Publications by authors named "Teruya Kawamoto"

Epithelioid sarcoma (ES) is a very rare malignant tumor with few effective treatments other than surgical resection. In this study, the efficacy of BNCT for ES was examined using human ES-derived VA-ES-BJ cell-bearing nude mice. Only tumors in the BNCT group injected with p-borono--phenylalanine-fructose complex and irradiated with neutrons were destroyed.

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Cancer stem cells (CSCs) have been implicated as critical mediators in the progression, chemoresistance and metastatic capabilities of diverse malignancies, including osteosarcoma (OS). The authors have succeeded in generating CSC‑like cells (MG‑OKS) from the OS cell line MG‑63 by transducing defined factors. A significant increase in small proline‑rich protein 1A (SPRR1A) expression, a cross‑linked envelope protein in keratinocytes, was observed in MG‑OKS cells.

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Myxofibrosarcoma, a rare malignant tumor, predominantly affects the extremities of the elderly. Because of its invasive nature amputation is sometimes required, resulting in serious deterioration of quality of life. Therefore, cell lines established from amputated surgical specimens of myxofibrosarcoma in the upper limbs of elderly patients were used to create a myxofibrosarcoma-bearing animal model and to investigate the therapeutic effect of BNCT thereon.

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  • A multicenter study in Japan compared clinical outcomes for patients with pelvic bone sarcomas treated with surgery versus particle beam therapy (carbon-ion and proton).
  • The study included 116 patients, with 57 receiving surgery and 59 undergoing particle beam therapy, revealing differences in median age at diagnosis and tumor size between the groups.
  • Overall survival, local control, and metastasis-free survival rates were similar between the groups, but in chordoma patients, the particle beam therapy showed significantly better local control rates compared to surgery.
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The number of advanced-age patients with spinal metastases is rising. This study was performed to clarify the characteristics and surgical outcomes of spinal metastases in advanced-age patients. We prospectively analyzed 216 patients with spinal metastases from 2015 to 2020 and divided them into three age groups: <70 years ( = 119), 70-79 years ( = 73), and ≥80 years ( = 24).

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  • Tumor-devitalized autografts are biological reconstruction methods used after tumor excision in aggressive bone or soft tissue tumors, providing benefits like no disease transmission risk and better fit for the implant site, but they also have limitations including reduced healing potential and biomechanical strength.
  • The study aimed to investigate rates of complications (like fracture and infection), 5-year and 10-year graft survival, union rates of the graft-host junction, and overall limb function related to these autografts.
  • Conducted as a retrospective study across 26 sarcoma centers in Japan, the research analyzed data from 494 patients over a 25-year period, focusing on the outcomes and factors affecting the effectiveness of these treatments.
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This retrospective multicenter study aimed to analyze the clinical features and prognosis of 24 patients diagnosed with LGMS between 2002 and 2019 in the Japanese sarcoma network. Twenty-two cases were surgically treated and two cases were treated with radical radiotherapy (RT). The pathological margin was R0 in 14 cases, R1 in 7 cases, and R2 in 1 case.

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Bone-modifying agents (BMAs), with bone-resorptive inhibitory effects, such as zoledronic acid and denosumab, are widely used at higher doses for bone-related events caused by bone metastasis of malignant tumors. These drugs have been suggested to be associated with atypical femoral fractures (AFFs), and the relationship between BMAs and AFFs has attracted attention. To investigate the clinical features including bone union time of AFFs in patients administered BMA for bone metastasis, we conducted a retrospective multicenter study.

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Angiofibroma of soft tissue (AFST) is a recently described benign fibroblastic neoplasm composed of uniform bland spindle cell proliferation in fibrous and fibromyxoid stroma with prominent thin-walled small branching vessels. A major recurrent genetic abnormality in AFST is t(5;8)(p15;q13), which results in the rearrangement of AHRR and NCOA2 . Owing to a lack of discriminatory IHC markers and potential overlap with other mesenchymal neoplasms, it may be difficult to confirm the diagnosis of AFST in some cases.

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  • The introduction of tyrosine kinase inhibitors has significantly improved survival rates for patients with metastatic renal cell carcinoma (RCC), leading to an increased need for surgical intervention in cases of bone metastases.
  • A retrospective study analyzed 26 surgeries from 17 patients with bone metastases in the extremities, researching outcomes like daily living activities, quality of life, and pain following targeted therapy.
  • Results showed good postoperative outcomes with 5-year overall survival and local progression-free survival rates of 39.5% and 65.6%, respectively, suggesting that systemic treatment should take precedence over local control for advanced RCC bone metastases.
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  • * Recent research indicates that slow-cycling cells (SCCs) may significantly contribute to tumor growth, chemoresistance, and the likelihood of recurrence in ES.
  • * This study successfully used a CFSE labeling system to identify and analyze SCCs in ES, finding unique properties and gene expressions that could lead to better understanding and treatment targets for the disease.
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Background: Dedifferentiated liposarcoma occurs predominantly in the retroperitoneum. Given the paucity of cases, information on the clinical characteristics of this entity in the extremities and trunk wall is quite limited. In particular, the significance of preoperative evaluation and principles of intraoperative management of the different components, i.

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  • This study analyzed the clinical outcomes of 187 patients with pelvic and retroperitoneal bone and soft tissue sarcoma (BSTS) treated at specialized centers in Japan.
  • The 3-year overall survival (OS) rate was 71.7%, while local control (LC) and progression-free survival (PFS) rates were 79.1% and 48.6%, respectively, with osteosarcoma showing significantly worse outcomes.
  • Key poor prognostic factors identified included larger tumor size, soft tissue tumors, presence of distant metastasis, and age, impacting overall survival, local control, and progression-free survival.
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Purpose: Soft tissue sarcomas (STSs) constitute a group of rare, heterogeneous tumors representing approximately 1% of all cancers. Owing to the rarity and pathological diversity of the disease, unplanned excision (UE) has often been performed for STS, resulting in an unfavorable prognosis. This study aimed to clarify clinical outcomes and prognostic factors in STS patients who underwent UE.

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Introduction: We report a very rare case of nonunion with ballooning deformity of the humeral bone after a periprosthetic humeral fracture nonunion.

Case Report: A 79-year-old woman underwent hemiarthroplasty 19 years ago for her proximal humerus fracture. She injured her right humeral diaphysis (stem distal end fracture) 6 years ago.

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  • The distal femur is a frequent location for bone tumors, and surgical resection followed by prosthetic replacement is a common treatment method.
  • A study involving 125 patients treated between 1998 and 2014 found that the Kyocera Modular Limb Salvage (KMLS) systems showed long-term effectiveness, with a mean follow-up of over 11 years.
  • However, results indicated significant issues, including high rates of additional surgeries and implant failure, particularly related to stem breakage and aseptic loosening, highlighting the need for careful monitoring and consideration of implant type.
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Proximal-type epithelioid sarcoma is an aggressive malignant soft-tissue neoplasm, a "proximal" variant of epithelioid sarcoma, resistant to multimodal therapy and involved in early tumor-related death. Pertinent treatments are, therefore, continually being explored. A 24-year-old woman with nonmetastatic proximal-type epithelioid sarcoma, originating subcutaneously on the right side of the vulva, underwent surgical resection; the lesion recurred, however, leading to death 3 months after the second surgery.

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Osteolytic bone metastasis leads to skeletal‑related events, resulting in a decline in the patient activities and survival; therefore, it is important to understand the mechanism underlying bone metastasis. Recent studies have suggested that microRNAs (miRNAs or miRs) are involved in osteoclast differentiation and/or osteolytic bone metastasis; however, the roles of miRNAs have not been elucidated. In the present study, the roles of miRNAs in bone destruction caused by breast cancer metastasis were investigated and .

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Tumor-induced osteomalacia (TIO) is a rare skeletal disease caused by hypersecretion of fibroblast growth factor 23 (FGF-23) from neoplasms of mesenchymal origin; patients with TIO present with insufficiency fractures, progressive bone pain, and delayed fracture unions. Herein, we report the case of a 48-year-old man with an insufficiency fracture in his left femoral neck associated with TIO. The causative tumor located in the patient's maxillary sinus had been resected; however, complete resection was impossible due to the location of the tumor.

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Background: Skeletal related events due to metastatic bone tumors markedly affect the activities of daily living (ADL) and quality of life (QOL) in cancer patients. We focused on multidisciplinary therapy for metastatic bone tumors. This study aimed to evaluate the outcomes of surgical treatment for metastatic bone tumors in the extremities.

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Capicua transcriptional repressor -rearranged sarcoma is an Ewing-like sarcoma with an aggressive clinical course and poor prognosis. No standard treatment has been established. The present study describes a case of -rearranged sarcoma with lung metastases developing in a 24-year-old woman as a therapy-associated malignancy following chemotherapy for anaplastic large cell lymphoma at nine years old.

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  • This study investigated the impact of various clinical characteristics on treatment outcomes for soft tissue sarcoma (STS) patients who develop brain metastasis (BM).
  • Out of 509 STS patients, only five (0.98%) had BM, with an average survival of 1.5 months post-diagnosis.
  • The results showed that patients who received a combination of surgery and postoperative radiotherapy had significantly better survival rates compared to those who did not.
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Previous studies have not clearly identified a prognostic factor for desmoid tumours (DT). Whole-exome sequencing (WES) and/or RNA sequencing (RNA-seq) were performed in 64 cases of DT to investigate the molecular profiles in combination with the clinicopathological characteristics. CTNNB1 mutations with specific hotspots were identified in 56 cases (87.

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  • Synovial sarcoma is a rare and challenging tumor that requires innovative treatment strategies.
  • A 46-year-old woman with a specific type of this tumor in her thigh opted for two courses of Boron Neutron Capture Therapy (BNCT) instead of surgery, leading to significant tumor reduction.
  • After BNCT, the tumor was completely removed, and the patient can now walk independently without any recurrence, suggesting that BNCT could be a promising adjuvant therapy for this condition, though more research is necessary to solidify its effectiveness.
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Introduction: Diabetes mellitus (DM) negatively affects fracture repair by inhibiting endochondral ossification, chondrogenesis, callus formation, and angiogenesis. We previously reported that transcutaneous CO application accelerates fracture repair by promoting endochondral ossification and angiogenesis. The present study aimed to determine whether CO treatment would promote fracture repair in cases with type I DM.

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Synopsis of recent research by authors named "Teruya Kawamoto"

  • - Teruya Kawamoto's research primarily focuses on the clinical outcomes and treatment strategies for various types of sarcomas and metastatic bone tumors, emphasizing the comparison of surgical methods and newer therapies like particle beam therapy.
  • - His recent studies include a multicenter retrospective analysis of pelvic bone sarcomas, as well as investigations into complications and outcomes in elderly patients with metastatic spine tumors, highlighting the growing need for tailored approaches in aging populations.
  • - Additionally, Kawamoto explores innovative surgical techniques and biological reconstruction methods, such as tumor-devitalized autografts, and assesses the implications of bone-modifying agents on fracture risks in patients with metastatic disease.