difference between the VATS and thoracotomy groups using a regression model, which incorporated the propensity score, was estimated. RESULTS: VATS was performed on 83 patients and thoracotomy on 58 patients. Patients with a poor performance status commonly underwent VATS. Meanwhile, patients with infection extending to both the anterior and posterior lower mediastinum frequently underwent thoracotomy. Although the postoperative 90-day mortality was different between the VATS and thoracotomy groups (4.8% vs 8.6%), the adjusted risk difference was almost the same, -0.0077 with 95% confidence interval of -0.0959 to 0.0805 (P = 0.8649). Moreover, we could not find any clinical and statistical differences between the 2 groups in terms of postoperative 30-day and 1-year mortality. Although patients who underwent VATS had higher postoperative complication (53.0% vs 24.1%) and reoperation (37.9% vs 15.5%) rates than those who underwent thoracotomy, the complications were not serious and most could be treated with reoperation and intensive care. CONCLUSIONS: The outcome of DNM treatment does not depend on thoracotomy or VATS.2023年04月, Interdisciplinary cardiovascular and thoracic surgery, 36(4) (4), 英語, 国際誌研究論文(学術雑誌)
- (NPO)日本気管食道科学会, 2023年04月, 日本気管食道科学会会報, 74(2) (2), s28 - s28, 日本語
- (一社)日本外科学会, 2023年04月, 日本外科学会定期学術集会抄録集, 123回, HFT - 3, 日本語外科医獲得にむけた外科学講座全体での取り組み
- BACKGROUND: The advantages of segmentectomy over lobectomy in sparing pulmonary function remain controversial. Lower lobe segmentectomy is divided into simple segmentectomy, such as segment 6; and complex segmentectomy that includes the basal segments. Here, we compared residual lung function after thoracoscopic segmentectomy versus lobectomy in the lower lobe using the three-dimensional computed tomography volumetric method. METHODS: Between January 2012 and October 2020, 67 patients who underwent thoracoscopic segmentectomy of the lower lobe were matched to 67 patients who underwent thoracoscopic lower lobectomy during the same period using propensity score matching analysis. The postoperative decrease in the rate of forced expiratory volume in 1 s was compared between methods. The regional forced expiratory volume in 1 s of the residual lobe rescued by segmentectomy was measured using volumetric and spirometric analyses and compared to lower lobectomy. The ratio of the actual to predicted postoperative forced expiratory volume in 1 s in the residual lobe was defined as the preservation rate. RESULTS: Of the 67 thoracoscopic segmentectomies, 43 were S6, seven were S8, three were S8 + 9, seven were S10, and seven were S9 + 10. The percentage of postoperative/preoperative forced expiratory volume in 1 s was significantly higher in the segmentectomy versus lobectomy group (90.7% vs. 85.7%, p = 0.001). The preservation rates after simple segmentectomy (n = 43) and complex segmentectomy (n = 24) did not differ significantly (82.2% vs. 80.2%, p = 0.709). CONCLUSIONS: Thoracoscopic lower lobe segmentectomy versus lobectomy preserves postoperative lung function. Even complex segmentectomy exhibited outcomes relevant to simple segmentectomy by sparing the residual lobe.2023年03月, Asian cardiovascular & thoracic annals, 31(3) (3), 229 - 237, 英語, 国際誌研究論文(学術雑誌)
- Abstract Background The chorioallantoic membrane (CAM) assay is a well-established technique to evaluate tumor invasion and angiogenesis and may overcome the shortcoming of the patient-derived xenograft (PDX) mouse model. Currently, few reports have described lung cancer invasion and angiogenesis in the CAM assay. We therefore used the CAM assay in the evaluation of lung cancer. Method Lung cancer cell line-derived organoids or lung cancer cell lines were transplanted into the CAM on embryonic development day (EDD) 10, and an analysis was performed on EDD 15. Microscopic and macroscopic images and movies of the grafts on the CAM were captured and analyzed. The relationships between the graft and chick vessels were evaluated using immunohistochemistry. Results We transplanted lung cancer cell lines and cell line-derived organoid into a CAM to investigate angiogenesis and invasion. They engrafted on the CAM at a rate of 50–83%. A549-OKS cells showed enhanced cell invasion and angiogenesis on the CAM in comparison to A549-GFP cells as was reported in vitro. Next, we found that A549-TIPARP cells promoted angiogenesis on the CAM. RNA-seq identified 203 genes that were upregulated more than twofold in comparison to A549-GFP cells. A pathway analysis revealed many upregulated pathways related to degradation and synthesis of the extracellular matrix in A549-TIPARP cells. Conclusions The CAM assay can be used to evaluate and research invasion and angiogenesis in lung cancer. The elevated expression of TIPARP in lung cancer may induce angiogenesis by remodeling the extracellular matrix.Springer Science and Business Media LLC, 2023年02月, Cancer Cell International, 23(1) (1), 34 - 34, 英語, 国際誌研究論文(学術雑誌)
- PURPOSE: Many effective vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been developed, but a weaker response in individuals undergoing anticancer treatment has been reported. This study evaluates the immunogenic status and safety of SARS-CoV-2 vaccines for patients with non-small-cell lung cancer (NSCLC), receiving tegafur-uracil (UFT) as postoperative adjuvant chemotherapy. METHODS: The subjects of this prospective study were 40 patients who underwent surgery for NSCLC and received SARS-CoV-2 vaccines postoperatively. We compared the antibody titers of SARS-CoV-2 vaccines and the adverse events between patients who received adjuvant UFT and patients who did not. RESULTS: The mean anti-S1 IgG titers were not significantly different between the UFT and without-UFT groups (mean optimal density, 0.194 vs. 0.205; P = 0.76). Multivariate analysis identified the period after the second vaccination as an independent predictor of anti-S1 IgG titer (P = 0.049), but not the UFT status (with or without-UFT treatment; P = 0.47). The prevalence of adverse events did not differ significantly between the groups, and no severe adverse events occurred. CONCLUSIONS: The efficacy and safety of the SARS-CoV-2 vaccines for NSCLC patients who received postoperative adjuvant UFT chemotherapy were comparable to those for NSCLC patients who did not receive postoperative adjuvant UFT chemotherapy. CLINICAL TRIAL REGISTRATION: This study was registered with the University Hospital Medical Information Network (UMIN) in Japan (UMIN000047380).2023年02月, Surgery today, 53(9) (9), 1 - 7, 英語, 国内誌研究論文(学術雑誌)
- Knowledge of the histologic type and primary origin of pulmonary tumors is essential when preparing a surgical strategy. Intraoperative diagnosis of hematoxylin and eosin (H&E)-stained frozen sections is the gold standard, but reliable pathology requires time-consuming immunohistochemistry (IHC) to distinguish among histological types/organ origins and to analyze molecular status. The aim of this study was to evaluate the clinical reliability of a new rapid-IHC technique for intraoperative diagnosis of pulmonary tumors. In total, 169 patients with undiagnosed pulmonary tumors were enrolled in a multicenter prospective observational study. At three institutes, pulmonary tumor samples were collected through core needle biopsy and/or surgery to determine surgical strategies. Using a new device for rapid IHC, we applied a high-voltage, low-frequency alternating current (AC) field, which mixes the available antibody as the voltage is switched on/off. Rapid IHC can provide tumor histologic type/origin diagnoses within 20 min, as opposed to the 3-6 h required for conventional IHC. No false diagnoses of malignancy were rendered in any of the cases when using simple H&E staining. With H&E staining alone, the overall definitive diagnosis rate, the rate of defined tumor origin, and the rate of determined histological type were 76.92%, 85.80%, and 90.53%, respectively. When rapid IHC was added, those rates were significantly improved to 88.76%, 94.67%, and 91.72%, respectively. By providing prompt and accurate intraoperative histological/molecular analysis, rapid IHC driven by AC mixing could serve as an effective clinical tool guiding the surgical strategy for undiagnosed pulmonary tumors.2023年02月, Cancer science, 114(2) (2), 702 - 711, 英語, 国際誌研究論文(学術雑誌)
- (一社)日本外科学会, 2023年01月, 日本外科学会雑誌, 124(1) (1), 106 - 108, 日本語外科発展の礎 外科志望者増加のための取り組み 外科医獲得にむけた神戸大学外科学講座の取り組み
- OBJECTIVES: Variants of a coronavirus (SARS-CoV-2) have been spreading in a global pandemic. Improved understanding of the infectivity of future new variants is important so that effective countermeasures against them can be quickly undertaken. In our research reported here, we aimed to predict the infectivity of SARS-CoV-2 by using a mathematical model with molecular simulation analysis, and we used phylogenetic analysis to determine the evolutionary distance of the spike protein gene (S gene) of SARS-CoV-2. METHODS: We subjected the six variants and the wild type of spike protein and human angiotensin-converting enzyme 2 (ACE2) to molecular docking simulation analyses to understand the binding affinity of spike protein and ACE2. We then utilized regression analysis of the correlation coefficient of the mathematical model and the infectivity of SARS-CoV-2 to predict infectivity. RESULTS: The evolutionary distance of the S gene correlated with the infectivity of SARS-CoV-2 variants. The calculated biding affinity for the mathematical model obtained with results of molecular docking simulation also correlated with the infectivity of SARS-CoV-2 variants. These results suggest that the data from the docking simulation for the receptor binding domain of variant spike proteins and human ACE2 were valuable for prediction of SARS-CoV-2 infectivity. CONCLUSION: We developed a mathematical model for prediction of SARS-CoV-2 variant infectivity by using binding affinity obtained via molecular docking and the evolutionary distance of the S gene.2022年12月, Microbial risk analysis, 22, 100227 - 100227, 英語, 国際誌研究論文(学術雑誌)
- OBJECTIVES: Two methods are available to identify the intersegmental plane during segmentectomy: the inflation-deflation method, based on the ventilation area, and injection of indocyanine green, based on the pulmonary arterial distribution. However, whether the intersegmental plane created by these 2 methods matches remains unknown. Our goal was to identify the demarcation lines based on bronchial and arterial territories using 3-dimensional computed tomography-based volumetry. METHODS: We collected data from patients who underwent thoracoscopic segmentectomy in our hospital between April 2012 and May 2021. Three-dimensional images were reconstructed from the preoperative contrast-enhanced computed tomography data using the SYNAPSE VINCENT software program. The volume of the affected area and the distance of the tumour from the intersegmental plane were calculated based on each affected artery and bronchus. Each calculated volume was compared to each affected segment using a paired t-test. RESULTS: Of 195 patients, 114 underwent upper lobe segmentectomy, and 81 underwent lower lobe segmentectomy. In upper lobe segmentectomy, the affected arterial segmental volume was smaller than the bronchial volume (505.0 ml vs 539.4 ml, P < 0.001). In lower lobe segmentectomy, there was no significant difference between arterial and bronchial volumes (234.6 ml vs 236.9 ml, P = 0.607). The volume of the affected arterial segmental lung and the distance of the tumour from the intersegmental plane were significantly smaller than the bronchial volume in upper lobe segmentectomies. CONCLUSIONS: As per the results, the affected segmental volume delineated by the indocyanine green method would be underestimated in upper lobe segmentectomy.2022年11月, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 62(6) (6), 英語, 国際誌研究論文(学術雑誌)
- BACKGROUND: Myasthenia gravis (MG) is the most common paraneoplastic syndrome in thymoma. However, the association between MG and postoperative outcomes is controversial. Therefore, we examined the effect of MG on the surgical outcomes of patients with thymoma. METHODS: This study enrolled 145 consecutive patients with thymoma who underwent surgical resection at our institution between January 2000 and December 2020. The patients were classified into thymoma with MG (MG group) and without MG (non-MG group). Data about characteristics of patients, surgical outcomes, and prognostic factors were compared between the two groups. RESULTS: Of 145 patients, 47 (32%) presented with MG and 98 (68%) did not. There was no significant difference in terms of the incidence of postoperative complications, overall survival (OS), and recurrence-free survival (RFS) between the two groups. The deaths were not caused by thymoma. Among the patients aged >60 years, the MG group had a lower survival rate than the non-MG group. In the univariate analysis, age ≥60 years was a poor prognostic factor for OS, whereas in the multivariate analysis, Masaoka stage III and IV classifications were poor prognostic factors for RFS. CONCLUSION: The incidence of postoperative complications did not differ between patients with thymoma and without MG. In the MG group, age ≥60 years was a poor prognostic factor for OS. The postoperative follow-up of patients aged ≥60 years with thymoma with MG should focus on not only recurrence but also progression of diseases other than thymoma.2022年10月, Asian cardiovascular & thoracic annals, 30(8) (8), 924 - 930, 英語, 国際誌研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2022年10月, 肺癌, 62(5) (5), 444 - 444, 日本語進行肺扁平上皮癌の治療経過中に良性の多発リンパ節腫大と再考し切除した1例
- BACKGROUND: Large mediastinal tumors are sometimes difficult to completely resect because they are surrounded by vital organs. We present the case of mediastinal liposarcoma successfully resected by the clamshell approach with a posterior pericardial wall incision. CASE PRESENTATION: An 81-year-old man visited the hospital because of a prolonged cough. Imaging studies revealed a large tumor of the left posterior mediastinum. The tumor surrounded the left inferior pulmonary vein and was suspected of invading the left lower lobe and esophagus. Complete resection of a large mediastinal tumor invading the left inferior pulmonary vein and esophagus was achieved by adding a posterior pericardial wall incision to the clamshell approach under cardiopulmonary bypass. Histopathological diagnosis was well-differentiated liposarcoma. Postoperative course was good, and the patient is alive without any sign of recurrence for 53 months. CONCLUSIONS: This approach could represent a novel method to safely and effectively remove large mediastinal tumors invading the lung and esophagus.2022年09月, General thoracic and cardiovascular surgery cases, 1(1) (1), 5 - 5, 英語, 国際誌研究論文(学術雑誌)
- The diagnosis of mesothelioma in situ (MIS) is challenging with conventional diagnostic approaches. Although recent advances in genomic-based assays have made it possible to diagnose MIS, the prognosis, treatment indications, and prognostic factors remain unclear. Previous reports have shown that MIS progresses to invasive mesothelioma; however, to the best of our knowledge, progression to sarcomatoid mesothelioma has not yet been reported. A 73-year-old man was diagnosed with MIS associated with methylthioadenosine phosphorylase (MTAP) loss and a CDKN2A homozygous deletion. Strikingly, pathological examination revealed that the MIS lesion had progressed to sarcomatoid mesothelioma. In analyses of previously reported cases and our case, MIS with a CDKN2A homozygous deletion or MTAP loss progressed to invasive mesothelioma earlier than that without them, indicating that a CDKN2A homozygous deletion and MTAP loss could be poor prognostic factors. Genomic analyses might be useful for predicting the prognosis of MIS and contributing to an optimal treatment.2022年08月, Virchows Archiv : an international journal of pathology, 481(2) (2), 307 - 312, 英語, 国際誌研究論文(学術雑誌)
- BACKGROUND: The number of surgical procedures has increased among patients with early-stage lung cancer. If the poor prognostic factors for stage I non-small cell lung cancer (NSCLC) can be simply validated preoperatively, appropriate treatment will be provided. The current study aimed to evaluate the prognostic value of preoperative plasma fibrinogen levels in patients with resected stage I NSCLC. METHODS: We retrospectively analyzed the clinicopathological information of patients (n = 149) who underwent lobectomy for stage I NSCLC between May 2014 and July 2016. Data about peripheral blood analysis, histopathological finding, and follow-up assessment results were collected from the databases. Patients were divided into the low and high fibrinogen groups. Univariate and multivariate analyses were performed to evaluate the predictors of recurrence and survival. RESULTS: Compared with the low fibrinogen group (<377 mg/dl), the high fibrinogen group (≥377 mg/dl) had a significantly greater number of male participants (p = 0.04), smokers (p < 0.001), and those with elevated cytokeratin antigen levels (p = 0.04), lymphatic invasion (p = 0.007), and squamous cell carcinoma (p < 0.001). Plasma fibrinogen level was considered a significant independent factor for recurrence and overall survival on both the univariate and multivariate analyses (p < 0.001 and p = 0.010) and the multivariate analysis alone (p = 0.020 and p < 0.012). CONCLUSION: Preoperative plasma fibrinogen level might be a useful predictor of recurrence and survival in patients with stage I NSCLC. The treatment strategy for patients with high fibrinogen levels could be cautiously considered preoperatively.2022年05月, Thoracic cancer, 13(10) (10), 1490 - 1495, 英語, 国際誌研究論文(学術雑誌)
- (一社)日本外科学会, 2022年04月, 日本外科学会定期学術集会抄録集, 122回, SP - 8, 日本語外科医獲得にむけた神戸大学外科学講の取り組み
- BACKGROUND/AIM: Annexin A10 (ANXA10) is a member of the annexin family and a calcium-dependent phospholipid-binding protein. The aim of this study was to clarify the clinical significance of ANXA10 expression in lung adenocarcinoma. MATERIALS AND METHODS: ANXA10 expression was immunohistochemically examined in surgical specimens of lung adenocarcinoma obtained from 74 consecutive patients who underwent complete resection from January 2014 to December 2014. Expression of ANXA10 was down-regulated in A549 cells via siRNA transfection and the effect of ANXA10 on cell migration was assessed by the wound healing assay. Expression of ANXA10 was examined by immunocytochemistry and polymerase chain reaction. RESULTS: High ANXA10 expression was significantly correlated with poor overall survival (p=0.00705). Multivariate analysis with the Cox proportional hazard model demonstrated that ANXA10 expression was an independent prognostic factor. Cell migration was suppressed in ANXA10-down-regulated A549 cell lines. CONCLUSION: ANXA10 has a role in cancer cell migration and high ANXA10 expression is a novel prognostic marker in lung adenocarcinoma.2022年03月, Anticancer research, 42(3) (3), 1289 - 1294, 英語, 国際誌研究論文(学術雑誌)
- Adhesiolysis is often necessary in intrathoracic adhesion during ipsilateral repeat lung resection. This procedure has a risk of surgical complications, including unintentional intraoperative damage of the pulmonary vessels or lung parenchyma. We used an oxidized regenerated cellulose (ORC) sheet to prevent intrathoracic adhesion after lung resection in 55 patients. The sheet was placed on the surface of the resected region and on the lung surface under the wound. No major postoperative complications were observed. Three cases underwent ipsilateral thoracic surgery for the treatment of lung malignancies, and there were no intrathoracic adhesions around the ORC sheet-covered area.2022年02月, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 28(1) (1), 32 - 35, 英語, 国内誌研究論文(学術雑誌)
- ROS1-Rearranged Lung Cancer Successfully Resected after Response to Crizotinib: A Case Report.The usefulness of molecularly targeted therapy as a preoperative therapy for the c-ros oncogene 1 receptor tyrosine kinase (ROS1)-rearranged lung cancer has not been established. We present the case of ROS1- rearranged lung cancer successfully resected after response to crizotinib. The patient was a 71-year-old woman with prolonged cough. She was diagnosed with ROS1-rearranged lung adenocarcinoma (cT4N2M0, stage IIIB). After eight weeks of crizotinib treatment, right upper lobectomy with chest wall resection, angioplasty, and bronchoplasty were performed. The postoperative course was good, and the patient survived for 41 months after the surgery without recurrence. Surgical resection after molecularly targeted therapy for ROS1-positive lung cancer may lead to good local control.2022年02月, The Kobe journal of medical sciences, 67(4) (4), E143-E145, 英語, 国内誌研究論文(学術雑誌)
- BACKGROUND: Smoking is a known risk factor for postoperative mortality and morbidity. However, the significance of cumulative smoking dose in preoperative risk assessment has not been established. We examined the influence of preoperative cumulative smoking dose on surgical outcomes after lobectomy for primary lung cancer. METHODS: A total of 80,989 patients with primary lung cancer undergoing lobectomy from 2014 to 2016 were enrolled. Preoperative cumulative smoking dose was categorized by pack-years (PY): nonsmokers, PY = 0; light smokers, 0 < PY < 10; moderate smokers, 10 ≤ PY < 30; and heavy smokers, 30 ≤ PY. The risk of short-term outcomes was assessed according to PY by multivariable analysis adjusted for other covariates. RESULTS: Postoperative 30-day mortality, as well as pulmonary, cardiovascular, and infectious complications, increased with preoperative PY. Multivariable analysis revealed that the odds ratios (ORs) for postoperative mortality compared with nonsmokers were 1.76 for light smokers (P = .044), 1.60 for moderate smokers (P = .026), and 1.73 for heavy smokers (P = .003). The ORs for pulmonary complications compared with nonsmokers were 1.20 for light smokers (P = .022), 1.40 for moderate smokers (P < .001), and 1.72 for heavy smokers (P < .001). Heavy smokers had a significantly increased risk of postoperative cardiovascular (OR, 1.26; P = .002) and infectious (OR, 1.39; P = .007) complications compared with nonsmokers. CONCLUSIONS: The risk of mortality and morbidity after lung resection could be predicted according to preoperative cumulative smoking dose. These findings contribute to the development of strategies in perioperative management of lung resection patients.2022年01月, The Annals of thoracic surgery, 113(1) (1), 237 - 243, 英語, 国際誌研究論文(学術雑誌)
- Diaphragmatic paralysis due to phrenic nerve injury is an occasional complication of cardiothoracic surgery. Although diaphragmatic plication is widely used to treat patients with severe irreversible symptoms, its surgical indication and timing remain controversial. Here, we present a rare case of diaphragmatic paralysis in a 65-year-old woman who underwent cardiac surgery and whose respiratory symptoms worsened despite >5 years of conservative management. Consequently, she underwent diaphragmatic plication using an endostapler to resect the redundant diaphragm, followed by over-suturing of all staple lines. She was discharged without any complications and her symptoms and chest radiography and spirometry results improved postoperatively.2022年, SAGE open medical case reports, 10, 2050313X211070514, 英語, 国際誌研究論文(学術雑誌)
- BACKGROUND/AIM: Chloride intracellular channel 1 (CLIC1) is a member of the chloride channel protein family. The aim of this study was to clarify the role of CLIC1 in lung adenocarcinoma. PATIENTS AND METHODS: The expression levels of CLIC1 in 74 patients with completely resected lung adenocarcinoma were analyzed by immunohistochemistry. Overall survival was assessed in relation to the expression level of CLIC1. Moreover, in the lung cancer cell lines A549 and PC9, CLIC1 expression was inhibited by small interfering RNA. The function of CLIC1 was analyzed in these cell lines. RESULTS: High expression of CLIC1 was associated with short overall survival compared to low expression (p=0.0327). Multivariate analysis revealed that CLIC1 expression was an independent prognostic factor. Knockdown of CLIC1 inhibited cell proliferation and migration through suppression of the p38 MAPK signaling pathway in A549 and PC9 cells. CONCLUSION: CLIC1 may be a useful prognostic factor in lung adenocarcinoma.2022年01月, Anticancer research, 42(1) (1), 271 - 277, 英語, 国際誌研究論文(学術雑誌)
- OBJECTIVES: Our goal was to evaluate the incidence and frequent sites of pulmonary vein stump thrombus (PVST) formation after pulmonary resection. METHODS: This is a prospective multicentre observational study conducted by 14 institutions in Japan. Enrolled patients underwent anatomical pulmonary resection including lobectomy, bilobectomy, pneumonectomy, left upper trisegmentectomy or lingular segmentectomy. Postoperative contrast-enhanced computed tomography was performed in the early period after the pulmonary resection to evaluate the incidence of PVST. Furthermore, univariable and multivariable analyses were performed to assess the risk factors associated with PVST using a logistic regression model. RESULTS: The status of PVST based on postoperative contrast-enhanced computed tomography scans was prospectively evaluated for 1040 patients. Postoperative computed tomography evaluation was performed for 3 (range: 1-84) days on average after the pulmonary resection. PVST was found in 127 (12.2%) patients with left-sided (23.3%) predominance compared to the right side (4.9%) (P < 0.001). Furthermore, left upper lobectomy was the most frequent operative procedure (30.8%). Multivariable analyses demonstrated that left upper lobectomy (P = 0.001) and left-sided pulmonary resection (P < 0.001) were independent significant predictors of PVST. Cerebral infarction was observed in 9 (0.87%) patients during this period and included 6 (1.46%) in whom it developed after the operation was performed on the left side. Especially in the early postoperative phase, left pulmonary resection was significantly associated with the incidence of cerebral infarction (0.16% vs 1.21%; P = 0.028). CONCLUSIONS: PVST is an early postoperative event that is frequently observed in patients undergoing left anatomical pulmonary resection, especially a left upper lobectomy. IRB NUMBER: 16-205, Clinical trial registry: UMIN000027118.2021年12月, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 61(1) (1), 92 - 99, 英語, 国際誌研究論文(学術雑誌)
- OBJECTIVES: This study aimed to assess the effect of home-based preoperative pulmonary rehabilitation (HBPPR) on the incidence of postoperative complications, length of stay (LOS), and duration of intercostal catheterization in non-small cell lung cancer (NSCLC) patients who underwent lung resection. MATERIALS AND METHODS: In this retrospective cohort study, 144 patients who underwent lung resection were recruited, 51 of whom received HBPPR, comprising respiratory muscle training and was supervised (for patients undergoing it for the first time). Patients continued these programs for 2-4 weeks during the preoperative waiting period, in their homes. Data on postoperative complications graded according to the Clavien-Dindo classification, LOS, and intercostal catheterization duration were collected from medical records. These outcomes were compared between the HBPPR and non-HBPPR groups using Fisher's exact test and Wilcoxon rank sum test, after 1:1 propensity score matching to avoid selection bias. RESULTS: Forty-nine matched pairs were extracted using propensity score matching. HBPPR reduced the onset of postoperative complications (p = 0.04), with the relative ratio (RR) for Clavien-Dindo Class I postoperative complications showing a significant difference (RR 0.55, 95% CI 0.30-1.02; p = 0.05), whereas RRs for the other Clavien-Dindo classes were not statistically significant. There was no significant difference in LOS or the duration of intercostal catheterization. CONCLUSION: HBPPR reduced the incidence of Clavien-Dindo Class I postoperative complications after lung resection. Implementing HBPPR practices in a clinical setting would benefit patients unable to receive supervised preoperative pulmonary rehabilitation due to access barriers, time, and financial constraints.2021年12月, Lung cancer (Amsterdam, Netherlands), 162, 135 - 139, 英語, 国際誌研究論文(学術雑誌)
- OBJECTIVE: We aimed to clarify the clinical features and surgical outcomes of descending necrotizing mediastinitis (DNM) to provide a guide for its surgical treatment, focusing on the type of extension and the deployed procedures. METHODS: As a joint study of the Japan Broncho-esophagological Society and the Japanese Association for Chest Surgery (JBES1703/JACS1806 study), the clinical data of consecutive patients with DNM who underwent surgical drainage between 2012 and 2016 were collected from 131 participating institutions. The infection limited to the area superior to the carina level was defined as type I; while spreading to the lower mediastinum (LM) as type II. The LM infection limited to the anterior LM, that spread to both the anterior and posterior LM and that limited the posterior LM (type IIC) were further categorized as type IIA, IIB, and IIC, respectively. RESULTS: A total of 225 patients were ultimately eligible. One hundred patients (44.4%) were categorized as type I, whereas 125 patients were type II (56.6%); The number of type IIA, IIB, and IIC cases was 20 (16%), 62 (49.6%) and 43 (34.4%), respectively. Patients with type I and IIC infections more commonly underwent cervical drainage than patients with type IIA and IIB infections (34.3% and 13.4%, respectively). A total of 8 patients died within 30 days (3.6%, type I/II: 1/7). The 5-year overall survival rate was 68.6%. Type II infection was associated with the 90-day mortality (odds ratio, 5.18; P = .045). CONCLUSIONS: This study demonstrated a previously unclassified group of lower mediastinal extent that is localized within the posterior mediastinum (type IIC). We proposed a new DNM classification including type IIC mediastinitis.2021年12月, JTCVS open, 8, 633 - 647, 英語, 国際誌研究論文(学術雑誌)
- Research Square Platform LLC, 2021年05月, Anticancer research, 42(3) (3), 1589 - 1598, 英語, 国際誌
Abstract Background: The gut microbiome plays an important role in the immune system and has attracted attention as a biomarker of various diseases, including cancer. As such, we examined the relationship between the gut microbiome and lung cancer progression. In addition, we assessed the correlation between the gut microbiome and epidermal growth factor receptor (EGFR) mutation status.Methods: Female never-smokers diagnosed with lung adenocarcinoma were consecutively and prospectively enrolled between May 2018 and August 2019. Fecal samples were collected within 1 month before or after diagnosis and before administration of any lung cancer treatment. Principal coordinate analyses were retrospectively performed using Bray-Curtis distance matrices to investigate the effects of clinical variables (age, body mass index, Tumor-Node-Metastasis stage, T category, N category, M category, primary tumor size, performance status, and EGFR mutation status) on the gut microbial community. A correlation analysis was also performed to determine the strength of association between the dominant taxonomy (comprising ≥1% of the relative abundance of bacterial DNA sequences) and clinical variables.Results: A total ofFaecalibacterium and both T category (correlation coefficient,R =0.51, p=0.0013) and primary tumor size (R =0.37, p=0.024), whereas a significant negative correlation was observed between the relative abundances ofFusicatenibacter andBacteroides and T category (R =−0.35, p=0.034 andR =−0.32, p=0.05, respectively) and primary tumor size (R =−0.36, p=0.029 andR =−0.41, p=0.012, respectively). EGFR mutation status had no statistically significant effect on the gut microbial community (p=0.11). However, the relative abundances ofBifidobacterium andFaecalibacterium were significantly higher in EGFR mutation–negative patients than EGFR mutation–positive patients (p=0.012 and 0.041), whereas the relative abundance ofBlautia was significantly lower in EGFR mutation–negative patients (p=0.036).Conclusions: This is the first study identifying the gut microbiome as a promising biomarker of lung cancer progression. Further elucidation of the role of the gut microbiome in lung cancer progression could facilitate development of new treatments for lung cancer.研究論文(学術雑誌) - (公社)日本臨床細胞学会, 2021年05月, 日本臨床細胞学会雑誌, 60(Suppl.1) (Suppl.1), 138 - 138, 日本語
- Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune inflammatory disease, occasionally accompanied by malignant tumors. Immunosuppressive therapy is the mainstay treatment for idiopathic NMOSD; no guidelines have been published for paraneoplastic NMOSD because it is rarely reported in the literature. We report a rare case of a 67-year-old man with paraneoplastic NMOSD associated with thymic carcinoid whose cells expressed aquaporin-4 antibody. After surgical resection, the patient's symptoms improved, and serum aquaporin-4 autoantibody turned negative. We believe that radiographic examination for mediastinal tumors in patients with NMOSD is necessary because thymic epithelial tumors could have a role in the pathogenesis of paraneoplastic NMOSD. After mediastinal tumor has been detected, they should be surgically resected to improve neurological symptoms.2021年04月, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 28(5) (5), 362 - 365, 英語, 国内誌研究論文(学術雑誌)
- 2021年04月, Pathology international, 71(4) (4), 272 - 274, 英語, 国際誌
- INTRODUCTION: Recently, inhibition of programmed cell death 1 or its ligand has shown therapeutic effects on non-small cell lung cancer (NSCLC). However, the effectiveness of preoperative nivolumab monotherapy for stage I NSCLC remains unknown. The present study aimed to investigate the pathological response of preoperative treatment with nivolumab for clinically node negative but having a high risk of NSCLC recurrence. METHODS AND ANALYSIS: The Preoperative Nivolumab (Opdivo) to evaluate pathologic response in patients with stage I non-small cell lung cancer: a phase 2 trial (POTENTIAL) study is a multicentre phase II trial investigating efficacy of preoperative nivolumab for clinical stage I patients at high risk of recurrence. This study includes histologically or cytologically confirmed NSCLC patients with clinical N0 who were found on preoperative high-resolution CT to have a pure solid tumour without a ground-glass opacity component (clinical T1b, T1c or T2a) or a solid component measuring 2-4 cm in size (clinical T1c or T2a). Patients with epidermal growth factor receptor (EGFR) mutation (deletion of exon 19 or point mutation on exon21, L858R), anaplastic lymphoma kinase (ALK) translocation or c-ros oncogene 1 (ROS-1) translocation are excluded from this study. Nivolumab (240 mg/body) is administrated intravenously as preoperative therapy every 2 weeks for three cycles. Afterward, lobectomy and mediastinal lymph node dissection (ND 2a-1 or ND 2a-2) are performed. The primary endpoint is a pathological complete response in the resected specimens. The secondary endpoints are safety, response rates and major pathological response. The planed sample size is 50 patients. Patients have been enrolled since April 2019. ETHICS AND DISSEMINATION: This trial was approved by the Institutional Review Board of Hiroshima University Hospital and other participating institutions. This trial will help examine the efficacy of preoperative nivolumab therapy for clinical stage I NSCLC. TRIAL REGISTRATION NUMBER: jRCT2061180016.2021年03月, BMJ open, 11(3) (3), e043234, 英語, 国際誌研究論文(学術雑誌)
- (一社)日本病理学会, 2021年03月, 日本病理学会会誌, 110(1) (1), 284 - 284, 日本語術後補助化学療法施行肺腺癌におけるOCT3の発現と患者予後との関連
- BACKGROUND: Fibrous bands (FBs) are one of the histological features in tumors which can be confirmed by hematoxylin and eosin (H&E)-stained slides. FBs have been reported to correlate with malignancy in various tumors. This study aimed to investigate whether the presence of FBs is associated with malignancy in thymoma. METHODS: A total of 123 consecutive patients with thymoma who underwent microscopically complete resections from January 2000 to December 2018 were enrolled into this study. H&E-stained slides of all thymoma patients were re-examined. Study patients were classified into two groups: with FBs (n = 36) and without FBs (n = 87). Clinicopathological characteristics, overall survival (OS), and recurrence-free survival (RFS) were compared between the two groups. Furthermore, multivariate analyses were performed to identify whether the presence of FBs was associated with higher Masaoka stage and poor prognosis in patients with thymoma. RESULTS: The Masaoka stage was found to be higher and recurrence more likely in thymoma patients with FBs than in those without. RFS was significantly poorer in thymoma patients with FBs than in those without, although no significant difference was observed in OS between them. The presence of FBs was significantly associated with higher Masaoka stage in the multivariate analysis using logistic regression. Additionally, the presence of FBs was an independent prognostic factor for poor RFS in multivariate analysis using Cox's proportional hazards model. CONCLUSIONS: The presence of FBs in patients with thymoma was associated with higher Masaoka stage, higher recurrence rate, and poorer RFS. KEY POINTS: SIGNIFICANT FINDINGS OF THE STUDY: Fibrous bands (FBs) are bands of fibrosis dividing tumors into different-sized irregular islands. The presence of FBs is associated with higher Masaoka stage and poor recurrence-free survival in patients with thymoma. WHAT THIS STUDY ADDS: The presence of fibrous bands might be associated with the malignant behavior of thymoma. Confirming the presence or absence of FBs may result in personalized medication for patients with thymoma.2021年02月, Thoracic cancer, 12(3) (3), 349 - 356, 英語, 国際誌研究論文(学術雑誌)
- SAGE Publications Inc., 2021年, Asian Cardiovascular and Thoracic Annals, 30(3) (3), 342 - 344, 英語, 国際誌研究論文(学術雑誌)
- 金原出版(株), 2021年01月, 臨床放射線, 66(1) (1), 59 - 64, 日本語
- BACKGROUND: Recent studies have revealed that serpin peptidase inhibitor clade E member 2 (SERPINE2) is associated with tumorigenesis. However, SERPINE2 expression and its role in lung adenocarcinomas are still unknown. METHODS: The expression levels of SERPINE2 in 74 consecutively resected lung adenocarcinomas were analyzed by using immunostaining. Inhibition of SERPINE2 expression by small interfering RNA (siRNA) was detected by quantitative PCR. Cell number assays and cell apoptosis assays were performed to clarify the cell-autonomous function of SERPINE2 in A549 and PC9 lung cancer cells. RESULTS: The overall survival of patients with high SERPINE2 expression was significantly worse than that of patients with low SERPINE2 expression (P = 0.0172). Multivariate analysis revealed that SERPINE2 expression was an independent factor associated with poor prognosis (P = 0.03237). The interference of SERPINE2 decreased cell number and increased apoptosis in A549 and PC9 cells CONCLUSION: These results suggest that SERPINE2 can be used as a novel prognostic marker of lung adenocarcinoma.2020年12月, Respiratory research, 21(1) (1), 331 - 331, 英語, 国際誌研究論文(学術雑誌)
- Invasion has a significant role in cancer progression, including expansion to surrounding tissue and metastasis. Previously, we assessed the invasive ability of cancer cells using an easy-to-prepare double-layered collagen gel hemisphere (DL-CGH) method by which cancer cell invasion can be easily visualized. The present study examined multiple lung adenocarcinoma and malignant pleural mesothelioma (MPM) cell lines using the DL-CGH method and identified inherently invasive cell lines. Next, by comparing gene expression between invasive and non-invasive cells by cDNA microarray, the potential candidate gene brain-expressed x-linked protein 1 (Bex1) was identified to be involved in cancer invasion, as it was highly expressed in the invasive cell lines. Downregulation of Bex1 suppressed the invasion and proliferation of the invasive tumor cell lines. The findings of the present study suggested that Bex1 may promote metastasis in vivo and could be a potential oncogene and molecular therapeutic target in lung adenocarcinoma and MPM.2020年12月, Oncology letters, 20(6) (6), 362 - 362, 英語, 国際誌研究論文(学術雑誌)
- (NPO)日本呼吸器外科学会, 2020年11月, 日本呼吸器外科学会雑誌, 34(7) (7), 682 - 687, 日本語
- (NPO)日本肺癌学会, 2020年10月, 肺癌, 60(6) (6), 644 - 644, 日本語
- BACKGROUND: Cisplatin (CDDP) and vinorelbine as an adjuvant chemotherapy improve the overall survival of patients with completely resected non-small cell lung cancer (NSCLC). However, the treatment completion rate is low due to severe adverse events (AEs). Pemetrexed (PEM) has been used in advanced NSCLC due to its high safety and efficacy. Additionally, the safety of a short hydration method for CDDP administration has been previously reported. Here, we investigated the feasibility of CDDP plus PEM with a short hydration method as adjuvant chemotherapy. METHODS: A total of 21 completely resected nonsquamous NSCLC patients with pathological stage IIA to IIIA disease were enrolled into the study. Adjuvant chemotherapy consisted of four cycles of CDDP (75 mg/m2 ) plus PEM (500 mg/m2 ) every three weeks with a short hydration method. The primary endpoint was the treatment completion rate, and the secondary endpoints included toxicity, the two-year relapse-free survival (RFS) rate, and the outpatient treatment rate. RESULTS: A total of 21 patients (median age: 66 years; 12 males) were enrolled in two centers. All cases were adenocarcinoma with PS0 (71.4%) or PS1 (28.6%). A total of 81.0% of the patients received four cycles of therapy as scheduled and the primary endpoint was met. The rate of outpatient chemotherapy completion after the second cycle was 90.5%. The grade 3 or higher toxicities were anorexia (n = 2) and pulmonary thromboembolism (n = 1). No grade 3/4 hematological toxicities or creatinine level elevations were observed. The two-year RFS rate was 57.3%. CONCLUSIONS: CDDP and PEM with a short hydration is well tolerated in the outpatient setting with limited toxicity. KEY POINTS: SIGNIFICANT FINDINGS OF THE STUDY: CDDP plus PEM adjuvant therapy with a short hydration method is well tolerated in the outpatient setting with limited toxicity. WHAT THIS STUDY ADDS: CDDP plus PEM with a short hydration method has the potential to be one of the options of adjuvant therapy in the future.2020年09月, Thoracic cancer, 11(9) (9), 2536 - 2541, 英語, 国際誌研究論文(学術雑誌)
- BACKGROUNDS AND OBJECTIVES: Recent studies have suggested that insulinoma-associated protein 1 (INSM1) is a useful marker for pathological diagnosis of pulmonary neuroendocrine tumors. In the present study, we investigated the association between INSM1 expression and prognosis in patients with pulmonary high-grade neuroendocrine carcinomas (HGNEC) and assessed the usefulness of INSM1 as a prognostic biomarker in these patients. METHODS: Seventy-five consecutive patients with HGNEC who underwent complete surgical resections from January 2000 to December 2018 were enrolled in this study. We classified these patients into two groups: the INSM1-positive group (n = 59) and INSM1-negative group (n = 16). We compared the clinicopathological characteristics, overall survival (OS), and recurrence-free survival (RFS) between the groups. In addition, we performed univariate and multivariate analyses to identify the prognostic factors associated with postoperative survival. RESULTS: Significant differences in tumor diameter and vascular invasion between the groups were found. OS and RFS were significantly poorer in the INSM1-positive group than in the INSM1-negative group. Univariate and multivariate analyses revealed that INSM1 expression was the strongest predictor of poor prognosis for OS and RFS. CONCLUSIONS: INSM1 expression had the greatest influence on the prognosis in patients with HGNEC and may be a prognostic biomarker in these patients.2020年04月, Journal of surgical oncology, 122(2) (2), 243 - 253, 英語, 国際誌研究論文(学術雑誌)
- 2020年04月, Pathology international, 70(6) (6), 373 - 375, 英語, 国際誌[査読有り]
- (NPO)日本肺癌学会, 2020年04月, 肺癌, 60(2) (2), 153 - 154, 日本語
- (NPO)日本肺癌学会, 2020年04月, 肺癌, 60(2) (2), 154 - 155, 日本語
- OBJECTIVES: During video-assisted thoracoscopic surgery (VATS), blood oozing from the surface of the access port wound can hamper the surgical view. Although this oozing is difficult to prevent, it can be decreased by placing a wound edge protector with oxidized regenerated cellulose (ORC) on the surface of the access port wound, thereby improving the surgical outcomes and safety of VATS. METHODS: We conducted a prospective, single-centre, open-label, randomized clinical trial to evaluate the operative outcomes of VATS when using the ORC (ORC group) compared with operative outcomes without using the ORC (non-ORC group). The primary end point was interruption of the operation as a result of blood oozing from the surface of the access port wound. The secondary end points were the other intraoperative and postoperative outcomes. RESULTS: A total of 108 patients were divided into the ORC group (n = 54) and the non-ORC group (n = 54). Compared with the non-ORC group, the ORC group had fewer patients with an interruption in the operation (11.1% vs 51.8%; P < 0.001), less need for wound haemostasis of the access ports during wound closure (44.4% vs 72.2%; P = 0.003), similar rates of postoperative deaths and complications and a tendency for shorter operation times (149.3 vs 168.8 min, respectively; P = 0.083). CONCLUSION: The use of an ORC sheet around a wound edge protector for haemostasis can ensure a clear view during VATS. CLINICAL TRIAL REGISTRATION NUMBER: UMIN000031112.2020年03月, Interactive cardiovascular and thoracic surgery, 30(3) (3), 346 - 352, 英語, 国際誌研究論文(学術雑誌)
- (一社)日本病理学会, 2020年03月, 日本病理学会会誌, 109(1) (1), 410 - 410, 日本語術後補助化学療法施行肺腺癌におけるATOX1の発現と患者予後との関連
- Purpose: Caspase recruitment domain-containing protein 9 (CARD9) is expressed at high levels in bone marrow cells and has a crucial role in innate immunity. Current studies indicate that CARD9 also plays a key role in tumor progression, but there are few reports on the role of CARD9 in lung cancer. The aim of this study was to clarify the role of CARD9 in lung adenocarcinoma. Patients and Methods: Lung adenocarcinoma tumor samples from 74 patients who underwent complete resection at Kobe University Hospital from January 2014 to December 2014 were analyzed by immunohistochemistry. The role of CARD9 in cancer cells was analyzed using lung cancer cell lines treated with CARD9 siRNA. Results: High expression of CARD9 was observed in 32.4% of tumors, and compared to low expression of CARD9, high expression was associated with poorer overall survival (P = 0.0365). Univariate and multivariate analyses showed that high expression of CARD9 was an independent prognostic factor. Knockdown of CARD9 in lung adenocarcinoma cells inhibited proliferation but did not increase apoptosis. In addition, CARD9 activated the NF-κB pathway in a lung adenocarcinoma cell line. Conclusion: CARD9 was shown to be an independent prognostic factor of poor outcome for lung cancer and may represent a molecular target for treatment.2020年, OncoTargets and therapy, 13, 9005 - 9013, 英語, 国際誌研究論文(学術雑誌)
- (一社)日本内分泌学会, 2020年01月, 日本内分泌学会雑誌, 95(3) (3), 1142 - 1142, 日本語
- (NPO)日本呼吸器外科学会, 2020年01月, 日本呼吸器外科学会雑誌, 34(1) (1), 57 - 61, 日本語肺癌との鑑別に苦慮した肺ヒストプラズマ症の1切除例[査読有り]
- Purpose: Adjuvant chemotherapy with cisplatin (CDDP) plus vinorelbine is the standard regimen for the treatment of non-small cell lung cancer (NSCLC). However, CDDP elicits severe toxic effects, including emesis, neurotoxicity, and renal damage; carboplatin (CBDCA) may be a feasible alternative for CDDP-unfit patients. CBDCA plus paclitaxel (PTX) adjuvant chemotherapy showed a survival benefit for patients with stage IB tumors >4 cm in size, while CBDCA plus nanoparticle albumin-bound (nab)-PTX showed greater efficacy and lower neurotoxicity than CBDCA plus PTX in advanced NSCLC. Here, we investigated the feasibility of using CBDCA plus nab-PTX as adjuvant chemotherapy for NSCLC. Patients and Methods: Patients with completely resected stage II or III NSCLC, with an Eastern Cooperative Oncology Group performance status of 0-1 and adequate kidney function, received four cycles of postoperative adjuvant chemotherapy with CBDCA (AUC=5 mg/mL/min, on day 1) and nab-PTX (100 mg/m2, on days 1, 8, and 15) administered every 4 weeks within 8 weeks after surgery. The study was designed as a prospective, single-center, Phase II study. The primary endpoint was the completion rate of chemotherapy; secondary endpoints were two-year relapse-free survival (RFS) and safety. The expected completion rate was 80%, with a 50% lower limit. Results: Of 21 enrolled patients, 18 (85.7%) were CDDP-unfit owing to age (≥75 years old [n=11, 52.4%]) or mild renal impairment (n=7, 33.3%). Nineteen of the 21 enrolled patients were assigned to the intervention. The most common grade 3 or 4 adverse events were neutropenia (n=15, 78.9%) and anemia (n=3, 15.8%). The completion rate for the four cycles was 63.2% (95% CI, 38.4-83.7). Two-year RFS was 56.8% (95% CI, 29.7-76.9). Conclusion: The completion rate for CBDCA plus nab-PTX as adjuvant chemotherapy for CDDP-unfit NSCLC patients did not reach treatment feasibility. Further dose modifications may be required in future studies.2020年, Cancer management and research, 12, 777 - 782, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- BACKGROUND: Partner of Sld five 3 (Psf3) is a member of the heterotetrameric complex that consists of SLD5, Psf1, Psf2, and Psf3. We have shown in previous studies that high Psf3 expression was a poor prognostic marker for pulmonary adenocarcinoma. Here, we statistically evaluated the relationship between clinicopathologic factors and Psf3 expression in stage I pulmonary adenocarcinoma. METHODS: A total of 583 patients who had undergone complete resection of stage I pulmonary adenocarcinoma from January 2002 to December 2009 were included in the study. Tissue microarrays were performed, and the resected tumors were divided into groups according to Psf3 expression. RESULTS: Of 583 patients, high expression of Psf3 was observed in 211 (36.2%) and low expression of Psf3 observed in 372 (63.8%) patients. Among stage I patients, the five-year survival rate was 76.7% in the Psf3 high expression group and 90.9% in the Psf3 low expression group (P < 0.0001). On multivariate analysis, Psf3 was found to be the independent prognostic factor. Among stage I patients in the Psf3 high expression group, a significantly greater five-year survival rate was observed in patients who received postoperative chemotherapy with tegafur-uracil than in those who underwent surgery alone (P < 0.0001). In contrast, among stage I patients in the Psf3 low expression group, no difference was found in the five-year survival, regardless of the presence or absence of tegafur-uracil (P = 0.873). CONCLUSION: The Psf3 expression was an independent prognostic factor and could be a biomarker of adjuvant tegafur-uracil for stage I pulmonary adenocarcinoma. KEY POINTS: Significant findings of the study: The Psf3 expression could be a biomarker of adjuvant tegafur-uracil administration for stage I pulmonary adenocarcinoma. WHAT THIS STUDY ADDS: Appropriate patients of adjuvant chemotherapy for stage I pulmonary adenocarcinoma using Psf3 expression could be selected.2019年12月, Thoracic cancer, 10(12) (12), 2300 - 2307, 英語, 国際誌研究論文(学術雑誌)
- NLM (Medline), 2019年12月, Kyobu geka. The Japanese journal of thoracic surgery, 72(13) (13), 1068 - 1071, 日本語, 国内誌Mediastinal Shift Due to the Rapidly Expanded Giant Bulla Probably Caused by the Lung Cancer研究論文(学術雑誌)
- (株)南江堂, 2019年12月, 胸部外科, 72(13) (13), 1068 - 1071, 日本語
- Extraskeletal osteosarcoma (ESOS) arising from the mediastinum is a rare malignant tumor and associated with a poor prognosis. We present the case of a 73-year-old man with a hoarseness. Imaging studies revealed a large calcified tumor of the median mediastinum. Surgery was performed, but complete resection was impossible and approximately two thirds of the tumor was excised. The tumor was diagnosed pathologically as ESOS. Proton beam therapy has been performed on the remaining lesion, and the patient is alive without tumor regrowth after 29 months. This case report documents a mediastinum ESOS successfully treated successfully with surgery and postoperative proton therapy.2019年11月, The Annals of thoracic surgery, 108(5) (5), e289-e291, 英語, 国際誌研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2019年11月, 肺癌, 59(6) (6), 882 - 882, 日本語
- (NPO)日本肺癌学会, 2019年11月, 肺癌, 59(6) (6), 882 - 882, 日本語前縦隔に広範囲に石灰化を認めたlow-grade B-cell lymphomaの1例[査読有り]
- (NPO)日本肺癌学会, 2019年11月, 肺癌, 59(6) (6), 884 - 884, 日本語関節リウマチに続発した多房性胸腺嚢胞合併胸腺癌の1切除例[査読有り]
- [Chest Wall Resection and Reconstruction].Lung cancer invasion of the chest wall is considered to occur in approximately 5% of all patients who had undergone lung cancer resection. Surgical resection is recognized as a standard treatment, and surgical treatment plays a major role because survival is highly dependent on the completeness of the resection. On the other hand, prognosis is still poor in cases with mediastinal lymph node involvement, and the indications for surgery remain controversial in such cases, with increasing number of reported perioperative chemoradiotherapy cases. In addition, the use of minimally invasive surgery combined with thoracoscopy has become widespread in recent years, and indications are being considered for chest wall resection cases. In this paper, we review the results of operation for lung cancer with chest wall invasion other than those for superior sulcus tumors and discuss the role of surgical treatment and surgical resection and reconstruction techniques.2019年09月, Kyobu geka. The Japanese journal of thoracic surgery, 72(10) (10), 845 - 849, 日本語, 国内誌研究論文(学術雑誌)
- Background: The efficacy of diaphragmatic plication (DP) has been proven in many studies. However, there are few reports on DP for patients with severe respiratory conditions requiring mechanical ventilation. The study aim was to demonstrate the efficacy of DP for patients with severe respiratory insufficiency after cardiothoracic surgeries. Methods: We retrospectively reviewed 10 patients who underwent DP for severe respiratory insufficiency due to postoperative diaphragmatic paralysis; eight of them required mechanical ventilation, and two needed high-flow oxygen therapy prior to DP. The symptoms, lung function, and elevation of the diaphragm were assessed before and after DP. Results: All patients were successfully withdrawn from mechanical ventilation after DP and discharged without the need for oxygen therapy. The mean perioperative Medical Research Council (MRC) dyspnea scale (ATS/ERS 2004) score improved in 30 days (from 4 to 1.8) and in 90 days (from 4 to 0.6) after DP. Lung dynamic compliance was also ameliorated (mean improvement: 41.9 to 60.7 mL/cmH2O). Radiography revealed improved elevation of the diaphragm (mean improvement of 1.8 intercostal spaces, range, 1-2). Mean hospital stay after DP was 65.5 days (range, 25-187 days). One patient who underwent DP with endostapler-only suturing required re-operation because of staple line ruptures. Conclusions: DP was found to be an effective form of treatment for patients with severe respiratory insufficiency after cardiothoracic surgery.2019年09月, Journal of thoracic disease, 11(9) (9), 3704 - 3711, 英語, 国際誌研究論文(学術雑誌)
- (公社)日本医学放射線学会, 2019年09月, 日本医学放射線学会秋季臨床大会抄録集, 55回, S550 - S550, 日本語アミロイド沈着により著明な石灰化を呈した前縦隔リンパ腫の1例[査読有り]
- NLM (Medline), 2019年08月, Kyobu geka. The Japanese journal of thoracic surgery, 72(8) (8), 570 - 573, 日本語, 国内誌Tumor-induced Hypophosphatemic Osteomalacia Caused by a Chest Wall Tumor研究論文(学術雑誌)
- (株)南江堂, 2019年08月, 胸部外科, 72(8) (8), 570 - 573, 日本語
- (NPO)日本肺癌学会, 2019年08月, 肺癌, 59(4) (4), 426 - 426, 日本語再発時に脱分化が疑われたmalignant solitary fibrous tumorの1例
- (NPO)日本肺癌学会, 2019年08月, 肺癌, 59(4) (4), 426 - 426, 日本語再発時に脱分化が疑われたmalignant solitary fibrous tumorの1例[査読有り]
- (NPO)日本呼吸器外科学会, 2019年07月, 日本呼吸器外科学会雑誌, 33(5) (5), 532 - 537, 日本語
- (NPO)日本呼吸器外科学会, 2019年07月, 日本呼吸器外科学会雑誌, 33(5) (5), 573 - 577, 日本語
- 2019年05月, Journal of thoracic disease, 11(Suppl 9) (Suppl 9), S1430-S1431, 英語, 国際誌研究論文(学術雑誌)
- Background: Large-cell neuroendocrine carcinoma (LCNEC) and small cell lung cancer (SCLC) are categorized as high-grade neuroendocrine carcinoma (HGNEC). We analyzed the efficacy of perioperative chemotherapy for HGNEC and the prognostic factors. Methods: We retrospectively reviewed the medical records of patients who underwent tumor resection and were diagnosed with HGNEC between January 2001 and December 2014. The overall survival (OS) was estimated by the Kaplan-Meier method. Propensity score matching was performed to compare the OS between the treatment groups. Multivariate analyses using a Cox proportional hazards model were performed to search for prognostic factors for HGNEC. Results: We analyzed 146 HGNEC patients (LCNEC n=92, SCLC n=54) without synchronous multiple cancers, who underwent complete resection. Seventy patients (LCNEC n=31, SCLC n=32) received perioperative chemotherapy and all of them received a platinum-based anticancer drug. Perioperative chemotherapy significantly improved the 5-year OS rates of HGNEC patients (all stages: 74.5% vs. 34.7%, P<0.01, stage I: 88.5% vs. 40.0%, P<0.01). The efficacy of perioperative chemotherapy was similar between LCNEC and SCLC patients [LCNEC all stages: hazard ratio (HR) 0.27, P<0.01, LCNEC stage I: HR 0.27, P=0.01; SCLC all stages: HR 0.38, P=0.02, SCLC stage I: HR 0.34, P=0.06]. The survival benefit of perioperative chemotherapy for HGNEC patients was confirmed by propensity score matching analysis (HR 0.31, P<0.01). The multivariate analysis revealed that perioperative chemotherapy (HR 0.29, P<0.01), sublobar resection (HR 2.11, P=0.04), and lymph node metastasis (HR 3.34, P<0.01) were independently associated with survival. Conclusions: Surgical resection combined with perioperative chemotherapy was considered to be effective even for stage I HGNEC patients. Sublobar resection might increase the risk of death in HGNEC patients.2019年04月, Journal of thoracic disease, 11(4) (4), 1145 - 1154, 英語, 国際誌研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2019年04月, 肺癌, 59(2) (2), 210 - 211, 日本語in situ主体の悪性胸膜中皮腫が疑われた1例[査読有り]
- 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.2019年01月, Oncol Lett, 17(1) (1), 488 - 491, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- NLM (Medline), 2018年12月, Kyobu geka. The Japanese journal of thoracic surgery, 71(13) (13), 1077 - 1080, 日本語, 国内誌Temporary Bypass with 5-Fr Catheter for Reconstruction of Superior Vena Cava研究論文(学術雑誌)
- 2018年12月, 胸部外科, 71(13) (13), 1077 - 1080, 日本語上大静脈の再建のための5-Frカテーテルによる一時的なバイパス[査読有り]研究論文(学術雑誌)
- (株)南江堂, 2018年12月, 胸部外科, 71(13号) (13号), 1077 - 1080, 日本語[査読有り]研究論文(学術雑誌)
- OBJECTIVE: For patients with recurrent primary spontaneous pneumothorax, surgery has been thought to be an acceptable treatment. However, even if bulla is completely resected, postoperative recurrence is relatively common due to bulla neogenesis. Bulla neogenesis seems to develop naturally in younger patients compared with the elderly, as theorized till date. If the complete development of bulla neogenesis is confirmed, surgical resection can be performed as the radical treatment. Then, we evaluated the relationship between bulla neogenesis and age. METHODS: Between February 2009 and July 2018, we consecutively enrolled 276 patients who underwent primary bullectomy for primary spontaneous pneumothorax in our hospital. Finally, high-resolution computed tomography findings/observations of 155 eligible patients were evaluated retrospectively. The relationship between bulla neogenesis and age was evaluated using univariate and multivariate analyses and an inverse probability of treatment-weighted method using the propensity score. RESULTS: The study included 58 patients aged < 20 years and 97 aged ≥ 20 years. Bulla neogenesis was present in 34 patients (21.9%). Bulla neogenesis developed significantly at age < 20 compared with age ≥ 20 (44.8 vs. 8.2%). Univariate and multivariate analyses showed that age < 20 years was a significant factor associated with bulla neogenesis (P < 0.001 and P = 0.018, respectively). The inverse probability of treatment-weighted method showed that age < 20 years was a significant factor associated with bulla neogenesis (P = 0.0057, hazard ratio 4.79). CONCLUSIONS: Surgical treatment may be delayed in young patients (age < 20 years), because bulla neogenesis is not completely developed by this time for primary spontaneous pneumothorax.2018年12月, Gen Thorac Cardiovasc Surg, 67(5) (5), 464 - 469, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- Background: Advances in the development of staplers for pulmonary vessels have contributed to safe and convenient procedures in thoracic surgery. However, adverse events (AEs) can occur during vascular stapling and cause fatal hemorrhage. We aimed to assess the risk level of using the vessel stapling procedure to reduce such AEs. Methods: First, an animal experiment using pig cardiopulmonary blocks was conducted. Pulmonary arteries were closed with staplers under stressful conditions such as lifting or twisting; vessel stump endurance was analyzed through different methods. Second, AEs associated with clinical stapler use for pulmonary vessels were retrospectively reviewed by studying clinical videos of 263 patients. Results: In the animal experiment, the pressure resistance was significantly lower in the twisted group than in the no strain group (no strain vs. lifting: P=0.2008, no strain vs. twisting: P=0.002, no strain vs. twisting and lifting: P<0.0001). Regarding clinical stapler use, 754 staplers were used against the vessels. AEs occurred in 9 cases, and 7 cases were suspected to be caused by vessel tension. Conclusions: The pulmonary vessel stapling causes stress due to twisting and lifting that decreased stump durability. Avoiding such stress when using stapler for vessels leads to a safer thoracic surgery.2018年12月, J Thorac Dis, 10(12) (12), 6466 - 6471, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- NLM (Medline), 2018年11月, Kyobu geka. The Japanese journal of thoracic surgery, 71(12) (12), 1018 - 1021, 日本語, 国内誌Successful Treatment of a Patient with Idiopathic Subglottic Stenosis研究論文(学術雑誌)
- 2018年11月, 胸部外科, 71(12) (12), 1018 - 1021, 日本語特発性憩室狭窄を有する患者の成功した治療法[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2018年10月, 肺癌, 58(5) (5), 371 - 371, 日本語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1例[査読有り]研究論文(学術雑誌)
- 2018年10月, 肺癌, 58(6号) (6号), 562, 日本語当科における肺切除後の同側再切除症例の検討[査読有り]研究論文(学術雑誌)
- 2018年10月, 肺癌, 58(6号) (6号), 656, 日本語当院における肺多形癌の臨床病理学的検討[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2018年10月, 肺癌, 58(6) (6), 564 - 564, 日本語診断に苦慮した肺動脈内進展型原発性肺癌の1切除例[査読有り]研究論文(学術雑誌)
- 2018年10月, 肺癌, 58(6号) (6号), 613, 日本語術後乳糜胸、膿胸、左総頸動脈出血を来し、迅速な対応により制御し得た左肺尖部胸壁浸潤癌の切除例[査読有り]研究論文(学術雑誌)
- 2018年10月, 肺癌, 58(6号) (6号), 501, 日本語左下葉合併切除が必要であった巨大後縦隔脂肪肉腫の1例[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2018年10月, 肺癌, 58(6) (6), 721 - 721, 日本語胸腺非定型カルチノイドの2手術例[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2018年10月, 肺癌, 58(6) (6), 740 - 740, 日本語気管支喘息を背景にもつ肺原発MALTリンパ腫に対し外科的切除を行った1例[査読有り]研究論文(学術雑誌)
- 2018年10月, 肺癌, 58(5号) (5号), 379, 日本語ハイリスク症例に対する予防的気管支断端被覆についての検討[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2018年10月, 肺癌, 58(6) (6), 497 - 497, 日本語アプローチに検討を要した巨大後縦隔脂肪肉腫の一例[査読有り]研究論文(学術雑誌)
- [Continuous Chest Drainage Systems in Thoracic Surgery].In the management of chest drain after thoracic surgery, it is important to egest fluid and air which accumulate in the pleural cavity and to gain information such as air leakage, bleeding or pus discharge. To achieve these purpose, continuous chest drainage system is necessary for thoracic surgery. In addition, we have to understand the particularity in the pleural cavity and the structure of continuous chest drainage system. Traditional drainage system is based on 3-bottle system. Recently, we can use new drainage system, such as Thopaz, which is called digital drainage system. There are several studies comparing digital drainage system with traditional drainage system, but the superiority of digital drainage system to traditional drainage system is not confirmed.2018年09月, Kyobu geka. The Japanese journal of thoracic surgery, 71(10) (10), 881 - 885, 日本語, 国内誌研究論文(学術雑誌)
- (公社)日本医学放射線学会, 2018年09月, 日本医学放射線学会秋季臨床大会抄録集, 54回, S523 - S523, 日本語縦隔発生の骨外性骨肉腫の一例[査読有り]
- 2018年09月, 日本レーザー医学会誌, 39(3号) (3号), 246, 日本語切除範囲の決定にAFIが有用であった気管分岐部切除を伴う左肺全摘術の1例[査読有り]研究論文(学術雑誌)
- (NPO)日本呼吸器内視鏡学会, 2018年09月, 気管支学, 40(5号) (5号), 414 - 448, 日本語[査読有り]研究論文(学術雑誌)
- 2018年09月, 胸部外科, 71(10) (10), 881 - 885, 日本語胸部手術における連続胸部ドレナージシステム[査読有り]研究論文(学術雑誌)
- 2018年09月, 胸部外科, 71(10号) (10号), 881 - 885, 日本語【胸部外科を支えるテクノロジーup to date】呼吸器領域 呼吸器外科における持続吸引装置[査読有り]研究論文(学術雑誌)
- American Roentgen Ray Society, 2018年07月, American Journal of Roentgenology, 211(1) (1), 185 - 192, 英語, 国際誌研究論文(学術雑誌)
- (一社)日本医学教育学会, 2018年07月, 医学教育, 49(Suppl.) (Suppl.), 236 - 236, 日本語初期臨床研修医を対象としたSOC(Sense of Coherence)によるレジリエンス測定とストレス対処能力自己評価[査読有り]研究論文(学術雑誌)
- (一社)日本医学教育学会, 2018年07月, 医学教育, 49(Suppl.) (Suppl.), 237 - 237, 日本語初期臨床研修における復職支援「Back-on-trackプログラム」の実践と課題[査読有り]研究論文(その他学術会議資料等)
- Malignant pleural mesothelioma (MPM) is a highly aggressive tumor with poor prognosis and closely related to exposure to asbestos. MPM is a heterogeneous tumor with three main histological subtypes, epithelioid, sarcomatoid, and biphasic types, among which sarcomatoid type shows the poorest prognosis. The Ror-family of receptor tyrosine kinases, Ror1 and Ror2, is expressed in various types of tumor cells at higher levels and affects their aggressiveness. However, it is currently unknown whether they are expressed in and involved in aggressiveness of MPM. Here, we show that Ror1 and Ror2 are expressed in clinical specimens and cell lines of MPM with different histological features. Studies using MPM cell lines indicate that expression of Ror2 is associated tightly with high invasiveness of MPM cells, whereas Ror1 can contribute to their invasion in the absence of Ror2. However, both Ror1 and Ror2 promote proliferation of MPM cells. We also show that promoted invasion and proliferation of MPM cells by Ror signaling can be mediated by the Rho-family of small GTPases, Rac1, and Cdc42. These findings elucidate the critical role of Ror signaling in promoting invasion and proliferation of MPM cells.2018年07月, Genes to cells : devoted to molecular & cellular mechanisms, 23(7) (7), 606 - 613, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- [The Role of Video-assisted Thoracic Surgery in Multimodality Therapy].Minimally invasive surgery is being widely performed for the management of lung cancers owing to rapid technological advances in surgical devices and techniques. In recent times, because chemotherapy and radiotherapy have both become less invasive treatment strategies, therapeutic opportunities for the use of multimodality therapy have been increasing. Minimally invasive surgery is an important component that requires additional improvements to derive the complete benefit of multimodality therapy. We have been actively performing video-assisted thoracic surgery(VATS) for the management of advanced lung cancers, as well as early lung cancers to reduce surgical stress in our patients, thereby enhancing the scope of multimodality therapy. Although some reports have demonstrated the efficacy of VATS for the management of early lung cancers, only a limited number of reports have discussed the advantage of VATS for the management of advanced lung cancers. In this report, we reviewed patients with advanced lung cancer (pathological stageⅡ or Ⅲ) in whom complete resection was performed between January 2011 and December 2016, and we examined the role of VATS as a component of multimodality therapy.2018年04月, Kyobu geka. The Japanese journal of thoracic surgery, 71(4) (4), 265 - 269, 日本語, 国内誌研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), V9 - 3, 日本語肺膿瘍部に対する広範なドレーン損傷による有瘻性膿胸に対し集学的治療が奏功した1例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P44 - 7, 日本語肺血管処理における自動縫合器の適正使用についての検討[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P36 - 1, 日本語当院におけるびまん性肺疾患に対する胸腔鏡下肺生検の検討[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P67 - 6, 日本語転移性肺腫瘍との鑑別に苦慮した肺芽腫の1例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), O19 - 1, 日本語早期肺腺癌におけるPsf3(GINS3)の発現とUFTの有効性についての検討[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), V18 - 1, 日本語浸潤型胸腺腫の切除後の再発に対しreverse hockey stick incisionにて切除を行った1例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P91 - 3, 日本語術後横隔神経麻痺に対する胸腔鏡下横隔膜縫縮術の検討[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P64 - 5, 日本語縦隔内異所性副甲状腺腫に対し縦隔腫瘍摘除術を行った2例[査読有り]研究論文(学術雑誌)
- 2018年04月, 胸部外科, 71(4) (4), 265 - 269, 日本語集学的療法におけるビデオ支援胸部手術の役割[査読有り]研究論文(学術雑誌)
- 2018年04月, 肺癌, 58(2号) (2号), 150 - 151, 日本語胸腺類基底細胞癌の1例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), O13 - 4, 日本語胸腔鏡下手術における胸腔内高度癒着症例に対する当院での取り組み[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), V3 - 2, 日本語気管分岐部切除を伴う左肺全摘術にPCPSが有用であった1例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), RO7 - 1, 日本語癌細胞株と3次元in vitroモデルを応用した癌浸潤における候補遺伝子の解明[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P28 - 2, 日本語開窓術を要した難治性膿胸の治療戦略について[査読有り]研究論文(その他学術会議資料等)
- 2018年04月, 胸部外科, 71(4号) (4号), 265 - 269, 日本語【肺癌の集学的治療の現況】手術と集学的治療 集学的治療における完全胸腔鏡下手術の役割[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), V6 - 5, 日本語SVC再建が必要な縦隔腫瘍切除において簡便な一時シャントが有用であった1例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P71 - 8, 日本語Occult縦隔リンパ節転移を生じたROS1融合遺伝子陽性PD-L1強陽性肺腺癌の切除例[査読有り]研究論文(学術雑誌)
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), RO7 - 2, 日本語IL-6 signalの阻害は、肺癌幹細胞を標的にした新規治療法になりうるか[査読有り]研究論文(学術雑誌)
- 2018年03月, 胸部外科, 71(3号) (3号), 179, 日本語まい・てくにっく 胸腔鏡手術における葉間肺動脈露出のポイント[査読有り]研究論文(学術雑誌)
- BACKGROUND: Video-assisted thoracoscopic surgery is the standard procedure for treatment of spontaneous pneumothorax. However, postoperative recurrence is relatively common even if an absorbable covering sheet is used for reinforcement of the visceral pleura. Injection of a high concentration glucose solution to the thoracic cavity was recently reported to be effective in stopping postoperative air leakage or as a prophylactic procedure to prevent postoperative recurrence of spontaneous pneumothorax. Therefore, we used 50 mL of a 50% glucose solution for pleural coating (GPC) on an absorbable sheet intraoperatively to prevent postoperative recurrence of spontaneous pneumothorax. This is a retrospective study, and patient backgrounds are heterogeneous. We evaluated the feasibility of GPC using propensity scores to adjust for heterogeneity in their backgrounds. METHODS: Between January 2010 and December 2017, 376 patients who underwent video-assisted thoracoscopic surgery, with or without GPC, were evaluated. The GPC group consisted of 106 patients, and the non-GPC group consisted of 270. We analyzed the factors preventing postoperative recurrence of spontaneous pneumothorax by univariate analysis and Cox regression analysis with or without propensity score matching. RESULTS: Univariate analysis revealed age of 25 or older, smoking habit, no history of an ipsilateral operation, and GPC were significant factors preventing postoperative recurrence. GPC significantly prevented postoperative recurrence as shown by Cox regression analysis with propensity score matching (hazard ratio, 0.15; p = 0.014) and the inverse-probability of treatment weighted method (hazard ratio, 0.23; p = 0.0038). CONCLUSIONS: Intraoperative GPC significantly reduced the postoperative recurrence rate of spontaneous pneumothorax.2018年03月, Ann Thorac Surg, 106(1) (1), 184 - 191, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- [Giant Cell Tumor of the Rib;Report of a Case].We report a rare case of giant cell tumor of the rib. A 33-year-old man was admitted to our hospital because of a recently appearing mass and pain in the right chest wall. Chest computed tomography and magnetic resonance imaging revealed a heterogeneous mass of 8-cm in diameter arising from and destroying the right 7th rib. The tumor was resected together with the 6th, 7th, and 8th ribs and the adjacent muscle and diaphragm. The pathological diagnosis was giant cell tumor of the bone. The patient has been free from recurrence or metastasis for 4 years after the operation.2018年02月, Kyobu geka. The Japanese journal of thoracic surgery, 71(2) (2), 156 - 159, 日本語, 国内誌研究論文(学術雑誌)
- 2018年01月, 気管支学, 40(1号) (1号), 81, 日本語当院における自然気胸に対する単孔式胸腔鏡下手術の検討[査読有り]研究論文(学術雑誌)
- Ameloblastoma is a benign tumor of the odontogenic epithelium with several histological subtypes. All subtypes of ameloblastoma contain abundant stroma; the tumor cells invade collectively into the surrounding tissues without losing intratumor cell attachments. However, the molecular mechanisms mediating ameloblastoma invasion remain unclear. Here, we evaluated the functional significance of the interactions between ameloblastoma tumor cells and stromal fibroblasts on collective cellular invasion using a three-dimensional cultivation method, double-layered collagen gel hemisphere (DL-CGH) culture. The AM-1 plexiform and AM-3 follicular human ameloblastoma cell lines and HFF-2 human fibroblasts were labeled with GFP and DsRed, respectively. Collective cellular invasion of ameloblastoma cells was assessed in the presence or absence of fibroblasts. Notably, without fibroblasts, AM-1 cells formed sharp, plexiform-like invasive processes, whereas AM-3 cells formed a series of blunt processes often observed during collective migration. In comparison, under the cocultures with HFF-2 fibroblasts, AM-3 cells formed tuft-like invasive processes and collectively invaded into outer layer more than that observed with AM-1 cells. Moreover, HFF-2 fibroblasts localized to the tips of the invasive tumor processes. These findings suggest that tumor-associated cells assist tumor cell invasion. Microscopic analysis of sectioned three-dimensional cultures revealed that AM-3/HFF-2 hemispheres were histologically similar to follicular ameloblastoma tumor samples. Therefore, our findings suggest that ameloblastoma subtypes exhibit distinct invasion patterns and that fibroblasts promote collective tumor invasion in follicular ameloblastoma.2017年12月, FEBS open bio, 7(12) (12), 2000 - 2007, 英語, 国際誌研究論文(学術雑誌)
- 2017年12月, 肺癌, 57(7号) (7号), 892, 日本語嚢胞内に発生した胸腺原発類基底細胞癌の1例[査読有り]研究論文(学術雑誌)
- 2017年12月, 肺癌, 57(7号) (7号), 894, 日本語安全な胸腔鏡下肺葉切除術・縦隔リンパ節郭清のために[査読有り]研究論文(学術雑誌)
- 特定非営利活動法人 日本呼吸器外科学会, 2017年11月, 日本呼吸器外科学会雑誌, 31(7) (7), 885 - 889, 日本語
症例は43歳男性.原動機付自転車で走行中に自動車と衝突事故をおこし,当院救命救急科に搬送された.胸部CTにて左多発肋骨骨折,左血気胸,左下葉内に巨大肺囊胞を認めた.リザーバー付酸素マスク流量15 L/minで酸素投与も呼吸状態が保てなかったため挿管の上,人工呼吸器管理となった.入院2日目に気道内に出血を認め,経気道的に出血が疑われる左B6にトロンビン散布を行い一旦止血し得たが,翌日には再出血を認めた.再度トロンビン散布を試みたが止血できないため,当科紹介後に左下葉切除術を施行した.術後経過は良好であった.外傷性肺囊胞は胸部外傷に合併する肺内空洞性病変である.治療方針は保存的加療が基本だが,難治性出血,肺膿瘍,持続する肺漏を併発した症例に対しては手術適応となる.難治性出血を伴う本疾患は外科的治療を念頭に置いた診療が必要である.
研究論文(学術雑誌) - 2017年09月, 肺癌, 57(5) (5), 416, 日本語人工肺癌幹細胞を用いた、肺癌組織再構築と新規治療法開発の試み研究論文(その他学術会議資料等)
- 2017年09月, 肺癌, 57(5) (5), 429, 日本語診断的治療目的に手術した後縦隔神経節細胞腫の3例研究論文(その他学術会議資料等)
- 2017年09月, 肺癌, 57(5) (5), 577, 日本語初発から15年の経過で肺転移を生じたgrade1髄膜腫の一例研究論文(その他学術会議資料等)
- 2017年09月, 肺癌, 57(5) (5), 564, 日本語胸腺嚢胞に合併した胸腺癌の一切除例研究論文(その他学術会議資料等)
- 2017年09月, 肺癌, 57(5) (5), 568, 日本語気管支原性嚢胞からの発生が疑われた平滑筋肉腫の一切除例研究論文(その他学術会議資料等)
- 2017年09月, 肺癌, 57(5) (5), 409, 日本語気管支形成を伴う区域切除術を要した両側同時多発肺癌の手術例研究論文(その他学術会議資料等)
- 2017年09月, 肺癌, 57(5) (5), 410, 日本語右S2区域切除術後9年目に完全胸腔鏡下completion lobectomyを行った1例研究論文(その他学術会議資料等)
- PRR11 immunoreactivity is a weak prognostic factor in non-mucinous invasive adenocarcinoma of the lung.INTRODUCTION: Proline-rich protein 11 (PRR11) functions in the progression of cell cycle, and silencing the PRR11 gene in lung cancer cells results in the inhibition of cellular proliferation, cell cycle progression, cell migration, invasion and colony formation. PRR11 may therefore be a therapeutic target in lung cancer. MATERIALS AND METHODS: Microarrays of surgical specimens of non-mucinous invasive adenocarcinoma of the lung, from 346 subjects that were not given preoperative therapy, were autoimmunostained with PRR11 and, except for trace and pseudo-positivity, assessed as "positive" at any proportion and intensity. RESULTS: PRR11 immunoreactivity demonstrated a tendency to associate with an aggressive phenotype (tumor size, vascular invasion, and adjuvant therapy) and some effect on overall survival (Hazard ratio 1.51). CONCLUSIONS: PRR11 may be a weak prognostic indicator of overall survival of patients with non-mucinous invasive adenocarcinoma of the lung.2017年09月, Pathologica, 109(3) (3), 133 - 139, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2017年09月, SCIENTIFIC REPORTS, 7(1) (1), 12317 - 12317, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2017年09月, SURGERY TODAY, 47(9) (9), 1129 - 1134, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- (公社)日本医学放射線学会, 2017年08月, 日本医学放射線学会秋季臨床大会抄録集, 53回, S524 - S524, 日本語気管支原性嚢胞由来と考えられた前縦隔平滑筋肉腫の一例[査読有り]
- [Postoperative Intrathoracic Hemorrhage;Perioperative Prevention and Management].Postoperative intrathoracic hemorrhage is sometimes diagnosed in the thoracic cavity, while the patient is in the recovery room after undergoing thoracic surgery such as lung resection with thoracotomy or mediastinal surgery with a median sternotomy. The information from the chest tube is important to identify this kind of postoperative complication. When the condition becomes severe, the patient may develop hemorrhagic shock due to hemothorax and re-exploration to assess for bleeding and hemostasis may be required. The frequency of reoperation required in patients with postoperative hemorrhage is considered to be 1~3%. The bronchial artery, intercostal artery, and the intercostal vein are the most frequent sources of the hemorrhage. In some cases, the source of hemorrhage cannot be identified during re-exploration. However, intrathoracic hematoma removal by reoperation is essential to allow for adequate expansion of the remaining lung. Although a thoracoscope is usually inserted for re-exploration of the thoracic cavity initially, quick thoracotomy might be required to control hemorrhage, if the patient's vitals indicate rapid hemorrhage and subsequent shock.2017年07月, Kyobu geka. The Japanese journal of thoracic surgery, 70(8) (8), 688 - 691, 日本語, 国内誌研究論文(学術雑誌)
- 南江堂, 2017年07月, 胸部外科, 70(8号) (8号), 688 - 691, 日本語【胸部外科領域における合併症予防のための周術期管理】呼吸器領域 術後胸腔内出血 術中における予防と発生時の対応[査読有り]研究論文(学術雑誌)
- Springer Tokyo, 2017年07月, General Thoracic and Cardiovascular Surgery, 65(7) (7), 365 - 373, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- Elsevier USA, 2017年07月, Annals of Thoracic Surgery, 104(1) (1), 370 - 370, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2017年06月, 肺癌, 57(3) (3), e252, 日本語縦隔原発骨外性骨肉腫の1例研究論文(学術雑誌)
- 2017年06月, Cytometry Research, 27(Suppl) (Suppl), 36, 日本語iPS細胞を巡る最新の動向と今後の研究展開 人工癌幹細胞と癌オルガノイドを用いた癌幹細胞研究研究論文(その他学術会議資料等)
- (NPO)日本呼吸器外科学会, 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), O10 - 2, 日本語続発性気胸に対する手術症例の検討研究論文(その他学術会議資料等)
- 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), P71 - 4, 日本語術後横隔神経麻痺に対する横隔膜縫縮術の検討研究論文(その他学術会議資料等)
- 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), P103 - 6, 日本語血液透析患者に対する原発性肺癌手術症例の検討研究論文(その他学術会議資料等)
- (NPO)日本呼吸器外科学会, 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), O14 - 6, 日本語胸腺腫に関連した新規疾患概念、抗PIT-1抗体症候群研究論文(その他学術会議資料等)
- 2017年04月, 日本気管食道科学会会報, 68(2) (2), s20, 日本語気管分岐部切除を要した右肺全摘の1例研究論文(学術雑誌)
- 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), O19 - 3, 日本語完全鏡視下手術手技を用いた拡大手術についての検討研究論文(その他学術会議資料等)
- 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), 68 - 6, 日本語外科的切除によって著明な改善を認めた胸壁発生の腫瘍性低リン血症性骨軟化症の一例研究論文(学術雑誌)
- 2017年04月, 日本呼吸器外科学会雑誌, 31(3) (3), 37 - 1, 日本語Volume reductionにて症状が改善した縦隔原発骨外性骨肉腫の1例研究論文(学術雑誌)
- (公社)日本整形外科学会, 2017年03月, 日本整形外科学会雑誌, 91(2) (2), S607 - S607, 日本語骨・軟部悪性腫瘍における肺転移切除例の治療成績[査読有り]研究論文(学術雑誌)
- Anti-PIT-1 antibody syndrome has recently been reported and characterized by acquired growth hormone (GH), prolactin (PRL), and thyroid-stimulating hormone (TSH) deficiencies associated with autoimmunity to a pituitary specific transcription factor PIT-1, which plays an essential role in GH-, PRL-, and TSH-producing cells. Although circulating anti-PIT-1 antibody and PIT-1-reactive cytotoxic T cells (CTLs) were detected in the patients, the pathophysiology and precise mechanisms for the autoimmunity remain unclarified. During the follow up, thymoma was diagnosed in all 3 cases with anti-PIT-1 antibody syndrome. Immunohistochemical analysis revealed that PIT-1 was strongly expressed in neoplastic cortical thymic epithelial cells. Importantly, after thymectomy, the titer of anti-PIT-1 antibody decreased and reactivity of CTLs toward PIT-1 diminished. These data strongly suggest that the aberrant expression of PIT-1 in the thymoma plays a causal role in the development of this syndrome. Thus, we define that this syndrome is a novel thymoma-associated autoimmune disease.2017年02月, Scientific reports, 7, 43060 - 43060, 英語, 国際誌研究論文(学術雑誌)
- (NPO)日本気管食道科学会, 2017年02月, 日本気管食道科学会会報, 68(1) (1), 40 - 45, 日本語
- (NPO)日本肺癌学会, 2017年02月, 肺癌, 57(1) (1), 41 - 45, 日本語
- We reported the feasibility of single-incision thoracoscopic surgery bullectomy using a chest wall pulley for lung excision (PulLE) in patients with primary spontaneous pneumothorax (PSP). PulLE has many merits including comfort of manipulation, cosmetic advantages, etc., compared to other procedures. However, our method was utilized for relatively straightforward cases. The PulLE was contraindicated for PSPs with multiple or comprehensive bullae. Therefore, we developed the modified PulLE (mPulLE) to treat such cases in February 2015. Although one chest wall pulley is placed in the thoracic cavity for a PulLE, two are used for an mPulLE. Herein, we describe the mPulLE technique.2016年12月, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 22(6) (6), 359 - 362, 英語, 国内誌研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2016年12月, 肺癌, 56(7) (7), 1075 - 1076, 日本語肺結節切除標本にびまん性特発性神経内分泌細胞過形成を認めた1例[査読有り]
- (NPO)日本肺癌学会, 2016年12月, 肺癌, 56(7) (7), 1077 - 1078, 日本語悪性黒色腫の肺転移と思われた1例[査読有り]
- 2016年12月, JOURNAL OF THORACIC DISEASE, 8(12) (12), 3676 - 3681, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (一社)日本小児血液・がん学会, 2016年11月, 日本小児血液・がん学会雑誌, 53(4) (4), 349 - 349, 日本語PET-MRI所見に基づく肺・下鼻甲介・腎生検が原疾患の診断に有効であった二次性血球貪食性リンパ組織球症の1例[査読有り]
- 2016年11月, 肺癌, 56(6号) (6号), 590, 日本語肺結節切除標本内にびまん性特発性神経内分泌細胞過形成と多発tumorletを認めた1例[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 779, 日本語転移性脳腫瘍の発見から1年後に診断・手術に至ったpT1aN0M1bの原発性肺腺癌の1例[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2016年11月, 肺癌, 56(6号) (6号), 534 - 534, 日本語全身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[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 548, 日本語小細胞癌に対する外科的治療効果についての検討[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 717, 日本語左上区域支入口部腫瘍に対して完全鏡視下左上区域切除術を行った1例[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 497, 日本語胸壁浸潤肺癌手術に対する低侵襲化への工夫[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 842, 日本語急速に増大し縦隔偏位をきたした肺癌合併巨大肺嚢胞の一例[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 546, 日本語完全胸腔鏡下における予防的気管支断端被覆症例の検討[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 503, 日本語右房内に進展した巨大浸潤性胸腺腫に対し人工心肺を用い完全切除可能であった1例[査読有り]研究論文(学術雑誌)
- 2016年11月, 肺癌, 56(6号) (6号), 862, 日本語咽頭転移を生じた大細胞神経内分泌癌の1例[査読有り]研究論文(学術雑誌)
- 2016年11月, ANNALS OF THORACIC SURGERY, 102(5) (5), 1702 - 1710, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2016年11月, 肺癌, 56(6号) (6号), 506 - 506, 日本語3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[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2016年11月, 肺癌, 56(6号) (6号), 673 - 673, 日本語3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[査読有り]研究論文(学術雑誌)
- 2016年10月, EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 50(4) (4), 758 - 764, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (公社)日本医学放射線学会, 2016年08月, 日本医学放射線学会秋季臨床大会抄録集, 52回, S549 - S550, 日本語Inflammatory myofibroblastic tumorの1例
- 2016年08月, 日本気胸・嚢胞性肺疾患学会雑誌, 16(1号) (1号), 40, 日本語x Gateを用いた単孔式自然気胸手術の有用性の検討[査読有り]研究論文(学術雑誌)
- 2016年04月, 肺癌, 56(2号) (2号), 138, 日本語病理組織診断で大細胞神経内分泌癌の中咽頭転移が判明した1例[査読有り]研究論文(学術雑誌)
- 2016年04月, 日本呼吸器外科学会雑誌, 30(3号) (3号), P76 - 4, 日本語体細胞初期化因子導入による肺癌幹細胞誘導[査読有り]研究論文(学術雑誌)
- 2016年04月, 日本呼吸器外科学会雑誌, 30(3号) (3号), P62 - 5, 日本語周術期に感染性大動脈瘤を合併した降下性壊死性縦隔炎の1手術例[査読有り]研究論文(学術雑誌)
- 2016年04月, 日本呼吸器外科学会雑誌, 30(3号) (3号), P73 - 3, 日本語外傷性肺嚢胞に対して緊急手術を要した1例[査読有り]研究論文(学術雑誌)
- 2016年04月, 日本呼吸器外科学会雑誌, 30(3号) (3号), V8 - 1, 日本語右鎖骨下動脈再建を要した肺尖部胸壁浸潤癌の1切除例[査読有り]研究論文(学術雑誌)
- 2016年04月, 日本呼吸器外科学会雑誌, 30(3号) (3号), RO1 - 7, 日本語pT1N1非小細胞癌切除例におけるリンパ節病変の進展と予後に関する検討[査読有り]研究論文(学術雑誌)
- 2016年04月, 日本呼吸器外科学会雑誌, 30(3号) (3号), RO1 - 1, 日本語1cm以下微小肺癌切除例の検討[査読有り]研究論文(学術雑誌)
- 2016年02月, ANNALS OF THORACIC SURGERY, 101(2) (2), 786 - 788, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2016年02月, ANNALS OF THORACIC SURGERY, 101(2) (2), 520 - 526, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- Elsevier, 2016年02月, Journal of Arrhythmia, 32(1) (1), 62 - 66, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- 2016年01月, JOURNAL OF THORACIC DISEASE, 8(1) (1), E78 - E82, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- Springer-Verlag Tokyo, 2016年01月, General Thoracic and Cardiovascular Surgery, 64(1) (1), 58 - 61, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- 2015年11月, CANCER SCIENCE, 106(11) (11), 1625 - 1634, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- SAGE Publications Inc., 2015年10月, Asian Cardiovascular and Thoracic Annals, 23(8) (8), 950 - 957, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- Springer Tokyo, 2015年10月, General Thoracic and Cardiovascular Surgery, 63(10) (10), 572 - 575, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- 2015年09月, ONCOLOGY LETTERS, 10(3) (3), 1810 - 1812, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2015年08月, 肺癌, 55(4) (4), 317 - 317, 日本語肺炎症性偽腫瘍の1切除例
- (NPO)日本肺癌学会, 2015年08月, 肺癌, 55(4) (4), 317 - 317, 日本語肺癌と鑑別を要した炎症性結節の1例
- European Association for Cardio-Thoracic Surgery, 2015年07月, European Journal of Cardio-thoracic Surgery, 48(1) (1), 77 - 82, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 南江堂, 2015年07月, 胸部外科, 68(7号) (7号), 546 - 549, 日本語縦隔成熟奇形腫胸腔内穿破の1例[査読有り]研究論文(学術雑誌)
- 2015年07月, INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 21(1) (1), 34 - 39, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- [Perforation of the Mediastinal Mature Teratoma;Report of a Case]The mediastinal mature teratoma is uncommon in adult and sometimes ruptures. We present a case of perforation of mediastinal mature teratoma. A 22-year-old man, who had been scheduled for surgery to resect anterior mediastinal teratoma, was referred to our hospital due to sudden chest pain. The enhanced computed tomography findings suggested a perforation of the teratoma and the emergency surgery was performed. Extirpation of the tumor with partial resection of right upper lung, pericardium, and superior vena cava was performed. The histological diagnosis was mature teratoma and the defect of the mediastinal pleura was found to be the site of perforation. The patient was well and discharged from the hospital without complications.2015年07月, Kyobu Geka, 68(7) (7), 546 - 9, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- PURPOSE: The aim of the study was to evaluate the feasibility and compare the outcomes of single-incision thoracoscopic surgery using a chest wall pulley for lung excision (PulLE) vs. those of conventional video-assisted thoracic surgery (cVATS) in patients with primary spontaneous pneumothorax (PSP). METHODS: Sixty-nine patients who underwent PulLE (n = 34) or cVATS (n = 35) between January 2009 and December 2013 were enrolled in this study. PulLE was performed as follows. After making a 17- to 25-mm single incision in the 6th intercostal space (6ICS) at the median axillary line, the visceral pleura near the bulla was sutured for traction. The parietal pleura at 3ICS was then sutured from the thoracic cavity to serve as the chest wall pulley and a traction thread was passed through the pulley. By manipulating the traction thread, it was possible to move the lesion to an arbitrary site for excision. The postoperative scar was nearly invisible. RESULTS: The operative time, duration of postoperative drainage, and postoperative hospital stay were equivalent for PulLE vs. cVATS. There was no significant difference in postoperative recurrence rates. CONCLUSIONS: PulLE has cosmetic benefits over cVATS and is easy to perform. We believe our novel procedure has the potential to become the standard operative treatment for PSP.2015年05月, Surgery today, 45(5) (5), 595 - 9, 英語, 国内誌研究論文(学術雑誌)
- Blackwell Publishing Ltd, 2015年05月, American Journal of Transplantation, 15(5) (5), 1219 - 1230, 英語[査読有り]研究論文(学術雑誌)
- BACKGROUND: The efficacy of postoperative radiotherapy (PORT) for thymic epithelial tumors is still controversial. Using the Japanese Association for Research on the Thymus (JART) database, this study was aimed at clarifying the efficacy of PORT for Masaoka stage II and III thymic carcinoma and thymoma. METHODS: The JART database registered the records of 2835 patients collected from 32 Japanese institutions from 1991 to 2010. Thymic carcinoma and thymoma at stage II or III were extracted. The efficacy of PORT with respect to relapse-free survival (RFS) and overall survival (OS) was evaluated with the Kaplan-Meier method and Cox regression analysis. RESULTS: There were 1265 patients in all: 155 thymic carcinoma cases (12.3%) and 1110 thymoma cases (87.7%). Eight hundred ninety-five (70.8%) were at stage II, and 370 (29.2%) were at stage III. Four hundred three cases (31.9%) underwent PORT. PORT for stage II and III thymic carcinoma was associated with increasing RFS (hazard ratio, 0.48; 95% confidence interval, 0.30-0.78; P = .003) but was not associated with OS (hazard ratio, 0.94; 95% confidence interval, 0.51-1.75; P = .536). PORT for stage II and III thymoma was not associated with RFS or OS (P = .350). A subgroup analysis of stage III thymoma showed no factor associated with the efficacy of PORT. CONCLUSIONS: In this study, PORT did not increase RFS or OS for stage II or III thymoma but increased RFS for stage II and III thymic carcinoma.2015年04月, Cancer, 121(7) (7), 1008 - 16, 英語, 国際誌研究論文(学術雑誌)
- 2015年04月, 日本気管食道科学会会報, 66(2号) (2号), s25, 日本語気道狭窄をきたした食道神経鞘腫の1例[査読有り]研究論文(学術雑誌)
- 2015年03月, EUROPEAN JOURNAL OF RADIOLOGY, 84(3) (3), 509 - 515, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- Pleural lavage cytology as an independent prognostic factor in non-small-cell lung cancer patients with stage I disease and adenocarcinomaWe previously reported that cancer cells may be detected through pleural lavage cytology (PLC). In this study, we sought to re-examine the prognostic significance of the PLC status based on an extended dataset with an additional follow-up period. Pleural lavage following thoracotomy was cytologically examined in 1,317 consecutive patients who were diagnosed with NSCLC between 1987 and 2004 at the Thoracic Surgery Units of Kobe University Graduate School of Medicine and Hyogo Cancer Center. Among the investigated patients, 46 exhibited positive cytological findings. The prognosis of these patients was significantly worse compared to that of patients without positive PLC. Of the 844 pathological stage I patients, 18 had a positive PLC status and their prognosis was significantly worse compared to that of patients with stage I disease without positive PLC. In conclusion, positive PLC findings were associated with a poor prognosis and this finding was significant for patients with stage I disease. These results suggest the need for PLC status evaluation during staging and treatment planning in patients with NSCLC.2015年01月, Mol Clin Oncol, 3(1) (1), 244 - 248, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2015年, ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 21(3) (3), 289 - 292, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- 2014年10月, 肺癌, 54(5号) (5号), 479, 日本語当科における若年者肺癌の検討研究論文(その他学術会議資料等)
- 2014年09月, ONCOLOGY LETTERS, 8(3) (3), 1017 - 1024, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2014年07月, ONCOLOGY LETTERS, 8(1) (1), 387 - 393, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2014年06月, BRITISH JOURNAL OF RADIOLOGY, 87(1038) (1038), 20130307, 英語[査読有り]研究論文(学術雑誌)
- 2014年05月, EUROPEAN JOURNAL OF RADIOLOGY, 83(5) (5), 835 - 842, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (一社)日本外科学会, 2014年03月, 日本外科学会雑誌, 115(臨増2) (臨増2), 822 - 822, 日本語
- 【背景】特発性血気胸(spontaneous hemopneumothorax:SHP)は緊急性が高く早期手術の有用性は報告されているが自然気胸の側面からの検討はこれまでない.【対象と方法】2009年1月より2013年4月までに当科で手術を施行したSHP 5症例と原発性自然気胸85症例を比較した.【結果】SHP 4症例ではブラと胸壁間の異常血管近傍にブラを認めた.SHP,原発性自然気胸の患者背景,手術時間,ドレーン留置期間は有意差がなかったが,出血量はそれぞれ896.0±466.3,5.7±11.2 ml(P<0.05),術後在院日数はそれぞれ6.2±2.9,4.0±2.6日(P<0.05)であった.気胸再発率は有意差は認めなかったもののSHPのほうが低い傾向であった.【まとめ】多くの症例で異常血管近傍にブラが発生しており,その関連性が示唆される.SHPは気胸再発率が低い可能性がある.The Japanese Association for Chest Surgery, 2014年, 日本呼吸器外科学会雑誌, 28(1) (1), 7 - 12, 日本語
- 2013年12月, INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 17(6) (6), 974 - 980, 英語[査読有り]研究論文(学術雑誌)
- 2013年09月, 日本癌治療学会誌, 48(3号) (3号), 606, 日本語環境からのがんとその対応 アスベストと呼吸器癌 アスベスト関連肺癌に関して研究論文(その他学術会議資料等)
- 2013年04月, Experimental and Molecular Pathology, 94(2) (2), 330 - 335, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2013年04月, Cancer Med, 2(2) (2), 144 - 154, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2013年03月, JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 145(3) (3), 839 - 846, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- BACKGROUND: Ewing sarcoma family of tumors is the second most common primary bone tumor of childhood. Extraosseous Ewing sarcoma family of tumors is rare. We present a pediatric case of primary endobronchial Ewing sarcoma family of tumors. CASE REPORT: A 12-year-old boy presented with dyspnea and chest radiography showed right pulmonary atelectasis. Chest computed tomography demonstrated tumor in the right main bronchus. Histopathological examination of the resected tumor demonstrated Ewing sarcoma family of tumors. No other lesions were detected throughout the body and the right main bronchus was thought to be the primary site. As of 1 year and 6 months after further resection of residual tumor followed by chemotherapy and radiotherapy, the patient remains disease-free. CONCLUSIONS: Extraosseous Ewing sarcoma family of tumors arises in soft tissues of the trunk or extremities, but primary endobronchial Ewing sarcoma family of tumors has rarely been reported. Although quite rare, Ewing sarcoma family of tumors should be considered among the differential diagnoses for pediatric bronchial tumor.2013年, The American journal of case reports, 14, 67 - 9, 英語, 国際誌研究論文(学術雑誌)
- 2013年01月, LUNG CANCER, 79(1) (1), 77 - 82, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- Oxford University Press, 2013年, Interactive Cardiovascular and Thoracic Surgery, 17(6) (6), 974 - 980, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2012年11月, THORACIC CANCER, 3(4) (4), 353 - 356, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2012年10月, 肺癌, 52(5号) (5号), 810, 日本語ALK染色陽性肺腺癌の術前診断の可能性研究論文(その他学術会議資料等)
- (NPO)日本肺癌学会, 2012年10月, 肺癌, 52(5号) (5号), 605 - 605, 日本語肺癌患者の遠隔転移・再発診断における全身脂肪抑制造影Quick 3DによるMRIの有用性に関する検討研究論文(その他学術会議資料等)
- (NPO)日本肺癌学会, 2012年10月, 肺癌, 52(5号) (5号), 724 - 724, 日本語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研究論文(その他学術会議資料等)
- (NPO)日本肺癌学会, 2012年10月, 肺癌, 52(5号) (5号), 609 - 609, 日本語Adaptive Iterative Dose Reduction 3Dの低線量CTにおける有用性の検討[査読有り]研究論文(研究会,シンポジウム資料等)
- (NPO)日本肺癌学会, 2012年06月, 肺癌, 52(3) (3), 353 - 354, 日本語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例研究論文(その他学術会議資料等)
- 2012年05月, THORACIC CANCER, 3(2) (2), 175 - 181, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- The first influenza pandemic of the 21st century was caused by novel H1N1 viruses that emerged in early 2009. An Asp-to-Gly change at position 222 of the receptor-binding protein hemagglutinin (HA) correlates with more-severe infections in humans. The amino acid at position 222 of HA contributes to receptor-binding specificity with Asp (typically found in human influenza viruses) and Gly (typically found in avian and classic H1N1 swine influenza viruses), conferring binding to human- and avian-type receptors, respectively. Here, we asked whether binding to avian-type receptors enhances influenza virus pathogenicity. We tested two 2009 pandemic H1N1 viruses possessing HA-222G (isolated from severe cases) and two viruses that possessed HA-222D. In glycan arrays, viruses possessing HA-222D preferentially bound to human-type receptors, while those encoding HA-222G bound to both avian- and human-type receptors. This difference in receptor binding correlated with efficient infection of viruses possessing HA-222G, compared to those possessing HA-222D, in human lung tissue, including alveolar type II pneumocytes, which express avian-type receptors. In a nonhuman primate model, infection with one of the viruses possessing HA-222G caused lung damage more severe than did infection with a virus encoding HA-222D, although these pathological differences were not observed for the other virus pair with either HA-222G or HA-222D. These data demonstrate that the acquisition of avian-type receptor-binding specificity may result in more-efficient infection of human alveolar type II pneumocytes and thus more-severe lung damage. Collectively, these findings suggest a new mechanism by which influenza viruses may become more pathogenic in mammals, including humans.2011年12月, Journal of virology, 85(24) (24), 13195 - 203, 英語, 国際誌研究論文(学術雑誌)
- 症例は34歳,男性.右頚部の腫脹,疼痛を主訴に受診したところ,右頚部から胸腔内におよび上縦隔を左側に圧排する巨大な腫瘍を指摘された.生検にてsolitary fibrous tumorが疑われ,手術目的に入院となった.手術は耳鼻咽喉科と共同にて施行した.modified hemi-clamshell incisionにてアプローチし,腫瘍摘出術および右鎖骨下動脈再建術を施行した.第5,7,8頚椎椎間孔周囲の腫瘍は神経温存のため不完全切除とした.病理組織診ではdesmoid tumorと診断された.腫瘍残存部には術後放射線療法を施行し,術後1年を経過した時点で再発を認めていない.The Japanese Association for Chest Surgery, 2011年11月, 日本呼吸器外科学会雑誌 = The journal of the Japanese Association for Chest Surgery, 25(7) (7), 732 - 735, 日本語
- 2011年11月, RADIOLOGY, 261(2) (2), 605 - 615, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2011年11月, LUNG CANCER, 74(2) (2), 284 - 292, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2011年10月, 肺癌, 51(5) (5), 543 - 543, 日本語術前3D-CT肺血管把握における320列Area detector CTの有用性に関する検討
- 2011年09月, EUROPEAN JOURNAL OF RADIOLOGY, 79(3) (3), 473 - 479, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- INTRODUCTION: The significance and handling of microscopic invasion of non-small cell lung cancer (NSCLC) into hilar peribronchovascular soft tissue (SHEATH+) have not been defined in the TNM classification by AJCC/UICC; nevertheless, SHEATH+ may be equivalent to spread into the mediastinum. Also, assessment of the margin of peribronchial resection is challenging because of the technical difficulty of inking, and intraoperative and postoperative artifacts. METHODS: Records of 592 consecutive Asian patients with primary NSCLC (excluding adenocarcinoma in situ) who had, without any preoperative therapy, undergone lobectomy, sleeve lobectomy and pneumonectomy were examined. SHEATH+, simply defined as invasion of hilar peribronchovascular soft tissue, without categorizing any invasive patterns, and its significance were statistically analyzed. RESULTS: Forty-four SHEATH+ cases demonstrated significantly advanced TNM stages, and were statistically associated with central occurrence, pN1-3, and vascular invasion, as assessed by logistic regression analysis. No statistically significant differences were observed between TNM stage-adjusted frequency of recurrence and recurrence-free intervals. Kaplan-Meier's estimates of the rate of overall and recurrence-free survival after surgery showed no statistically significant differences between SHEATH+ and SHEATH-. Cox's multivariate analysis suggested SHEATH was not a statistically independent prognostic factor under the TNM classification by AJCC/UICC (7th edition). CONCLUSIONS: SHEATH+ in NSCLC was simply associated with central occurrence and advanced TNM stages. To the best of our knowledge, this is the first report on the significance of SHEATH+ in NSCLC.2011年07月, Lung cancer (Amsterdam, Netherlands), 73(1) (1), 89 - 95, 英語, 国際誌研究論文(学術雑誌)
- 2011年05月, CANCER SCIENCE, 102(5) (5), 1101 - 1106, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2011年04月, 肺癌, 51(2) (2), 140 - 141, 日本語肺扁平上皮癌に対する粒子線治療により間質性肺炎の増悪を認めた1例
- (NPO)日本肺癌学会, 2011年04月, 肺癌, 51(2) (2), 147 - 148, 日本語空洞形成を呈したrhabdoid形質を伴う肺大細胞癌の1例
- 2011年02月, EXPERIMENTAL AND MOLECULAR PATHOLOGY, 90(1) (1), 91 - 96, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2011年02月, RADIOLOGY, 258(2) (2), 599 - 609, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 症例は73歳男性.1958年肺結核のため右上葉切除・充填術を施行された.無症状で経過していたが,2008年5月喀血にて前医を受診しChronic expanding hematomaと診断された.11月より右腋窩に腫瘤を触知し呼吸困難も認めたので前医を再度受診した.胸部CT検査で右腋窩にまで拡大した血腫と縦隔圧排像を認めたため根治手術目的で当科を紹介受診した.modified Hemi-Clamshell approachにて血腫除去・剥皮術を施行した.術後経過は良好で呼吸困難は著しく改善し術後20日目で退院した.The Japanese Association for Chest Surgery, 2011年01月, 日本呼吸器外科学会雑誌 = The journal of the Japanese Association for Chest Surgery, 25(1) (1), 84 - 86, 日本語
- 2011年01月, EUROPEAN JOURNAL OF RADIOLOGY, 77(1) (1), 97 - 104, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2011年, Asian Cardiovascular and Thoracic Annals, 19(3-4) (3-4), 228 - 231, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2010年10月, 肺癌, 50(5) (5), 519 - 519, 日本語気管支鏡下細胞診検体を用いたEGFR遺伝子変異検査の有用性の検討
- (NPO)日本肺癌学会, 2010年10月, 肺癌, 50(5) (5), 670 - 670, 日本語FDG-PETにて異常集積を認めた混合性胚細胞腫瘍の一例
- (NPO)日本肺癌学会, 2010年08月, 肺癌, 50(4) (4), 401 - 401, 日本語Stiff-Person症候群を合併した浸潤型胸腺腫の1切除例
- (NPO)日本呼吸器外科学会, 2010年05月, 日本呼吸器外科学会雑誌, 24(4) (4), 701 - 703, 日本語
- 2010年05月, CANCER SCIENCE, 101(5) (5), 1326 - 1330, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2010年03月, ONCOLOGY LETTERS, 1(2) (2), 345 - 349, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2010年02月, 肺癌, 50(1) (1), 97 - 97, 日本語胸腔鏡下に切除した後縦隔発生Castleman病の1例
- 2010年02月, CANCER, 116(4) (4), 896 - 902, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2010年01月, ONCOLOGY LETTERS, Vol. 1, No. 1, pp. 345-349, 英語Chemosensitivity of Lung Cancer: Differences between Primary Tumor and Lymph Node Metastasis研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2009年10月, 肺癌, 49(5) (5), 749 - 749, 日本語肺腺癌におけるNecl-5発現の意義
- (NPO)日本肺癌学会, 2009年08月, 肺癌, 49(4) (4), 525 - 525, 日本語B型肝炎性肝細胞癌にて肝移植後に発症した転移性肺腫瘍に対する1手術例
- (NPO)日本肺癌学会, 2009年04月, 肺癌, 49(2) (2), 230 - 230, 日本語Adenocarcinoma with chondroid stromaの1切除例
- 2009年04月, 日本呼吸器外科学会雑誌, 23巻, 3号, pp. 488-488, 日本語断端再発のリスクを考慮した部分切除法(露天掘り法)研究論文(国際会議プロシーディングス)
- 2009年03月, 大和証券ヘルス財団研究業績集, 巻, 32号, pp. 153-158, 日本語2層化コラーゲンゲル半球法を用いた癌細胞浸潤のメカニズムの研究 肺癌浸潤における癌宿主インターフェイスの役割を中心にして研究論文(学術雑誌)
- 2009年02月, 日本外科学会雑誌, 110巻, 臨増2, pp. 773-773, 日本語Damage repair pathwayにおけるNon-synonymous SNPと肺腺癌の発生についての検討研究論文(国際会議プロシーディングス)
- 2009年, Oncology Reports, 22(1) (1), 57 - 64, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2008年11月, BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 376(3) (3), 590 - 594, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2008年11月, ONCOLOGY REPORTS, 20(5) (5), 1047 - 1052, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2008年10月, 肺癌, 48(6) (6), 782 - 782, 日本語腫瘍随伴性小脳変性症(PCD)を合併した小細胞肺癌の1例
- (NPO)日本肺癌学会, 2008年10月, 肺癌, 48巻, 5号, pp. 447-447(5) (5), 447 - 447, 日本語研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2008年10月, 肺癌, 48巻, 5号, pp. 583-583(5) (5), 583 - 583, 日本語研究論文(国際会議プロシーディングス)
- 2008年10月, EUROPEAN RADIOLOGY, 18(10) (10), 2120 - 2131, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2008年10月, ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 14(5) (5), 319 - 321, 英語, 国内誌Effective Chemotherapy Based on a Chemosensitivity Test for Malignant Pleural Mesothelioma[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2008年10月, 肺癌, 48巻, 5号, pp. 584-584(5) (5), 584 - 584, 日本語研究論文(国際会議プロシーディングス)
- 2008年06月, JOURNAL OF MAGNETIC RESONANCE IMAGING, 27(6) (6), 1284 - 1295, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2008年04月, 日本呼吸器外科学会雑誌, 22巻, 3号, pp. 452-452, 日本語非小細胞肺癌におけるFOXO1発現の意義研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2008年04月, 日本呼吸器外科学会雑誌, 22巻, 3号, pp. 521-521(3) (3), 521 - 521, 日本語研究論文(国際会議プロシーディングス)
- 2008年04月, 日本気管食道科学会会報, 59巻, 2号, pp. 257-257, 日本語最近当科で経験した縦隔炎・縦隔膿瘍の症例研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2008年04月, 日本呼吸器外科学会雑誌, 22巻, 3号, pp. 389-389(3) (3), 389 - 389, 日本語研究論文(国際会議プロシーディングス)
- OBJECTIVE: There is no criterion for the timing of surgical resection of pulmonary metastasis. In this study, we investigated the optimal period for pulmonary metastasectomy. METHODS: Between 2000 and 2005, 68 patients underwent complete pulmonary resection of metastatic cancer. Clinical prognostic factor in multivariate analysis was examined. RESULTS: The interval from pulmonary metastasectomy until subsequent recurrence and the interval from detection of pulmonary metastasis until pulmonary metastasectomy were independent prognostic factors. To investigate the relationship between the two characteristics, the 68 patients were divided into two groups according to the interval from lung metastasectomy until subsequent recurrence. Nineteen patients relapsed within 1 year after pulmonary metastasectomy (group A), while 49 patients did not relapse within 1 year (group B). The interval from detection of pulmonary metastasis until pulmonary metastasectomy was significantly shorter in group A than in group B (2.9 months vs 7.1 months, p=0.01). Based on these results, we divided the patients into two different groups and survival was compared. Significantly shorter survival was observed in the patients who underwent pulmonary metastasectomy within 3 months after detection of pulmonary metastasis (group X, n=35) than in those who underwent the surgery beyond 3 months (group Y, n=33). CONCLUSIONS: There were many cases of early relapse after metastasectomy when the interval from detection of pulmonary metastasis until pulmonary metastasectomy was short. Performing metastasectomy at least three months after detection of pulmonary metastasis may significantly improve the prognosis of patients.2008年04月, European Journal Of Cardio-Thoracic Surgery, Vol. ?, No. ?, pp. ?-?(6) (6), 1135 - 8, 英語, 国際誌研究論文(学術雑誌)
- 特定非営利活動法人 日本呼吸器外科学会, 2008年, 日本呼吸器外科学会雑誌, 22(3) (3), 452 - 452, 日本語
- 2008年, 日本呼吸器外科学会雑誌, 19, 94 - 94, 英語原発性肺癌におけるthymidylate synthase,Dihydropyrimidine dehydrogenaseの解析研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2007年10月, 肺癌, 47(5) (5), 627 - 627, 日本語術後補助化学療法としてのCDDP+VNRの安全性と有用性の検討
- 2007年10月, 肺癌, 47巻, 5号, pp. 464-464, 日本語肺癌研究 基礎から臨床へ BAC cell浸潤におけるTumor-host interfaceの役割に関しての実験的検討研究論文(国際会議プロシーディングス)
- 2007年09月, General Thoracic and Cardiovascular Surgery, 55(9) (9), 366 - 369, 英語, 国内誌[査読有り]研究論文(学術雑誌)
- 2007年08月, 日本癌学会総会記事, 巻, 66回, pp. 330-331, 日本語間質への浸潤傾向を伴った細気管支肺胞上皮癌におけるcancer-stroma interactionに関する実験的検討(In-vitro visualization of cancer-stroma interaction in bronchiolo-alveolar carcinoma (BAG) with invasive component)(英語)研究論文(国際会議プロシーディングス)
- 2007年05月, HUMAN GENE THERAPY, 18(5) (5), 389 - 400, 英語, 国際誌研究論文(学術雑誌)
- 2007年03月, ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 27(3) (3), 548 - 555, 英語, 国際誌研究論文(学術雑誌)
- 特定非営利活動法人 日本呼吸器外科学会, 2007年, 日本呼吸器外科学会雑誌, 21(3) (3), 330 - 330, 日本語
- 特定非営利活動法人 日本呼吸器外科学会, 2007年, 日本呼吸器外科学会雑誌, 21(3) (3), 460 - 460, 日本語
- 2007年, CELL COMMUNICATION AND ADHESION, 14(4) (4), 157 - 167, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 2006年11月, 肺癌, 46巻, 5号, pp. 590-590, 日本語肺癌の肺門部気管支血管周囲組織浸潤と断端および予後に関する検討研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年11月, 肺癌, 46巻, 5号, pp. 588-588(5) (5), 588 - 588, 日本語当院における転移性肺腫瘍の検討研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年11月, 肺癌, 46巻, 5号, pp. 477-477(5) (5), 477 - 477, 日本語研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年11月, 肺癌, 46巻, 5号, pp. 652-652(5) (5), 652 - 652, 日本語再発肺癌の手術戦略研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年11月, 肺癌, 46巻, 5号, pp. 598-598(5) (5), 598 - 598, 日本語原発性肺癌の大動脈浸潤が疑われ人工気胸術(気胸CT)を行った1例研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年11月, 肺癌, 46巻, 5号, pp. 628-628(5) (5), 628 - 628, 日本語研究論文(国際会議プロシーディングス)
- 2006年09月, 日本癌学会総会記事, 巻, 65回, pp. 439-439, 日本語非小細胞肺癌におけるFOXO1を介したアポトーシスに関する実験的検討研究論文(国際会議プロシーディングス)
- 2006年09月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 54巻, Suppl., pp. 479-479, 日本語DNA damage sensor蛋白質hRad9の肺癌に対する分子標的としての可能性の検討研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年08月, 肺癌, 46巻, 4号, pp. 390-390(4) (4), 390 - 390, 日本語腫瘍との鑑別を要した良性胸膜病変の2例研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年08月, 肺癌, 46巻, 4号, pp. 385-385(4) (4), 385 - 385, 日本語HRAD9における肺腺癌に特異的な1塩基多型研究論文(国際会議プロシーディングス)
- 2006年05月, 日本呼吸器外科学会雑誌, 20巻, 3号, pp. 810-810, 日本語非小細胞肺癌における術後再発症例の外科治療についての検討研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2006年05月, 日本呼吸器外科学会雑誌, 20巻, 3号, pp. 785-785(3) (3), 785 - 785, 日本語研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2006年05月, 日本呼吸器外科学会雑誌, 20巻, 3号, pp. 861-861(3) (3), 861 - 861, 日本語研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2006年05月, 日本呼吸器外科学会雑誌, 20巻, 3号, pp. 943-943(3) (3), 943 - 943, 日本語研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2006年05月, 日本呼吸器外科学会雑誌, 20巻, 3号, pp. 826-826(3) (3), 826 - 826, 日本語研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2006年04月, 肺癌, 46巻, 2号, pp. 181-181(2) (2), 181 - 181, 日本語研究論文(国際会議プロシーディングス)
- 2006年03月, 日本外科学会雑誌, 107巻, 臨増2, pp. 582-582, 日本語非小細胞肺癌の原発巣と転移リンパ節における抗癌抗感受性の検討研究論文(国際会議プロシーディングス)
- 2006年03月, CANCER, 106(5) (5), 1117 - 1122, 英語, 国際誌研究論文(学術雑誌)
- 2006年03月, 日本外科学会雑誌, 107巻, 臨増2, pp. 533-533, 日本語DNA damage repair gene HRAD9における肺腺癌に特異的な1塩基多型研究論文(国際会議プロシーディングス)
- 2005年11月, 肺癌, 45巻, 5号, pp.603-603, 日本語原発性肺癌におけるHRAD9遺伝子の解析研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2005年11月, 肺癌, 45巻, 5号, pp. 657-657(5) (5), 657 - 657, 日本語研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2005年11月, 肺癌, 45巻, 5号, pp. 644-644(5) (5), 644 - 644, 日本語Pleomorphic carcinoma of the lung 9手術例の検討研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2005年11月, 肺癌, 45巻, 5号, pp. 591-591(5) (5), 591 - 591, 日本語研究論文(国際会議プロシーディングス)
- 2005年11月, ONCOLOGY REPORTS, 14(5) (5), 1155 - 1163, 英語, 国際誌E1B-deleted adenovirus replicates in p53-deficient lung cancer cells due to the absence of apoptosis[査読有り]研究論文(学術雑誌)
- (NPO)日本肺癌学会, 2005年10月, 肺癌, 45巻, 6号, pp. 770-770(6) (6), 770 - 770, 日本語研究論文(国際会議プロシーディングス)
- 2005年09月, 日本癌学会64回総会記事, pp.70-70, 日本語肺癌におけるDNA damage sensor蛋白Rad9発現の意義研究論文(国際会議プロシーディングス)
- 2005年09月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 53巻, Suppl.II, pp. 309-309, 日本語急性縦隔炎の4手術例研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2005年05月, 日本呼吸器外科学会雑誌, 19巻, 3号, pp. 398-398(3) (3), 398 - 398, 日本語研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2005年05月, 日本呼吸器外科学会雑誌, 19巻, 3号, pp. 368-368(3) (3), 368 - 368, 日本語研究論文(国際会議プロシーディングス)
- 2005年04月, 日本外科学会雑誌, 106巻, 臨増, pp. 380-380, 日本語当院における同時多発肺癌症例に対する検討研究論文(国際会議プロシーディングス)
- 2005年03月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 53巻, Suppl.I, pp. 77-77, 日本語鈍的胸部外傷後の遅発性血胸に対する緊急手術症例研究論文(国際会議プロシーディングス)
- 2005年03月, 日本病理学会会誌, 94巻, 1号, pp. 177-177, 日本語転写調節因子による腫瘍の表現形質と悪性度の修飾 細胞周期制御蛋白p21およびその転写活性化因子の発現異常 肺腺癌における表現形質と悪性度の変化研究論文(国際会議プロシーディングス)
- 2005年03月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 53巻, Suppl.I, pp. 77-77, 日本語縦隔内異物・膿瘍の1手術例研究論文(国際会議プロシーディングス)
- 2005年03月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 53巻, Suppl.I, pp. 50-50, 日本語Pryce III型肺葉内肺分画症の1手術例研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2005年02月, 肺癌, 45巻, 1号, pp. 97-98(1) (1), 97 - 98, 日本語研究論文(国際会議プロシーディングス)
- 2005年01月, CANCER, 103(1) (1), 126 - 132, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 日本肺癌学会, 2004年10月, 肺癌, 44巻, 5号, pp. 657-657(5) (5), 657 - 657, 日本語非小細胞肺癌の原発巣と転移リンパ節における抗癌剤感受性の検討研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2004年10月, 肺癌, 44巻, 6号, pp. 715-715(6) (6), 715 - 715, 日本語原発性肺腺癌におけるp53発現異常と細胞分裂能の関連性研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2004年10月, 肺癌, 44巻, 5号, pp. 424-424(5) (5), 424 - 424, 日本語経気管支肺生検と切除肺の組織型,亜型診断の比較検討研究論文(国際会議プロシーディングス)
- (NPO)日本肺癌学会, 2004年10月, 肺癌, 44巻, 5号, pp. 343-343(5) (5), 343 - 343, 日本語研究論文(国際会議プロシーディングス)
- 2004年09月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 52巻, Suppl., pp. 262-262, 日本語悪性胸膜中皮腫における進展形式の検討とstagingの問題点研究論文(国際会議プロシーディングス)
- 2004年09月, Cancer Science, 95巻, Suppl., pp. 151-151, 日本語hRad9蛋白質の生物学的特性と癌細胞における機能研究論文(国際会議プロシーディングス)
- 特定非営利活動法人 日本呼吸器外科学会, 2004年04月, 日本呼吸器外科学会雑誌, 18巻, 3号, pp. 321-321(3) (3), 321 - 321, 日本語研究論文(国際会議プロシーディングス)
- 2003年10月, The Japanese Journal of THORACIC AND CARDIOVASCULAR SURGERY, 51巻, 増刊, pp. 457-457, 日本語同時期に発見された肺癌と心大血管病変に対する外科療法の検討研究論文(国際会議プロシーディングス)
- 2003年10月, 肺癌, 43巻, 5号, pp. 509-509, 日本語原発性肺癌におけるDNA damage sensor蛋白質発現の分析研究論文(国際会議プロシーディングス)
- 2003年09月, PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 100(18) (18), 10237 - 10242, 英語, 国際誌The alternative Ctf18-Dcc1-Ctf8-replication factor C complex required for sister chromatid cohesion loads proliferating cell nuclear antigen onto DNA[査読有り]研究論文(学術雑誌)
- 特定非営利活動法人 日本呼吸器外科学会, 2003年04月, 日本呼吸器外科学会雑誌, 17巻, 3号, pp. 437-437(3) (3), 437 - 437, 日本語研究論文(国際会議プロシーディングス)
- 2003年02月, PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 100(4) (4), 1633 - 1638, 英語, 国際誌[査読有り]研究論文(学術雑誌)
- 特定非営利活動法人 日本呼吸器外科学会, 2003年, 日本呼吸器外科学会雑誌, 17(3) (3), 408 - 408, 日本語
- (NPO)日本肺癌学会, 2001年04月, 肺癌, 41(2) (2), 173 - 173, 日本語AFP上昇を認め,未熟型奇形腫とyolk sac tumor(YST)成分の混在が疑われた前縦隔腫瘍の1例
- (NPO)日本肺癌学会, 2000年09月, 肺癌, 40(5) (5), 413 - 413, 日本語呼吸同期turbo STIR法による肺癌の縦隔・肺門リンパ節転移に関する検討 信号強度による定量的評価の試み
- (NPO)日本肺癌学会, 2000年09月, 肺癌, 40(5) (5), 464 - 464, 日本語末梢発生小型肺癌に対する軟性鏡によるアプローチ(一穴法)
- (NPO)日本肺癌学会, 1999年09月, 肺癌, 39(5) (5), 581 - 581, 日本語軟性鏡による1穴法の肺腫瘤切除例の検討
- Malignant pleural mesothelioma (MPM), associated with unfavorable outcomes, is closely associated with asbestos exposure. Early detection and treatment are critical to prolong survival of patients with MPM because of the rapid progression and resistance to treatment. The recently defined malignant mesothelioma in situ (MIS) has been gaining increasing attention with advances in genome-based methods including fluorescence in situ hybridization (FISH) as well as immunohistochemistry. We herein report the case of a MIS in a 73-year-old male with a history of asbestos exposure presenting with massive pleural effusion in the right thoracic cavity. Video-assisted thoracoscopic surgery with pleural biopsy of the right side revealed a single layer of atypical mesothelial cells without invasive lesions by hematoxylin and eosin staining. However, these mesothelial cells exhibited a loss of methylthioadenosine phosphorylase (MTAP) by immunohistochemistry and homozygous deletion of CDKN2A (p16) by FISH, leading to the diagnosis of MIS.2020年03月, Virchows Archiv : an international journal of pathology, 476(3) (3), 469 - 473, 英語, 国際誌
- Mediastinal leiomyosarcoma is an aggressive tumor that primarily occurs in the posterior mediastinum. A bronchogenic cyst is a benign lesion that often develops in the mediastinum close to the thoracic trachea and has been reported to be the origin of certain malignancies. The present study reports an extremely rare case of an anterior mediastinal leiomyosarcoma that was considered to have originated from a bronchogenic cyst. An 82-year-old woman complained of chest pain, presenting an abnormal 70 mm mass shadow in the anterior mediastinum of a chest CT scan. Mediastinal tumor resection was performed and the tumor was diagnosed as a leiomyosarcoma. As the tumor was located adjacent to a bronchogenic cyst, it was considered to have originated from the remnant tissue of the cyst. Recurrent lesions were noted in the right lower lobe on CT scan 24 months after surgery.2020年03月, Molecular and clinical oncology, 12(3) (3), 244 - 246, 英語, 国際誌
- 2020年, 日本胸腺研究会プログラム・抄録集(Web), 39th複数回手術を含んだ集学的治療により長期生存を得ている再発胸腺腫の1例
- 2020年, 日本呼吸器外科学会総会(Web), 37th術後合併症に苦慮した巨大肺嚢胞の1例
- 2020年, 日本呼吸器外科学会総会(Web), 37th当院における多発肺癌に対する手術症例の検討
- 2020年, 日本気胸・嚢胞性肺疾患学会雑誌, 20(1) (1)高齢者気胸手術におけるダブルレイヤー法の有用性の検討
- 2020年, 肺癌(Web), 60(2) (2)外科的切除が奏功した肺原発のACTH産生非定型カルチノイドの1手術例
- 2020年, 日本呼吸器外科学会雑誌(Web), 34(7) (7)摘出肺の鬱血をきたした椎体合併肺葉切除術の1例
- 2020年, 日本呼吸器外科学会総会(Web), 37th切除困難な局所進行胸腺腫に対する外科切除症例についての検討
- 2020年, 日本呼吸器外科学会総会(Web), 37th異常血管を認めない肺葉外肺分画症の1切除例
- 2020年, 日本呼吸器外科学会総会(Web), 37thMalignant mesothelioma in situと考えられた1例
- 2020年, 日本胸部外科学会定期学術集会(Web), 73rd周囲臓器への広範囲浸潤を伴う重症筋無力症合併胸腺腫に対する治療方針の検討
- 2020年, 日本胸部外科学会定期学術集会(Web), 73rd胸腔鏡下手術の安全性向上を目指した臨床研究
- 2020年, 日本胸部外科学会定期学術集会(Web), 73rd肺高悪性度神経内分泌癌の予後バイオマーカーとしてのインスリノーマ関連タンパク質1の検討
- 2020年, 日本胸部外科学会定期学術集会(Web), 73rdロボット支援下肺葉切除術におけるリンパ節郭清手技の有用性
- 2020年, 日本呼吸器外科学会総会(Web), 37th長期経過観察された術後横隔膜弛緩症に対し横隔膜縫縮術を行った1例
- 2020年, 日本呼吸器外科学会総会(Web), 37th中縦隔に発生した気道狭窄を伴う動静脈奇形に対する1手術例
- 2020年, 日本呼吸器外科学会総会(Web), 37th手術及び残存病変への陽子線治療にて長期生存が得られた縦隔原発骨外性骨肉腫の1例
- 2020年, 日本呼吸器外科学会総会(Web), 37th術後胸骨離開に対する胸骨固定用チタンプレートを用いた再固定手術
- 2020年, 日本呼吸器外科学会総会(Web), 37th胸腺胸腺腫摘出後にGood症候群と診断した1例
- BACKGROUND: The aim of this study was to identify subgroups with good or bad prognosis in patients with pulmonary large cell neuroendocrine carcinoma (LCNEC) based on immunostaining patterns with neuroendocrine markers and compare them with small cell lung carcinoma (SCLC). METHODS: From January 2001 to December 2017, of all patients with resected LCNEC and SCLC, we selected patients whose pathological tumor sizes were ≤30 mm in diameter (defined as small-sized tumors) and who underwent complete resection with lymphadenectomy. We classified patients with small-sized LCNEC (sLCNEC) into two subgroups based on immunostaining patterns with three neuroendocrine markers (chromogranin A, synaptophysin, and NCAM) and compared them to small-sized SCLC (sSCLC). RESULTS: A total of 48 patients with sLCNEC and 39 patients with sSCLC were enrolled. Of 48 patients with sLCNEC, 21 were categorized as the small-sized triple-positive group (sTP), whose patients were positive for the three neuroendocrine markers, and 27 patients were categorized as the small-sized nontriple-positive group (sNTP), whose patients were not positive for all three neuroendocrine markers. The percentage of lymph node metastasis was significantly lower in sNTP than in sTP and sSCLC. There was no significant difference in overall survival, but recurrence-free survival (RFS) and tumor-specific survival (TSS) were significantly poorer in sTP and sSCLC than in sNTP. Multivariate analysis revealed sTP and sSCLC were independent prognostic factors for poorer RFS and TSS than those of sNTP. CONCLUSIONS: The sNTP subgroup had a good prognosis and the sTP subgroup a poor prognosis. There were some similarities in clinicopathological features between sTP and sSCLC.2019年11月, Thoracic cancer, 10(11) (11), 2152 - 2160, 英語, 国際誌
- (公社)日本医学放射線学会, 2019年09月, 日本医学放射線学会秋季臨床大会抄録集, 55回, S550 - S550, 日本語アミロイド沈着により著明な石灰化を呈した前縦隔リンパ腫の1例
- (一社)日本医学教育学会, 2019年07月, 医学教育, 50(Suppl.) (Suppl.), 154 - 154, 日本語新規採用初期臨床研修医を対象とした基本的技術トレーニング研修の取り組み
- 2019年, 日本呼吸器外科学会総会(Web), 36th当院における胸腺癌手術症例の臨床的検討
- 2019年, 日本呼吸器外科学会総会(Web), 36th横隔膜の修復が必要であった再発胸腺腫の1切除例
- 2019年, 日本呼吸器外科学会総会(Web), 36th縦隔発生肉腫に対する外科治療の検討
- 2019年, 気管支学, 413D斜視内視鏡を用いた完全鏡視下左上葉スリーブ切除術の1例
- 2019年, 日本内視鏡外科学会総会(Web), 32nd胸腔鏡困難症例に対する当科での取り組み
- 2019年, 日本内視鏡外科学会総会(Web), 32nd反回神経分岐部中枢側発生の迷走神経鞘腫に対する胸腔鏡下被膜内核出術
- 2019年, 日本内視鏡外科学会総会(Web), 32nd原発性肺癌に対する胸腔鏡手術における開胸移行例の検討
- 2019年, 日本内視鏡外科学会総会(Web), 32nd術前抗血小板薬内服症例に対する胸腔鏡下手術についての検討
- 2019年, 日本肺癌学会総会号, 60th胃癌術後10年で初再発が確認された右上葉限局の転移移性肺腫瘍の1切除例
- 2019年, 日本肺癌学会総会号, 60th椎体浸潤肺癌に対する椎体合併右上葉切除術の1例
- 2019年, 日本胸部外科学会定期学術集会(Web), 72nd重症筋無力症合併胸腺腫に対する手術症例の検討
- 2019年, 日本肺癌学会総会号, 60th増大傾向を認めた後縦隔発生ミュラー管嚢胞の1切除例
- 2019年, 日本肺癌学会総会号, 60th術前にステロイドパルス療法を行い完全切除が可能となった胸腺腫の1例
- 2019年, 肺癌(Web), 59(2) (2)肺動脈内膜摘除術および右肺全摘を要した肺動脈原発血管肉腫の1切除例
- 2019年, 肺癌(Web), 59(2) (2)in situ主体の悪性胸膜中皮腫が疑われた1例
- 2018年04月, 日本呼吸器外科学会雑誌, 32(3号) (3号), P32 - 3, 日本語悪性腫瘍との鑑別を要した肺ヒストプラズマ症の一例[査読有り]会議報告等
- 兵庫県外科医会, 2017年, 兵庫県外科医会会誌 = Journal of Hyogo Surgical Association, 51, 3 - 16, 日本語原発性肺癌に対する胸腔鏡下肺葉切除術の有用性に関する研究
- 2017年01月, JOURNAL OF THORACIC ONCOLOGY, 12(1) (1), S1153 - S1153, 英語In vitro Construction of Lung Cancer Organoids from Induced Lung Cancer Stem Like Cells研究発表ペーパー・要旨(国際会議)
- オプトロニクス社, 2016年01月, Medical photonics, 2016(1) (1), 19 - 24,7, 日本語気胸に対する鏡視下手術
- 2015年07月, 日本気胸・嚢胞性肺疾患学会雑誌, 15(1号) (1号), 61, 日本語自然気胸に対するx Gateの使用経験[査読有り]会議報告等
- 2015年03月, オペナーシング, 臨時増刊, 189 - 198, 日本語【呼吸器外科の手術看護パーフェクトマニュアル】 (第2章)実践編 術式別の術中看護マニュアル 気胸に対する手術記事・総説・解説・論説等(学術雑誌)
- (NPO)日本肺癌学会, 2015年02月, 肺癌, 55(1) (1), 78 - 78, 日本語肺癌手術材料で腫瘍との鑑別が求められる粘液化生を認めた2例
- (NPO)日本肺癌学会, 2015年02月, 肺癌(Web), 55(1) (1), 78(J‐STAGE) - 78, 日本語肺癌手術材料で腫瘍との鑑別が求められる粘液化生を認めた2例
- 2015年, 日本胸部臨床, 74, 960 - 968, 日本語骨肉腫‐転移性肺腫瘍に対する外科的治療の役割と補助療法‐[招待有り]記事・総説・解説・論説等(学術雑誌)
- 2014年12月, 胸部外科, 67(13) (13), 1133, 日本語まい・てくにっく 肺靱帯切離と#9郭清のポイント記事・総説・解説・論説等(学術雑誌)
- 2014年12月, ONCOLOGY LETTERS, 8(6) (6), 2621 - 2623, 英語, 国際誌[査読有り]
- (公社)日本医学放射線学会, 2014年09月, 日本医学放射線学会秋季臨床大会抄録集, 50回, S706 - S707, 日本語前縦隔に認められたSolitary Fibrous Tumorの1例
- (NPO)日本肺癌学会, 2014年08月, 肺癌, 54(4) (4), 243 - 243, 日本語腸型が疑われた肺腺癌の1例
- 南江堂, 2014年07月, 胸部外科 = The Japanese journal of thoracic surgery, 67(7) (7), 562 - 565, 日本語画像診断Q&A
- 2014年04月, 呼吸器ケア, 臨時増刊(217) (217), 217 - 227, 日本語【ナースのためのパーフェクトガイド 呼吸器外科の術前術後ケア】 (第3章)呼吸器外科・看護の各論 疾患 嚢胞性疾患・気胸記事・総説・解説・論説等(学術雑誌)
- 一般社団法人日本外科学会, 2014年03月05日, 日本外科学会雑誌, 115(2) (2), 435 - 435, 日本語OP-067-7 NOS(not otherwise specified)の臨床的意義について(OP-067 肺 診断,一般演題,第114回日本外科学会定期学術集会)
- 一般社団法人日本外科学会, 2014年03月05日, 日本外科学会雑誌, 115(2) (2), 224 - 224, 日本語WS-9-3 肺神経内分泌癌に対する手術症例の臨床的検討(WS-9 ワークショップ(9)本邦におけるNET治療の実態-診療ガイドラインへの展開-,第114回日本外科学会定期学術集会)
- 一般社団法人日本外科学会, 2014年03月05日, 日本外科学会雑誌, 115(2) (2), 639 - 639, 日本語PS-032-8 高齢者非小細胞肺癌に対する外科治療成績(PS-032 肺 高齢者-2・その他,ポスターセッション,第114回日本外科学会定期学術集会)
- 一般社団法人日本外科学会, 2014年03月05日, 日本外科学会雑誌, 115(2) (2), 822 - 822, 日本語PS-124-4 当院における大腸癌肺転移切除症例の検討(PS-124 大腸 転移-2,ポスターセッション,第114回日本外科学会定期学術集会)
- (株)オプトロニクス社, 2014年, MEDICAL PHOTONICS, (16) (16), 9 - 14, 日本語肺手術前の高解像度 3D-CTによる肺血管同定の有用性[査読有り]記事・総説・解説・論説等(学術雑誌)
- (株)オプトロニクス社, 2014年01月, Medical Photonics, (16号) (16号), 9 - 14, 日本語肺手術前の高解像度3D-CTによる肺血管同定の有用性[査読有り]記事・総説・解説・論説等(商業誌、新聞、ウェブメディア)
- 南江堂, 2013年11月, 胸部外科 = The Japanese journal of thoracic surgery, 66(12) (12), 1038 - 1040, 日本語討論 (胸部外科の指針 若年者自然気胸における胸腔鏡下手術法と術後再発)
- 2013年11月, 胸部外科, 66(12) (12), 1038 - 1039, 日本語討論1[査読有り]記事・総説・解説・論説等(学術雑誌)
- (公社)日本医学放射線学会, 2013年09月, 日本医学放射線学会秋季臨床大会抄録集, 49回, S596 - S596, 日本語巨大血腫と血胸を来した胸腺腫の1例
- 一般社団法人日本外科学会, 2013年03月05日, 日本外科学会雑誌, 114(2) (2), 543 - 543, 日本語PS-018-5 肺腺癌におけるPSF3発現の臨床的意義の検討(PS ポスターセッション,第113回日本外科学会定期学術集会)
- 一般社団法人日本外科学会, 2013年03月05日, 日本外科学会雑誌, 114(2) (2), 550 - 550, 日本語PS-023-6 肺腺癌における予後因子としてのnection-3の発現について(PS ポスターセッション,第113回日本外科学会定期学術集会)
- 一般社団法人日本外科学会, 2013年03月05日, 日本外科学会雑誌, 114(2) (2), 308 - 308, 日本語WS-9-1 肺腺癌浸潤におけるNecl-5の働きについての検討(WS ワークショップ,第113回日本外科学会定期学術集会)
- (公社)日本医学放射線学会, 2012年08月, 日本医学放射線学会秋季臨床大会抄録集, 48回, S575 - S575, 日本語術待機中に空洞形成を伴った非定型的肺カルチノイドの一例
- (株)メジカルビュー社, 2012年08月, 臨床画像, 28(8) (8), 996 - 1003, 日本語その検査、本当にそこまで必要ですか? 経過観察のストラテジー【第4回】呼吸器・縦隔 腫瘍性疾患[査読有り][招待有り]記事・総説・解説・論説等(学術雑誌)
- (株)メジカルビュー社, 2012年07月, 臨床画像, 28(7) (7), 786 - 794, 日本語【悪性腫瘍-その合理的な画像診断の進め方】再発チェックを合理的に行うには 肺癌[招待有り]記事・総説・解説・論説等(学術雑誌)
- (NPO)日本肺癌学会, 2011年10月, 肺癌, 51(5) (5), 634 - 634, 日本語非小細胞肺癌リンパ節転移の定量的診断能 3T-MRI STIR vs.1.5T-MRI STIR vs.PET/CT
- 2011年10月, RADIOLOGY, 261(1) (1), 332 - 333, 英語Evaluation of Pulmonary Nodules: Area-Detector CT versus Other Multi-Detector Row CT Response速報,短報,研究ノート等(学術雑誌)
- (NPO)日本肺癌学会, 2011年10月, 肺癌, 51(5) (5), 633 - 633, 日本語胸部MRIにおける拡散強調像とSTIR像を用いた肺小細胞癌と肺非小細胞癌の定量的鑑別の検討
- (NPO)日本肺癌学会, 2011年10月, 肺癌, 51(5) (5), 448 - 448, 日本語320列面検出器CTによる定量Perfusion CTによる肺結節診断能 Dynamic MRIおよびPET/CTとの直接比較
- (NPO)日本肺癌学会, 2011年10月, 肺癌, 51(5) (5), 634 - 634, 日本語胸部CTにおけるすりガラス状影を伴った病変の自動測定
- 一般社団法人日本外科学会, 2011年05月25日, 日本外科学会雑誌, 112(1) (1), 411 - 411, 日本語SF-061-3 肺腺癌における脱リン酸化酵素Wip1発現の臨床的意義の検討(SF-061 サージカルフォーラム(61)肺:基礎-1,第111回日本外科学会定期学術集会)
- 2011年02月, THORACIC CANCER, 2(1) (1), 7 - 15, 英語, 国際誌[査読有り]
- (一社)日本呼吸器学会, 2010年03月, 日本呼吸器学会雑誌, 48(増刊) (増刊), 366 - 366, 日本語
- (NPO)日本肺癌学会, 2009年10月, 肺癌, 49(5) (5), 619 - 619, 日本語320列面検出器CTによるFirst-Pass Perfusion CT vs.FDG-PET/CT 肺結節の良悪性鑑別診断能に関する検討
- 一般社団法人日本外科学会, 2009年02月25日, 日本外科学会雑誌, 110(2) (2), 773 - 773, 日本語HP-230-4 Damage repair pathwayにおけるNon-synonymous SNPと肺腺癌の発生についての検討(肺(発癌・悪性度・転移),ハイブリッドポスター,第109回日本外科学会定期学術集会)
- (株)日本臨床社, 2008年08月, 日本臨床, 66巻, 増刊6 肺癌, pp. 125-134(増刊6 肺癌) (増刊6 肺癌), 113 - 117, 日本語記事・総説・解説・論説等(学術雑誌)
- 日本肺癌学会, 2007年10月10日, 肺癌, 47(5) (5), 468 - 468, 日本語WS11-6 悪性胸膜中皮腫(MPM)手術例の検討(ワークショップ 悪性中皮腫,第48回日本肺癌学会総会号)
- 日本肺癌学会, 2007年10月10日, 肺癌, 47(5) (5), 548 - 548, 日本語P-94 非小細胞肺癌患者の術後肺機能予測に関する検討 : Dynamic Perfusion MRI,MDCT及び肺血流SPECTの対比(一般演題(ポスター) 縮小手術・その他,第48回日本肺癌学会総会)
- (NPO)日本肺癌学会, 2007年10月, 肺癌, 47(5) (5), 445 - 445, 日本語放射線診断と治療の最前線 肺癌患者におけるM因子診断における全身脂肪抑制併用拡散強調画像の有用性に関する検討
- (NPO)日本肺癌学会, 2007年10月, 肺癌, 47(5) (5), 453 - 453, 日本語FDG-PETの意義と応用 非小細胞肺癌術後患者における切除断端部再発 FDG-PET/CTと造影CTの診断能比較
- (NPO)日本肺癌学会, 2007年10月, 肺癌, 47(5) (5), 454 - 454, 日本語FDG-PETの意義と応用 PET/CTによる非小細胞肺癌術後患者の再発予測
- (NPO)日本肺癌学会, 2007年10月, 肺癌, 47(5) (5), 506 - 506, 日本語非造影MRIを用いた肺末梢結節スクリーニング能の検討
- (NPO)日本肺癌学会, 2007年04月, 肺癌, 47(2) (2), 161 - 167, 日本語Multi-slice CTによる肺癌のT因子診断
- 2006年, 第9 回日本組織工学会(2006.9.7-8. 京都), 日本語bFGF 含浸ゼラチンシートによるラット静脈グラフトの至 適動脈化に関する研究[査読有り]
- 2005年02月, Japanese Journal of Lung Cancer, 45(1) (1), 63 - 73, 日本語書評論文,書評,文献紹介等
- (NPO)日本肺癌学会, 2005年02月, 肺癌, 45巻, 1号, pp. 63-73(1) (1), 63 - 73, 日本語記事・総説・解説・論説等(学術雑誌)
- (NPO)日本肺癌学会, 2004年10月, 肺癌, 44(5) (5), 410 - 410, 日本語肺癌検診におけるMRIの有用性に関する検討
- (NPO)日本肺癌学会, 2003年12月, 肺癌, 43巻, 7, pp. 818-825(7) (7), 818 - 825, 日本語記事・総説・解説・論説等(学術雑誌)
- (NPO)日本肺癌学会, 2003年10月, 肺癌, 43(5) (5), 524 - 524, 日本語肺癌胸壁浸潤におけるSTIR Turbo Spin-echo(SE)法による定量的診断法の検討
- 一般社団法人日本外科学会, 2003年04月30日, 日本外科学会雑誌, 104, 81 - 82, 日本語肺癌治療の現状と将来展望 : stagingの問題点と対策
- Japan Lung Cancer Society, 2003年, Japanese Journal of Lung Cancer, 43(7) (7), 818 - 825, 日本語書評論文,書評,文献紹介等
- 日本肺癌学会, 2001年10月20日, 肺癌, 41(6) (6), 725 - 725, 日本語72.同時性3重肺癌の1手術例(第74回日本肺癌学会関西支部会)
- 日本肺癌学会, 2001年04月20日, 肺癌, 41(2) (2), 176 - 176, 日本語42. 気管支形成術を要した末梢小型肺癌の1手術例
- (公社)日本医学放射線学会, 2000年09月, 日本医学放射線学会雑誌, 60(10) (10), S367 - S367, 日本語CT/HRCTで5年7ヵ月の経過が追跡可能であった早期肺腺癌(野口B型)の1例
- その他, Oncol Lett, 2014年09月, 英語Clinical significance of the "not otherwise specified" subtype in candidates for resectable non-small cell lung cancer. / Clinical significance of the "not otherwise specified" subtype in candidates for resectable non-small cell lung cancer.学術書
- その他, Surg Today, 2014年05月, 英語Single-incision thoracoscopic surgery using a chest wall pulley for lung excision in patients with primary spontaneous pneumothorax. / Single-incision thoracoscopic surgery using a chest wall pulley for lung excision in patients with primary spontaneous p学術書
- その他, Eur J Radiol, 2014年05月, 英語Diffusion-weighted MR imaging vs. multi-detector row CT: Direct comparison of capability for assessment of management needs for anterior mediastinal solitary tumors. / Diffusion-weighted MR imaging vs. multi-detector row CT: Direct comparison of capabilit学術書
- 第31回日本内視鏡外科学会総会, 2018年12月, 日本語, 博多, 国内会議呼吸器悪性4 縦隔リンパ節郭清2[招待有り]口頭発表(招待・特別)
- 第59回日本肺癌学会学術集会, 2018年11月, 日本語, 東京, 国内会議肺病変合併肺癌1口頭発表(一般)
- 第39回日本レーザー医学会総会, 2018年11月, 日本語, 東京, 国内会議切除範囲の決定にAFIが有用であった気管分岐部切除を伴う左肺全摘術の1例口頭発表(一般)
- 第80回日本臨床外科学会総会, 2018年11月, 日本語, 東京, 国内会議気管支断端瘻治療の考え方―安全な外科手術を目指して―口頭発表(招待・特別)
- 第70回日本気管食道科学会総会ならびに学術講演会, 2018年11月, 日本語, 東京, 国内会議Sleeve pneumonectomyを行った2手術例の検討口頭発表(一般)
- 第59回日本肺癌学会学術集会, 2018年11月, 英語, 東京, 国内会議JLCS/KASLC Joint Symposium公開講演,セミナー,チュートリアル,講習,講義等
- 第71回日本胸部外科学会定期学術集会, 2018年10月, 日本語, 東京, 国内会議肺癌2[招待有り]口頭発表(招待・特別)
- 第54回日本医学放射線学会秋季大会, 2018年10月, 日本語, 日本医学放射線学会, 福岡, 国内会議縦隔発生の骨外性骨肉腫の一例口頭発表(一般)
- 50th Annual Autumn Congress of the Korean Society for Thoraic & Cardiovascular Surgery, 2018年10月, 日本語, Seoul, 国際会議Safe and less invasive thoracic surgery[招待有り]口頭発表(招待・特別)
- 第16回 日本臨床腫瘍学会学術集会, 2018年07月, 日本語, 神戸, 国内会議非小細胞肺癌(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口頭発表(一般)
- 第108回肺癌学会関西支部会, 2018年06月, 日本語, 大阪, 国内会議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口頭発表(一般)
- 第61回関西胸部外科学会学術集会, 2018年06月, 日本語, 名古屋, 国内会議胸部発生の肉腫〜外科治療の限界を求めて〜[招待有り]口頭発表(招待・特別)
- 第35回日本呼吸器外科学会総会・学術集会, 2018年05月, 日本語, 幕張, 国内会議再発気胸[招待有り]口頭発表(招待・特別)
- 第118回日本外科学会定期学術集会, 2018年04月, 日本語, 東京, 国内会議肺-集学的治療-2・その他ポスター発表
- European Lung Cancer Congress 2018, 2018年04月, 英語, Geneva, 国際会議Feasibility study of adjuvant chemotherapy with cisplatin and pemetrexed short hydration regimen for completely resected non-small cell lung cancer口頭発表(一般)
- 第107回日本肺癌学会関西支部学術集会, 2018年02月, 日本語, 日本肺癌学会関西支部学術集会, 大阪, 国内会議胸腺類基底細胞癌の一例口頭発表(一般)
- 第102回日本呼吸器内視鏡学会近畿支部会, 2017年11月, 日本語, 日本呼吸器内視鏡学会近畿支部会, 大阪, 国内会議当院における自然気胸に対する単孔式胸腔鏡下手術の検討口頭発表(一般)
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会, 横浜, 国内会議人工肺癌幹細胞を用いた、肺癌組織再構築と新規治療法開発の試み口頭発表(一般)
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議診断的治療目的に手術した後縦隔神経節細胞腫の3例口頭発表(一般)
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議初発から15年の経過で肺転移を生じたgrade l髄膜腫の一例ポスター発表
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議左上区域に限局する転移性肺動脈腫瘍塞栓に対し外科的切除を行った1例ポスター発表
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議胸腺嚢胞に合併した胸腺癌の一切除例ポスター発表
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議気管支原生嚢胞からの発生が疑われた平滑筋肉腫の一切除例ポスター発表
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議気管支形成を伴う区域切除術を要した両側同時多発肺癌の手術例口頭発表(一般)
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議右S2区域切除術後9年目に完全胸腔鏡下completion lobectomy を行った1例口頭発表(一般)
- 第58回日本肺癌学会学術集会, 2017年10月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議ポスター5 「希少症例1」その他
- 第70回日本胸部外科学会学術集会, 2017年09月, 日本語, 日本胸部外科学会学術集会, 札幌, 国内会議ポスター(呼吸器21) 基礎実験1その他
- 第70回日本胸部外科学会学術集会, 2017年09月, 日本語, 日本胸部外科学会学術集会, 札幌, 国内会議Propensity score matching 法を用いた高悪性度肺神経内分泌癌に対する補助化学療法の検討口頭発表(一般)
- 第106回日本肺癌学会関西支部会, 2017年06月, 日本語, 日本肺癌学会関西支部会, 大阪, 国内会議嚢胞内に発生した肺線原発類基低細胞癌の一例口頭発表(一般)
- 第27回日本サイトメトリー学会学術集会, 2017年06月, 日本語, 日本サイトメトリー学会, 神戸, 国内会議人工癌幹細胞と癌オルガノイドを用いた癌幹細胞研究[招待有り]シンポジウム・ワークショップパネル(指名)
- 第60回関西胸部外科学会学術集会, 2017年06月, 日本語, 関西胸部外科学会学術集会, 大阪, 国内会議検診にて発見された後縦隔神経節細胞腫の1切除例口頭発表(一般)
- 第60回関西胸部外科学会学術集会, 2017年06月, 日本語, 関西胸部外科学会学術集会, 大阪, 国内会議異なるアプローチにて鎖骨下動脈再建を行った肺尖部胸壁浸潤癌の2例口頭発表(一般)
- 第106回日本肺癌学会関西支部会, 2017年06月, 日本語, 日本肺癌学会関西支部会, 大阪, 国内会議安全な胸腔鏡下肺葉切除術・縦隔リンパ節郭清のためにその他
- 第60回関西胸部外科学会学術集会, 2017年06月, 日本語, 関西胸部外科学会学術集会, 大阪, 国内会議Case Presentation Award 16 呼吸器5その他
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議要望演題14 呼吸器外科手術に おける教育、 トレーニングその他
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議続発性気胸に対する手術症例の検討口頭発表(一般)
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会, 福岡, 国内会議人工肺癌幹細胞による、肺癌組織再構築の試み口頭発表(一般)
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議術後横隔神経麻痺に対する横隔膜縫縮術の検討ポスター発表
- 第90回日本整形外科学会学術総会, 2017年05月, 日本語, 日本整形外科学会, 仙台, 国内会議骨軟部悪性腫瘍における肺転移切除例の治療成績ポスター発表
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議血液透析患者に対する原発性肺癌手術症例の検討ポスター発表
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議胸腺腫に関連した新規疾患概念、抗PIT-1 抗体症候群口頭発表(一般)
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議完全鏡視下手術手技を用いた拡大手術についての検討口頭発表(一般)
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議外科的切除によって著名な改善を認めた胸壁発生の腫瘍性低リン血症性軟骨化症の一例ポスター発表
- 第23回 呼吸器外科セミナー, 2017年05月, 日本語, 呼吸器外科セミナー, 福岡, 国内会議外科医に必要な肺生理学の基礎知識その他
- 第34回日本呼吸器外科学会総会, 2017年05月, 日本語, 日本呼吸器外科学会総会, 福岡, 国内会議Volume reductionにて症状が改善した縦隔原発骨外性骨肉腫の1例ポスター発表
- 第117回 日本外科学会定期学術集会, 2017年04月, 日本語, 日本外科学会定期学術集会, 横浜, 国内会議ポスターセッション(146)「肺-診断」その他
- American Association for Cancer Research annual meeting 2017, 2017年04月, 英語, American Association for Cancer Research, Washington D.C., USA, 国際会議Interleukin-6 blockade, a novel cancer stem cell targeted therapy, attenuates lung cancer tissue construction.ポスター発表
- International Joint Symposium in Kobe 2017 University of Washington University of Oslo and Kobe University, 2017年03月, 英語, Kobe University, University of Washington, University of Oslo, 神戸, Malignant mesothelioma is a highly aggressive tumour originated from mesothelial cells of the pleura, pericardium or peritoneum. Among them, malignant pleural mesothelioma (MPM) is most common with increasing frequency throughout the world and closely related to exposure to asbestos. It can be classified histologically into epithelioid, sarcomatoid and biphasic types, among wh, 国際会議Role of Ror2 tyrosine kinase in ivasiveness of malignant pleural mesothelioma cells.ポスター発表
- 134. Kongresses der Deutschen Gesellschaft für Chirurgie, 2017年03月, 日本語, Kongresses der Deutschen Gesellschaft für Chirurgie, ミュンヘン, ドイツ, 国際会議Psf3 is a prognostic biomarker in lung adenocarcinoma:a larger trial using tissue microarrays of 864 consecutive resections口頭発表(一般)
- 第105回日本肺癌学会関西支部会, 2017年02月, 日本語, 日本肺癌学会関西支部会, 大阪, 国内会議縦隔原発骨外性骨肉腫の1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議病理組織診断で大細胞神経内分泌癌の中咽頭転移が判明した1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議肺結節切除標本内にびまん性特発性神経内分泌細胞過形成と多発tumorletを認めた1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議転移性脳腫瘍の発見から1年後に診断・手術に至ったpT1aN0M1bの原発性肺腺癌の1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議全身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口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議小細胞癌に対する外科的治療効果についての検討口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議次元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口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議左上区域支入口部腫瘍に対して完全鏡視下左上区域切除術を行った1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議胸壁浸潤肺癌手術に対する低侵襲化への工夫口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議急速に増大し縦隔偏位をきたした肺癌合併巨大肺嚢胞の一例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議完全胸腔鏡下における予防的気管支断端被覆症例の検討口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議右房内に進展した巨大浸潤性胸腺腫に対し人工心肺を用い完全切除可能であった1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議咽頭転移を生じた大細胞神経内分泌癌の1例口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議3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口頭発表(一般)
- 第57回日本肺癌学会学術集会, 2016年12月, 日本語, 日本肺癌学会, 福岡, 国内会議3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ポスター発表
- 第20回日本気胸・嚢胞性肺疾患学会, 2016年09月, 日本語, 日本気胸・嚢胞性肺疾患学会, 東京, 国内会議x Gateを用いた単孔式自然気胸手術の有用性の検討口頭発表(一般)
- 第104回日本肺癌学会関西支部会, 2016年07月, 日本語, 日本肺癌学会, 大阪, 国内会議悪性黒色腫の肺転移と思われた1例ポスター発表
- 第33回日本呼吸器外科学会, 2016年05月, 日本語, 日本呼吸器外科学会, 京都, 国内会議体細胞初期化因子導入による肺癌幹細胞誘導口頭発表(一般)
- 第33回日本呼吸器外科学会, 2016年05月, 日本語, 日本呼吸器外科学会, 京都, 国内会議周術期に感染性大動脈瘤を合併した降下性壊死性縦隔炎の1手術例口頭発表(一般)
- 第33回日本呼吸器外科学会, 2016年05月, 日本語, 日本呼吸器外科学会, 京都, 国内会議外傷性肺嚢胞に対して緊急手術を要した1例口頭発表(一般)
- 第33回日本呼吸器外科学会, 2016年05月, 日本語, 日本呼吸器外科学会, 京都, 国内会議右鎖骨下動脈再建を要した肺尖部胸壁浸潤癌の1切除例口頭発表(一般)
- 第33回日本呼吸器外科学会, 2016年05月, 日本語, 日本呼吸器外科学会, 京都, 国内会議pT1N1非小細胞癌切除例におけるリンパ節病変の進展と予後に関する検討.口頭発表(一般)
- 第33回日本呼吸器外科学会, 2016年05月, 日本語, 日本呼吸器外科学会, 京都, 国内会議1cm以下微小肺癌切除例の検討口頭発表(一般)
- 第198回近畿外科学会, 2015年12月, 日本語, 近畿外科学会, 大阪, 国内会議縦隔偏移をきたした巨大肺嚢胞の1切除例口頭発表(一般)
- 第28回日本内視鏡外科学会総会, 2015年12月, 日本語, 日本内視鏡外科学会総会, 大阪, 国内会議呼吸器 悪性Iその他
- 第56回日本肺癌学会学術集会, 2015年11月, 日本語, 日本肺癌学会学術集会, 横浜, 国内会議胸腺腫瘍4その他
- CHST Annual Meeting2015, 2015年10月, 英語, CHST, モントリオール, カナダ, 国際会議Oncogenic Function of Psf3 in Non-Small Cell Lung Cancer口頭発表(一般)
- 第58回関西胸部外科学会学術集会, 2015年06月, 日本語, 関西胸部外科学会, 岡山, 国内会議YIA(2):呼吸器その他
- 第23回欧州内視鏡外科学会議, 2015年06月, 英語, 欧州内視鏡外科学会議, ブカレスト, ルーマニア, 国際会議Validity of thoracoscopic surgery for the resection of pulmonary metastasesポスター発表
- 第32回日本呼吸器外科学会総会, 2015年05月, 日本語, 日本呼吸器外科学会, 高松, 国内会議肺腺癌におけるCHFR(Checkpoint protein with forkhead and ring finger domain) 発現の意義口頭発表(一般)
- 第115回日本外科学会定期学術集会, 2015年04月, 日本語, 日本外科学会, 名古屋, 国内会議肺・転移・再発その他
- 第66回日本気管食道科学会, 2014年11月, 日本語, 日本気管食道科学会, 高知, 国内会議気道狭窄をきたした食道神経鞘腫の1例口頭発表(一般)
- 第73回日本癌学会学術集会, 2014年09月, 日本語, 日本癌学会, 横浜, 国内会議非小細胞肺癌におけるPsf3の役割について口頭発表(一般)
- 第18回日本気胸・嚢胞性肺疾患学会総会, 2014年09月, 日本語, 日本気胸・嚢胞性肺疾患学会, 福岡, 国内会議胸腔鏡下自然気胸手術をより確実なものにするためのダブルレイヤー法の検討口頭発表(一般)
- 第18回日本気胸・嚢胞性肺疾患学会総会, 2014年09月, 日本語, 日本気胸・嚢胞性肺疾患学会, 福岡, 国内会議von Willebrand’s diseaseを基礎疾患にもつ血気胸の1例口頭発表(一般)
- 第100回日本肺癌学会関西支部会, 2014年06月, 日本語, 日本肺癌学会関西支部, 大阪, 国内会議神経線維腫症II型に伴った腫瘍破裂の1例口頭発表(一般)
- 第22回ヨーロッパ胸部外科学会, 2014年06月, 英語, ヨーロッパ胸部外科学会, フランクフルト, ドイツ, 国際会議The significant role of Necl-5 among patients with lung adenocarcinoma口頭発表(一般)
- 第31回日本呼吸器外科学会総会, 2014年05月, 日本語, 日本呼吸器外科学会, 東京, 国内会議肺癌術後乾性嗽に対するトシル酸スプラタストの有用性の検討口頭発表(一般)
- 第31回日本呼吸器外科学会総会, 2014年05月, 日本語, 日本呼吸器外科学会, 東京, 国内会議高齢者肺葉切除症例early outcomeについて口頭発表(一般)
- 第31回日本呼吸器外科学会総会, 2014年05月, 日本語, 日本呼吸器外科学会, 東京, 国内会議完全鏡視下で肺葉切除後の気管支断端被覆術の工夫口頭発表(一般)
- ATS2014, 2014年05月, 英語, 米国胸部学会, サンフランシスコ, アメリカ, 国際会議Ruptured Thymoma With Homothorax:A Case Reportポスター発表
- 第114回日本外科学会定期学術集会, 2014年04月, 日本語, 一般社団法人日本外科学会, 京都, 国内会議当院における大腸癌肺転移切除症例の検討ポスター発表
- 第114回日本外科学会総会, 2014年04月, 日本語, 日本外科学会, 京都, 国内会議神経内分泌がんに対する補助化学療法に関する報告口頭発表(一般)
- 第114回日本外科学会総会, 2014年04月, 日本語, 日本外科学会, 京都, 国内会議高齢者非小細胞肺癌に対する外科治療成績口頭発表(一般)
- 第114回日本外科学会総会, 2014年04月, 日本語, 日本外科学会, 京都, 国内会議NOS(not otherwise specified)の臨床的意義口頭発表(一般)
- 第34回国際心肺移植学会, 2014年04月, 英語, 心肺移植学会, サンフランシスコ, アメリカ, 国際会議Dual Ex Vivo Lung Perfusion Techniques Ameliorate Airway Hypoxia in Lung Grafts in Rats口頭発表(一般)
- ドイツ外科学会2014, 2014年03月, 英語, ドイツ外科学会, ベルリン, ドイツ, 国際会議Availability of standardized thoracoscopic lobectomy for lung cancer口頭発表(一般)
- 第99回日本肺癌学会関西支部会, 2014年02月, 日本語, 日本肺癌学会関西支部, 姫路, 国内会議臍帯血移植前の消失しない肺浸潤影に対して胸腔鏡下肺葉切除を施行した一例口頭発表(一般)
- 第54回日本肺癌学会総会, 2013年11月, 日本語, 日本肺癌学会, 東京, 国内会議高齢者非小細胞肺癌に対する外科治療成績口頭発表(一般)
- 第54回日本肺癌学会総会, 2013年11月, 日本語, 日本肺癌学会, 東京, 国内会議高悪性度神経内分泌癌に対する手術症例の臨床的検討口頭発表(一般)
- 第26回日本内視鏡学会, 2013年11月, 日本語, 日本内視鏡学会, 福岡, 国内会議胸腔鏡下肺部分切除術のこだわりと工夫-Endo GIA Radial Reload口頭発表(一般)
- 第26回日本内視鏡学会, 2013年11月, 日本語, 日本内視鏡学会, 福岡, 国内会議完全鏡視下肺葉切除術における術後合併症、術後補助化学療法の忍容性について-開胸手術との比較口頭発表(一般)
- 第66回日本胸部外科定期学術集会, 2013年10月, 日本語, 日本胸部外科学会, 仙台, 国内会議非小細胞肺癌切除例におけるNOS(not specific otherwise)の臨床的意義について口頭発表(一般)
- 第66回日本胸部外科定期学術集会, 2013年10月, 日本語, 日本胸部外科学会, 仙台, 国内会議転移性肺腫瘍に対する胸腔鏡手術の有用性の検討口頭発表(一般)
- 第49回日本医学放射線学会秋季臨床大会, 2013年10月, 日本語, 日本医学放射線学会, 名古屋, 国内会議巨大血腫と血胸を来した胸腺腫の1例口頭発表(一般)
- 第51回日本癌治療学会学術集会, 2013年10月, 日本語, 日本癌治療学会, 京都, 国内会議環境からのがんとその対応 アスベストと呼吸器癌 アスベスト関連肺癌に関して口頭発表(一般)
- ECCO_ESMO_ESTRO2013, 2013年09月, 英語, ESMO, ブリュッセル, オランダ, 国際会議Pleural lavage cytology is a significant prognostic factor for stage I lung adenocarcinoma patientsポスター発表
- ESTS 2013, 2013年06月, 英語, ESTS, バーミンガム, イギリス, 国際会議The efficacy of 320-detector row computed tomography for the assessment of preoperative pulmonary vasculature of candidates for pulmonary segmentectomy口頭発表(一般)
- 第30回日本呼吸器外科学会総会, 2013年05月, 日本語, 日本呼吸器外科学会, 名古屋, 国内会議肺腺癌浸潤におけるNecl-5発現の意義に関する臨床および実験的検討口頭発表(一般)
- 第30回日本呼吸器外科学会総会, 2013年05月, 日本語, 日本呼吸器外科学会, 名古屋, 国内会議厳選ビデオ 胸腔鏡手術における不測の出血時の対応口頭発表(一般)
- 第30回日本呼吸器外科学会総会, 2013年05月, 日本語, 日本呼吸器外科学会, 名古屋, 国内会議胸腔鏡手術における不測の出血への対応口頭発表(一般)
- 第30回日本呼吸器外科学会総会, 2013年05月, 日本語, 日本呼吸器外科学会, 名古屋, 国内会議VATS自然気胸手術をより確実なものにするための当科での工夫口頭発表(一般)
- 第30回日本呼吸器外科学会総会, 2013年05月, 日本語, 日本呼吸器外科学会, 名古屋, 国内会議The role of Necl-5 in the invasive activity of lung adenocarcinoma口頭発表(一般)
- 第30回日本呼吸器外科学会総会, 2013年05月, 日本語, 日本呼吸器外科学会, 名古屋, 国内会議Psf3は肺腺癌における予後を判定する新しいバイオマーカーである口頭発表(一般)
- 第113回日本外科学会, 2013年04月, 日本語, 日本外科学会, 福岡, 国内会議肺腺癌浸潤におけるNecl-5の働きについての検討口頭発表(一般)
- 第113回日本外科学会, 2013年04月, 日本語, 日本外科学会, 福岡, 国内会議肺腺癌における予後因子としてのNectin-3の発現について口頭発表(一般)
- 第113回日本外科学会, 2013年04月, 日本語, 日本外科学会, 福岡, 国内会議肺腺癌におけるPSF3発現の臨床的意義の検討口頭発表(一般)
- 第113回日本外科学会, 2013年04月, 日本語, 日本外科学会, 福岡, 国内会議がん細胞の浸潤転移機構の解明と治療への展開 肺腺癌浸潤におけるNecl-5の働きについての検討口頭発表(一般)
- 第5回日本呼吸機能イメージング研究会学術集会, 2013年01月, 日本語, 日本呼吸機能イメージング研究会, 徳島, 国内会議吸気呼気CTによる肺気腫の定量評価ポスター発表
- 第53回日本肺癌学会総会, 2012年11月, 日本語, 日本肺癌学会, 岡山, 国内会議肺癌患者の遠隔転移・再発診断における全身脂肪抑制造影Quick 3DによるMRIの有用性に関する検討口頭発表(一般)
- 第53回日本肺癌学会総会, 2012年11月, 日本語, 日本肺癌学会, 岡山, 国内会議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ポスター発表
- 第53回日本肺癌学会総会, 2012年11月, 日本語, 日本肺癌学会, 岡山, 国内会議ALK染色陽性肺腺癌の術前診断の可能性ポスター発表
- 第53回日本肺癌学会総会, 2012年11月, 日本語, 日本肺癌学会, 岡山, 国内会議Adaptive Iterative Dose Reduction 3Dの低線量CTにおける有用性の検討口頭発表(一般)
- 第48回日本医学放射線学会秋季臨床大会, 2012年09月, 日本語, 日本医学放射線学会, 長崎, 国内会議術待機中に空洞形成を伴った非定型的肺カルチノイドの一例ポスター発表
- 第71回日本癌学会学術総会, 2012年09月, 英語, 日本癌学会, 札幌, 国内会議Sirt1 is a tumor promoter in lung adenocarcinoma口頭発表(一般)
- Amarican Thoracic Society Internatinal Conference 2012, 2012年05月, 英語, Amarican Thoracic Society, San Francisco, USA, Epithelial-Mesenchymal Transition (EMT) has been classified as a unique process by which epithelial cells undergo mesenchymal phenotype leading to increased motility and invasion. The aim of this study was to elucidate the biological functions of Slug/Snail2 in lung cancer cells. We introduced Slug gene into several lung cancer cell line (A549, Ma1, and H1299) and established s, 国際会議Slug Increases Sensitivity To Tubulin Binding Agents Via The Downregulation Of Beta III And IVa-Tubulin In Lung Cancer Cellsポスター発表
- 第52回肺癌学会総会, 2011年11月, 日本語, 肺癌学会, 大阪, 国内会議非小細胞肺癌リンパ節転移の定量的診断能; 3T-MRI STIR vs. 1.5T-MRI STIR vs. PET/CTポスター発表
- 第52回日本肺癌学会総会, 2011年11月, 日本語, 日本肺癌学会, 大阪, 国内会議320列面検出器CTによる定量Perfusion CT: による肺結節の良・悪性鑑別診断能に関する:Dynamic MRIとおよびPET/CTとの直接比較口頭発表(一般)
- 第51回肺癌学会総会, 2010年11月, 日本語, 日本肺癌学会, 広島, 国内会議FDG-PET/CTにて異常集積を認めた混合性胚細胞腫瘍の一例ポスター発表
- 第17回関西転移性肺腫瘍研究会, 2010年03月, 日本語, 大阪, 国内会議転移性肺腫瘍に対する放射線治療後のサルベージ手術口頭発表(一般)
- 第42回兵庫呼吸器外科研究会, 2010年03月, 日本語, 神戸, 国内会議頚部から胸腔内に及ぶ巨大desmoidの1切除例口頭発表(一般)
- 第22回近畿胸腔鏡研究会, 2010年03月, 日本語, 日本呼吸器外科学会, 京都, 国内会議胸腔鏡下区域切除術における区域間処理の工夫口頭発表(一般)
- 第105回兵庫県肺癌懇話会, 2010年03月, 日本語, 神戸, 国内会議cT1N3M0原発性肺癌を疑い、診断目的に切除した肺腫瘤の1例口頭発表(一般)
- 第91回日本肺癌学会関西支部会, 2010年01月, 日本語, 日本肺癌学会, 大津, 国内会議胸腔鏡下に切除した後縦隔発生Castleman病の1例口頭発表(一般)
- 第104回兵庫県肺癌懇話会, 2009年12月, 日本語, 神戸,, 国内会議肺結核合併肺癌の1手術例口頭発表(一般)
- 第50回日本肺癌学会総会, 2009年11月, 日本語, 日本肺癌学会, 東京, 国内会議肺腺癌におけるNecl-5発現の意義ポスター発表
- 第10回近畿呼吸器外科手術手技研究会, 2009年11月, 日本語, 大阪, 国内会議左側肺癌リンパ節郭清口頭発表(一般)
- 第50回日本肺癌学会総会, 2009年11月, 日本語, 日本肺癌学会, 東京, 国内会議320列面検出器CTによるFirst-Pass Perfusion CT vs. FDG-PET/CT: 肺結節の良・悪性鑑別診断能に関する検討口頭発表(一般)
- 第62回日本胸部外科学会定期学術集会, 2009年10月, 日本語, 日本胸部外科学会, 横浜, 国内会議広汎な胸壁浸潤をきたしたSeperior sulcus tumorに対する前方(trans-manubrial)・後方アプローチの有用性口頭発表(一般)
- 14th World Congress on Advances in Oncology, 2009年10月, 英語, ロートラキ, ギリシャ, 国際会議DNA damage sensor protein hRad9 - A novel molecular target for lung cancer treatment[招待有り]口頭発表(招待・特別)
- 第90回日本肺癌学会関西支部会, 2009年07月, 日本語, 日本肺癌学会, 大阪, 国内会議B型肝炎性肝細胞癌にて肝移植後に発症した転移性肺腫瘍に対する1手術例口頭発表(一般)
- 第52回関西胸部外科学会学術集会, 2009年06月, 日本語, 日本胸部外科学会, 岡山, 国内会議Modified hemi-clamshell approachによるChronic expanding hematomaの1手術例口頭発表(一般)
- 第26回日本呼吸器外科学会総会, 2009年05月, 日本語, 日本呼吸器外科学会, 北九州, 国内会議断端再発のリスクを考慮した部分切除術法(露天掘り法)ポスター発表
- 第26回日本呼吸器外科学会総会, 2009年05月, 日本語, 日本呼吸器外科学会, 北九州, 国内会議原発性肺線癌におけるNecl-5発現の検討ポスター発表
- 第9回近畿呼吸器外科手術手技研究会, 2009年04月, 日本語, 大阪, 国内会議下降性壊死性縦隔炎に対する経胸腔アプローチによる縦隔ドレナージ術口頭発表(一般)
- 第109回日本外科学会定期学術集会, 2009年04月, 日本語, 日本外科学会, 福岡, 国内会議Damage repair pathwayにおけるNon-synonymous SNPsと肺腺癌の発生についての検討ポスター発表
- 第49回日本肺癌学会総会, 2008年11月, 日本語, 日本肺癌学会, 北九州, 国内会議非小細胞肺癌患者における全身FDG-PET/CTの術後再発診断能に関する検討口頭発表(一般)
- 第49回 日本肺癌学会総会, 2008年11月, 日本語, 日本肺癌学会, 北九州市, 国内会議胸部MRIにおける肺腺癌の結節同定能と組織分類の検討 拡散強調像とSTIR像の比較口頭発表(一般)
- 第49回日本肺癌学会総会, 2008年11月, 日本語, 日本肺癌学会, 北九州, 国内会議Dynamic MRI vs. CT vs. RI:非小細胞肺癌患者の術後肺機能予測能に関する検討ポスター発表
- •第49回 日本肺癌学会総会, 2008年11月, 日本語, 日本肺癌学会, 北九州市, 国内会議Dynamic MRI vs.CT vs.RI 非小細胞肺癌患者の術後肺機能予測能に関する検討口頭発表(一般)
- 第61回 日本胸部外科学会定期学術集会, 2008年10月, 日本語, 日本胸部外科学会, 福岡, 国内会議悪性胸膜中皮腫の外科治療:手術成績と今後の戦略シンポジウム・ワークショップパネル(公募)
- Chest 2008, 2008年10月, 英語, American College of Chest Physician, フィラデルフィア, 米国, 国際会議The interval for re-evaluation of foci is necessary prior to pulmonary metastasectomyポスター発表
- 第61回 日本胸部外科学会定期学術集会, 2008年10月, 日本語, 日本胸部外科学会, 福岡, 国内会議Poor Risk肺癌症例に対するSub-lobar Resectionの妥当性口頭発表(一般)
- 第88回 日本肺癌学会関西支部会, 2008年07月, 日本語, 日本肺癌学会, 大阪, 国内会議腫瘍随伴性小脳変性症(PCD)を合併した小細胞肺癌の1例口頭発表(一般)
- 第51回 関西胸部外科学会学術集会, 2008年06月, 日本語, 日本胸部外科学会, 富山, 国内会議下降性壊死性縦隔炎に対する頚部切開および開胸による縦隔ドレナージシンポジウム・ワークショップパネル(公募)
- 第25回 日本呼吸器外科学会総会, 2008年05月, 日本語, 日本呼吸器外科学会, 宇都宮, 国内会議非小細胞肺癌におけるFOXO1発現の意義ポスター発表
- 第25回 日本呼吸器外科学会総会, 2008年05月, 日本語, 日本呼吸器外科学会, 宇都宮, 国内会議転移性肺腫瘍に対する粒子線治療後のサルベージ手術ポスター発表
- 第25回 日本呼吸器外科学会総会, 2008年05月, 日本語, 日本呼吸器外科学会, 宇都宮, 国内会議下降性壊死性縦隔炎に対する徹底的な縦隔ドレナージ術口頭発表(一般)
- 第99回 兵庫肺癌懇話会, 2008年03月, 日本語, 神戸, 国内会議腫瘍随伴性小脳変性症(PCD)を合併した小細胞肺癌の1例口頭発表(一般)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議放射線診断と治療の最前線 肺癌患者におけるM因子診断における全身脂肪抑制併用拡散強調画像の有用性に関する検討[招待有り]口頭発表(招待・特別)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議非造影MRIを用いた肺末梢結節スクリーニング能の検討口頭発表(一般)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議非造影MRIを用いた肺結節スクリーニング能の検討口頭発表(一般)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議非小細胞肺癌患者の術後肺機能予測に関する検討:Perfusion MRI,造影MSCT及び肺血流SPECTの対比ポスター発表
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議非小細胞肺癌患者の術後肺機能予測に関する検討 Dynamic Perfusion MRI、MDCT及び肺血流SPECTの対比ポスター発表
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議肺癌患者におけるM因子診断における全身脂肪抑制併用拡散強調画像の有用性に関する検討シンポジウム・ワークショップパネル(公募)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議肺癌の肺門部気管支血管周囲組織浸潤と断端および予後に関する検討(続報)ポスター発表
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議術後補助化学療法としてのCDDP+VNRの安全性と有用性の検討ポスター発表
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議悪性胸膜中皮腫(MPM)手術例の検討シンポジウム・ワークショップパネル(公募)
- 第48回日本肺癌学会総会(名古屋), 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議PET/CTによる非小細胞肺癌術後患者の再発予測シンポジウム・ワークショップパネル(公募)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議FDG-PETの意義と応用 非小細胞肺癌術後患者における切除断端部再発 FDG-PET/CTと造影CTの診断能比較シンポジウム・ワークショップパネル(公募)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議FDG-PETの意義と応用 PET/CTによる非小細胞肺癌術後患者の再発予測シンポジウム・ワークショップパネル(公募)
- 第48回日本肺癌学会総会, 2007年11月, 日本語, 日本肺癌学会, 名古屋, 国内会議BAC cell浸潤におけるTumor-host interfaceの役割に関しての実験的検討その他
- 第60回日本胸部外科学会総会, 2007年10月, 日本語, 日本胸部外科学会, 仙台, 国内会議Poor risk肺癌症例に対する縮小手術の妥当性口頭発表(一般)
- Chest2007, 2007年10月, 英語, American College of Chest Physicians, シカゴ, 米国, 国際会議In-vitro visualization of cancer-stroma interaction in bronchiolo-alveolar carcinoma with invasive componentシンポジウム・ワークショップパネル(公募)
- 第66回日本癌学会総会, 2007年10月, 日本語, 日本癌学会, 横浜, 国内会議In-vitro visualization of cancer-stroma interaction in bronchiolo-alveolar carcinoma (BAC) with invasive componentポスター発表
- 第69回日本呼吸器学会近畿地方会, 2007年06月, 日本語, 日本呼吸器学会近畿支部, 大阪, 国内会議大量喀血を契機に発見された肺肉腫様癌の1例口頭発表(一般)
- 第24回日本呼吸器外科学会総会, 2007年05月, 日本語, 日本呼吸器外科学会, 横浜, 国内会議原発性気管癌に対して緊急手術を施行した2例口頭発表(一般)
- 第24回日本呼吸器外科学会総会, 2007年05月, 日本語, 日本呼吸器外科学会, 横浜, 国内会議家族性多発性内分泌腺腫症の精査中に巨大縦隔腫瘍を指摘され胸腺カルチノイドと診断された一例ポスター発表
- 第24回日本呼吸器外科学会総会, 2007年05月, 日本語, 日本呼吸器外科学会, 横浜, 国内会議右主気管支内腔を鋳型状に発育・閉塞した右下葉原発筋上皮癌の1例ポスター発表
- CHEST2006, 2006年10月, 英語, American College of Chest Physician, Solt Lake City, Utah, USA, 国際会議Chemosensitivity of lung cancer: difference between primary tumor and metastatic lymph nodeポスター発表
- 第64回日本癌学会総会, 2005年09月, 日本語, 日本癌学会, 札幌, 国内会議肺癌におけるDNA damage sensor蛋白Rad9発現の意義ポスター発表
- 日本肺癌学会関西支部会(第82回), 2005年07月, 日本語, 日本肺癌学会, 神戸, 国内会議孤立性肺転移で発見された不顕性甲状腺乳頭癌の1例口頭発表(一般)
- 第94回日本病理学会総会, 2005年04月, 日本語, 日本病理学会, 横浜, 国内会議転写調節因子による腫瘍の表現形質と悪性度の修飾 細胞周期制御蛋白p21およびその転写活性化因子の発現異常 肺腺癌における表現形質と悪性度の変化シンポジウム・ワークショップパネル(公募)
- 第94回日本病理学会総会, 2005年04月, 日本語, 日本病理学会, 横浜, 国内会議細胞周期制御蛋白p21およびその転写活性化因子の発現異常-肺腺癌における表現形質と悪性度の変化シンポジウム・ワークショップパネル(公募)
- 第45回日本肺癌学会総会, 2004年11月, 日本語, 横浜, 国内会議原発性肺腺癌におけるp53発現異常と細胞分裂能の関連性口頭発表(一般)
- 第45回日本肺癌学会総会, 2004年11月, 日本語, 日本肺癌学会, 横浜, 国内会議STIR Turbo SE MRI vs. FDG-PET: 非小細胞肺癌における術前転移リンパ節診断能の比較口頭発表(一般)
- 2004.10.25 第45回日本肺癌学会総会(横浜), 2004年10月, 日本語, 日本肺癌学会, 横浜, 国内会議MRIによる肺癌検診の有用性に関する検討口頭発表(一般)
- 第63回日本癌学会総会, 2004年09月, 日本語, 日本癌学会, 福岡, 国内会議hRad9蛋白質の生物学的特性と癌細胞における機能ポスター発表
- American Society of Clinical Oncology
- American Association for Thoracic Surgery
- 日本医療マネジメント学会
- 日本レーザー医学会
- 日本気胸・嚢胞性肺疾患学会
- 日本気管食道科学会
- American College of Chest Physician
- 日本肺癌学会
- 日本癌治療学会
- 日本癌学会
- 日本外科学会
- 日本胸部外科学会
- 日本呼吸器外科学会
- 日本学術振興会, 科学研究費助成事業, 基盤研究(B), 神戸大学, 2025年04月 - 2028年03月, 研究代表者肺癌オルガノイドを用いた同所移植マウスモデルによる進展・抗癌剤感受性の研究
- 日本学術振興会, 科学研究費助成事業, 国際共同研究加速基金(国際共同研究強化(B)), 神戸大学, 2020年10月 - 2025年03月, 研究代表者肺癌オルガノイドの樹立効率向上と臨床での実用化人工肺癌オルガノイドを孵卵開始後10日目の漿尿膜上に移植したところ、細胞ペレットとして移植した細胞群が翌日には1箇所に集簇し、移植後5日目には移植部位周囲は肉眼的に明らかに肥厚したnestを形成し、それを取り囲むように太い血管が存在し、周囲、移植片の表面には蛇行するらせん状の血管を無数に認めた。この血管を超高感度カメラで観察したところ、太い血管から無数の血管が分岐し、それぞれが腫瘍から血流が流入、流出していることが確認できた。また。それらの細枝は、各々が蛇行し微細な血管によって連結し毛細血管網を形成していた。肺癌細胞株(A549)を移植したものと比較し、人工肺癌オルガノイドを移植したものでは組織が明らかに肥厚しており、膜上に明らかなmassを形成し、漿尿膜の構造を破壊し、膜内に浸潤している様子が確認できた。 また、免疫組織化学で、ヒト由来の細胞のみを染色すると、漿尿膜内に存在し、一部増殖、浸潤を疑う形態を示すオルガノイドを認めた。以上から、鶏卵漿尿膜培養は、浸潤や血管新生を含む癌‐宿主相互作用を評価することが可能で、ヒトの癌病巣でみられる病態を模倣した現象を5日間で誘導できることが明らかになった。また、化学療法感受性試験についても検討した。人工肺癌オルガノイドを3日間漿尿膜上で培養後、殺細胞性抗癌剤であるシスプラチンを滴下し2日間培養したところ、人工肺癌オルガノイドは白色に変化し、周囲の血流もなくなり壊死していることが確認できた。しかし、何も移植していない漿尿膜に同様の実験を行ったところ、滴下部位の周囲の血管が白色に変化し、漿尿膜も壊死していたことから、シスプラチンが人工肺癌オルガノイドのみに作用し壊死したとは考えにくく、漿尿膜も含め作用したことにより壊死したのではないかと考えられた。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 2021年04月01日 - 2024年03月31日iPS技術を用いた縦隔原発肉腫に対する個別化精密医療の確立当院で2008年から2021年までに切除された縦隔原発肉腫20例についての予後因子、治療効果因子を探索するために、切除標本を用い検討を行うこととした。組織型については肺動脈内膜肉腫;12例(うち2例は同一症例での再発時の検体を使用)、脂肪肉腫;5例、平滑筋肉腫;1例、骨外性骨肉腫;1例、Sarcoma NOS;1例であった。 まず、腫瘍のPD-L1発現の有無を確認するために未染組織ブロックより薄切標本を作製し、腫瘍細胞のPDL-1タンパクの発現の有無を調べた。結果については、すべての組織検体において発現は低発現(5%以下)であった。 引き続き、同腫瘍のパラフィンブロックよりDNA及びRNAを抽出を試みた。20検体中の2検体で組織量が少なく抽出が少ない可能性が示唆されたが、現在20例全てにおいて抽出を進めているところである。RNA抽出の状況を確認し、可能なサンプルに関しては、引き続きNext Generation Sequencer (NGS)にてRNA-Seq解析及びExome解析を行っていく。結果については今後、ライブラリーのデータを用い癌関連遺伝子を始めとした約3万種類の遺伝子について縦隔肉腫組織内で特異的に高発現している遺伝子を確認する予定である。 また、同時並行で計画していた「軟部肉腫オルガノイド作成と漿尿膜培養による肉腫オルガノイドの微小環境の評価」については昨年度に肺動脈内膜肉腫について1例の外科治療症例があったため、切除直後の腫瘍組織を採取し、人工軟部肉腫幹細胞の作製を試みた。しかし、腫瘍細胞周囲の間質細胞の量が上皮系悪性腫瘍と比較し著明に多く、オルガノイド作成には至らなかった。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 2019年04月01日 - 2022年03月31日癌細胞株と3次元in vitroモデルを応用した浸潤における候補遺伝子の解明癌の浸潤は癌が周囲組織へ進展する時や遠隔転移する時に非常に重要な機構であり、癌が生命に関わる大きな要因の1つとなる。我々は先行研究で癌の浸潤能を評価する手法として2層化コラーゲンゲル半球法を開発し、これを癌細胞株に応用して細胞株を浸潤能の有無で分類することができた。肺腺癌細胞株・悪性胸膜中皮腫細胞株を用いて浸潤能の高い細胞株を選別した上で発現が亢進している遺伝子を検索したところ、BEX1が著明に発現亢進していることが判明し、BEX1の抑制により癌細胞の浸潤能と細胞増殖能が抑制されることが示された。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 2019年04月01日 - 2022年03月31日臓器特異的な免疫記憶誘導に着目した新たな癌免疫療法の試み本研究は、同種異系樹状細胞を用いた腫瘍抗原情報を付加したNKT細胞活性化ワクチン治療による抗腫瘍効果を検証する研究である。電気穿孔法による腫瘍タンパク抗原を樹状細胞に導入し、α-ガラクトシルセラミドを付加したNKT細胞活性化ワクチン(OVA-EP-galDC)を作成した。ワクチンは皮下接種腫瘍を完全に拒絶した。OT-1 CD8+ T細胞を事前に移入し、抗原反応を増進することで、ワクチンがエフェクター期、メモリー期のいずれでも抗原特異的なCD8陽性T細胞を誘導した。ワクチンは皮膚における抗原特異的なCD8+T細胞の誘導を確認し、さらに抗原特異的なTRMの誘導も確認した。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(B), 兵庫県立大学, 2019年04月01日 - 2022年03月31日赤外線マルチカメラによる胸腔鏡下手術支援システムの開発胸腔鏡下手術の際,従来の1台の内視鏡カメラを用いる手技に,2台目のカメラを追加することで,手術をより安全かつスムーズに進められることを確認した.その際,2台目のカメラについては,胸腔上部に固定し,術野を俯瞰的に撮影できるように設置することで,医師および手術助手の負担を増やすことなく,上記の効果を得ることができる.
- 学術研究助成基金助成金/基盤研究(C), 2018年04月 - 2021年03月競争的資金
- 学術研究助成基金助成金/基盤研究(C), 2018年04月 - 2021年03月競争的資金
- 科学研究費補助金/基盤研究(B), 2017年04月 - 2020年03月, 研究代表者競争的資金
- 学術研究助成基金助成金/基盤研究(C), 2015年04月 - 2018年03月競争的資金
- 科学研究費補助金/基盤研究(B), 2014年04月 - 2017年03月, 研究代表者競争的資金
- 学術研究助成基金助成金/基盤研究(C), 2014年04月 - 2017年03月競争的資金
- 日本学術振興会, 科学研究費助成事業, 挑戦的萌芽研究, 順天堂大学, 2012年04月01日 - 2015年03月31日Superior Sulcus Tumorに対する術前化学放射線治療の第2相試験遠隔転移や縦隔リンパ節転移がない肺尖部胸壁浸潤癌に対する標準治療である術前導入化学放射線療法後の手術の成績は、局所単独再発率9~13%、5年生存割合44~56%と決して満足できる成績ではない。そこで、術前導入療法として最新の抗癌剤治療レジメン(シスプラチン+ティーエスワン)と最大照射量(66Gy)の胸部放射線照射を同時に行った後に手術を行う最強の治療戦略の有効性と安全性を評価する前向き臨床試験を計画した。日本で有数の肺癌治療実績のある27施設による多施設共同試験として2014年6月に試験を開始し、予定症例数60例、登録期間3年の予定で、現在進行中である(UMIN000014386)。
- 科学研究費補助金/基盤研究(C), 2012年04月 - 2015年03月競争的資金
- 日本学術振興会, 学術研究助成基金助成金/基盤研究(C), 基盤研究(C), 神戸大学, 2011年04月 - 2014年03月, 研究代表者我々が独自に開発したDouble-layered collagen gel hemisphere(DL-CGH)法を用い、Necl-5の癌間質相互作用における役割について検討を行った。DL-CGHの内層にGEPで蛍光標識したA549とWI-38を共培養したもの、RNAi法でNecl-5を抑制したGFP-A549とWI-38を共培養したものを各々作成し、比較検討を行った。外層に浸潤するGFP-A549を観察したところ、Necl-5の発現を抑制した群では、外層に浸潤したGFP-A549の細胞数が有意に減少しており、浸潤能が抑制されることが示された。競争的資金
- 日本学術振興会, 科学研究費補助金/基盤研究(C), 基盤研究(C), 神戸大学, 2008年04月 - 2011年03月, 研究代表者外科切除された肺腺癌における主病変部におけるNecl-5の発現について、免疫組織化学染色で調べ、68%で強い発現を確認した。そして本蛋白質の発現はリンパ節転移の有無、病理病期、BAC率と有意に相関し、発現例では有意に予後不良であった。これらの結果から、同蛋白質が原発性肺癌の臨床において重要な役割を持つことが明白となり、癌治療、とくに癌浸潤・転移コントロールにおける分子標的になり得ることが示された。競争的資金
- 日本学術振興会, 科学研究費補助金/基盤研究(C), 基盤研究(C), 神戸大学, 2006年04月 - 2008年03月, 研究代表者内外のSNPsデータベースを用いて、対象遺伝子においてアミノ酸配列が変化を引き起こすnon-synonymous SNPsを検索した。このうち特に、通常でのvariantの出現頻度の低いもの(アレルとして1%程度)、種を超えて保存されている領域のものなどの条件を設定して、対象とするSNPsを絞り込み、肺癌患者での出現を調べた。その結果、XRCC1で45%、POLλで40%、TDGで38%、Rad9で16%と高頻度での出現が認められるSNPsが確認され、正常人コントロール群の発現頻度との間に差異が認められた。特にXRCC1 Arg194Trp、POLδ1 Arg119Hisではhomo variantが肺癌患者群で多くみられ、またTDG Gly199Serに関しては逆にhomo variantがコントロール群に多く、これらのバリアントの組み合わせで原発性肺癌の発症リスクを予測することが可能であった。 遺伝子の不安定性は癌細胞の特徴であるが、それによってDNAに高度の損傷を生じるようであれば、癌細胞さえもはや生存できなくなり、分裂期における細胞崩壊(mitotic catastrophe)により死滅すると考えられる。DNA修復遺伝子群はこのような癌細胞の崩壊を回避するために機能しており、結果として癌細胞の生存を保証しているのではないかと考えられる。細胞の癌化、およびその維持の両面からDNA修復遺伝子群の機能は重要な働きを持つと考えられ、今回確認されたnon-synonymous SNPsを用いることにより原発性肺癌の発症リスクを予測することができると考えられた。競争的資金
- 日本学術振興会, 科学研究費補助金/萌芽研究, 萌芽研究, 神戸大学, 2006年 - 2008年近年、脂肪肝から肝硬変および肝癌への進展が問題視されています。脂質代謝に関連のある血管内皮リパーゼ(Endothelial lipase; EL)をKnock outしたマウスに高脂肪食を与えると、単なる脂肪肝ではなくNASHが発生することを見出し、このマウスの病態を解明することによりヒトにおけるNASHの病態解明の一助になると考える。このマウスにおける脂肪性肝炎の発生機序としてELが欠如しているため脂肪細胞での脂肪分解が低下し脂肪細胞の肥大化と脂肪細胞から分泌されるアディポサイトカインの分泌異常が起こりインスリン抵抗性を惹起したと考えられた。それに伴い高インスリン血症が誘導され、肝臓での脂肪酸の流入増加と酸化ストレスの上昇から脂肪性肝炎を引き起こした可能性が考えられた。脂肪性肝炎の発症機序としてすでに2ヒットセオリーが提唱されている、これは1st Fitとして脂肪肝やそれに伴うインスリン抵抗性のある状態に2nd Fitとして酸化ストレスや脂質過酸化、炎症性サイトカインが加わり脂肪性肝炎を発症するとされるものである。このモデルにおいても普通食のKOマウスにおいては脂肪性肝炎は認めず高脂肪食負荷のKOマウスに脂肪性肝炎を認めたことから1st fit 2^
fit両者の存在で脂肪性肝炎を発症することが証明された。結論Endothelial lipase KO mouseにおけるNASH発生機序としてインスリン抵抗性、炎症性サイトカインの増加、アディポネクチンの低下が関与している可能性が示唆された。 (the 18th Confbrence of the Asian Pacific Association fbr the Study of the Liver,ソウル、韓国) 競争的資金 - 日本学術振興会, 科学研究費補助金/基盤研究(B), 基盤研究(B), 神戸大学, 2005年 - 2007年肝機能障害時における肝臓の再生機転が迅速に機能することが、劇症肝炎患者やsmall size for graftの肝移植後の患者の予後にとって最も重要である。FOXOは、(1)p27、 p21、 cyclin B、polo like kinase、RB family関連タンパク、cyclin G2を介してcell cycle arrestを誘発、(2)FAS ligand、BIMを介してapoptosisの誘発、(3)GADD45を介するDNA repair、(4)MnSODを介したストレスに対する抵抗、(5)G6Pase、Igfbp発現を誘発することによるグルコース、脂質代謝の制御を行っている。FOXO1は、肝臓では、G6paseの発現亢進による、グルコースの産生に働き、膵臓ではPdx-1を抑制し、β細胞の増生を抑え、脂肪細胞では、その分化を抑制する。FOXOは、PI3K/Aktdependent pathwayを介してinsulin/IGF1によってリン酸化されて核内から核の外に移動して転写制御因子の働きを喪失する。このような機序を通してFOXO1は、肝細胞の機能不全に直接、間接関係している。このFOXO1の制御機構を明らかにすることにより、機能不全に陥った肝、胆、膵細胞機能回復を促す標的分子が明らかに出来ると考える。FOXO1の肝細胞に関わる機能が如何に働くか、肝機能異常と如何に関連するか、分子機序を明らかにした(J Clin Investigation 116(9): 2473-83, 2006; Diabetes. 2007 Dec 27;[Epub ahead of print])。マスト細胞接着因子SgIGSFは、胆管/細胆管が活発に形成される生理的、病的状態において特異的に発現、作用する接着分子であることを示した(Hepatology, 45: 684-694, 2007)。競争的資金
- 日本学術振興会, 科学研究費補助金/基盤研究(C), 基盤研究(C), 神戸大学, 2004年04月 - 2006年03月, 研究代表者1.原発性肺癌切除標本において腫瘍組織を抗Rad9抗体で免疫染色し,腫瘍細胞の核内に限局した強発現例がみられることを確認した.さらに本pathwayにおいてRad9の下流に存在するChk1の活性が高まっていることも明らかとなった。この結果はRad9の発現が肺癌細胞の生物学特性に何らかの意義をもつ可能性を示すものと考えた。この研究結果は,この蛋白質の発現が肺癌細胞の生存にとって有利に働くのか,不利に働くのか、つまりoncogeneか否かという疑問を想起させ、それを明らかにするために次の研究を行った。 2.癌細胞中で発現しているRad9蛋白質に機能不全が生じていないかを調べるため、同遺伝子の変異の有無を調べた。点突然変異などの異常は一切生じておらず、またこの遺伝子のmRNAの定量においても機能的レベルでの発現が確かめられた。以上のことより癌細胞内のRad9は遺伝子、mRNAおよび蛋白質の全てのステップにおいて機能していることが確認された。 遺伝子の不安定性は癌細胞の特徴であるが、それによってDNAに高度の損傷を生じるようであれば、癌細胞さえもはや生存できなくなり、分裂期における細胞崩壊(mitotic catastrophe)により死滅すると考えられる。Rad9はこのような癌細胞の崩壊を回避するために機能しており、結果として癌細胞の生存を保証しているのではないかと考えられた。 3.Rad9の癌細胞での機能を確認するため、肺癌細胞に対してこの蛋白質のRNA interferenceによるknock downを行った。その結果、癌細胞の増殖は著明に抑制され、上記の仮説が裏付けられた。 4.2.の検討のなかで、同遺伝子に後天的変異が認められなかった一方で、特定のnonsynonymous SNPが、肺腺癌患者において高頻度に認められた。競争的資金
- 日本学術振興会, 科学研究費助成事業, 奨励研究(B), 神戸大学医学部付属病院, 1998年 - 1998年, 研究代表者癌転移のメカニズムとその予防―VEGFによる微小転移巣増大に関して