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Takamura Y, Tominaga T, Nonaka T, Oishi K, Noda K, Hashimoto S, Shiraishi T, Ono R, Hisanaga M, Takeshita H, Ishii M, Fukuoka H, To K, Tanaka K, Sawai T, Nagayasu T. Impact of institutional volume on short- and long-term outcomes after laparoscopic colectomy. Asian J Endosc Surg 2024; 17:e13295. [PMID: 38414043 DOI: 10.1111/ases.13295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 02/08/2024] [Accepted: 02/12/2024] [Indexed: 02/29/2024]
Abstract
INTRODUCTION The impact of institutional volume on postoperative outcomes after laparoscopic colectomy is still being debated. This study aimed to investigate whether differences in postoperative outcomes of laparoscopic colon resection exist between high- and low-volume centers. METHODS Data were reviewed for 1360 patients who underwent laparoscopic colectomy for colon cancer between 2016 and 2022. Patients were divided according to whether they were treated at a high-volume center (≥100 colorectal surgeries annually; n = 947) or a low-volume center (<100 colorectal surgeries annually; n = 413). Propensity score matching was applied to balance covariates and minimize selection biases that could affect outcomes. Finally, 406 patients from each group were matched. RESULTS After matching, patients from high-volume centers showed a higher number of retrieved lymph nodes (19 vs. 17, p < .001) and more frequent involvement of expert surgeons (98.3% vs. 88.4%, p < .001). Postoperative complication rates were similar between groups (p = .488). No significant differences between high- and low-volume centers were seen in relapse-free survival (88.8% each, p = .716) or overall survival (85.7% vs. 82.8%, p = .480). CONCLUSION The present study suggests that in appropriately educated organizations, relatively safe procedures and good prognosis may be obtained for laparoscopic colectomy cases, regardless of institutional volume.
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Affiliation(s)
- Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Kaido Oishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Rika Ono
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Makoto Hisanaga
- Department of Surgery, Sasebo City General Hospital, Nagasaki, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan
| | - Mitsutoshi Ishii
- Department of Surgery, Isahaya General Hospital, Nagasaki, Japan
| | | | - Kazuo To
- Department of Surgery, Ureshino Medical Center, Saga, Japan
| | - Kenji Tanaka
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
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Tominaga T, Nonaka T, Hashimoto S, Shiraishi T, Noda K, Hisanaga M, Takeshita H, Fukuoka H, Sawai T, Nagayasu T. Correlations of age with clinicopathological features, perioperative outcomes and the prognosis in patients with colorectal cancer: a Japanese multicenter study. Surg Today 2024; 54:310-316. [PMID: 37450036 DOI: 10.1007/s00595-023-02724-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 07/02/2023] [Indexed: 07/18/2023]
Abstract
PURPOSE Colorectal cancer is not common in patients under 40 years old, and its associations with clinical features and the prognosis remain uncertain. METHODS Using a multicenter database, we retrospectively reviewed 3015 patients who underwent colorectal surgery between 2016 and 2021. Patients were divided by age into those < 40 years old (young; n = 52), 40-54 years old (middle-aged; n = 254) and > 54 years old (old; n = 2709). We then investigated age-related differences in clinicopathological features, perioperative outcomes and the prognosis. RESULTS The proportion of young patients increased annually from 0.63% in 2016 to 2.10% in 2021. Female patients were more frequent, the performance status was better, tumors were larger, clinically node-positive and poorly differentiated adenocarcinomas were more frequent, postoperative complications were less frequent, and the hospital stay was shorter in young patients than in older patients. Young age was an independent predictor of a low risk of postoperative complications (odds ratio, 0.204; 95% confidence interval, 0.049-0.849; p = 0.028). With pathologically node-positive status, adjuvant chemotherapy was more frequent in young patients (100%) than in middle-aged (73.7%) or old (51.8%) patients (p < 0.001), and the 3-year relapse-free survival was better in the young group than in others. CONCLUSION Despite higher rates of advanced tumors in younger patients, adequate adjuvant chemotherapy appears to improve the relapse-free survival.
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Affiliation(s)
- Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Makoto Hisanaga
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirasemachi, Nagasaki, 857-8511, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, 1-1001-1, Omura, Nagasaki, 856-8562, Japan
| | - Hidetoshi Fukuoka
- Department of Surgery, Isahaya General Hospital, 24-1, Isahaya, Nagasaki, 854-8501, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
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Ono R, Tominaga T, Nonaka T, Takamura Y, Oishi K, Shiraishi T, Hashimoto S, Noda K, Sawai T, Nagayasu T. A case of pancreaticoduodenal artery bleeding after laparoscopic right colectomy requiring open hemostasis. Surg Case Rep 2024; 10:18. [PMID: 38227092 DOI: 10.1186/s40792-024-01816-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Accepted: 01/10/2024] [Indexed: 01/17/2024] Open
Abstract
BACKGROUND Pancreatic and duodenal-related complications after right colectomy carry a higher risk of mortality. CASE PRESENTATION A 64-year-old woman underwent laparoscopic right colectomy for a laterally spreading tumor in the cecum. On postoperative day 10, she experienced sudden hematemesis. Contrast-enhanced computed tomography (CT) of the abdomen showed a large amount of hemorrhage in the stomach, but no obvious extravasation. In addition, free air was observed near the duodenal bulb. Despite blood transfusion, vital signs remained unstable and emergency surgery was performed. The abdomen was opened through midline incisions in the upper and lower abdomen. A fragile wall and perforation were observed at the border of the left side of the duodenal bulb and pancreas, with active bleeding observed from inside. As visualization of the bleeding point proved difficult, the duodenum was divided circumferentially to confirm the bleeding point and hemostasis was performed using 4-0 PDS. The left posterior wall of the duodenum was missing, exposing the pancreatic head. For reconstruction, the jejunum was elevated via the posterior colonic route and the duodenal segment and elevated jejunum were anastomosed in an end-to-side manner. Subsequently, gastrojejunal and Brown anastomoses were added. Drains were placed before and after the duodenojejunal anastomosis. Postoperative vital signs were stable and the patient was extubated on postoperative day 1. Follow-up contrast-enhanced CT of the abdomen showed no active bleeding, and the patient was discharged home on postoperative day 21. As of 6 months postoperatively, the course of recovery has been uneventful. CONCLUSIONS We encountered a case of pancreaticoduodenal artery hemorrhage after laparoscopic right colectomy. Bleeding at this site can prove fatal, so treatment plans should be formulated according to the urgency of the situation.
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Affiliation(s)
- Rika Ono
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Kaido Oishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
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Ono R, Tominaga T, Nonaka T, Takamura Y, Oishi K, Shiraishi T, Hashimoto S, Noda K, Sawai T, Okano S, Nagayasu T. Intestinal Behçet's and suspected intestinal Behçet's disease: a report of four surgical cases. Surg Case Rep 2024; 10:3. [PMID: 38165549 PMCID: PMC10761645 DOI: 10.1186/s40792-023-01798-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 12/20/2023] [Indexed: 01/04/2024] Open
Abstract
BACKGROUND Intestinal Behçet's disease (BD) is often associated with ulceration that requires surgery, including perforation and abscess formation. However, no consensus has been reached on the optimal extent of resection or treatment strategy. This study reviewed four cases of intestinal or suspected intestinal BD. CASE PRESENTATIONS In Case 1, a 74-year-old woman diagnosed with BD 2 years earlier was treated with anti-tumor necrosis factor α antibody (Infliximab) and steroids. She had oral and pubic ulcers. After close investigation of abdominal pain, perforation of the gastrointestinal tract was suspected and surgery was performed. Multiple perforating ulcers and abscesses were found in the distal ileum, and the small intestine was resected. Postoperatively, the patient was treated with an increased steroid dose and symptoms have remained stable. Case 2 involved a 69-year-old woman with oral and pubic ulcers, ocular ulcer, and skin lesions. She experienced sudden onset of abdominal pain during treatment for lymphoma. She showed multiple perforating ulcers throughout the ileum and underwent resection of the small intestine and ileostomy. Upper abdominal pain appeared during postoperative treatment for high-output syndrome. The patient underwent omentoplasty after perforation of the upper gastrointestinal tract was diagnosed. Postoperatively, anti-interleukin-1 beta antibodies (canakinumab) was administered to control the disease. Case 3 involved an 81-year-old, previously healthy woman. She presented to her previous physician with complaints of pubic ulcer, hemorrhage and abdominal pain. Colonoscopy showed multiple ulcers throughout the entire colon. Steroid therapy was started, but bleeding proved difficult to control and total proctocolectomy was performed. Histopathology revealed multiple perforating ulcers and BD was diagnosed. Postoperatively, the patient remains under steroid control. Case 4 involved a 43-year-old man with abdominal pain who showed abscess formation in the ileocecal region. After excision of the ileocecal area, multiple ulcers were diagnosed. Two years later, abdominal pain recurred and free air was found in the abdomen on close imaging. Emergency anastomotic resection was performed due to ulceration and perforation of the anastomosis. CONCLUSIONS Intestinal BD may flare up after surgical treatment and require multiple surgeries. Introducing pharmacotherapy as soon as possible after surgical treatment is important to control the disease.
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Affiliation(s)
- Rika Ono
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Kaido Oishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Shinji Okano
- Department of Pathology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
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Oishi K, Tominaga T, Ono R, Noda K, Hashimoto S, Shiraishi T, Takamura Y, Nonaka T, Ishii M, Fukuoka H, Hisanaga M, Takeshita H, To K, Tanaka K, Sawai T, Nagayasu T. Risk factors for reoperation within 30 days in laparoscopic colorectal cancer surgery: A Japanese multicenter study. Asian J Endosc Surg 2024; 17:e13257. [PMID: 37944946 DOI: 10.1111/ases.13257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 10/18/2023] [Accepted: 10/26/2023] [Indexed: 11/12/2023]
Abstract
INTRODUCTION Thirty-day reoperation rate reflects short-term surgical outcomes following surgery. Laparoscopic surgery for colorectal cancer reportedly has positive effects on postoperative complications. This retrospective study investigated risk factors for 30-day reoperation rate among patients after laparoscopic colorectal cancer surgery using a multicenter database. METHODS Participants comprised 3037 patients who had undergone laparoscopic resection of colorectal cancer between April 2016 and December 2022 at the Nagasaki University and six affiliated centers, classified into those who had undergone reoperation within 30 days after surgery (RO group; n = 88) and those who had not (NRO group; n = 2949). Clinicopathological characteristics were compared between groups. RESULTS In the RO group, anastomotic leakage occurred in 57 patients (64.8%), intestinal obstruction in 12 (13.6%), and intraabdominal abscess in 5 (5.7%). Female patients were more frequent, preoperative treatment less frequent, body mass index (BMI) lower, operation time longer, blood loss greater, and hospital stay longer in the RO group (p < .05 each). Multivariate analysis revealed BMI (odds ratio, 0.415; 95% confidence interval, 0.218-0.787; p = .021) and poor performance status (odds ratio, 1.966; 95% confidence interval, 1.106-3.492; p = .021) as independent predictors of reoperation. CONCLUSION Perioperative measures are warranted for patients with low BMI and poor performance status undergoing laparoscopic colorectal surgery.
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Affiliation(s)
- Kaido Oishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Rika Ono
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Mitsutoshi Ishii
- Department of Surgery, Isahaya General Hospital, Nagasaki, Japan
| | | | - Makoto Hisanaga
- Department of Surgery, Sasebo City General Hospital, Nagasaki, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan
| | - Kazuo To
- Department of Surgery, Ureshino Medical Center, Saga, Japan
| | - Kenji Tanaka
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
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Hashimoto S, Tominaga T, Nonaka T, Noda K, Kiya S, Shiraishi T, Oishi K, Takamura Y, Yamazaki S, Araki M, Sumida Y, Miyazaki T, Kamohara R, Morino S, Matsumoto K, Nakamura A, Nagayasu T. Long-term outcomes and early recurrence after resection for metachronous pulmonary metastases from colorectal cancer. Langenbecks Arch Surg 2023; 409:24. [PMID: 38158429 DOI: 10.1007/s00423-023-03209-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 12/17/2023] [Indexed: 01/03/2024]
Abstract
PURPOSE Properly selecting patients for aggressive curative resection for pulmonary metastases (PMs) from colorectal cancer (CRC) is desirable. We purposed to clarify prognostic factors and risk factors for early recurrence after metachronous PM resection. METHODS Clinical data of 151 patients who underwent R0 resection for metachronous PMs from CRC at two institutions between 2008 and 2021 were reviewed. RESULTS Seventy-six patients (50.3%) were male, and the median age was 71 (42-91) years. The numbers of colon/rectal cancers were 76/75, with pStage I/II/III/IV/unknown in 15/34/86/13/3. The duration from primary surgery to PM was 19.7 (1.0-106.4) months. The follow-up period was 41.9 (0.3-156.2) months. The 1-, 3-, and 5-year recurrence-free survival (RFS) rates were 75.1%, 53.7%, and 51.1%, and the 1-, 3-, and 5-year overall survival (OS) rates were 97.7%, 87.5%, and 68.2%. On multivariate analysis, lymph node metastasis of the primary lesion (HR 1.683, 95%CI 1.003-2.824, p = 0.049) was an independent predictor of poor RFS, and history of resection for extrapulmonary metastasis (e-PM) (HR 2.328, 95%CI 1.139-4.761, p = 0.021) was an independent predictor of poor OS. Patients who experienced early recurrence (< 6 months) after PM resection showed poorer OS than others (3-year OS 50.8% vs. 90.2%, p = 0.002). On multivariate analysis, e-PM was an independent predictor of early recurrence after PM resection (OR 3.989, 95%CI 1.002-15.885, p = 0.049). CONCLUSION Since a history of e-PM was a predictor of early recurrence and poor OS after R0 resection for PM, surgical treatment of patients with a history of e-PM should be considered carefully.
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Affiliation(s)
- Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan.
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Soishiro Kiya
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Kaido Oishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Shoto Yamazaki
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Masato Araki
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Yorihisa Sumida
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Takuro Miyazaki
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Ryotaro Kamohara
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Shigeyuki Morino
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Keitaro Matsumoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
| | - Akihiro Nakamura
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, 852-8511, Japan
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Ono R, Tominaga T, Nonaka T, Takamura Y, Oishi K, Shiraishi T, Hashimoto S, Noda K, Sawai T, Nagayasu T. Malignant peripheral nerve sheath tumor in the pelvis: a case report. Surg Case Rep 2023; 9:157. [PMID: 37672135 PMCID: PMC10482811 DOI: 10.1186/s40792-023-01733-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 08/21/2023] [Indexed: 09/07/2023] Open
Abstract
BACKGROUND Malignant peripheral nerve sheath tumors (MPNSTs) are malignancies that arise or differentiate from or infiltrate peripheral nerves and account for approximately 5% of soft-tissue malignancies. Approximately half of MPNSTs develop in patients with neurofibromatosis type 1 (NF1), a hereditary disease. MPNSTs occur mainly in the trunk, proximal extremities, and neck, but can on rare occasion arise in or near the gastrointestinal tract, and intestinal complications have been reported. We describe herein a case with resection of an MPNST arising in the pelvic region. CASE PRESENTATION A 51-year-old woman had undergone repeated resections for systemic neurofibrosis associated with NF1. This time, a pelvic tumor was noted on follow-up positron emission tomography computed tomography (CT). She presented with slowly progressive radiating pain in the lower extremities and was referred to our hospital for tumor resection. Contrast-enhanced CT showed a 75 × 58-mm mass in the right greater sciatic foramen directly below a 24 × 28-mm mass. Open pelvic tumor resection was performed for pelvic neurofibroma. The obturator nerve was identified lateral to the main tumor and the sciatic nerve was identified dorsally, then dissection was performed. The closed nerve was spared, while the sciatic nerve was partially dissected and the two tumors were removed. Both tumors were elastic and hard. Pathologic findings were MPNST for the large specimen and neurofibroma with atypia for the small specimen. The patient developed temporary postoperative ileus, but is generally doing well and is currently free of recurrence or radiating pain. The patient is at high risk of recurrence and close monitoring should be continued. CONCLUSIONS We encountered a rare case of MPNST. Due to the high risk of recurrence, surgery with adequate margins was performed, with a requirement for appropriate follow-up.
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Affiliation(s)
- Rika Ono
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Kaido Oishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Keisuke Noda
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
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Hashimoto S, Tominaga T, Nonaka T, Shiraishi T, To K, Takeshita H, Fukuoka H, Araki M, Tanaka K, Sawai T, Nagayasu T. Mid-term outcomes of laparoscopic vs open colectomy for pathological T4 and/or N2 colon cancer patients: Multicenter study using propensity score matched analysis. Asian J Endosc Surg 2023; 16:400-408. [PMID: 36799190 DOI: 10.1111/ases.13171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 01/31/2023] [Accepted: 02/04/2023] [Indexed: 02/18/2023]
Abstract
OBJECTIVES We aimed to assess mid-term outcomes after laparoscopic surgery (LAP) vs open surgery (OP) for pathological T4 (pT4) and/or N2 (pN2) colon cancer. METHODS We retrospectively reviewed 255 primary tumor resections for pT4 and/or pN2 colon cancer performed from 2015 to 2020 at six hospitals, divided into LAP (n = 204) and OP groups (n = 51). After propensity score matching to minimize selection bias, 47 matched patients per group were assessed. RESULTS Before matching, the rate of males (53.9% vs. 37.3%, P = .042), left sided colon cancer (53.9% vs 37.3%, P = .042), D3 lymph node dissection (90.7% vs 68.6%, P < .001) and body mass index (kg/m2 ) (22.3 vs 21.8, P = .039) were significantly greater in the LAP group. The rate of pT4b (7.8% vs 40.4%, P < .001) was lower and pN2 was higher (57.4% vs 37.3%, P = .012) in the LAP group. After matching, preoperative characteristics and pathologic status were equivalent between the groups. The LAP and OP groups showed comparable overall survival (OS) (2-year OS, 84.5% vs 76.8%, P = .055) and recurrence-free survival (RFS) (2-year RFS, 73.9% vs 52.8%, P = .359). In the patients with pT4, OS (2-year OS, 79.4% vs 75.7%, P = .359) and RFS (2-year RFS, 71.3% vs 58.7%) were comparable. In the patients with pN2, OS (2-year OS, 83.4% vs 76.3%) and RFS (2-year RFS, 69.6% vs 36.2%) were also comparable. CONCLUSIONS LAP for pT4 and/or pN2 colon cancer showed comparable mid-term outcomes compared with OP. LAP was an acceptable surgical approach in this cohort.
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Affiliation(s)
- Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Kazuo To
- Department of Surgery, National Hospital Organization Ureshino Medical Center, Ureshino, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, Ohmura, Japan
| | | | - Masato Araki
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Kenji Tanaka
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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Tominaga T, Nonaka T, Oyama S, Takamura Y, Hashimoto S, Shiraishi T, Sawai T, Nagayasu T. Efficacy of Neutrophil-to-Lymphocyte Ratio for Cancer-Specific Survival in Elderly Patients with Localized Colon Cancer: A Single Center Propensity Score-Matched Analysis. Clin Exp Gastroenterol 2023; 16:1-9. [PMID: 36636228 PMCID: PMC9830562 DOI: 10.2147/ceg.s385207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 11/22/2022] [Indexed: 01/06/2023] Open
Abstract
Purpose The prognostic value of neutrophil-to-lymphocyte ratio (NLR) has been studied for colorectal cancer. Elderly patients in general tend to have comorbidities and decreased organ function that potentially influence the NLR score. The aim of this study was to investigate the relationship between NLR and cancer-specific survival in elderly patients with colon cancer, using a propensity score-matched analysis. Patients and Methods A total of 203 patients aged over 75 years who underwent curative resection for colon cancer and were diagnosed pathologically with stage II/III disease were eligible for entry to the study. Patients were divided into two groups according to NLR score: NLR-High (NLR≥4.5) group (NLR-H, n=60) and NLR-Low (NLR<4.5) group (NLR-L, n=143). After propensity score matching, 57 patients in each group were matched. Results Before matching, Charlson comorbidity index was significantly higher in the NLR-H group (4 vs 2, p<0.001). After matching, all factors were similar between the groups. The median follow-up period was 43 months (range, 1-160 months). Five-year relapse-free-survival (69.8% vs 87.3%, p=0.030) and cancer-specific survival (83.0% vs 96.0%, p=0.042) were significantly lower in the NLR-H group. Conclusion NLR appears to be a cancer-specific prognostic marker in elderly patients with colon cancer.
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Affiliation(s)
- Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan,Correspondence: Tetsuro Tominaga, Department of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan, Tel +81-95-819-7304, Fax +81-95-819-7306, Email
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shosaburo Oyama
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
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Tominaga T, Nonaka T, Shiraishi T, Yano H, Sato S, Fukuda A, Hisanaga M, Hashimoto S, Sawai T, Nagayasu T. Impacts of trans‐anal tube placement in patients with sigmoid colon cancer: Risk verification analysis using inverse probability weighting analysis. Ann Gastroenterol Surg 2022; 7:279-286. [PMID: 36998301 PMCID: PMC10043774 DOI: 10.1002/ags3.12634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 10/13/2022] [Indexed: 04/01/2023] Open
Abstract
Purpose Anastomotic leakage (AL) is a serious postoperative complication that affects short- and long-term outcomes. The use of a trans-anal drainage tube (TDT) is reported to prevent AL in rectal cancer patients, but its value in sigmoid colon cancer patients is unknown. Methods Admitted to the study were 379 patients who underwent surgery for sigmoid colon cancer between 2016 and 2020. Patients were divided into two groups according to the placement (n = 197) or nonplacement of a TDT (n = 182). To determine the factors affecting the association between TDT placement and AL, we estimated average treatment effects by stratifying each factor using the inverse probability of treatment weighting method. The association between prognosis and AL was evaluated in each identified factor. Results Factors associated with postsurgical insertion of a TDT were advanced age, male sex, high body mass index (BMI), poor performance status, and presence of comorbidities. TDT placement was associated with a significantly lower AL in male patients (odds ratio [OR], 0.22; 95% confidence interval [CI], 0.07-0.73; P = .013) and for BMI ≥ 25 kg/m2 (OR, 0.13; 95% CI, 0.02-0.65; P = .013). In addition, there was a significant association of AL with poor prognosis in patients with BMI ≥ 25 kg/m2 (P = .043), age > 75 y (P = .021), and pathological node-positive disease (P = .015). Conclusion Sigmoid colon cancer patients with BMI ≥ 25 kg/m2 are the most appropriate candidates for postoperative TDT insertion, in terms of reduced incidence of AL and improved prognosis.
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Affiliation(s)
- Tetsuro Tominaga
- Department of Surgical OncologyNagasaki University Graduate School of Biomedical ScienceNagasakiJapan
| | - Takashi Nonaka
- Department of Surgical OncologyNagasaki University Graduate School of Biomedical ScienceNagasakiJapan
| | - Toshio Shiraishi
- Department of Surgical OncologyNagasaki University Graduate School of Biomedical ScienceNagasakiJapan
| | - Hiroshi Yano
- Clinical Research CenterNagasaki University HospitalNagasakiJapan
| | - Shuntaro Sato
- Clinical Research CenterNagasaki University HospitalNagasakiJapan
| | - Akiko Fukuda
- Department of SurgerySasebo City General HospitalNagasakiJapan
| | | | | | - Terumitsu Sawai
- Department of Surgical OncologyNagasaki University Graduate School of Biomedical ScienceNagasakiJapan
| | - Takeshi Nagayasu
- Department of Surgical OncologyNagasaki University Graduate School of Biomedical ScienceNagasakiJapan
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Tominaga T, Nonaka T, Shiraishi T, Sumida Y, Takeshita H, Hisanaga M, Fukuoka H, Hashimoto S, To K, Tanaka K, Sawai T, Nagayasu T. Short- and long-term outcomes of single-incision laparoscopic surgery for right colon cancer: A multicenter propensity score-matched analysis. Asian J Endosc Surg 2022; 15:547-554. [PMID: 35229473 DOI: 10.1111/ases.13045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/13/2022] [Accepted: 02/15/2022] [Indexed: 01/22/2023]
Abstract
INTRODUCTION Single-incision laparoscopic surgery (SILS) for colon cancer is a recent innovation in minimally invasive surgery that can improve short-term outcome. However, several biases exist in current favorable comparisons of SILS with conventional laparoscopic (CL) surgery. Moreover, the oncological outcomes in SILS remain unclear. The aim of this study was to identify outcomes following SILS and CL for right colectomy using a propensity score-matched analysis. METHODS A total of 553 patients underwent curative resection for right colon cancer (58 SILS and 495 CL). After propensity score matching, 58 patients in each group were matched. RESULTS Before matching, median age was younger (p = 0.037) and clinical stage was lower (p < 0.001) in the SILS group. After matching, operation time was shorter (172 versus 193 min, p = 0.007) and blood loss was less (12 versus 20 mL, p = 0.037) in the SILS group. Most of the SILS cases were performed (43.1%) or supervised (51.7%) by an expert surgeon. Median follow-up duration was 30 and 37 mo in the SILS and CL groups, respectively. Three-year relapse-free survival was 92.5% and 92.4% (p = 0.781); and overall survival was 100% versus 98.1% (p = 0.177). CONCLUSIONS Under the control of expert surgeons, SILS appeared to be a safe and feasible approach and had similar oncological outcomes compared with CL in a propensity score-matched cohort of patients with right-sided colon cancer.
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Affiliation(s)
- Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Toshio Shiraishi
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Yorihisa Sumida
- Department of Surgery, Sasebo City General Hospital, Sasebo, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, Ōmura, Japan
| | - Makoto Hisanaga
- Department of Surgery, Isahaya General Hospital, Isahaya, Japan
| | | | | | - Kazuo To
- Department of Surgery, Ureshino Medical Center, Ureshino, Japan
| | - Kenji Tanaka
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
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Tominaga T, Nonaka T, Oyama S, Takamura Y, Hashimoto S, Shiraishi T, Sawai T, Nagayasu T. Utility of Drain Fluid Culture and Gram Stain in Early Intervention for Occult Anastomotic Leakage in Colorectal Cancer. Anticancer Res 2022; 42:3091-3098. [PMID: 35641294 DOI: 10.21873/anticanres.15797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 05/16/2022] [Accepted: 05/17/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND/AIM Although occult leakage after colorectal surgery does not usually cause critical illness, it can cause long-term complications that decrease the quality of life of patients. There is currently no established diagnostic, treatment, or follow-up method for occult leakage. We assessed the risk factors of occult leakage and examined the efficacy of drain fluid culture and Gram staining for its early detection and appropriate treatment intervention. PATIENTS AND METHODS Data from 243 consecutive colorectal cancer patients who underwent resection with reconstruction by the double stapling technique between 2016 and 2020 were reviewed. RESULTS Sixteen (6.6%) patients had postoperative occult leakage. Multivariate analysis revealed that preoperative treatment was significantly associated with occult leakage (odds ratio=12.423; 95% confidence interval=4.095 to 17.680; p<0.001). Among the 16 patients, 1 experienced stenosis, and none experienced a fistula or chronic sinus. Drain fluid samples of 34 patients (14.0%) were Gram stainpositive, and those of 76 patients (31.3%) were culturepositive. The positive and negative predictive values of drain fluid culture were 18.4% and 98.7%, respectively, and those of Gram staining were 38.2% and 98.6%, respectively, for occult leakage. Among cases with occult leakage, more than two bacterial species were detected in 71.5% of the cultures. Antibiograms indicated that the three major species tended to be resistant to cephem antibiotics, which are used for prophylaxis, but susceptible to carbapenem antibiotics, which are used for empiric therapy. CONCLUSION Drain fluid culture and Gram staining may enable early detection and appropriate treatment intervention for occult leakage.
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Affiliation(s)
- Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shosaburo Oyama
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Yuma Takamura
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shintaro Hashimoto
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
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Tominaga T, Nonaka T, Oyama S, Shiraishi T, Takeshita H, Hisanaga M, Fukuoka H, Fukuda A, Sumida Y, Hashimoto S, To K, Tanaka K, Sawai T, Nagayasu T. Effect of oxaliplatin in elderly colon cancer patients with pathological T4 and/or N2 disease: a multicenter, propensity score-matched analysis. Int J Colorectal Dis 2022; 37:1181-1188. [PMID: 35478036 DOI: 10.1007/s00384-022-04159-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/17/2022] [Indexed: 02/04/2023]
Abstract
PURPOSE Although adjuvant chemotherapy (AC) using fluoro-pyrimidine and oxaliplatin (FU + oxaliplatin) is recommended after curative resection for locally advanced colon cancer patients, several randomized controlled trials have shown no additional effect of oxaliplatin in patients aged ≥ 70 years. Here, we examined the effectiveness of FU + oxaliplatin on the long-term outcome of old patients with a high risk of recurrence. METHODS This multicenter, retrospective study included 346 colon cancer patients diagnosed with pathological T4 and/or N2 disease from 2016 to 2020. They were divided into an old group (≥ 70 years, n = 197) and a young group (< 70 years, n = 167). Propensity score matching was used to minimize selection bias, and 126 patients per group were matched. RESULTS Before matching, the rates of poor performance status (p < 0.001) and the presence of comorbidities (76.1% vs. 47.9%, p < 0.001) were higher in the old group. Although all baseline factors were similar between groups, after matching, the AC rate was lower in the old group (45.2% vs. 65.1%, p = 0.002). In the old group, relapse-free (82.2% vs. 55.6% and 69.6%, p < 0.05) and overall survival (83.1% vs. 80.0% and 44.4%, p < 0.05) rates were significantly higher in the AC patients with FU + oxaliplatin than in the AC patients with only FU and the non-AC patients. CONCLUSION The selected old colon cancer patients with a high risk of recurrence gained an additional benefit with respect to prognosis from FU + oxaliplatin as AC.
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Affiliation(s)
- Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan
| | - Shosaburo Oyama
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan
| | - Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, Ohmura, Nagasaki, Japan
| | - Makoto Hisanaga
- Department of Surgery, Isahaya General Hospital, Isahaya, Nagasaki, Japan
| | - Hidetoshi Fukuoka
- Department of Surgery, Isahaya General Hospital, Isahaya, Nagasaki, Japan
| | - Akiko Fukuda
- Department of Surgery, National Hospital Organization Ureshino Medical Center, Ureshino, Saga, Japan
| | - Yorihisa Sumida
- Department of Surgery, National Hospital Organization Ureshino Medical Center, Ureshino, Saga, Japan
| | - Shintaro Hashimoto
- Department of Surgery, Sasebo City General Hospital, Sasebo, Nagasaki, Japan
| | - Kazuo To
- Department of Surgery, Sasebo City General Hospital, Sasebo, Nagasaki, Japan
| | - Kenji Tanaka
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan
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Shiraishi T, Tominaga T, Nonaka T, Hashimoto S, Hamada K, Araki M, Sumida Y, Takeshita H, Fukuoka H, Wada H, To K, Yamashita M, Tanaka K, Sawai T, Nagayasu T. Effect of hemodialysis on short-term outcomes after colon cancer surgery. PLoS One 2022; 17:e0262531. [PMID: 35020769 PMCID: PMC8754322 DOI: 10.1371/journal.pone.0262531] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 12/28/2021] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Hemodialysis patients who undergo surgery have a high risk of postoperative complications. The aim of this study was to determine whether colon cancer surgery can be safely performed in hemodialysis patients. METHODS This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. RESULTS Of the total patients, 19 (1.4%) underwent hemodialysis, of whom 19 (100%) had poor performance status and 18 had comorbidities (94.7%). Minimally invasive surgery was performed in 78.9% of hemodialysis patients. The postoperative complication rate was significantly higher in hemodialysis than non-hemodialysis patients (36.8% vs. 15.5%, p = 0.009). All postoperative complications in the hemodialysis patients were infectious type. Multivariate analysis revealed a significant association of hemodialysis with complications (odds ratio, 2.9362; 95%CI, 1.1384-7.5730; p = 0.026). CONCLUSION Despite recent advances in perioperative management and minimally invasive surgery, it is necessary to be aware that short-term complications can still occur, especially infectious complications in hemodialysis patients.
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Affiliation(s)
- Toshio Shiraishi
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
- Department of Surgery, Sasebo Chuo Hospital, Sasebo, Nagasaki, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
- * E-mail:
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Shintaro Hashimoto
- Department of Surgery, Sasebo City General Hospital, Sasebo, Nagasaki, Japan
| | - Kiyoaki Hamada
- Department of Surgery, Sasebo City General Hospital, Sasebo, Nagasaki, Japan
| | - Masato Araki
- Department of Surgery, Sasebo City General Hospital, Sasebo, Nagasaki, Japan
| | - Yorihisa Sumida
- Department of Surgery, Sasebo City General Hospital, Sasebo, Nagasaki, Japan
| | - Hiroaki Takeshita
- Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan
| | - Hidetoshi Fukuoka
- Department of Surgery, Isahaya General Hospital, Isahaya, Nagasaki, Japan
| | - Hideo Wada
- Department of Surgery, Ureshino Medical Center, Ureshino, Saga, Japan
| | - Kazuo To
- Department of Surgery, Ureshino Medical Center, Ureshino, Saga, Japan
| | - Mariko Yamashita
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Japan
| | - Kenji Tanaka
- Department of Surgery, Saiseikai Nagasaki Hospital, Nagasaki, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan
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Shiraishi T, Wada H, Hashimoto S, Katayama H, Taba M, To K. A case of two traumatic penetrations of a duodenal diverticulum caused by a kick to the upper abdomen. Int J Surg Case Rep 2021; 87:106388. [PMID: 34536768 PMCID: PMC8449237 DOI: 10.1016/j.ijscr.2021.106388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 09/03/2021] [Accepted: 09/03/2021] [Indexed: 11/21/2022] Open
Abstract
Introduction and importance A duodenal diverticulum is a pseudodiverticulum that lacks a proper muscular layer. Cases of traumatic penetration or perforation of a duodenal diverticulum are relatively rare. Case presentation A 67-year-old woman was injured when her roommate kicked her in the upper abdomen, and was transferred to our hospital 6 h after the injury with upper abdominal pain and lethargy. Computed tomography revealed a duodenal diverticulum and retroperitoneal emphysematous changes and exudates. Peritonitis due to duodenal penetration was suspected and emergency laparotomy was performed. Intraoperative findings revealed two traumatic penetrations of the duodenal diverticulum. We resected the diverticulum with an automatic suture device and covered the resection site with omentum. Twenty-one days postoperatively, she was transferred to her original hospital with no complications following an uneventful postoperative course. Clinical discussion Most causes of penetration or perforation of the duodenal diverticulum are diverticulitis, and few reports have described penetration or perforation of duodenal diverticulum due to trauma. Our case was extremely rare that caused by a kick to the upper abdomen and resulted in two penetrations of a duodenal diverticulum although factors contributing to the multiple penetrations were considered. Conclusion Penetration or perforation of a duodenal diverticulum occasionally results in a rapid deterioration to a severe state. Comprehensive judgement of the general condition and laboratory findings and selection of an appropriate treatment policy is important. Few reports have described penetration or perforation of a duodenal diverticulum due to trauma. This case is extremely rare of two penetrations of a duodenal diverticulum caused by a kick to the upper abdomen. Penetration or perforation of a duodenal diverticulum often leads rapidly to a severe state. Comprehensive judgement of the general condition and selection of an appropriate treatment policy is important.
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Affiliation(s)
- Toshio Shiraishi
- Department of Surgery, Sasebo Chuo Hospital, 15 yamato, Sasebo, Nagasaki 857-1195, Japan; Department of Surgery, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan.
| | - Hideo Wada
- Department of Surgery, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan
| | - Shintaro Hashimoto
- Department of Surgery, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan
| | - Hiroki Katayama
- Department of Surgery, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan
| | - Mitsuru Taba
- Department of Pathology, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan
| | - Kazuo To
- Department of Surgery, Ureshino medical Center, 4279-3 Ureshino, Saga 843-0393, Japan
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Agafonova N, Alexandrov A, Anokhina A, Aoki S, Ariga A, Ariga T, Bertolin A, Bozza C, Brugnera R, Buonaura A, Buontempo S, Chernyavskiy M, Chukanov A, Consiglio L, D'Ambrosio N, De Lellis G, De Serio M, Del Amo Sanchez P, Di Crescenzo A, Di Ferdinando D, Di Marco N, Dmitrievsky S, Dracos M, Duchesneau D, Dusini S, Dzhatdoev T, Ebert J, Ereditato A, Fini RA, Fornari F, Fukuda T, Galati G, Garfagnini A, Gentile V, Goldberg J, Gorbunov S, Gornushkin Y, Grella G, Guler AM, Gustavino C, Hagner C, Hara T, Hayakawa T, Hollnagel A, Ishiguro K, Iuliano A, Jakovčić K, Jollet C, Kamiscioglu C, Kamiscioglu M, Kim SH, Kitagawa N, Kliček B, Kodama K, Komatsu M, Kose U, Kreslo I, Laudisio F, Lauria A, Lavasa A, Longhin A, Loverre P, Malgin A, Mandrioli G, Matsuo T, Matveev V, Mauri N, Medinaceli E, Meregaglia A, Mikado S, Miyanishi M, Mizutani F, Monacelli P, Montesi MC, Morishima K, Muciaccia MT, Naganawa N, Naka T, Nakamura M, Nakano T, Niwa K, Ogawa S, Okateva N, Ozaki K, Paoloni A, Park BD, Pasqualini L, Pastore A, Patrizii L, Pessard H, Podgrudkov D, Polukhina N, Pozzato M, Pupilli F, Roda M, Roganova T, Rokujo H, Rosa G, Ryazhskaya O, Sato O, Shakirianova I, Schembri A, Shchedrina T, Shibayama E, Shibuya H, Shiraishi T, Šimko T, Simone S, Sirignano C, Sirri G, Sotnikov A, Spinetti M, Stanco L, Starkov N, Stellacci SM, Stipčević M, Strolin P, Takahashi S, Tenti M, Terranova F, Tioukov V, Tsanaktsidis I, Tufanli S, Ustyuzhanin A, Vasina S, Vidal García M, Vilain P, Voevodina E, Votano L, Vuilleumier JL, Wilquet G, Yoon CS. OPERA tau neutrino charged current interactions. Sci Data 2021; 8:218. [PMID: 34385471 PMCID: PMC8361145 DOI: 10.1038/s41597-021-00991-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 07/01/2021] [Indexed: 11/08/2022] Open
Abstract
The OPERA experiment was designed to discover the vτ appearance in a vμ beam, due to neutrino oscillations. The detector, located in the underground Gran Sasso Laboratory, consisted of a nuclear photographic emulsion/lead target with a mass of about 1.25 kt, complemented by electronic detectors. It was exposed from 2008 to 2012 to the CNGS beam: an almost pure vμ beam with a baseline of 730 km, collecting a total of 1.8·1020 protons on target. The OPERA Collaboration eventually assessed the discovery of vμ→vτ oscillations with a statistical significance of 6.1 σ by observing ten vτ CC interaction candidates. These events have been published on the Open Data Portal at CERN. This paper provides a detailed description of the vτ data sample to make it usable by the whole community.
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Affiliation(s)
- N Agafonova
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | | | - A Anokhina
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - S Aoki
- Kobe University, Kobe, Japan
| | - A Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - T Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
- Faculty of Arts and Science, Kyushu University, Fukuoka, Japan
| | | | - C Bozza
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, Fisciano (Salerno), Italy
| | - R Brugnera
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - A Buonaura
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
- University of Liverpool, Liverpool, UK
| | | | - M Chernyavskiy
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - A Chukanov
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | | | - N D'Ambrosio
- INFN - Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - G De Lellis
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | - M De Serio
- Dipartimento di Fisica dell'Università di Bari, Bari, Italy
- INFN Sezione di Bari, Bari, Italy
| | - P Del Amo Sanchez
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy-le-Vieux, France
| | - A Di Crescenzo
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - N Di Marco
- INFN - Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
- GSSI - Gran Sasso Science Institute, L'Aquila, Italy
| | - S Dmitrievsky
- JINR - Joint Institute for Nuclear Research, Dubna, Russia.
| | - M Dracos
- IPHC, Université de Strasbourg, CNRS/IN2P3, Strasbourg, France
| | - D Duchesneau
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy-le-Vieux, France
| | - S Dusini
- INFN Sezione di Padova, Padova, Italy
| | - T Dzhatdoev
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - J Ebert
- Hamburg University, Hamburg, Germany
| | - A Ereditato
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - R A Fini
- INFN Sezione di Bari, Bari, Italy
| | - F Fornari
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | - T Fukuda
- Nagoya University, Nagoya, Japan
| | - G Galati
- INFN Sezione di Napoli, Napoli, Italy.
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy.
| | - A Garfagnini
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - V Gentile
- GSSI - Gran Sasso Science Institute, L'Aquila, Italy
| | - J Goldberg
- Department of Physics, Technion, Haifa, Israel
| | - S Gorbunov
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - Y Gornushkin
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | - G Grella
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, Fisciano (Salerno), Italy
| | - A M Guler
- METU - Middle East Technical University, Ankara, Turkey
| | | | - C Hagner
- Hamburg University, Hamburg, Germany
| | - T Hara
- Kobe University, Kobe, Japan
| | | | | | | | - A Iuliano
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | - K Jakovčić
- Ruder Bošković Institute, Zagreb, Croatia
| | - C Jollet
- IPHC, Université de Strasbourg, CNRS/IN2P3, Strasbourg, France
| | - C Kamiscioglu
- METU - Middle East Technical University, Ankara, Turkey
- Ankara University, Ankara, Turkey
| | - M Kamiscioglu
- METU - Middle East Technical University, Ankara, Turkey
| | - S H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju, 660-701, Korea
| | | | - B Kliček
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bošković Institute, Zagreb, Croatia
| | - K Kodama
- Aichi University of Education, Kariya, (Aichi-Ken), Japan
| | | | - U Kose
- INFN Sezione di Padova, Padova, Italy
| | - I Kreslo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - F Laudisio
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - A Lauria
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - A Longhin
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | | | - A Malgin
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | | | - T Matsuo
- Toho University, Funabashi, Japan
| | - V Matveev
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | - N Mauri
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | - E Medinaceli
- Istituto Nazionale di Astrofisica - Osservatorio di Astrofisica e Scienza dello Spazio Bologna, Bologna, Italy
| | - A Meregaglia
- IPHC, Université de Strasbourg, CNRS/IN2P3, Strasbourg, France
| | - S Mikado
- Nihon University, Narashino, Chiba, Japan
| | | | | | | | - M C Montesi
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - M T Muciaccia
- Dipartimento di Fisica dell'Università di Bari, Bari, Italy
- INFN Sezione di Bari, Bari, Italy
| | | | - T Naka
- Nagoya University, Nagoya, Japan
| | | | - T Nakano
- Nagoya University, Nagoya, Japan
| | - K Niwa
- Nagoya University, Nagoya, Japan
| | - S Ogawa
- Toho University, Funabashi, Japan
| | - N Okateva
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - K Ozaki
- Kobe University, Kobe, Japan
| | - A Paoloni
- INFN - Laboratori Nazionali di Frascati, Frascati (Roma), Italy
| | - B D Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju, 660-701, Korea
| | - L Pasqualini
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | | | | | - H Pessard
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy-le-Vieux, France
| | - D Podgrudkov
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - N Polukhina
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
- MEPhI - Moscow Engineering Physics Institute, Moscow, Russia
| | - M Pozzato
- INFN Sezione di Bologna, Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, Bologna, Italy
| | - F Pupilli
- INFN Sezione di Padova, Padova, Italy
| | - M Roda
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
- Physik-Institut, Universitaet Zuerich, Zuerich, Switzerland
| | - T Roganova
- SINP MSU - Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, Moscow, Russia
| | - H Rokujo
- Nagoya University, Nagoya, Japan
| | - G Rosa
- INFN Sezione di Roma, Roma, Italy
| | - O Ryazhskaya
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | - O Sato
- Nagoya University, Nagoya, Japan
| | - I Shakirianova
- INR - Institute for Nuclear Research of the Russian Academy of Sciences, Moscow, Russia
| | - A Schembri
- INFN - Laboratori Nazionali del Gran Sasso, Assergi (L'Aquila), Italy
| | - T Shchedrina
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | | | | | | | | | - S Simone
- Dipartimento di Fisica dell'Università di Bari, Bari, Italy
- INFN Sezione di Bari, Bari, Italy
| | - C Sirignano
- INFN Sezione di Padova, Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, Padova, Italy
| | - G Sirri
- INFN Sezione di Bologna, Bologna, Italy
| | - A Sotnikov
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | - M Spinetti
- INFN - Laboratori Nazionali di Frascati, Frascati (Roma), Italy
| | - L Stanco
- INFN Sezione di Padova, Padova, Italy
| | - N Starkov
- LPI - Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia
| | - S M Stellacci
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, Fisciano (Salerno), Italy
| | - M Stipčević
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bošković Institute, Zagreb, Croatia
| | - P Strolin
- INFN Sezione di Napoli, Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, Napoli, Italy
| | | | - M Tenti
- INFN Sezione di Bologna, Bologna, Italy
| | - F Terranova
- Dipartimento di Fisica dell'Università di Milano-Bicocca, Milano, Italy
| | - V Tioukov
- INFN Sezione di Napoli, Napoli, Italy
| | | | - S Tufanli
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
- CERN, Geneva, Switzerland
| | - A Ustyuzhanin
- INFN Sezione di Napoli, Napoli, Italy
- HSE - National Research University Higher School of Economics, Moscow, Russia
| | - S Vasina
- JINR - Joint Institute for Nuclear Research, Dubna, Russia
| | | | - P Vilain
- IIHE, Université Libre de Bruxelles, Brussels, Belgium
| | | | - L Votano
- INFN - Laboratori Nazionali di Frascati, Frascati (Roma), Italy
| | - J L Vuilleumier
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, Bern, Switzerland
| | - G Wilquet
- IIHE, Université Libre de Bruxelles, Brussels, Belgium
| | - C S Yoon
- Gyeongsang National University, 900 Gazwa-dong, Jinju, 660-701, Korea
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Kisu I, Banno K, Iida M, Matsuda K, Shiraishi T, Iijima M, Nakamura K, Hirao N. Successful trachelectomy and re-vaginoplasty for cervico-vaginal stenosis following unsuccessful uterovaginal anastomosis and vaginoplasty in congenital cervical and vaginal aplasia: description of technique and a case report. BJOG 2021; 128:1997-2002. [PMID: 34021948 DOI: 10.1111/1471-0528.16770] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2021] [Indexed: 11/28/2022]
Abstract
We describe a successful surgical technique of abdominal trachelectomy and re-vaginoplasty for cervico-vaginal stenosis following unsuccessful uterovaginal anastomosis and vaginoplasty in a patient with congenital cervical and vaginal aplasia. After the surgical procedure, cervico-vaginal stenosis was resolved and periodic menstruation without dysmenorrhoea resumed. While long-term follow-up is essential to ensure successful pregnancy and delivery, we conclude that this novel surgical procedure is a promising alternative for improvement of the quality of life and normal sexual function, and for preservation of fertility in patients with cervical and vaginal aplasia.
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Affiliation(s)
- I Kisu
- Department of Obstetrics and Gynaecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan.,Department of Obstetrics and Gynaecology, Keio University School of Medicine, Tokyo, Japan
| | - K Banno
- Department of Obstetrics and Gynaecology, Keio University School of Medicine, Tokyo, Japan
| | - M Iida
- Department of Obstetrics and Gynaecology, Keio University School of Medicine, Tokyo, Japan
| | - K Matsuda
- Department of Obstetrics and Gynaecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan
| | - T Shiraishi
- Department of Obstetrics and Gynaecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan
| | - M Iijima
- Department of Obstetrics and Gynaecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan
| | - K Nakamura
- Department of Obstetrics and Gynaecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan
| | - N Hirao
- Department of Obstetrics and Gynaecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan
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Shiraishi T, Araki M, Sumida Y, Fujita T, Hashimoto S, Nishimuta M, Matsumoto T, Hamada K, Baba M, Murakami G, Wakata K, Inamura Y, Morino S, Nakamura A, Niino D, Tominaga T, Nonaka T, Sawai T, Nagayasu T. Acute perforating appendicitis caused by metastatic squamous cell carcinoma from the lung: A case report. Int J Surg Case Rep 2020; 77:279-283. [PMID: 33189011 PMCID: PMC7672248 DOI: 10.1016/j.ijscr.2020.10.116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Revised: 10/24/2020] [Accepted: 10/24/2020] [Indexed: 12/26/2022] Open
Abstract
Extremely rare case of appendiceal metastasis of squamous cell carcinoma of the lung. Metastatic appendiceal tumor tend to perforate. Surgery is recommended. CT and PET-CT are useful for diagnosis.
Introduction Lung cancer is one of the most common cancers. On the other hand, lung cancer metastasis to the appendix is extremely rare, and in many cases it has been diagnosed with the onset of acute perforating appendicitis. Presentation of case An 85-year-old man with fever and abdominal pain visited our hospital. He had a history of squamous cell carcinoma of the left upper and lower lobes, metastasis to the ipsilateral lung and femur. CT showed that a finding of acute perforating appendicitis, emergency cecal resection was performed. Examination of the resected specimen showed that the appendix was thickened overall, with a white nodular structure at the root and a perforation in the middle. The final diagnosis was acute perforating appendicitis caused by metastatic squamous cell carcinoma from the lung. The patient had no particular problems during the postoperative course. Discussion A PubMed search was performed, this appears to be the first reported case of appendiceal metastasis of squamous cell carcinoma of the lung. Since squamous cell carcinoma of the lung has a stronger tendency for local extension than other histological types, perforating appendicitis due to distant metastasis to the abdominal organs and metastasis to the appendix was reported as a very valuable case. Conclusion Because the progression of concomitant or secondary appendicitis is rapid, we recommend frequent imaging modalities, prophylactic appendectomy be considered for patients who also have lung cancer and imaging findings show suspected metastasis to the appendix.
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Affiliation(s)
- Toshio Shiraishi
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan; Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
| | - Masato Araki
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Yorihisa Sumida
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Tomohiro Fujita
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Shintaro Hashimoto
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Masato Nishimuta
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Takamune Matsumoto
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Kiyoaki Hamada
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Masayuki Baba
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Goushi Murakami
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Kouki Wakata
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Yukio Inamura
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Shigeyuki Morino
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Akihiro Nakamura
- Department of Surgery, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Daisuke Niino
- Department of Pathology, Sasebo City General Hospital, 9-3 Hirase-machi, Sasebo, Nagasaki, 857-8511, Japan
| | - Tetsuro Tominaga
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Takashi Nonaka
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Terumitsu Sawai
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
| | - Takeshi Nagayasu
- Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan
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Umehara T, Oka H, Shiraishi T, Sato T, Nakahara A, Matsuno H, Komatsu T, Omoto S, Murakami H, Iguchi Y. Cardiac sympathetic dysfunction associated with dopaminergic depletion in striatal subregions in de novo Parkinson's disease. Parkinsonism Relat Disord 2020. [DOI: 10.1016/j.parkreldis.2020.06.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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20
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Nishikawa N, Iwaki H, Shiraishi T, Mukai Y, Takahashi Y, Hattori N. Female, Aging, Low ratio of DCI or lower body weight increases AUC4hr of levodopa in patients with Parkinson's disease. Parkinsonism Relat Disord 2020. [DOI: 10.1016/j.parkreldis.2020.06.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Nagata K, Shinto E, Yamadera M, Shiraishi T, Kajiwara Y, Okamoto K, Mochizuki S, Hase K, Kishi Y, Ueno H. Prognostic and predictive values of tumour budding in stage IV colorectal cancer. BJS Open 2020; 4:693-703. [PMID: 32472647 PMCID: PMC7397347 DOI: 10.1002/bjs5.50300] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Accepted: 04/22/2020] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Tumour budding is an important prognostic feature in early-stage colorectal cancer, but its prognostic significance in metastatic disease has not been fully investigated. METHODS Patients with stage IV disease who had primary colorectal tumour resection without previous chemotherapy or radiotherapy from January 2000 to December 2018 were reviewed retrospectively. Budding was evaluated at the primary site and graded according to the criteria of the International Tumor Budding Consensus Conference (ITBCC) (BD1, low; BD2, intermediate; BD3, high). Patients were categorized by metastatic (M1a, M1b) and resectional (R0/R1, R2/unresected) status. Subgroups were compared for overall (OS) and recurrence-free (RFS) survival in R0/R1 subgroups; R2/unresected patients were evaluated for the rate of tumour progression, based on change in tumour size from baseline. RESULTS Of 371 patients observed during the study, 362 were analysed. Patients with BD3 had a lower 5-year OS rate than those with BD1 + BD2 (18·4 versus 40·5 per cent; P < 0·001). Survival analyses according to metastatic and resection status also showed that BD3 was associated with shorter OS than BD1 + BD2. In multivariable analysis, BD3 (hazard ratio (HR) 1·51, 95 per cent c.i. 1·11 to 2·10; P = 0·009), T4 status (HR 1·39) and R2/unresected status (HR 3·50) were associated with decreased OS. In the R0/R1 subgroup, the 2-year RFS rate was similar for BD3 and BD1 + BD2 according to metastatic status. There was no significant difference between BD3 and BD1 + BD2 for change in tumour size in the R2/unresected subgroup (P = 0·094). Of 141 patients with initially unresectable metastases who had chemotherapy, 35 achieved conversion from unresectable to resectable status. The conversion rate was significantly higher for BD1 + BD2 than for BD3 (36 versus 18 per cent; P = 0·016). CONCLUSION Stage IV colorectal cancer with high-grade tumour budding according to ITBCC criteria correlates with poor prognosis.
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Affiliation(s)
- K. Nagata
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - E. Shinto
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - M. Yamadera
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - T. Shiraishi
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - Y. Kajiwara
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - K. Okamoto
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - S. Mochizuki
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - K. Hase
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - Y. Kishi
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
| | - H. Ueno
- Department of SurgeryNational Defence Medical College3‐2 NamikiTokorozawa359‐8513Japan
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Otani S, Yamane M, Yokoyama Y, Chen-Yoshikawa T, Oishi H, Nakajima J, Yoshino I, Nagayasu T, Shiraishi T, Chida M, Shintani Y, Date H, Okada K, Oto T. Malignancy after Lung Transplantation in Japan. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Nakatsukasa T, Kondou M, Shiraishi T, Fukushima A, Tanoue Y, To K, Oka T. [Clinical Investigation of Surgical Cases for Pulmonary Aspergillosis]. Kyobu Geka 2020; 73:83-86. [PMID: 32393711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
INTRODUCTIONS The number of cases requiring surgical resection for pulmonary aspergillosis has increased in recent years. PATIENTS AND METHODS From April 2008 to March 2019, 10 patients underwent pulmonary resection for chronic pulmonary aspergillosis(CPA) in our hospital. RESULTS Five patients were diagnosed with simple pulmonary aspergilloma (SPA) and 5 were diagnosed with chronic progressive pulmonary aspergillosis( CPPA). The median age was 73 years, and 8 patients were men. A history of tuberculosis was present in 2 cases, diabetes was present in 3 cases, and prednisolone( PSL) administration was performed in 3 cases. The operative procedures included 1 pneumonectomy, 4 lobectomies, 1 segmentectomy, and 4 wedge resections. The median surgery time was 220.5 minutes, and the median blood loss was 301 ml, requiring perioperative transfusion in 2 cases. Postoperative pneumonia was observed in 2 cases. The median postoperative observation period was 11.5 months, and 6 out of 8 patients did not show postoperative recurrences. CONCLUSIONS Although patients with pulmonary aspergillosis have a high rate of underlying disease and it is necessary to pay attention to postoperative complications, it has been shown that surgery can be performed safely on these patients by selecting appropriate cases and surgical procedures.
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Waseda R, Miyahara N, Moroga T, Wakahara J, Mei H, Yamamoto L, Imamura N, Miyahara S, Shiraishi T, Iwasaki A. P2.03-52 Correlation Between Inflammatory Markers and Oncological Outcomes in Surgically Resected Non-Small Cell Lung Cancer. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.1499] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Shiraishi T, Sato T, Yamashita S, Iwasaki A. EP1.01-101 Transposition of the Pulmonary Veins for Mobilization of Rt-Middle and Lower Lobes for Safe Reconstruction After Carinal Rt-Upper Lobectomy. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.2079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kikuchi T, Shiraishi T, Nakata M, Iidaka K, Fujita M, Keida T, Ohira H. P2725Effect of distal protection for ST-elevation myocardial infarction in high risk patients of microvascular obstruction by magnetic resonance imaging. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- T Kikuchi
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
| | - T Shiraishi
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
| | - M Nakata
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
| | - K Iidaka
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
| | - M Fujita
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
| | - T Keida
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
| | - H Ohira
- Edogawa Hospital, Department of Cardiology, Tokyo, Japan
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27
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Agafonova N, Alexandrov A, Anokhina A, Aoki S, Ariga A, Ariga T, Bertolin A, Bozza C, Brugnera R, Buonaura A, Buontempo S, Chernyavskiy M, Chukanov A, Consiglio L, D'Ambrosio N, De Lellis G, De Serio M, Del Amo Sanchez P, Di Crescenzo A, Di Ferdinando D, Di Marco N, Dmitrievsky S, Dracos M, Duchesneau D, Dusini S, Dzhatdoev T, Ebert J, Ereditato A, Favier J, Fini RA, Fornari F, Fukuda T, Galati G, Garfagnini A, Gentile V, Goldberg J, Gorbunov S, Gornushkin Y, Grella G, Guler AM, Gustavino C, Hagner C, Hara T, Hayakawa T, Hollnagel A, Ishiguro K, Iuliano A, Jakovcic K, Jollet C, Kamiscioglu C, Kamiscioglu M, Kim SH, Kitagawa N, Klicek B, Kodama K, Komatsu M, Kose U, Kreslo I, Laudisio F, Lauria A, Ljubicic A, Longhin A, Loverre P, Malenica M, Malgin A, Mandrioli G, Matsuo T, Matveev V, Mauri N, Medinaceli E, Meregaglia A, Mikado S, Miyanishi M, Mizutani F, Monacelli P, Montesi MC, Morishima K, Muciaccia MT, Naganawa N, Naka T, Nakamura M, Nakano T, Niwa K, Ogawa S, Okateva N, Olchevsky A, Ozaki K, Paoloni A, Paparella L, Park BD, Pasqualini L, Pastore A, Patrizii L, Pessard H, Pistillo C, Podgrudkov D, Polukhina N, Pozzato M, Pupilli F, Roda M, Roganova T, Rokujo H, Rosa G, Ryazhskaya O, Sadovsky A, Sato O, Schembri A, Shakiryanova I, Shchedrina T, Shibayama E, Shibuya H, Shiraishi T, Simone S, Sirignano C, Sirri G, Sotnikov A, Spinetti M, Stanco L, Starkov N, Stellacci SM, Stipcevic M, Strolin P, Takahashi S, Tenti M, Terranova F, Tioukov V, Tufanli S, Ustyuzhanin A, Vasina S, Vilain P, Voevodina E, Votano L, Vuilleumier JL, Wilquet G, Wonsak B, Yoon CS. Final Results of the OPERA Experiment on ν_{τ} Appearance in the CNGS Neutrino Beam. Phys Rev Lett 2018; 120:211801. [PMID: 29883136 DOI: 10.1103/physrevlett.120.211801] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Indexed: 06/08/2023]
Abstract
The OPERA experiment was designed to study ν_{μ}→ν_{τ} oscillations in the appearance mode in the CERN to Gran Sasso Neutrino beam (CNGS). In this Letter, we report the final analysis of the full data sample collected between 2008 and 2012, corresponding to 17.97×10^{19} protons on target. Selection criteria looser than in previous analyses have produced ten ν_{τ} candidate events, thus reducing the statistical uncertainty in the measurement of the oscillation parameters and of ν_{τ} properties. A multivariate approach for event identification has been applied to the candidate events and the discovery of ν_{τ} appearance is confirmed with an improved significance level of 6.1σ. |Δm_{32}^{2}| has been measured, in appearance mode, with an accuracy of 20%. The measurement of the ν_{τ} charged-current cross section, for the first time with a negligible contamination from ν[over ¯]_{τ}, and the first direct evidence for the ν_{τ} lepton number are also reported.
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Affiliation(s)
- N Agafonova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | | | - A Anokhina
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - S Aoki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - T Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
- Faculty of Arts and Science, Kyushu University, J-819-0395 Fukuoka, Japan
| | - A Bertolin
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - C Bozza
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - R Brugnera
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Buonaura
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - S Buontempo
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - M Chernyavskiy
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Chukanov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - L Consiglio
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - N D'Ambrosio
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - G De Lellis
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - M De Serio
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - P Del Amo Sanchez
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - A Di Crescenzo
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | | | - N Di Marco
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - S Dmitrievsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Dracos
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - D Duchesneau
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - S Dusini
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - T Dzhatdoev
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - J Ebert
- Hamburg University, D-22761 Hamburg, Germany
| | - A Ereditato
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - J Favier
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - R A Fini
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - F Fornari
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - T Fukuda
- Nagoya University, J-464-8602 Nagoya, Japan
| | - G Galati
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - A Garfagnini
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - V Gentile
- GSSI-Gran Sasso Science Institute, I-40127 L'Aquila, Italy
| | - J Goldberg
- Department of Physics, Technion, IL-32000 Haifa, Israel
| | - S Gorbunov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - Y Gornushkin
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - G Grella
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - A M Guler
- METU-Middle East Technical University, TR-06800 Ankara, Turkey
| | | | - C Hagner
- Hamburg University, D-22761 Hamburg, Germany
| | - T Hara
- Kobe University, J-657-8501 Kobe, Japan
| | - T Hayakawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Hollnagel
- Hamburg University, D-22761 Hamburg, Germany
| | - K Ishiguro
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Iuliano
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - K Jakovcic
- Ruder Bošković Institute, HR-10002 Zagreb, Croatia
| | - C Jollet
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - C Kamiscioglu
- METU-Middle East Technical University, TR-06800 Ankara, Turkey
- Ankara University, TR-06560 Ankara, Turkey
| | - M Kamiscioglu
- METU-Middle East Technical University, TR-06800 Ankara, Turkey
| | - S H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - N Kitagawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - B Klicek
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bośković Institute, HR-10002 Zagreb, Croatia
| | - K Kodama
- Aichi University of Education, J-448-8542 Kariya (Aichi-Ken), Japan
| | - M Komatsu
- Nagoya University, J-464-8602 Nagoya, Japan
| | - U Kose
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - I Kreslo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - F Laudisio
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Lauria
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | - A Ljubicic
- Ruder Bošković Institute, HR-10002 Zagreb, Croatia
| | - A Longhin
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - P Loverre
- INFN Sezione di Roma, I-00185 Roma, Italy
| | - M Malenica
- Ruder Bošković Institute, HR-10002 Zagreb, Croatia
| | - A Malgin
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - G Mandrioli
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - T Matsuo
- Toho University, J-274-8510 Funabashi, Japan
| | - V Matveev
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - N Mauri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - E Medinaceli
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Meregaglia
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - S Mikado
- Nihon University, J-275-8576 Narashino, Chiba, Japan
| | | | | | | | - M C Montesi
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | | | - M T Muciaccia
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - N Naganawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Naka
- Nagoya University, J-464-8602 Nagoya, Japan
| | - M Nakamura
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Nakano
- Nagoya University, J-464-8602 Nagoya, Japan
| | - K Niwa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - S Ogawa
- Toho University, J-274-8510 Funabashi, Japan
| | - N Okateva
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Olchevsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - K Ozaki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Paoloni
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Paparella
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - B D Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - L Pasqualini
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - A Pastore
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - L Patrizii
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - H Pessard
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - C Pistillo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - D Podgrudkov
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - N Polukhina
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
- MEPhI-Moscow Engineering Physics Institute, RUS-115409 Moscow, Russia
| | - M Pozzato
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - F Pupilli
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - M Roda
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - T Roganova
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - H Rokujo
- Nagoya University, J-464-8602 Nagoya, Japan
| | - G Rosa
- INFN Sezione di Roma, I-00185 Roma, Italy
| | - O Ryazhskaya
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - A Sadovsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - O Sato
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Schembri
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - I Shakiryanova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - T Shchedrina
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | | | - H Shibuya
- Toho University, J-274-8510 Funabashi, Japan
| | | | - S Simone
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - C Sirignano
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - G Sirri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - A Sotnikov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Spinetti
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Stanco
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - N Starkov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - S M Stellacci
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - M Stipcevic
- Center of Excellence for Advanced Materials and Sensing Devices, Ruder Bośković Institute, HR-10002 Zagreb, Croatia
| | - P Strolin
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80126 Napoli, Italy
| | | | - M Tenti
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - F Terranova
- Dipartimento di Fisica dell'Università di Milano-Bicocca, I-20126 Milano, Italy
| | - V Tioukov
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - S Tufanli
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - A Ustyuzhanin
- INFN Sezione di Napoli, I-80126 Napoli, Italy
- HSE-National Research University Higher School of Economics, RUS-101000, Moscow, Russia
| | - S Vasina
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - P Vilain
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - E Voevodina
- INFN Sezione di Napoli, I-80126 Napoli, Italy
| | - L Votano
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - J L Vuilleumier
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - G Wilquet
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - B Wonsak
- Hamburg University, D-22761 Hamburg, Germany
| | - C S Yoon
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
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28
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Shiraishi T, Yokota S, Sato Y, Ito T, Fukiya S, Yamamoto S, Sato T, Yokota A. Lipoteichoic acids are embedded in cell walls during logarithmic phase, but exposed on membrane vesicles in Lactobacillus gasseri JCM 1131 T. Benef Microbes 2018; 9:653-662. [PMID: 29633638 DOI: 10.3920/bm2017.0124] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Lipoteichoic acid (LTA) is a cell surface molecule specific to Gram-positive bacteria. How LTA localises on the cell surface is a fundamental issue in view of recognition and immunomodulation in hosts. In the present study, we examined LTA localisation using strain JCM 1131T of Lactobacillus gasseri, which is a human intestinal lactic acid bacterium, during various growth phases by immunoelectron microscopy. We first evaluated the specificity of anti-LTA monoclonal antibody clone 55 used as a probe. The glycerophosphate backbone comprising almost intact size (20 to 30 repeating units) of LTA was required for binding. The antibody did not bind to other cellular components, including wall-teichoic acid. Immunoelectron microscopy indicated that LTA was embedded in the cell wall during the logarithmic phase, and was therefore not exposed on the cell surface. Similar results were observed for Lactobacillus fermentum ATCC 9338 and Lactobacillus rhamnosus ATCC 7469T. By contrast, membrane vesicles were observed in the logarithmic phase of L. gasseri with LTA exposed on their surface. In the stationary and death phases, LTA was exposed on cell wall-free cell membrane generated by autolysis. The dramatic alternation of localisation in different growth phases and exposure on the surface of membrane vesicles should relate with complicated interaction between bacteria and host.
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Affiliation(s)
- T Shiraishi
- 1 Department of Microbiology, Sapporo Medical University School of Medicine, Minami 1 Nishi 17, Chuo-ku, Sapporo, Hokkaido 060-8556, Japan
| | - S Yokota
- 1 Department of Microbiology, Sapporo Medical University School of Medicine, Minami 1 Nishi 17, Chuo-ku, Sapporo, Hokkaido 060-8556, Japan
| | - Y Sato
- 2 Laboratory of Microbial Physiology, Research Faculty of Agriculture, Hokkaido University, Kita 9 Nishi 9, Kita-ku, Sapporo, Hokkaido 060-8589, Japan
| | - T Ito
- 3 Electron Microscope Laboratory, Research Faculty of Agriculture, Hokkaido University, Kita 9 Nishi 9, Kita-ku, Sapporo, Hokkaido 060-8589, Japan
| | - S Fukiya
- 2 Laboratory of Microbial Physiology, Research Faculty of Agriculture, Hokkaido University, Kita 9 Nishi 9, Kita-ku, Sapporo, Hokkaido 060-8589, Japan
| | - S Yamamoto
- 1 Department of Microbiology, Sapporo Medical University School of Medicine, Minami 1 Nishi 17, Chuo-ku, Sapporo, Hokkaido 060-8556, Japan
| | - T Sato
- 1 Department of Microbiology, Sapporo Medical University School of Medicine, Minami 1 Nishi 17, Chuo-ku, Sapporo, Hokkaido 060-8556, Japan
| | - A Yokota
- 2 Laboratory of Microbial Physiology, Research Faculty of Agriculture, Hokkaido University, Kita 9 Nishi 9, Kita-ku, Sapporo, Hokkaido 060-8589, Japan
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Waseda R, Yamashita S, Shiraishi T, Iwasaki A. P3.16-044 Feasible Outcome of Radical Extended Surgery in T4 Locally Advanced NSCLC; 23-Year Japanese Single Center Experience. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kikuchi T, Shiraishi T, Nakata M, Iidaka K, Nakasone T, Fujita M, Keida T, Ohira H. P5566Risk factors for microvascular obstruction assessed by magnetic resonance imaging in patient with ST elevation myocardial infarction. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Shiraishi T, Tominaga T, Nonaka T, Wakata K, Kunizaki M, Tobinaga S, Sumida Y, Hidaka S, Kinoshita N, Sawai T, Nagayasu T. A case of single-incision laparoscopic surgery for a bleeding Meckel's diverticulum diagnosed pre-operatively by double-balloon endoscopy. Int J Surg Case Rep 2017; 33:67-70. [PMID: 28278439 PMCID: PMC5342979 DOI: 10.1016/j.ijscr.2017.02.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 02/20/2017] [Accepted: 02/20/2017] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Meckel's diverticulum (MD) is a congenital true diverticulum that is residual yolk duct tissue, and some cases with complications require surgery. It has been reported that laparoscopic surgery is effective for patients with an MD. PRESENTATION OF CASE A 79-year-old man with melena visited our hospital. Upper gastrointestinal series and colonoscopy showed no bleeding lesion. Double-balloon endoscopy was then performed to examine the small intestine. The examination showed a large diverticulum 80cm proximal to the ileocecal valve and a circular ulcer. MD resection was performed using single-incision laparoscopic surgery (SILS) technique through a 3-cm zig-zag incision in the umbilicus. Three ports were inserted for the scope and forceps devices. The MD was located 80cm proximal to the ileocecal valve. There were no other intestinal lesions. From the wound, the lesion could be easily moved outside the body. The MD including the ulcer lesion was then resected. The patient's postoperative course was good, and he rarely felt wound pain. He started dietary intake three days after surgery and was discharged from hospital eight days after surgery. DISCUSSION SILS technique has attracted attention in the field of laparoscopic surgery. Using a single port with multiple working channels, SILS can reduce the number of incisions and the rates of incisional hernia port site-related complications, as well as improve cosmesis. CONCLUSION A definite diagnosis of an MD was made by double-balloon endoscopy preoperatively. The SILS approach was effective for cosmesis, postoperative pain, and a shortened hospital stay.
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Affiliation(s)
- Toshio Shiraishi
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Tetsuro Tominaga
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Takashi Nonaka
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Kouki Wakata
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Masaki Kunizaki
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Shuichi Tobinaga
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Yorihisa Sumida
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Shigekazu Hidaka
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Naoe Kinoshita
- Department of Pathology, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Terumitsu Sawai
- Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
| | - Takeshi Nagayasu
- Department of Surgery, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, Japan.
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Yuki S, Komatsu Y, Satake H, Miyamoto Y, Tanioka H, Tsuji A, Asayama M, Shiraishi T, Kotaka M, Makiyama A, Kashiwada T, Takeuchi N, Shimokawa M, Saeki H, Oki E, Emi Y, Baba H, Maehara Y. Updated report: A randomized, double-blind, placebo-controlled phase II study of prophylactic dexamethasone (dex) therapy for fatigue and malaise due to regorafenib in patient (pts) with metastatic colorectal cancer (mCRC): (KSCC1402/HGCSG1402). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.95] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Shiraishi T, Yazaki T, Nakamura M, Kibinata S, Narita H, Watanabe N. Abstract PR404. Anesth Analg 2016. [DOI: 10.1213/01.ane.0000492793.91296.47] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Tominaga T, Nonaka T, Takeshita H, Honda Y, Nagura H, Shiraishi T, Kunizaki M, Sumida Y, Hidaka S, Sawai T, Nagayasu T. A case of intensive care unit-acquired weakness after emergency surgery for acute abdomen. Int J Surg Case Rep 2016; 24:131-4. [PMID: 27243968 PMCID: PMC4890108 DOI: 10.1016/j.ijscr.2016.05.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Revised: 05/16/2016] [Accepted: 05/22/2016] [Indexed: 11/29/2022] Open
Abstract
We surgeons often operate on critically ill patients. ICUAW involves systemic and prolonged muscle weakness in critically ill patients. However, surgeons have not yet become sufficiently familiar with this disorder. Early diagnosis and close cooperation among health care providers are crucial.
Introduction Surgeons often perform surgery for patients who are critically ill. Intensive care unit (ICU)-acquired weakness (ICUAW) is a condition in which systemic and prolonged muscle weakness occurs and causes worse short-term and long-term outcomes. Presentation of case A 60-year-old woman with sudden nausea and vomiting presented to our hospital and developed shock. Abdominal CT showed thickness of the descending colon and ascites. She was diagnosed with sepsis due to descending colon cancer. Colectomy of the descending colon was performed due to necrosis, and a stoma was created. After surgery, she received intensive care in the ICU. It was difficult to wean her from the ventilator, and she developed severe flaccid weakness of the limbs. Her Medical Research Council (MRC) sum score was 0. Since other organic disorders causing prolonged paralysis were excluded, she was finally diagnosed as having ICUAW. Active rehabilitation, nutritional support, and glycemic control were continued. Now, 6 months after surgery, her MRC score has improved to 30. Discussion The treatment for ICUAW has been reported to include recovery from the critical illness, early rehabilitation, and nutritional support, and it requires close cooperation among health care providers. Conclusion All physicians and surgeons who care for critically ill patients should take active steps to diagnose ICUAW in order to avoid deterioration of patients’ activities of daily living.
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Affiliation(s)
- Tetsuro Tominaga
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Takashi Nonaka
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Hiroaki Takeshita
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Yuichiro Honda
- Departments of Surgery, Rehabilitation, and Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Hiroki Nagura
- Departments of Surgery, Rehabilitation, and Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Toshio Shiraishi
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Masaki Kunizaki
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Yorihisa Sumida
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Shigekazu Hidaka
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Terumitsu Sawai
- Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
| | - Takeshi Nagayasu
- Departments of Surgery, Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Japan.
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Kanayama K, Imai H, Yoneda M, Hayashi A, Hirokawa YS, Shiraishi T. Cytological findings of an ectopic pancreas of the stomach obtained at endoscopic ultrasound-guided fine needle aspiration, differential diagnosis from acinar cell carcinoma: a case report. Cytopathology 2016; 27:379-81. [PMID: 26786071 DOI: 10.1111/cyt.12302] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2015] [Indexed: 12/12/2022]
Affiliation(s)
- K Kanayama
- Department of Oncologic Pathology, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
| | - H Imai
- Department of Oncologic Pathology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
| | - M Yoneda
- Department of Clinical Nutrition, Suzuka University of Medical Science, Suzuka, Mie, Japan
| | - A Hayashi
- Department of Oncologic Pathology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
| | - Y S Hirokawa
- Department of Oncologic Pathology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
| | - T Shiraishi
- Department of Oncologic Pathology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
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Agafonova N, Aleksandrov A, Anokhina A, Aoki S, Ariga A, Ariga T, Bender D, Bertolin A, Bodnarchuk I, Bozza C, Brugnera R, Buonaura A, Buontempo S, Büttner B, Chernyavsky M, Chukanov A, Consiglio L, D'Ambrosio N, De Lellis G, De Serio M, Del Amo Sanchez P, Di Crescenzo A, Di Ferdinando D, Di Marco N, Dmitrievski S, Dracos M, Duchesneau D, Dusini S, Dzhatdoev T, Ebert J, Ereditato A, Fini RA, Fornari F, Fukuda T, Galati G, Garfagnini A, Goldberg J, Gornushkin Y, Grella G, Guler AM, Gustavino C, Hagner C, Hara T, Hayakawa H, Hollnagel A, Hosseini B, Ishiguro K, Jakovcic K, Jollet C, Kamiscioglu C, Kamiscioglu M, Kim JH, Kim SH, Kitagawa N, Klicek B, Kodama K, Komatsu M, Kose U, Kreslo I, Laudisio F, Lauria A, Ljubicic A, Longhin A, Loverre PF, Malgin A, Malenica M, Mandrioli G, Matsuo T, Matsushita T, Matveev V, Mauri N, Medinaceli E, Meregaglia A, Mikado S, Miyanishi M, Mizutani F, Monacelli P, Montesi MC, Morishima K, Muciaccia MT, Naganawa N, Naka T, Nakamura M, Nakano T, Nakatsuka Y, Niwa K, Ogawa S, Olchevsky A, Omura T, Ozaki K, Paoloni A, Paparella L, Park BD, Park IG, Pasqualini L, Pastore A, Patrizii L, Pessard H, Pistillo C, Podgrudkov D, Polukhina N, Pozzato M, Pupilli F, Roda M, Roganova T, Rokujo H, Rosa G, Ryazhskaya O, Sato O, Schembri A, Schmidt-Parzefall W, Shakirianova I, Shchedrina T, Sheshukov A, Shibuya H, Shiraishi T, Shoziyoev G, Simone S, Sioli M, Sirignano C, Sirri G, Sotnikov A, Spinetti M, Stanco L, Starkov N, Stellacci SM, Stipcevic M, Strolin P, Takahashi S, Tenti M, Terranova F, Tioukov V, Tufanli S, Vilain P, Vladymyrov M, Votano L, Vuilleumier JL, Wilquet G, Wonsak B, Yoon CS, Zemskova S. Discovery of τ Neutrino Appearance in the CNGS Neutrino Beam with the OPERA Experiment. Phys Rev Lett 2015; 115:121802. [PMID: 26430986 DOI: 10.1103/physrevlett.115.121802] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Indexed: 06/05/2023]
Abstract
The OPERA experiment was designed to search for ν_{μ}→ν_{τ} oscillations in appearance mode, i.e., by detecting the τ leptons produced in charged current ν_{τ} interactions. The experiment took data from 2008 to 2012 in the CERN Neutrinos to Gran Sasso beam. The observation of the ν_{μ}→ν_{τ} appearance, achieved with four candidate events in a subsample of the data, was previously reported. In this Letter, a fifth ν_{τ} candidate event, found in an enlarged data sample, is described. Together with a further reduction of the expected background, the candidate events detected so far allow us to assess the discovery of ν_{μ}→ν_{τ} oscillations in appearance mode with a significance larger than 5σ.
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Affiliation(s)
- N Agafonova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | | | - A Anokhina
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - S Aoki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - T Ariga
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - D Bender
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | - A Bertolin
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - I Bodnarchuk
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - C Bozza
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - R Brugnera
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Buonaura
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | | | - B Büttner
- Hamburg University, D-22761 Hamburg, Germany
| | - M Chernyavsky
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Chukanov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | | | - N D'Ambrosio
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - G De Lellis
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - M De Serio
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - P Del Amo Sanchez
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | | | | | - N Di Marco
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | - S Dmitrievski
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Dracos
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - D Duchesneau
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - S Dusini
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - T Dzhatdoev
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - J Ebert
- Hamburg University, D-22761 Hamburg, Germany
| | - A Ereditato
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - R A Fini
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - F Fornari
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - T Fukuda
- Toho University, J-274-8510 Funabashi, Japan
| | - G Galati
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - A Garfagnini
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - J Goldberg
- Department of Physics, Technion, IL-32000 Haifa, Israel
| | - Y Gornushkin
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - G Grella
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - A M Guler
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | | | - C Hagner
- Hamburg University, D-22761 Hamburg, Germany
| | - T Hara
- Kobe University, J-657-8501 Kobe, Japan
| | - H Hayakawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Hollnagel
- Hamburg University, D-22761 Hamburg, Germany
| | - B Hosseini
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - K Ishiguro
- Nagoya University, J-464-8602 Nagoya, Japan
| | - K Jakovcic
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - C Jollet
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - C Kamiscioglu
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | - M Kamiscioglu
- METU-Middle East Technical University, TR-06531 Ankara, Turkey
| | - J H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - S H Kim
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - N Kitagawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - B Klicek
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - K Kodama
- Aichi University of Education, J-448-8542 Kariya (Aichi-Ken), Japan
| | - M Komatsu
- Nagoya University, J-464-8602 Nagoya, Japan
| | - U Kose
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - I Kreslo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - F Laudisio
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - A Lauria
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | - A Ljubicic
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - A Longhin
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - P F Loverre
- INFN Sezione di Roma, I-00185 Roma, Italy
- Dipartimento di Fisica dell'Università di Roma "La Sapienza", I-00185 Roma, Italy
| | - A Malgin
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - M Malenica
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - G Mandrioli
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - T Matsuo
- Toho University, J-274-8510 Funabashi, Japan
| | | | - V Matveev
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - N Mauri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - E Medinaceli
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - A Meregaglia
- IPHC, Université de Strasbourg, CNRS/IN2P3, F-67037 Strasbourg, France
| | - S Mikado
- Nihon University, J-275-8576 Narashino, Chiba, Japan
| | | | | | | | - M C Montesi
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | | | - M T Muciaccia
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - N Naganawa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Naka
- Nagoya University, J-464-8602 Nagoya, Japan
| | - M Nakamura
- Nagoya University, J-464-8602 Nagoya, Japan
| | - T Nakano
- Nagoya University, J-464-8602 Nagoya, Japan
| | | | - K Niwa
- Nagoya University, J-464-8602 Nagoya, Japan
| | - S Ogawa
- Toho University, J-274-8510 Funabashi, Japan
| | - A Olchevsky
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - T Omura
- Nagoya University, J-464-8602 Nagoya, Japan
| | - K Ozaki
- Kobe University, J-657-8501 Kobe, Japan
| | - A Paoloni
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Paparella
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - B D Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - I G Park
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - L Pasqualini
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - A Pastore
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
| | - L Patrizii
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - H Pessard
- LAPP, Université Savoie Mont Blanc, CNRS/IN2P3, F-74941 Annecy-le-Vieux, France
| | - C Pistillo
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - D Podgrudkov
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - N Polukhina
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - M Pozzato
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - F Pupilli
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - M Roda
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - T Roganova
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - H Rokujo
- Nagoya University, J-464-8602 Nagoya, Japan
| | - G Rosa
- INFN Sezione di Roma, I-00185 Roma, Italy
- Dipartimento di Fisica dell'Università di Roma "La Sapienza", I-00185 Roma, Italy
| | - O Ryazhskaya
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - O Sato
- Nagoya University, J-464-8602 Nagoya, Japan
| | - A Schembri
- INFN-Laboratori Nazionali del Gran Sasso, I-67010 Assergi (L'Aquila), Italy
| | | | - I Shakirianova
- INR-Institute for Nuclear Research of the Russian Academy of Sciences, RUS-117312 Moscow, Russia
| | - T Shchedrina
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - A Sheshukov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - H Shibuya
- Toho University, J-274-8510 Funabashi, Japan
| | | | - G Shoziyoev
- SINP MSU-Skobeltsyn Institute of Nuclear Physics, Lomonosov Moscow State University, RUS-119991 Moscow, Russia
| | - S Simone
- Dipartimento di Fisica dell'Università di Bari, I-70126 Bari, Italy
- INFN Sezione di Bari, I-70126 Bari, Italy
| | - M Sioli
- INFN Sezione di Bologna, I-40127 Bologna, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Bologna, I-40127 Bologna, Italy
| | - C Sirignano
- INFN Sezione di Padova, I-35131 Padova, Italy
- Dipartimento di Fisica e Astronomia dell'Università di Padova, I-35131 Padova, Italy
| | - G Sirri
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - A Sotnikov
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
| | - M Spinetti
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - L Stanco
- INFN Sezione di Padova, I-35131 Padova, Italy
| | - N Starkov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - S M Stellacci
- Dipartimento di Fisica dell'Università di Salerno and "Gruppo Collegato" INFN, I-84084 Fisciano (Salerno), Italy
| | - M Stipcevic
- IRB-Rudjer Boskovic Institute, HR-10002 Zagreb, Croatia
| | - P Strolin
- INFN Sezione di Napoli, 80125 Napoli, Italy
- Dipartimento di Fisica dell'Università Federico II di Napoli, I-80125 Napoli, Italy
| | | | - M Tenti
- INFN Sezione di Bologna, I-40127 Bologna, Italy
| | - F Terranova
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
- Dipartimento di Fisica dell'Università di Milano-Bicocca, I-20126 Milano, Italy
| | - V Tioukov
- INFN Sezione di Napoli, 80125 Napoli, Italy
| | - S Tufanli
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - P Vilain
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - M Vladymyrov
- LPI-Lebedev Physical Institute of the Russian Academy of Sciences, RUS-119991 Moscow, Russia
| | - L Votano
- INFN-Laboratori Nazionali di Frascati dell'INFN, I-00044 Frascati (Roma), Italy
| | - J L Vuilleumier
- Albert Einstein Center for Fundamental Physics, Laboratory for High Energy Physics (LHEP), University of Bern, CH-3012 Bern, Switzerland
| | - G Wilquet
- IIHE, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - B Wonsak
- Hamburg University, D-22761 Hamburg, Germany
| | - C S Yoon
- Gyeongsang National University, 900 Gazwa-dong, Jinju 660-701, Korea
| | - S Zemskova
- JINR-Joint Institute for Nuclear Research, RUS-141980 Dubna, Russia
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Kumagai Y, Cai H, Barrett J, Shiraishi T, Hayashi Y, Sonehara Y, Nagahama F. Evaluation of Cardiovascular safety of Darinaparsin (organic arsenic compound) in Japanese and Korean patients with peripheral T-cell Lymphoma. Clin Ther 2015. [DOI: 10.1016/j.clinthera.2015.05.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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38
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Hoshikawa Y, Okada Y, Ashikari J, Matsuda Y, Niikawa H, Noda M, Sado T, Watanabe T, Notsuda H, Chen F, Inoue M, Miyoshi K, Shiraishi T, Miyazaki T, Chida M, Fukushima N, Kondo T. Medical Consultant System for Improving Lung Transplantation Opportunities and Outcomes in Japan. Transplant Proc 2015; 47:746-50. [DOI: 10.1016/j.transproceed.2014.12.041] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2014] [Accepted: 12/31/2014] [Indexed: 11/16/2022]
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39
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Matsushita Y, Yanamoto S, Takahashi H, Yamada S, Naruse T, Sakamoto Y, Ikeda H, Shiraishi T, Fujita S, Ikeda T, Asahina I, Umeda M. A clinicopathological study of perineural invasion and vascular invasion in oral tongue squamous cell carcinoma. Int J Oral Maxillofac Surg 2015; 44:543-8. [PMID: 25697063 DOI: 10.1016/j.ijom.2015.01.018] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Revised: 01/13/2015] [Accepted: 01/21/2015] [Indexed: 11/19/2022]
Abstract
The risk factors for recurrence of head and neck cancer are classified as being of high or intermediate risk. Those of intermediate risk include multiple positive nodes without extracapsular nodal spread, perineural/vascular invasion, pT3/T4 primary tumours, and positive level IV/V nodes. However, little evidence is available to validate these intermediate risk factors. We analyzed perineural/vascular invasion in 89 patients who underwent radical surgery for oral tongue squamous cell carcinoma, whose records were reviewed retrospectively. Perineural invasion was found in 27.0% of cases and vascular invasion in 23.6%; both had a strong relationship with histopathological nodal status (P = 0.005). The 5-year disease-specific survival (DSS) and overall survival rates of patients with perineural invasion were significantly lower than those of patients without perineural invasion (P < 0.001 and P = 0.002, respectively). The 5-year DSS of UICC stage I and II cases with perineural/vascular invasion was significantly lower than those without (P < 0.001 and P = 0.008, respectively). Perineural invasion and vascular invasion are risk factors for regional metastasis and a poor prognosis. We recommend elective neck dissection when perineural/vascular invasion is found in clinical stage I and II cases. The accumulation of further evidence to consider intermediate risks is required.
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Affiliation(s)
- Y Matsushita
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
| | - S Yanamoto
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - H Takahashi
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - S Yamada
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - T Naruse
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Y Sakamoto
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - H Ikeda
- Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - T Shiraishi
- Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - S Fujita
- Department of Oral Pathology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - T Ikeda
- Department of Oral Pathology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - I Asahina
- Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - M Umeda
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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40
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Mussazhanova Z, Miura S, Stanojevic B, Rougounovitch T, Saenko V, Shiraishi T, Kurashige T, Shichijo K, Kaneko K, Takahashi H, Ito M, Nakashima M. Radiation-associated small cell neuroendocrine carcinoma of the thyroid: a case report with molecular analyses. Thyroid 2014; 24:593-8. [PMID: 23844610 DOI: 10.1089/thy.2013.0214] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Neuroendocrine tumor (NET) of the thyroid other than medullary carcinoma is extremely rare. We describe here a case of calcitonin-negative small cell neuroendocrine carcinoma (SCNEC), which occurred in a thyroid gland that had previously been irradiated at high dose (60 Gy) for pharyngeal cancer, with molecular analyses for follicular cell origin. PATIENT FINDINGS The tumor cells were small with fine chromatin, inconspicuous nucleoli, and inapparent cytoplasm, and showed neuroendocrine architectures such as palisading, rosettes, and trabeculae. Mitotic figures were numerous exceeding 10 mitoses per 10 high-power fields. The tumor cells invaded into several vessels and metastasized to regional lymph nodes. Immunohistochemically, the tumor cells were strongly positive for neuroendocrine markers and thyroglobulin (Tg), a marker of thyroid follicular cells but negative for calcitonin and carcinoembryonic antigen (CEA). Expression of Tg and thyrotropin receptor (TSHR) were confirmed by quantitative real-time polymerase chain reaction (RT-PCR). Ki-67 labeling index was more than 70% in the tumor cells. Taken together, the tumor was diagnosed as SCNEC of the thyroid. Genetic analyses also revealed microsatellite abnormalities of the phosphatase and tensin homolog (PTEN) gene, suggesting that functional loss of PTEN contributes to carcinogenesis. CONCLUSIONS This is the first report describing a SCNEC of the thyroid with molecular analyses that provide evidence for a follicular epithelial origin.
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Affiliation(s)
- Zhanna Mussazhanova
- 1 Department of Tumor and Diagnostic Pathology, Nagasaki University , Nagasaki, Japan
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41
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Shiraishi T. Awake insertion of the air-Q™ intubating laryngeal airway device that facilitates safer tracheal intubation in morbidly obese patients. Br J Anaesth 2014; 111:1024-5. [PMID: 24233310 DOI: 10.1093/bja/aet389] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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42
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Takahashi H, Yanamoto S, Yamada S, Umeda M, Shigeta T, Minamikawa T, Shibuya Y, Komori T, Shiraishi T, Asahina I, Yokoo S, Ri S. Effects of postoperative chemotherapy and radiotherapy on patients with squamous cell carcinoma of the oral cavity and multiple regional lymph node metastases. Int J Oral Maxillofac Surg 2013; 43:680-5. [PMID: 24387949 DOI: 10.1016/j.ijom.2013.11.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Revised: 11/02/2013] [Accepted: 11/11/2013] [Indexed: 11/25/2022]
Abstract
Nodal metastasis in oral squamous cell carcinoma (OSCC) is considered to be a predictor of a poor prognosis. The aim of this study was to investigate the relationship between the number of positive lymph nodes and the prognosis in OSCC patients with nodal metastases and to assess the effects of postoperative radiotherapy (RT) or concurrent chemoradiotherapy (CCRT) on this patient group. A retrospective investigation of 98 patients with OSCC who underwent radical neck dissection and had at least three pathologically positive lymph nodes was performed. The 5-year disease-specific survival rate was 66.7% for patients with 3 positive nodes, while it was significantly lower for those with 4 positive nodes and those with ≥ 5 positive nodes (21.5% and 46.1%, respectively; P < 0.01). The loco-regional control and disease-specific survival rates for the surgery alone, surgery plus RT, and surgery plus CCRT groups were 46.2% and 40.5%, 66.3% and 54.4%, and 81.7% and 52.4%, respectively. For patients with ≥ 4 positive nodes, the loco-regional control rate after surgery plus CCRT was better than that observed after surgery alone (77.5% vs. 32.6%, P = 0.01). Postoperative RT and CCRT have positive impacts on the prognosis of OSCC patients with advanced stage neck disease.
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Affiliation(s)
- H Takahashi
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
| | - S Yanamoto
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - S Yamada
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - M Umeda
- Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - T Shigeta
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - T Minamikawa
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Y Shibuya
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - T Komori
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - T Shiraishi
- Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - I Asahina
- Department of Regenerative Oral Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - S Yokoo
- Department of Stomatology and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma, Japan
| | - S Ri
- Department of Oral and Maxillofacial Surgery, Kakogawa East City Hospital, Kakogawa, Japan
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Muraki Y, Kitamura M, Maeda Y, Kitahara T, Mori T, Ikeue H, Tsugita M, Tadano K, Yamada T, Yamada T, Shiraishi T, Okuda M. P73 Nationwide surveillance of antimicrobial consumption and resistance to Pseudomonas aeruginosa isolates at 203 Japanese hospitals in 2010. Int J Antimicrob Agents 2013. [DOI: 10.1016/s0924-8579(13)70318-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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44
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Kami YN, Chikui T, Shiraishi T, Inadomi D, Nishioka M, Yuasa K, Yoshiura K. A new method for displaying the lingual artery using high-resolution three-dimensional phase-contrast magnetic resonance angiography. Int J Oral Maxillofac Surg 2013; 42:1494-8. [PMID: 23684815 DOI: 10.1016/j.ijom.2013.04.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Revised: 03/18/2013] [Accepted: 04/19/2013] [Indexed: 10/26/2022]
Abstract
The aim of this study was to display the lingual artery superimposed on the anatomical image and to confirm its course and relation to the adjacent structures, noninvasively. Nineteen volunteers participated in the magnetic resonance imaging (MRI) study and one was excluded for excessive movement during scanning. A three-dimensional phase-contrast sequence (3D-PC) of magnetic resonance angiography (MRA) was used for vessel images, and a 3D-T1 high-resolution volume examination (THRIVE) was used for anatomical images. Colour-coded vessel images from 3D-PC MRA were superimposed on the 3D volume anatomical images, and the arterial course and relation to the adjacent structures were confirmed with multiplanar reconstructed cross-sectional (MPR) images. 3D-PC MRA images visualized the lingual artery in all 18 subjects and the sublingual artery in 14 subjects. In seven of 18 cases the bilateral sublingual arteries were shown to run side by side but had no contact with the sublingual veins. They ran together with the sublingual veins in four cases. Three cases showed irregular patterns. The bilateral sublingual arteries could not be identified in four cases. 3D-PC MRA images of the lingual artery superimposed on the anatomical images may be clinically useful to confirm its course and relationship to the adjacent structures before surgery, in order to prevent haemorrhage.
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Affiliation(s)
- Y N Kami
- Department of Oral and Maxillofacial Radiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
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Abstract
A 75-year-old man was diagnosed as having pancreatic ductal carcinoma containing remarkable lymphocytic and plasma cell infiltration, as revealed by the cytological examination of endoscopic ultrasound guided fine-needle aspiration (EUS-FNA) specimen. The EUS-FNA specimen showed small amounts of atypical epithelium with noticeable lymphocytes and plasma cells. A pancreatic resection was performed, and the histopathological features showed an invasive pancreatic ductal carcinoma with autoimmune pancreatitis (AIP) lymphoplasmacytic sclerosing pancreatitis (LPSP)-like lesions. Most of the plasma cells were immunoreactive to anti-IgG4 antibody. EUS-FNA may be necessary for the differential diagnosis of AIP and pancreatic cancer, and close attention should be given to the presence of marked lymphoplasmacytic cells in EUS-FNA specimens while making the diagnosis.
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Affiliation(s)
- M Yoneda
- Department of Pathologic Oncology, Institute of Molecular and Experimental Medicine, Faculty of Medicine, Mie University Graduate School of Medicine, Japan
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46
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Sato M, Ohmori-Matsuda K, Kondo T, Chida M, Date H, Okumura M, Oto T, Shiraishi T, Nagayasu T. Survival Benefit of Lung Transplantation in Japan: Extreme Donor Shortage and the Potential Role of Living Transplantation. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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47
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Muraki Y, Kitamura M, Maeda Y, Kitahara T, Mori T, Ikeue H, Tsugita M, Tadano K, Takada K, Akamatsu T, Yamada T, Yamada T, Shiraishi T, Okuda M. Nationwide surveillance of antimicrobial consumption and resistance to Pseudomonas aeruginosa isolates at 203 Japanese hospitals in 2010. Infection 2013; 41:415-23. [DOI: 10.1007/s15010-013-0440-0] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Accepted: 02/20/2013] [Indexed: 12/01/2022]
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48
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Hirota T, Fujita M, Matsumoto T, Higuchi T, Shiraishi T, Minami M, Okumura M, Nabeshima K, Watanabe K. Pleuroparenchymal fibroelastosis as a manifestation of chronic lung rejection? Eur Respir J 2012; 41:243-5. [DOI: 10.1183/09031936.00103912] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Abstract
In view of recent tremendous advance in astronomical observations in the submillimeter to THz region brought by the Herschel space craft, laboratory high-resolution spectroscopic investigations in that frequency region into unstable molecules, in particular, light hydride ions, are urgently needed. As a part of such endeavor, rotational transitions of H(2)F(+) were observed in the THz-region by using a tunable far-infrared spectrometer. These newly detected lines together with the submillimeter-wave lines obtained previously and the combination differences derived from infrared vibration-rotation lines were subject to a least-squares analysis that yielded a set of molecular constants with much better accuracy. The measured and predicted THz transition frequencies should prove to be a useful probe into detection of interstellar H(2)F(+).
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Affiliation(s)
- T Amano
- Department of Chemistry, The University of Waterloo, Waterloo, Ontario N2L 3G1, Canada.
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50
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Konishi N, Hiasa Y, Tsuzuki T, Matsuda H, Tao M, Nakamura M, Naito H, Kitahori Y, Shiraishi T, Yatani R, Shimazaki J, Lin J. Detection of RB, p16/CDKN2 and p15(INK4B) gene alterations with immunohistochemical studies in human prostate carcinomas. Int J Oncol 2012; 8:107-12. [PMID: 21544337 DOI: 10.3892/ijo.8.1.107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
To examine the status of cell cycle-inhibitory genes in human prostate carcinoma, we investigated alterations of RE (retinoblastoma), p16/CDKN2 and p15(INK4B) genes in 32 adenocarcinomas with immunohistochemistry. PCR-single-strand conformation polymorphism (SSCP) was used to examine all 27 exons of the RE gene, exons 1 to 3 of the p16/CDKN2 gene and exons 1 and 2 of the p15(INK4B) gene for mutations. Loss of heterozygosity (LOH) for the RE gene was probed by restriction fragment length polymorphism (RFLP) analysis. In addition, coordinate samples were subjected to immunohistochemical studies for reactivity to RE and p16 protein. The RE gene alterations were detected in 5 of the 32 tumors (16%); of these, only one mutation, a missense substitution, occurred within an exon. The remaining four single base insertions or deletions were found within introns of the RE gene and no mutational event was detected in its promoter region. LOH involving intron 17 of RB was detected in three cases of 10 informative tumors (30%). Intragenic mutations were also present in 3 of the 32 tumors in the p16/CDKN2 gene. In contrast, no mutational events were found in the p15(INK4B) gene in the tumors. Only one tumor had both a p16/CDKN2 mutation and LOH of the RE gene. Expression of pRB was absent or reduced in 16 cancers, while p16 expression was present in all cases to varying degrees. The results suggest that p16/CDKN2 gene mutations occur rarely and intragenic mutation, but not LOH,of the RE gene is not required in prostatic tumorigenesis.
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Affiliation(s)
- N Konishi
- MIE UNIV,FAC MED,DEPT PATHOL,TSU,MIE 514,JAPAN. CHIBA UNIV,SCH MED,DEPT UROL,CHUO KU,CHIBA 260,JAPAN. CTR DIS CONTROL,DIV HIV AIDS,HEMATOL DIS BRANCH,ATLANTA,GA 30333
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