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所属 |
医学部 医学科 外科学講座呼吸器・乳腺外科学分野 |
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職名 |
准教授 |
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外部リンク |
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論文 【 表示 ／ 非表示 】
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Pulmonary torsion after resuscitative thoracotomy: a case report.
Hara D, Hamahiro T, Maeda R, Ayabe T, Tomita M
Journal of surgical case reports 2021 ( 7 ) rjab313 2021年7月
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Recurrent solitary fibrous tumor of the pleura with malignant transformation: a case report.
Sakamoto R, Hamahiro T, Maeda R, Ayabe T, Tomita M, Tanaka H
Journal of surgical case reports 2021 ( 7 ) rjab283 2021年7月
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Horiguchi T., Yanagi S., Tomita M., Maeda R., Uto K., Shigekusa T., Tsubouchi H., Matsumoto N., Nakazato M.
Respiratory Medicine Case Reports 32 101368 2021年1月
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Respiratory Medicine Case Reports
Invasive mucinous adenocarcinoma (IMA) of the lung is a chemo-refractory type of lung cancer with frequent intrapulmonary dissemination. Patients with IMA of the lung often suffer from a productive cough and rapid deterioration of performance status (PS). There is currently no standard therapeutic strategy against this unrelenting condition. Here we report a patient with bilateral IMA of the lung with severe productive cough and dyspnea successfully controlled by palliative lung lobectomy. A 67-year-old Japanese man presented with a 3-month history of productive cough. Chest computed tomography (CT) revealed a mass lesion in the left lower lobe and a small nodule and multiple thin-walled cystic lesions in the right lung. He was diagnosed with stage IIB IMA of the lung. Over the next two weeks, his productive cough and dyspnea drastically worsened and his PS declined from 0 to 4. Chest CT showed increases in size of both the nodule and cystic lesions in the right lung and the mass lesion in the left lower lobe. He was re-diagnosed as stage IVA. Given the extreme heterogeneity of the tumor distribution, we decided to perform palliative resection of the left lower lobe. After the surgery, he experienced complete relief of respiratory symptoms, and his PS improved dramatically, enabling chemotherapy. Thirty-one months after surgery, he maintains good PS. In conclusion, our report suggests that aggressive introduction of palliative lung lobectomy played a substantial role for in the excellent outcome of our patient with relatively well confined, advanced-stage IMA.
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Primary mucinous adenocarcinoma of the thymus: A case report.
Hamahiro T, Maeda R, Ayabe T, Sato Y, Tomita M
Respiratory medicine case reports 34 101497 2021年
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Tomita M., Maeda R., Ayabe T., Nakamura K.
Anticancer Research 40 ( 7 ) 4023 - 4027 2020年7月
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Anticancer Research
Background/Aim: Different tumor markers and systemic inflammation have been linked with cancer development and poor outcome. We aimed to establish a novel non-invasive prognostic index for patients with resectable non-small cell lung cancer (NSCLC) based on serum carcinoembryonic antigen (CEA) and C-reactive protein (CRP). Patients and Methods: Four hundred and sixty-two patients curatively resected for NSCLC between 2008 and 2014 were included. All patients with a follow-up period of less than 5 years were omitted. The geometric mean of the normalized serum CEA and CRP levels was used as a novel tumor marker and inflammation index (TMII). The cut-off value of TMII was determined by receiver operating characteristic (ROC) curve analysis. Univariate and multivariate analyses were used to identify the relative risk factors for survival. Results: ROC curve analysis revealed a TMII cut-off value of 0.46. The group with high TMII displayed more adverse clinical characteristics. Furthermore, compared to patients with low TMII, the group with high TMII had significantly poorer survival. On multivariate analysis, TMII was independently associated with survival. Conclusion: We established a novel prognostic index (TMII) based on serum CEA and CRP. Preoperative TMII may predict poor outcomes in patients with NSCLC.
講演・口頭発表等 【 表示 ／ 非表示 】
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原発不明の肺門リンパ節転移癌の2切除例
落合貴裕、前田亮、綾部貴典、鈴木康人、富田雅樹、中村都英
第52回日本胸部外科学会九州地方会総会
開催年月日： 2019年8月29日 - 2019年8月30日
記述言語：日本語 会議種別：口頭発表（一般）
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胸痛にて発見された自然縮小した胸腺腫の1例
千代反田顕、前田亮、富田雅樹、綾部貴典、佐藤勇一郎、中村都英
第52回日本胸部外科学会九州地方会総会
開催年月日： 2019年8月29日 - 2019年8月30日
記述言語：日本語 会議種別：口頭発表（一般）
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異所性縦隔内甲状腺腫の1切除例
鈴木康人、前田亮、綾部貴典、中村都英、富田雅樹
第52回日本胸部外科学会九州地方会総会
開催年月日： 2019年8月29日 - 2019年8月30日
記述言語：日本語 会議種別：口頭発表（一般）
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外科医療における患者第一の医療安全と臨床倫理のスキルとエッセンス
綾部貴典、富田雅樹、前田亮、宗像駿、櫻原大智、中村都英
第１１８回日本外科学会定期学術集会
開催年月日： 2019年4月18日 - 2019年4月20日
記述言語：日本語 会議種別：口頭発表（一般）
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MRSA アウトブレイク発生・収束後の長期アウトカムと産業界品質管理手法による感染制御の質改善の試み
綾部貴典、富田雅樹、前田亮、宗像駿、緒方祥吾、中村都英
第71 回日本胸部外科学会定期学術集会
開催年月日： 2018年10月4日 - 2018年10月6日
記述言語：日本語 会議種別：ポスター発表