論文 - 朝倉　啓介

Is Calcification in the Regional Lymph Nodes a Benign Feature in Patients with Lung Cancer?

Nakanishi K., Nakagawa K., Asakura K., Yoshida Y., Watanabe H., Watanabe S.

World Journal of Surgery （World Journal of Surgery）  43 （ 7 ） 1850 - 1856 2019年07月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  03642313

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© 2019, Société Internationale de Chirurgie. Background: Calcified lymph nodes (LNs) on computed tomography (CT) in patients with lung cancer are generally considered to be a benign feature. However, few studies have evaluated the pathological status of such calcified LNs. We investigated the clinicopathological findings of patients with calcified LNs on preoperative CT who underwent operation for lung cancer and assessed the frequency of metastasis to calcified LNs as well as the risk factors associated with such metastases. Methods: This was a retrospective study of 72 consecutive patients with calcified LNs detected on preoperative CT who underwent pulmonary resection for primary lung cancer between 2011 and 2013. A total of 354 LN stations including 101 LN stations with calcified LNs were evaluated. Results: The frequency of metastasis to calcified LNs was 19.4% (14 of 72 patients) on a per-person basis and 18.8% (19 of 101 stations) on a per-nodal station basis. When the size of calcification was major (>5 mm), the frequency of metastasis to such calcified LNs was significantly lower than when it was minor (≦5 mm) on a per-nodal station basis (11.1% vs 27.7%, P = 0.043). Furthermore, when the size of calcification was major and the status of LN stations with calcified LNs was single, there was no metastasis to such LN stations (0 of 26 stations). Conclusions: The frequency of metastasis to calcified LNs was about 20% on both a per-person and a per-nodal station basis. Although calcified LNs as well as non-calcified LNs should be dissected during operation, dissection of a single LN station with calcification, particularly major calcification, can be omitted.

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気管支鏡下生検で診断に至った肺原発髄膜腫の1切除例

政井 恭兵, 朝倉 啓介, 鈴木 繁紀, 吉田 幸弘, 中川 加寿夫, 吉田 朗彦, 元井 紀子, 土田 敬明, 渡辺 俊一

気管支学 （(NPO)日本呼吸器内視鏡学会）  41 （ 4 ） 359 - 363 2019年07月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0287-2137

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背景.肺原発髄膜腫は髄膜を構成するくも膜細胞に由来する極めてまれな腫瘍である。症例.60歳、女性。健診で胸部異常影を指摘され肺癌疑いで紹介となった。CT上右下葉S10cに境界明瞭で辺縁整な結節を認めた。Bronchus sign陰性の末梢病変であったため、最も病変に近いB10cに気管支鏡を挿入しガイドシース併用気管支腔内超音波断層法(Endobronchial ultrasonography with a guide-sheath:EBUS-GS)を用いて生検を行った。Hematoxylin and eosin(HE)染色を行うと、腫瘍細胞は核内封入体を伴う卵円型核を有し、淡好酸性の胞体を有するくも膜細胞に類似していた。腫瘍は分葉状増殖を示し、腫瘍内には渦状紋状形成、砂粒小体を認めた。免疫染色ではEMA陽性、PgR陽性であった。以上の所見より髄膜腫と診断し、胸腔鏡補助下右肺底区切除を施行した。結語.気管支鏡生検が術前診断に有用であった肺原発髄膜腫のまれな1例を経験したので、文献的考察を加えて報告する。(著者抄録)

Correction to: Prognostic significance of preoperative plasma D-dimer level in patients with surgically resected clinical stage I non-small cell lung cancer: a retrospective cohort study.

Kaseda K, Asakura K, Kazama A, Ozawa Y

Journal of cardiothoracic surgery 14 （ 1 ） 114 2019年06月

研究論文（学術雑誌）, 共著, 査読有り

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Fatty acid β-oxidation-dependent and -independent responses and tumor aggressiveness acquired under mild hypoxia

Wakui M., Kawai K., Mizushima T., Nishime C., Serizawa A., Suemizu H., Asakura K., Yamauchi Y., Hayashida T., Suematsu M., Murata M.

Anticancer Research （Anticancer Research）  39 （ 1 ） 191 - 200 2019年01月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  02507005

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© 2019 International Institute of Anticancer Research. All Rights Reserved. Background/Aim: The present study assessed whether and how tumor cells undergoing hypoxia contribute to disease progression after moving to areas with different oxygen conditions. Materials and Methods: Human colorectal carcinoma HCT116 cells cultured under mild hypoxia were subjected to in vivo experiments using transfer to immunodeficient murine recipients and to in vitro experiments using pharmacological inhibition of fatty acid β-oxidation (FAO). Results: Bone involvement and hepatic metastases were accelerated in transfer models of hypoxically cultured HCT116 cells. Hypoxic HCT116 cells exhibited FAO-dependent glycogen synthesis. FAO-dependent and -independent induction of gene expression also occurred under hypoxia. The distribution of glucose transporter 1 expression compared with heme oxygenase 1 expression in HCT116 cell spheroids seemed consistent with differential dependence of hypoxic expression of these molecules on FAO. Conclusion: These results provide insights into the contribution of hypoxia to tumor progression and the relevance of FAO.

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Aberrant mediastinal trunk of pulmonary artery.

Uchida S, Watanabe SI, Yoshida Y, Kobayashi A, Asakura K, Nakagawa K

Journal of surgical case reports 2019 （ 1 ） rjy359 2019年01月

研究論文（学術雑誌）, 共著, 査読有り

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Predictor of cardiopulmonary complication after pulmonary resection

Asakura K.

Journal of Thoracic Disease （Journal of Thoracic Disease）  11 （ Suppl 3 ） S404 - S407 2019年

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  20721439

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Trimodality therapy for superior sulcus tumour: Experience of a single institution over 19 years

Uchida S., Yoshida Y., Ohe Y., Nakayama Y., Motoi N., Kobayashi A., Asakura K., Nakagawa K., Watanabe S.

European Journal of Cardio-thoracic Surgery （European Journal of Cardio-thoracic Surgery）  56 （ 1 ） 167 - 173 2019年

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  10107940

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© 2019 The Author(s). Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. Objectives: Induction chemoradiotherapy followed by surgery is the standard treatment for superior sulcus tumours (SSTs). However, the protocols, chemotherapy agents and cycles used as well as the mode and intensity of radiotherapy vary between institutions. Thus, the objective of the study was to investigate the effects of trimodality therapy on the outcomes of patients with SSTs. Methods: Sixty patients with SSTs were enrolled between January 1999 and December 2017. Induction therapy consisted primarily of 2 cycles of mitomycin-vindesine-cisplatin or cisplatin-vinorelbine delivered concurrently to the tumour with 40-45 Gy of radiation. Surgery was performed 2-6 weeks after completion of induction therapy. Results: Fifty-four (90%) patients underwent radical surgical resection. Complete pathological resection was achieved in 44 patients (81%). There was no 30-day mortality. After a median follow-up of 57.0 months, 19 (35%) patients experienced recurrence, and 8 (15%) patients showed brain metastasis. A pathological complete response (PCR) was observed in 12 (22%) patients. The 5-year survival rate for the entire population (n = 54) was 69% (95% confidence interval 55-81%). The survival rate was better for patients who underwent complete resection than for those who underwent incomplete resection (73% vs 51%, P = 0.46). A better survival rate was evident in patients with PCR than in those without PCR (92% vs 62%, P = 0.12). Conclusions: Trimodality therapy for SSTs was efficacious and associated with favourable outcomes, with acceptable morbidity and mortality. PCR in patients with resected SSTs reveals promising long-term survival prospects with the trimodality therapy.

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WT1 peptide-based immunotherapy for refractory thymic epithelial malignancies.

Suzuki M, Hishida T, Asakura K, Asamura H

Mediastinum (Hong Kong, China) 3   12 2019年

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Clinical Features of Ground Glass Opacity–Dominant Lung Cancer Exceeding 3.0 cm in the Whole Tumor Size

Suzuki S., Sakurai H., Yotsukura M., Masai K., Asakura K., Nakagawa K., Motoi N., Watanabe S.

Annals of Thoracic Surgery （Annals of Thoracic Surgery）  105 （ 5 ） 1499 - 1506 2018年05月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  00034975

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© 2018 The Society of Thoracic Surgeons Background: Ground glass opacity (GGO)–dominant lung adenocarcinoma sized 3.0 cm or less in the whole tumor size is widely known to have an excellent prognosis and is regarded as early lung cancer. However, the characteristics and prognosis of lung cancer showing GGO exceeding 3.0 cm remains unclear. Methods: From 2002 through 2012, we reviewed 3,735 lung cancers that underwent complete resection at our institution. We identified 160 lung cancers (4.3%) showing GGO exceeding 3.0 cm on thin-section computed tomography and divided them into three types by the consolidation/tumor ratio (CTR) using cutoff values of 0.25 and 0.5. We compared the characteristics and prognosis among these types. Results: Type A (CTR, 0 to ≤0.25), type B (CTR, >0.25 to ≤0.5), and type C (CTR, >0.5 to <1.0) were found in 16 (10%), 37 (23%), and 107 lesions (67%), respectively. No lymph node metastasis was found in types A and B. Recurrence was not observed in types A and B. The 5-year overall survival and disease-free survival rates were both 100% in type A, both 97.2% in type B, and 88.4% and 66.7% in type C, respectively. Patients with type C had a significantly worse prognosis than those with the other types with respect to overall survival and disease-free survival. Conclusions: A patient with GGO-dominant lung cancer exceeding 3.0 cm can be considered to be in a group of patients with nodal-negative disease and an excellent prognosis.

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En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway.

Nakamura A, Watanabe SI, Watanabe Y, Asakura K, Nakagawa K

The Annals of thoracic surgery 104 （ 6 ） e447 - e449 2017年12月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0003-4975

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Prognostic Impact of Margin Distance and Tumor Spread Through Air Spaces in Limited Resection for Primary Lung Cancer.

Masai K, Sakurai H, Sukeda A, Suzuki S, Asakura K, Nakagawa K, Asamura H, Watanabe SI, Motoi N, Hiraoka N

Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer 12 （ 12 ） 1788 - 1797 2017年12月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1556-0864

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Prognostic significance of preoperative plasma D-dimer level in patients with surgically resected clinical stage I non-small cell lung cancer: a retrospective cohort study.

Kaseda K, Asakura K, Kazama A, Ozawa Y

Journal of cardiothoracic surgery 12 （ 1 ） 102 2017年11月

研究論文（学術雑誌）, 共著, 査読有り

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A Proposal for Definition of Minimally Invasive Adenocarcinoma of the Lung Regardless of Tumor Size.

Suzuki S, Sakurai H, Masai K, Asakura K, Nakagawa K, Motoi N, Watanabe SI

The Annals of thoracic surgery 104 （ 3 ） 1027 - 1032 2017年09月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0003-4975

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The new transbronchial diagnostic approach for the metastatic lung tumor from renal cell carcinoma-a case report.

Okubo Y, Matsumoto Y, Nakai T, Tsuchida T, Asakura K, Motoi N, Watanabe SI

Journal of thoracic disease 9 （ 9 ） E762 - E766 2017年09月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  2072-1439

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PD-L1 expression in neuroendocrine tumors of the lung.

Tsuruoka K, Horinouchi H, Goto Y, Kanda S, Fujiwara Y, Nokihara H, Yamamoto N, Asakura K, Nakagawa K, Sakurai H, Watanabe SI, Tsuta K, Ohe Y

Lung cancer (Amsterdam, Netherlands) 108   115 - 120 2017年06月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0169-5002

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Clinicopathological and prognostic features of surgically resected pathological stage I lung adenocarcinoma harboring epidermal growth factor receptor and K-ras mutation.

Kaseda K, Asakura K, Kazama A, Ozawa Y

Thoracic cancer 8 （ 3 ） 229 - 237 2017年05月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1759-7706

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Clinicopathological, Immunohistochemical, and Genetic Features of Primary Lung Adenocarcinoma Occurring in the Setting of Usual Interstitial Pneumonia Pattern.

Masai K, Tsuta K, Motoi N, Shiraishi K, Furuta K, Suzuki S, Asakura K, Nakagawa K, Sakurai H, Watanabe SI, Hiraoka N, Asamura H

Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer 11 （ 12 ） 2141 - 2149 2016年12月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1556-0864

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Risk Factors for Predicting Occult Lymph Node Metastasis in Patients with Clinical Stage I Non-small Cell Lung Cancer Staged by Integrated Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography.

Kaseda K, Asakura K, Kazama A, Ozawa Y

World journal of surgery 40 （ 12 ） 2976 - 2983 2016年12月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0364-2313

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Clinicopathological features of colloid adenocarcinoma of the lung: A report of six cases.

Masai K, Sakurai H, Suzuki S, Asakura K, Nakagawa K, Watanabe S

Journal of surgical oncology 114 （ 2 ） 211 - 5 2016年08月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0022-4790

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Identification of false-negative and false-positive diagnoses of lymph node metastases in non-small cell lung cancer patients staged by integrated (18F-)fluorodeoxyglucose-positron emission tomography/computed tomography: A retrospective cohort study.

Kaseda K, Watanabe K, Asakura K, Kazama A, Ozawa Y

Thoracic cancer 7 （ 4 ） 473 - 80 2016年07月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1759-7706

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