Publications by authors named "Yoshimasa Nakazato"

Acute generalized exanthematous pustulosis (AGEP) is a severe skin inflammation characterized by the sudden onset of numerous sterile, non-follicular pustules on an erythematous and edematous background, usually associated with fever. AGEP is commonly triggered by medications such as antibiotics. However, an association between AGEP and viral infections has also been reported recently.

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A 53-year-old woman undergoing combination therapy with epidermal growth factor receptor (EGFR) and vascular endothelial growth factor receptor (VEGFR) inhibitors for advanced lung cancer with brain metastases developed pustules and punctate purpura on both lower extremities. Histopathological examination revealed neutrophilic infiltration around the hair follicles and erythrocyte extravasation in the perivascular regions near the hair roots, leading to a diagnosis of purpuric papulopustular eruptions. The rash improved with oral doxycycline (100 mg/day) and topical corticosteroids.

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Acquired reactive perforating dermatosis (ARPD) is characterized by its onset after the age of 18 years, umbilicated papules or nodules with a central keratotic plug, and the presence of necrotic collagen tissue within an epithelial crater. ARPD is strongly associated with systemic diseases such as diabetes mellitus (DM) and chronic renal failure, which may contribute to ARPD through factors including microcirculatory disturbances and the deposition of metabolic byproducts, including advanced glycation end-products and calcium. Here, we report a case of ARPD that improved following DM treatment and catheter-based interventions for peripheral artery disease (PAD).

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A 76-year-old woman was diagnosed with mucosa-associated lymphoid tissue (MALT) lymphoma by upper gastrointestinal endoscopy. She underwent further investigation for concomitant bilateral pleural effusions and right pulmonary consolidation. MALT lymphoma with the t(11; 18)(q21; q21) translocation and were detected in pleural fluid.

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Article Synopsis
  • Urticarial vasculitis is a condition marked by long-lasting hives and can be triggered by medications, infections, autoimmune disorders, or, as noted, certain vaccinations.
  • The case study discusses a 67-year-old woman who developed a rash three days post-influenza vaccination, leading to a diagnosis of normocomplementemic urticarial vasculitis, which resolved after treatment.
  • The review highlights that while vaccine-associated vasculitis is common, urticarial vasculitis after vaccination is rare, and the underlying mechanisms are not well understood, suggesting a need for further research.
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  • Immune checkpoint inhibitors (ICIs) can activate T cells in the body, which may lead to unwanted side effects called immune-related adverse events (irAEs), with skin problems being common.
  • A unique case involved a 70-year-old woman who developed serious multi-organ issues, including a rare skin condition called bullous pemphigoid, after taking pembrolizumab, a type of ICI.
  • The case shows that these side effects can happen even years after starting treatment, and it suggests we need to pay more attention to how multiple organs can be affected by ICIs and how to manage these risks.
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  • Immune checkpoints help cancer cells avoid detection and destruction by the immune system by inhibiting T cell activation, making treatment challenging.
  • Immune checkpoint inhibitors, like nivolumab, aim to reactivate these suppressed T cells to attack cancer, but can also lead to immune-related side effects.
  • This report discusses a rare case of prurigo nodularis, an unusual T helper-2-type inflammatory reaction post-nivolumab treatment for lung cancer, shedding light on new potential side effects of these therapies.
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Introduction: Gastric cancer has been reported to occur with mild to moderate mucosal atrophy, particularly after the eradication of () more than 10 years previously. However, no conclusion has been reached on how many years of esophagogastroduodenoscopy should be performed after eradication.

Presentation Of Case: This was a case of gastric carcinoma of the fundic gland type (GCFGT) 32 years after the eradication of , which is the longest posteradication period reported.

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Article Synopsis
  • A 42-year-old man sought medical help for secondary infertility, and an ultrasound revealed a lesion in his bladder related to his prostatic urethra.
  • To prevent potential ejaculation issues after surgery, sperm was cryopreserved for fertility preservation before the lesion was partially removed for histological analysis.
  • The pathological examination confirmed proliferative cystitis with various subtypes, and cyclooxygenase-2 showed varying levels of positivity, marking the patient as the 77th case of this condition reported in Japan.
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  • A 74-year-old man with no respiratory or abdominal symptoms was diagnosed with a non-hyperplastic polyp in the cecum during a follow-up gastrointestinal procedure.
  • The polyp was found to be small cell carcinoma with positive margins, and further testing revealed a lung mass, indicating it was a colorectal metastasis from primary small-cell lung cancer.
  • This case is notable as it is the first reported instance of colon metastasis from small cell carcinoma identified through endoscopic treatment.
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Atypical lymphoproliferative disorders (LPDs) related with autoimmune disease (AID) show marked clinicopathological diversity, which are defined as three distinct clinicopathological subtypes such as those resembling Castleman disease (CD), atypical paracortical hyperplasia with lymphoid follicles (APHLF), and atypical lymphoplasmacytic and immunoblastic proliferation (ALPIB). We studied excisional biopsy specimens from 31 patients with atypical LPDs associated with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and Sjögren syndrome (SjS). The lesions in these 31 cases were classified into 6 (19.

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A non-ampullary duodenal mixed adenoneuroendocrine carcinoma (MANEC), consisting of a conventional adenocarcinoma and a neuroendocrine carcinoma (NEC), is exceedingly rare. Moreover, mismatch repair (MMR) deficient tumors have recently attracted attention. The patient, a 75-year-old woman with epigastric pain and nausea, was found to have a type 2 tumor of the duodenum, which was diagnosed on biopsy as a poorly differentiated carcinoma.

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Cryptococcal granulomatous prostatitis is extremely rare, and there have been few reports of its diagnosis by prostate needle biopsy. The patient, an 81-year-old man, was receiving immunosuppressive treatment for rheumatoid arthritis. He had an oropharyngeal ulcer, and it was diagnosed alongside a methotrexate-related diffuse large B-cell lymphoma.

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Aims: Thymic carcinoma is a rare type of cancer without an established standard pharmaceutical treatment. This study investigated the antitumor effect of dimethyl itaconate (DI), a cell-permeable derivative of itaconate, on human thymic carcinoma cell line.

Main Methods: Human thymic carcinoma cell line Ty82 was used to evaluate the effect of DI on cell viability.

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Background: The tumor transformation mechanism of a plasmacytoid urothelial carcinoma remains unexplained. We describe the case of a plasmacytoid urothelial carcinoma of the renal pelvis in which the expression of zinc finger E-box-binding homeobox 1 (ZEB1), a key nuclear transcription factor in an epithelial-mesenchymal transition, is involved in tumor transformation.

Case Presentation: The patient had a left nephrectomy with the clinical diagnosis of left pelvic renal cancer.

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Breast metastases of primary lung neuroendocrine tumors are rarely reported. The current report presents the case of a 41-year old female with no history of smoking who initially underwent surgery for a breast fibroadenoma, during which a neuroendocrine tumor of the right lung was detected via chest X-ray. The patient underwent surgery for the tumor and developed right breast nodules after adjuvant chemotherapy.

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Histiocytic sarcoma (HS), an extremely rare malignancy, usually follows a progressive time course, and patients die within two years of diagnosis. At present, there is no consensus for effective chemotherapy. We report the case of a 54-year-old man who presented with low back pain and left hip joint pain.

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