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Tominaga Y, Eguchi T, Shiina T, Hamanaka K, Amano J, Asaka S, Yoshida K. An intrathoracic low-grade fibromyxoid sarcoma arising from the chest wall with massive pleural effusion. Ann Thorac Cardiovasc Surg 2013; 20 Suppl:509-12. [PMID: 23518627 DOI: 10.5761/atcs.cr.12.02196] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
We herein report a case of an intrathoracic low-grade fibromyxoid sarcoma arising from the chest wall and associated with massive pleural effusion. A 70-year-old man presented with a persistent cough. A chest computed tomography scan revealed a large mass in the right pleural cavity with massive pleural effusion. No malignant cells were recognized in the pleural effusion by thoracentesis. A malignant soft tissue tumor was suspected, and surgery was performed. The tumor arose from the posterior chest wall and was resected with the connected chest wall. The definitive diagnosis was a low grade fibromyxoid sarcoma. Because the posterior margin of the chest wall was microscopically tumor positive, postoperative irradiation was performed. The patient has now been followed up for 30 months with no evidence of recurrence.
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Eguchi T, Fukui D, Takasuna K, Wada Y, Amano J, Yoshida K. Successful lung lobectomy for a lung cancer following thoracic endovascular aortic repair for a thoracic aortic aneurysm: report of a case. Surg Today 2012; 44:940-3. [PMID: 23266753 DOI: 10.1007/s00595-012-0470-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2012] [Accepted: 10/03/2012] [Indexed: 12/29/2022]
Abstract
Lung cancer and a thoracic aortic aneurysm were detected simultaneously in a 79-year-old male patient with diabetes. The aneurysm was first treated by thoracic endovascular aortic repair. A right lower lobectomy was subsequently performed after the blood flow of the bronchial and intercostal arteries was confirmed by computed tomographic angiography. The bronchial stump was covered with an intercostal muscle flap. The patient's postoperative course was uneventful. Thoracic endovascular aortic repair is a useful and less invasive treatment for such cases, but a blood flow evaluation of the aortic branches should be done following this procedure before a lung resection is considered.
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128
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Eguchi T, Yoshida K, Miura K, Agatsuma H, Sakaizawa T, Saito G, Hashizume M, Toishi M, Shiina T, Koizumi T. Utility of 18F-Fluorodeoxyglucose Positron Emission Tomography for Distinguishing between the Histologic Types of Early Stage Thymic Epithelial Tumors. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)32447-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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129
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Komatsu Y, Yamamoto H, Tsushima K, Furuya S, Yoshikawa S, Yasuo M, Kubo K, Yamazaki Y, Hasegawa J, Eguchi T, Kondo R, Yoshida K, Koizumi T. Increased Interleukin-8 in Epithelial Lining Fluid of Collapsed Lungs During One-Lung Ventilation for Thoracotomy. Inflammation 2012; 35:1844-50. [DOI: 10.1007/s10753-012-9505-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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130
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Eguchi T, Takasuna K, Matsubara M, Yoshida K. Pneumomediastinum and retropneumoperitoneum due to the Macklin effect. Ann Thorac Surg 2012; 94:298. [PMID: 22735002 DOI: 10.1016/j.athoracsur.2011.12.073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2011] [Revised: 10/13/2011] [Accepted: 12/23/2011] [Indexed: 10/28/2022]
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131
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Eguchi T, Takasuna K, Nakayama A, Ueda N, Yoshida K, Fujiwara M. Cardiophrenic angle lymph node metastasis from a fallopian primary tumor. Asian Cardiovasc Thorac Ann 2012; 20:74-6. [PMID: 22371950 DOI: 10.1177/0218492311422756] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Isolated cardiophrenic angle node metastases are relatively rare, as are primary fallopian tube carcinomas. We describe a case of a cardiophrenic angle node metastasis from such a tumor, with no peritoneal involvement. A 52-year-old woman, who had been previously diagnosed with fallopian tube carcinoma, was referred with a right cardiophrenic angle mass. A thoracoscopic resection was performed. The pathological diagnosis was lymph node metastasis from the primary lesion.
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Eguchi T, Takasuna K, Kitazawa A, Fukuzawa Y, Sakaue Y, Yoshida K, Matsubara M. Three-dimensional imaging navigation during a lung segmentectomy using an iPad. Eur J Cardiothorac Surg 2012; 41:893-7. [DOI: 10.1093/ejcts/ezr127] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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133
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Eguchi T, Yoshida K, Hamanaka K, Shiina T, Koizumi T, Kawakami S, Oguchi K, Amano J. Utility of 18F-fluorodeoxyglucose positron emission tomography for distinguishing between the histological types of early stage thymic epithelial tumours. Eur J Cardiothorac Surg 2011; 41:1059-62. [DOI: 10.1093/ejcts/ezr144] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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134
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Ueno K, Nomura Y, Masamoto I, Masuda K, Morita Y, Eguchi T, Okamoto Y, Kawano Y. Potential Role of Autoantibody in Severe Neutropenia of a Patient with Kawasaki Syndrome. Scand J Immunol 2011; 75:120-6. [DOI: 10.1111/j.1365-3083.2011.02633.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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135
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Gerrodette T, Eguchi T. Precautionary design of a marine protected area based on a habitat model. ENDANGER SPECIES RES 2011. [DOI: 10.3354/esr00369] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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136
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Eguchi T, Yoshida K, Kobayashi N, Saito G, Hamanaka K, Shiina T, Kurai M, Endo M. Localized nodular amyloidosis of the lung. Gen Thorac Cardiovasc Surg 2011; 59:715-7. [DOI: 10.1007/s11748-010-0748-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2010] [Accepted: 11/16/2010] [Indexed: 10/17/2022]
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137
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Eguchi T, Takasuna K, Fujiwara M, Yoshida K. Coexistence of a pulmonary adenocarcinoma with a focal organizing pneumonia. Interact Cardiovasc Thorac Surg 2011; 13:444-6. [DOI: 10.1510/icvts.2011.275065] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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138
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Fukuchi T, Nakase H, Ito D, Yamashita H, Matsuura M, Nagatani Y, Koga H, Senda K, Eguchi T, Ubukata S, Kawaguchi S, Ueda A, Tanaka T, Ohashi R, Otzuka M, Ashida K. Rapid induction of mucosal healing by intensive granulocyte and monocyte adsorptive aphaeresis in active ulcerative colitis patients without concomitant corticosteroid therapy. Aliment Pharmacol Ther 2011; 34:583-5. [PMID: 21806645 DOI: 10.1111/j.1365-2036.2011.04768.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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139
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Eguchi T, Hamanaka K, Kobayashi N, Saito G, Shiina T, Kurai M, Yoshida K. Occurrence of a Simultaneous Bilateral Spontaneous Pneumothorax Due to a Pleuro-Pleural Communication. Ann Thorac Surg 2011; 92:1124-6. [DOI: 10.1016/j.athoracsur.2011.03.066] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2011] [Revised: 02/11/2011] [Accepted: 03/11/2011] [Indexed: 10/17/2022]
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140
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Eguchi T, Takasuna K, Kitazawa A, Fukuzawa Y, Sakaue Y. 2501 POSTER Three-Dimensional Imaging Navigation Using an IPad During a Lung Segmentectomy. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71057-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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141
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Nango E, Yamamoto T, Kumasaka T, Eguchi T. Structure of Thermus thermophilus homoisocitrate dehydrogenase in complex with a designed inhibitor. J Biochem 2011; 150:607-14. [DOI: 10.1093/jb/mvr097] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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142
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Eguchi T, Yoshida K, Kobayashi N, Saito G, Hamanaka K, Shiina T, Kurai M. Multiple schwannomas of the bilateral mediastinal vagus nerves. Ann Thorac Surg 2011; 91:1280-1. [PMID: 21440164 DOI: 10.1016/j.athoracsur.2010.09.063] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2010] [Revised: 08/25/2010] [Accepted: 09/27/2010] [Indexed: 11/30/2022]
Abstract
Multiple schwannomas arising from the mediastinal vagus nerve are very rare, but herein we report a case with such lesions involving the bilateral intrathoracic vagus nerves. A 43-year-old man presented with multiple mediastinal tumors during a check-up. A chest computed tomographic scan revealed multiple lesions that appeared strung together like beads along the right vagus nerve. Three small tumors were also evident on the left side of the esophagus. We performed a complete resection of the bilateral mediastinal tumors through right thoracoscopic surgery. The pathologic diagnosis for each of these tumors was a schwannoma without malignant components.
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Kondo R, Yoshida K, Eguchi T, Kobayashi N, Saito G, Hamanaka K, Shiina T, Kurai M. Clinical features of lung cancer in smokers with light and mild chronic obstructive pulmonary disease: a retrospective analysis of Japanese surgical cases. Eur J Cardiothorac Surg 2011; 40:1439-43. [PMID: 21530296 DOI: 10.1016/j.ejcts.2011.03.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2011] [Revised: 03/08/2011] [Accepted: 03/08/2011] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES We estimated the influence of chronic obstructive pulmonary disease (COPD) upon the clinicopathological characteristics of lung cancer (LC) in Japanese surgical cases by comparing LC cases in non-COPD smokers. METHOD A consecutive cohort comprising 157 COPD patients (78 in Global Initiative for Obstructive Lung Disease-1 (GOLD-1) and 79 in GOLD-2) and 374 non-COPD smoker-LC patients were enrolled in this study. Comparative analyses of the clinicopathological features of these two groups, including clinical outcomes, were performed. RESULTS By analyzing all cases, we found that LC patients with COPD were older on average, more likely to be male, and heavier smokers than LC patients without COPD. In sub-analysis involving matched patient backgrounds, histological differentiation grade of LC in smokers with COPD was lower than in LC smokers without COPD, although distribution of clinical stages and histological types of LCs did not differ between smokers with and without COPD. The 5-year-survival rate in COPD patients was poorer than in non-COPD smokers in terms of both overall (38% vs 54%) and cancer-related mortality (45% vs 63%). By single-variant risk analysis, COPD became a prognostic factor. CONCLUSION We concluded from our analysis that COPD-related LC may have a higher malignant potential than LC in non-COPD smokers, as the histological differentiation grade and clinical outcomes were poorer.
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Eguchi T, Yoshida K, Hamanaka K, Kurai M. Colchicine as an effective treatment for postpericardiotomy syndrome following a lung lobectomy. Interact Cardiovasc Thorac Surg 2010; 11:869-71. [DOI: 10.1510/icvts.2010.248948] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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145
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Kobayashi N, Koizumi T, Eguchi T, Hyogotani A, Saito G, Hamanaka K, Shiina T, Kurai M, Kondo R, Yoshida K, Amano J. A mediastinal somatic-type germ cell tumor with hepatic metastasis successfully treated by multiple modalities. Anticancer Res 2010; 30:5117-5120. [PMID: 21187499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Rhabdomyosarcoma in the mediastinum coexisting with metastatic non-seminomatous germ cell tumor, so-called somatic-type malignancy, is a rare carcinoma and has poor survival. This study reports a case of diffuse and huge hepatic metastasis of non-seminomatous germ cell tumor associated with coexisting embryonal rhabdomyosarcoma in the mediastinum. A 31-year-old man presented with abdominal pain and was found to have multiple abnormal hepatic masses on abdominal computed tomography (CT). Concomitantly, an anterior mediastinal mass was found on chest CT. Chemotherapy was initiated because the hepatic lesion was diagnosed as choriocarcinoma, based on histological findings and the elevation of chorionic gonadotropin β-subunit and α-fetoprotein. After six cycles of bleomycin, etoposide and cisplatin chemotherapy the metastatic liver tumors showed complete response. The remaining mediastinal tumor was completely and successfully resected. The histological findings revealed mature teratoma with embryonal rhabdomyosarcoma. The patient has remained well for over six years after the treatment without any signs of disease recurrence.
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146
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Eguchi T, Kondo R, Shiina T, Yoshida K. An intrathoracic scapular prolapse with hemorrhagic shock after a thoracotomy. Interact Cardiovasc Thorac Surg 2010; 12:326-7. [PMID: 21051382 DOI: 10.1510/icvts.2010.248690] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
We herein present a case in which an emergency operation was performed for an intrathoracic hemorrhage resulting from a scapular prolapse after a thoracotomy, a rare complication of this procedure. A 59-year-old man had undergone a right upper lobectomy with an extended resection of the posterior chest wall including the second to fourth ribs due to a direct invasion by a lung cancer. On postoperative day 80, we performed an emergency operation as the patient had gone into shock due to an intrathoracic hemorrhage with a right scapular prolapse. The scapula protruded through the enlarged fourth intercostal space. The prolapsed scapula was reduced and the defect in the chest wall was covered with Marlex mesh.
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147
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Kondo R, Hamanaka K, Kawakami S, Eguchi T, Saito G, Hyougotani A, Shiina T, Kurai M, Yoshida K. Benefits of video-assisted thoracic surgery for repeated pulmonary metastasectomy. Gen Thorac Cardiovasc Surg 2010; 58:516-23. [DOI: 10.1007/s11748-010-0614-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2009] [Accepted: 03/10/2010] [Indexed: 10/19/2022]
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148
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Eguchi T, Takatsuto S, Ishiguro M, Ikekawa N, Tanaka Y, Deluca HF. Synthesis and determination of configuration of natural 25-hydroxyvitamin D(3) 26,23-lactone. Proc Natl Acad Sci U S A 2010; 78:6579-83. [PMID: 16593112 PMCID: PMC349091 DOI: 10.1073/pnas.78.11.6579] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The four stereoisomers of 25-hydroxyvitamin D(3) 26,23-lactone were synthesized by a stereoselective lactonization method. Natural 25-hydroxyvitamin D(3) 26,23-lactone was produced from 25-hydroxy-[3alpha-(3)H]vitamin D(3) by in vitro incubation of kidney homogenate prepared from vitamin D-supplemented chickens or was isolated from the serum of rats given 1,25-dihydroxyvitamin D(3) and 25-hydroxy-[3alpha-(3)H]vitamin D(3). The four synthetic isomers and the naturally produced 25-hydroxyvitamin D(3) 26,23-lactone were subjected to high-performance liquid chromatography in a system capable of separating the four isomers. The natural lactone comigrated with synthetic (23S,25R)-25-hydroxyvitamin D(3) 26,23-lactone, establishing it as the natural vitamin D(3) metabolite.
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149
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Eguchi T, Ito N, Makiuchi A, Yoshida K. A solitary fibrous tumor arising from the thymus. Interact Cardiovasc Thorac Surg 2010; 11:362-3. [PMID: 20525760 DOI: 10.1510/icvts.2010.237461] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Solitary fibrous tumors (SFTs) are localized mesenchymal lesions which most frequently arise in the pleura but have also been observed in many other sites. SFTs arising from the thymus are relatively rare, however, and only a few cases have been reported to date. We report such a case in our current study.
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150
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Hirao K, Maruyama T, Ohno Y, Hirose H, Shimada A, Takei I, Murata M, Morii T, Eguchi T, Hayashi M, Saruta T, Itoh H. Association of increased reactive oxygen species production with abdominal obesity in type 2 diabetes. Obes Res Clin Pract 2010; 4:e83-e162. [DOI: 10.1016/j.orcp.2009.09.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2009] [Revised: 09/11/2009] [Accepted: 09/23/2009] [Indexed: 01/04/2023]
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