Publications by authors named "Koichi Okajima"

Background: Patients with clear cell renal cell carcinoma (ccRCC) have a higher incidence of bone metastasis; however, the availability of immune checkpoint inhibitors (ICIs) is expected to improve their overall survival (OS). Hence, accurate data on the prognosis and survival of patients with bone metastases are necessary to recommend appropriate treatments. Therefore, we investigated the prognosis and prognostic factors of patients with ccRCC bone metastasis in the era of ICIs.

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Pleomorphic liposarcoma (PLPS) is a rare and aggressive subtype of liposarcoma with limited treatment options. Despite studies on immune checkpoint inhibitors (ICIs) in sarcomas, there have been few reports involving PLPS. Furthermore, the significance of tumor mutation burden (TMB)-high, a known biomarker for ICIs in various solid tumors, remains unclear in sarcomas.

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Background: This study aimed to investigate the risk factors and prognostic impact of regional lymph node metastasis (RLNM) in patients with bone sarcoma.

Methods: This retrospective study analyzed data from a Japanese registry of patients with bone sarcoma (2006-19). Disease-specific overall survival was estimated using the Kaplan-Meier method.

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Background: The clinical characteristics, outcomes, and prognostic factors of adult embryonal rhabdomyosarcomas (ERMS) and alveolar rhabdomyosarcomas (ARMS), particularly the differences among adolescents/young adults (AYA), adults, and older adults, remain unclear. We assessed the clinicopathological features and survival outcomes of adult patients with ERMS and ARMS in Japan and to compare these features among AYA, adult, and older adult patients.

Methods: We retrospectively analyzed data from the Bone and Soft Tissue Tumor Registry of Japan and enrolled patients aged ≥15 years with ERMS and ARMS.

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Malignant giant cell tumor of bone (GCTB) is identified by the presence of multinucleated giant cells, with an aggressive behavior and a high risk of metastasis, which has not been genetically characterized in detail. H3 histone family member 3A () gene mutations are highly recurrent and specific in GCTB. The present study analyzed the clinical information and genomic sequencing data of eight cases of malignant GCTB (out of 384 bone sarcoma samples) using an anonymized genomic database.

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Article Synopsis
  • Extended curettage is used to treat infiltrative bone tumors, but its effectiveness for bone tumor-induced osteomalacia was previously unclear.
  • This study analyzed 12 patients who underwent extended curettage, finding an 83% remission rate and overall positive clinical outcomes, with most patients able to walk without assistance after surgery.
  • The results suggest that extended curettage is a beneficial treatment option, especially for tumors located in challenging areas where complete removal could lead to complications.
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  • Pleomorphic rhabdomyosarcoma is a rare type of sarcoma in adults, with unclear clinical characteristics and prognosis; analysis of 182 patients revealed a median age of 63 and the lower extremity as the most common tumor site.* -
  • Survival rates were found to be 66.3% at 2 years and 54.1% at 5 years; significant poor prognostic factors included distant metastasis and larger tumor size, with median survival for metastatic patients being only 9.4 months.* -
  • The study concluded that pleomorphic rhabdomyosarcoma shares outcomes with other high-grade soft tissue sarcomas but is less responsive to chemotherapy, indicating a need for alternative treatment
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  • * BRAF mutations were found in 1.2% of patients, with BRAF V600E being present in 0.6%, non-V600E mutations in 4.6%, and BRAF fusions in 0.2%; concurrent gene alterations like CDKN2A were also common.
  • * The study highlights the rarity of BRAF alterations in advanced STS, while identifying potential clinical characteristics and treatment strategies for patients with these mutations, notably in relation to
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  • The study examined symptom patterns and insufficiency fractures in 33 patients with tumour-induced osteomalacia (TIO) from January 2000 to June 2022, emphasizing early diagnosis.
  • Major symptoms included low back pain, chest wall pain, and hip pain, with an average pain duration of 3.9 years before diagnosis.
  • Imaging revealed various insufficiency fractures, notably in the spine and lower limbs, highlighting that specific symptoms and fractures can indicate the presence of TIO.
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Background: Primary tumor resection is the mainstay of treatment for malignant peripheral nerve sheath tumors. However, the efficacy of perioperative chemotherapy and radiotherapy for malignant peripheral nerve sheath tumors has not been elucidated.

Methods: This retrospective analysis based on a Japanese registry included patients with localized malignant peripheral nerve sheath tumors arising at the extremities and trunk wall.

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Background: Eribulin is a tubulin and microtubule-targeting drug that has clinical benefit in overall survival (OS) for patients with advanced soft tissue sarcoma. Eribulin's efficacy has been confirmed in several clinical trials, although no clinically useful biomarkers have been identified. We therefore sought to clarify the predictive factor of eribulin treatment, while focusing on systemic inflammation and immune response values.

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Objective: Malignant fungating wounds are ulcerating tumors that infiltrate the overlying skin. Little evidence exists regarding the prognosis or treatment of malignant fungating wound in soft tissue sarcoma. This study aimed to reveal the prognosis and outcome of surgical treatment of malignant fungating wound in soft tissue sarcoma.

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Lower limb pathological fractures caused by bone metastases can severely impair activities of daily living, so recognizing fracture risk is essential. Medial cortical involvement (MCI) in the proximal femur has been demonstrated to affect bone strength in biomechanical studies, but it has not been investigated in real patients. Between 2012 and 2019, 161 bone metastases with computed tomography (CT) images were retrospectively examined.

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Background: Soft tissue metastasis is rarer than bone metastasis. Patients with soft tissue metastasis generally have a dismal prognosis. The treatment for metastatic lesions is sometimes difficult, because the prognostic factors of patients with soft tissue metastasis remain unelucidated.

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Background: It is unknown whether sarcopenia influences treatment outcome in patients with soft tissue sarcoma. Herein, we aimed to elucidate the impact of sarcopenia on sarcoma treatment.

Methods: A total of 163 soft tissue sarcoma patients were included.

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Background: Despite the clinical benefits of eribulin on overall survival of advanced soft tissue sarcoma (STS) patients, treatment-related toxicity reduces their QOL. Body composition metrics (BCMs) are associated with poor outcome and drug toxicities in several cancers. This study investigated whether BCMs could predict drug toxicity occurrence in advanced STS patients treated with eribulin.

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Heterotopic ossification (HO) is an ectopic formation of the lamellar bone in the soft tissues. Some authors have previously reported HO or calcific tendinitis of the peroneus longus tendon at the level of the cuboid bone, while the HO of the peroneus longus tendon in the retromalleolar portion has not been reported. The purpose of this report is to describe clinical, radiological, and histological features of this rare ossification and its treatment.

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