Publications by authors named "Shin Ishihara"

Introduction: Chest wall sarcomas are rare malignant mesenchymal tumors arising from soft tissue, cartilage and bones. Wide resection is usually the treatment option but often results in postoperative complications after resection of the chest wall. In this study, we reviewed cases of chest wall sarcoma treated with resection of the sternum or ribs and examined the factors that could cause complications.

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Unlabelled: Retroperitoneal sarcoma (RPS) is a biologically heterogeneous tumor and rare malignant mesenchymal soft-tissue neoplasm. Although the 5-year overall survival rate for RPS is approximately 60%-70%, it is quite low for unresectable tumors. Surgery is a standard treatment for RPS.

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Undifferentiated pleomorphic sarcoma (UPS) has a favorable objective response rate to anti-PD-1 drugs compared with other sarcomas. Tertiary lymphoid structure (TLS) is a favorable prognostic factor and a biomarker for immune checkpoint inhibitors (ICIs). Nevertheless, there are limited data on the tumor microenvironment (TME) to support a good response to ICIs in sarcoma.

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The coronavirus disease (COVID-19) pandemic negatively affected the diagnosis and treatment of several cancer types. However, this pandemic's exact impact and extent on bone and soft tissue sarcomas need to be clarified. We aimed to investigate the effect of the COVID-19 pandemic and emergency declaration by the local government on consultation behavior and clinical stage at diagnosis of bone and soft tissue sarcoma.

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Giant cell tumor of bone (GCTB) is a rare osteolytic bone tumor consisting of mononuclear stromal cells, macrophages, and osteoclast-like giant cells. Although GCTB predominantly exhibits benign behavior, the tumor carries a significant risk of high local recurrence. Furthermore, GCTB can occasionally undergo malignant transformation and distal metastasis, making it potentially fatal.

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  • The study investigates the clinicopathological and biliary features of diverticular congenital biliary dilatation (CBD) by reviewing cases from medical databases.
  • It analyzes 211 potential cases, finding that real diverticular CBD is rare and demonstrating issues with current definitions and classifications of the condition.
  • The study concludes that because of unclear definitions, there are inconsistencies in diagnosing and treating CBD, which may hinder effective medical practice.
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  • The study aimed to find out if extrahepatic bile duct resection (EHBDR) improves outcomes for patients with T2 gallbladder cancer (GBC).
  • Among 1,609 patients with T2 GBC analyzed, those who underwent EHBDR had a higher rate of lymph node metastasis and more postoperative complications compared to those who did not.
  • Despite no significant overall survival difference, the EHBDR group had better 5-year survival rates specifically in patients with T2N1 status compared to those who only had D1 dissection, suggesting EHBDR might benefit certain patients, but risks need careful evaluation.
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  • Renal cell carcinoma (RCC) with sarcomatoid changes and rhabdoid features (S/R) is a highly aggressive type of kidney cancer that suppresses antitumor immunity through the CD73/A2AR pathway.
  • A study analyzed the levels of CD73 and A2AR in 60 S/R RCC cases, revealing that their expressions were higher in high-grade tumor components compared to epithelial components and correlated with increased regulatory T cells and M2 macrophages.
  • CD73 and A2AR were found to be independent prognostic markers for unfavorable outcomes in patients with S/R RCC, suggesting that targeting this pathway could improve treatment efficacy alongside immune checkpoint inhibitors.
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Objective: eribulin, an anticancer agent that inhibits microtubule growth, along with trabectedin and pazopanib, has been approved for the treatment of advanced soft tissue sarcoma (STS). However, there has been no consensus on the optimal second-line therapy among these three agents following treatment failure with doxorubicin. Recently, the effects of eribulin on the tumor microenvironment and immunity have been reported in breast cancer, and peripheral blood immune markers have also been reported to be a predictor of eribulin efficacy, though this remains unverified in STS.

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Introduction: Tumor size is an important factor in determining the appropriate clinical management of intradural-extramedullary schwannoma. A tumor volume reduction may be achieved by conservative targeted therapy instead of invasive surgery if a molecular event related to tumor size is discovered. Insulin-like growth factor II messenger RNA-binding protein 3 (IMP3), an oncofetal tumor-associated antigen that is expected to be a target for immunotherapy, was focused on in this study.

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Myxoid liposarcoma (MLS) accounts for 20%-30% of liposarcoma and the round cell component (RCC) is believed to be a specific poor prognostic factor. However, the RCC assessment criteria are vaguely defined and, therefore, are inconsistently employed by pathologists. In this study, we modified and applied two established grading systems to evaluate nuclear atypia (namely, the World Health Organization/International Society of Urological Pathology and the Fuhrman grading in renal cell carcinoma) in 64 MLS cases.

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Giant cell tumour of bone (GCTB) is genetically characterised by an H3F3A mutation. GCTB is treated with curettage or resection, and denosumab may be administered. Herein, we retrospectively analysed a large cohort of GCTB and identified a previously uncharacterised distinct blue matrix.

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Chondroblastoma (CB) is histologically characterized by oval to polygonal-shaped mononuclear neoplastic cells, multinucleated osteoclastic giant cells, and eosinophilic matrix with occasional calcification. Genetically, the majority of CBs harbor H3F3B p.K36M mutation.

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  • This study looked at two proteins, SIRPα and TIGIT, that could help understand how a type of cancer called undifferentiated pleomorphic sarcoma (UPS) works and how bad it is for patients.
  • The researchers used data from 50 cancer cases and found that SIRPα was linked to more harmful conditions while TIGIT was connected to fewer helpful immune cells fighting the cancer.
  • The results showed that having high levels of SIRPα or TIGIT in UPS patients generally meant they might not do well, meaning it could be important to check these proteins when looking at patient outcomes.
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Intimal sarcoma is one of the most common and well-known primary malignant neoplasms of the aorta and heart. The authors reviewed cases of intimal sarcoma from histological, immunohistochemical and genetic perspectives. Twenty cases of intimal sarcoma were retrieved.

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In rare cases, giant cell tumor of bone (GCTB) can undergo primary or secondary malignant transformation to malignant giant cell tumor of bone (MGCTB), but the details of the molecular alterations are still unclear. The present study aimed to elucidate the clinicopathologic and molecular features of MGCTBs based on immunohistochemistry, fluorescence in situ hybridization (FISH) and next generation sequencing (NGS) of nine MGCTBs (five primary and four secondary). Seven (78%) of 9 MGCTBs were immunohistochemically positive for H3.

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  • - Synovial sarcoma (SS) is a type of cancer with a specific fusion gene and distinct histological features, including spindle-shaped cells and epithelial parts.
  • - A study analyzed 88 SS patients to assess the impact of desmoplastic reaction (DR) on their prognosis, categorizing DR into none, mild, moderate, and severe.
  • - Results indicated that patients with moderate to severe DR had a significantly worse prognosis regarding local recurrence, distant metastasis, and tumor mortality compared to those with no or mild DR.
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This paper proposes a method to estimate depth from a single multispectral image by using a lens property known as chromatic aberration. Chromatic aberration causes light passing through a lens to be refracted depending on the wavelength. The refraction causes the angle of rays to vary depending on their wavelength and a change in focal length, which leads to a defocus blur for different wavelengths.

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Malignant peripheral nerve sheath tumor (MPNST) is a very aggressive peripheral nerve sheath-derived sarcoma, which is one of the most difficult tumors to diagnose due to its wide spectrum of histological findings and lack of specific immunohistochemical markers. Recently, it has been reported that losses of expression of H3K27me3 and H3K27me2 caused by PRC2 dysfunction may be useful diagnostic markers for MPNST, but there is no consensus on their clinicopathological significance. Here, we investigated the relationship between loss of H3K27 methylation and various parameters and clarified the clinicopathological significance of such loss.

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Giant cell tumor of bone (GCTB) is an intermediate malignant bone tumor that is locally aggressive and rarely metastasizes. Denosumab, which is a receptor activator of nuclear factor kappa B ligand (RANKL) inhibitor, can be used to treat GCTB. We focused on potential immunotherapy for GCTB and investigated the tumor microenvironment of GCTB.

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The yips, an involuntary movement impediment that affects performance in skilled athletes, is commonly described as a form of task-specific focal dystonia or as a disorder lying on a continuum with focal dystonia at one end (neurological) and chocking under pressure at the other (psychological). However, its etiology has been remained to be elucidated. In order to understand sensorimotor cortical activity associated with this movement disorder, we examined electroencephalographic oscillations over the bilateral sensorimotor areas during a precision force task in athletes with yips, and compared them with age-, sex-, and years of experience-matched controls.

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Aims: Dedifferentiation is a histological phenomenon characterised by abrupt transition of histology to a sarcomatous component with high-grade malignant potential in solitary fibrous tumour (SFT). The authors histologically reviewed SFT cases to reveal the histological background of dedifferentiated SFTs.

Methods: Clinicopathological and histopathological findings of 145 SFT cases were reviewed.

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Background: Undifferentiated pleomorphic sarcoma (UPS) is a sarcoma with a poor prognosis. A clinical trial, SARC028, revealed that treatment with anti-PD-1 drugs was effective against UPS. Studies have reported that UPS expresses PD-L1, sometimes strongly (≥ 50%).

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  • A 12-year-old boy was diagnosed with parosteal osteosarcoma, a type of bone cancer, due to difficulty in bending his left knee.
  • Radiographs showed a dense mineralized mass on the femur, with a unique smooth outline and a gradual thickening pattern, indicating the tumor's presence beneath the periosteum.
  • Histological and immunohistochemical analyses revealed characteristics of the tumor and its association with the MDM2 gene, suggesting a link between parosteal osteosarcoma and active bone growth prior to growth plate closure.
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