Publications by authors named "Kentaro Odani"

Although other iatrogenic immunodeficiency-associated lymphoproliferative disorders (OIIA-LPDs) are rare, they are important adverse effects of immunosuppressive therapies. Even though anti-melanoma differentiation association gene 5 (MDA5) antibody-positive dermatomyositis requires multidrug immunosuppressive therapy for interstitial pneumonia control, OIIA-LPD has rarely been reported. Moreover, central nervous system (CNS) OIIA-LPD has never been documented.

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Article Synopsis
  • - The study investigates the use of IMP3 immunohistochemistry (IHC) as a diagnostic tool for primary diffuse large B-cell lymphoma of the central nervous system (CNS-DLBCL), which is challenging to diagnose due to limited biopsy material.
  • - Results showed strong IMP3 expression in 100% of CNS-DLBCL samples, while it was also present in 88.2% of other DLBCLs, but not in inflammatory brain diseases.
  • - While IMP3 IHC can help distinguish CNS-DLBCL in cases with limited tumor cells, most cases can be diagnosed without it, indicating that it serves as a supportive diagnostic technique rather than a primary one.
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Intravascular large B-cell lymphoma (IVLBCL) is a rare type of aggressive extranodal large B-cell lymphoma characterized by the selective growth of lymphoma cells within the lumina of blood vessels, particularly capillaries. IVLBCL lacks mass formation, and its diagnosis can be challenging. We analyzed the utility of insulin-like growth factor II mRNA-binding protein 3 (IMP3) immunohistochemistry for IVLBCL diagnosis in various organs.

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Background: The oncofetal protein insulin-like growth factor 2 mRNA binding protein-3 (IMP3) is expressed in various cancers. In this study, we examined the diagnostic utility of IMP3 immunohistochemistry in the context of intravascular large B-cell lymphoma (IVL).

Methods: We obtained 25 skin biopsy (SB) specimens diagnosed as IVL and nine IVL-negative SB specimens from 27 IVL patients.

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ICPIs were effective for primary and metastatic foci of lung adenocarcinoma, but their repeated use provoked a late relapse of IgM nephropathy and lethal lesions in pancreas and lung. ICPIs should be used carefully in cases of immune-related disease.

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A mildly diabetic 58-year-old male had traumatic ulceration on the left popliteal fossa, and the lesion progressed to a painful 6 cm deep ulcer. After surgical debridement and skin grafting, ulceration recurred. Pyoderma gangrenosum was clinically diagnosed after the first biopsy, indicating a noninfective ulcer.

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Article Synopsis
  • An 85-year-old Japanese male with MPO-positive acute myeloid leukemia (AML-M1) and megakaryocytic differentiation presented with acute coronary syndrome, leading to poor performance status and no chemotherapy treatment.
  • During the autopsy, significant leukemic infiltration was found in the heart tissue and other organs, with the formation of leukemic thrombi in blood vessels, and megakaryocytic cells noted in various tissues.
  • The study highlights the difference between megakaryocytic differentiation related to tissue factors in AML and acute megakaryoblastic leukemia, while discussing potential mechanisms behind acute coronary syndrome in patients with AML.
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Paraneoplastic pemphigus (PNP), an autoimmune mucocutaneous disorder involving the oral and bronchial mucosae, is a rare complication of hematologic malignancy. Serologically, serum autoantibodies against varied desmosome-related proteins are of notice. PNP is often lethal due to bronchiolitis obliterans and opportunistic infection.

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Background: Insulin-like growth factor-2 messenger RNA-binding protein 3 (IGF2BP3 or IMP3) is an oncofetal protein that is expressed in various cancer types, and its expression is often associated with poor prognosis. IGF2BP3 expression has not been fully settled in vascular lesions.

Methods: We evaluated the expression of IGF2BP3 in malignant (angiosarcoma and epithelioid hemangioendothelioma [EHE]) and benign (hemangioma, granulation tissue cappilaries, and pyogenic granuloma) vascular lesions using immunohistochemistry.

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Herpes simplex virus (HSV) pneumonia caused by aspiration from the oropharyngeal exudates is described. An 89-year-old Japanese male in a poor performance state complained of appetite loss followed by difficulty in swallowing, and bilateral pulmonary infiltrates with interstitial reactions were radiologically pointed out. Antibiotics administration was ineffective, and he died on the 6th day of hospitalization.

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