Volume 55, Issue 4, April 2025
Review Article
Current management of neurotrophic receptor tyrosine kinase fusion-positive sarcoma: an updated review
This review focuses on NTRK fusion-positive sarcomas; evaluates their epidemiology, clinical features, and histological characteristics; explores treatments, including TRK inhibitors; and discusses the long-term efficacy and optimal order of action.
Diagnosis, clinical characteristics, and treatment of combined hepatocellular-cholangiocarcinoma
The WHO Classification includes a definition for combined hepatocellular-cholangiocarcinoma. Treatment strategies are determined according to either hepatocellular carcinoma or intrahepatic cholangiocarcinoma considering tumor markers or radiological and pathological findings.
Original article
Gastrointestinal Medicine
Association of plasma branched-chain amino acid levels with colorectal cancer risk in a nested case–control study
Plasma BCAA concentrations were not significantly associated with colorectal cancer risk overall. However, on exclusion of cases diagnosed within 6 years from baseline, total BCAA and leucine were inversely related.
Gastrointestinal Surgery
Surgical risk and cause of death among octogenarian and nonagenarian patients with colorectal cancer: a Japanese multicenter study
The elderly patients had many complications and a high risk of death from other causes. Surgical risk and general condition must be considered when deciding on the appropriateness of surgery.
Gynecology
Comparative analysis of surgical outcomes between the hinotori™ surgical robot system and da Vinci® Xi for simple hysterectomy with sentinel lymph node biopsy in low-risk endometrial cancer
We found that the hinotori™ Surgical Robot System provides comparable surgical outcomes to the da Vinci® Xi system for simple hysterectomy with SN biopsy in low-risk endometrial cancer.
Hepato-biliary and Pancreatic Medicine
Assessment of heterogeneity according to hospital or medical experience factors in outcomes of chemotherapy for advanced biliary tract cancer: a post-hoc analysis of JCOG1113
Our study revealed no significant inter-institutional heterogeneity of the survival outcomes in advanced biliary tract cancer patients of the JCOG1113 study, supporting the generalizability of its results.
Chronological changes in etiology, pathological and imaging findings in primary liver cancer from 2001 to 2020
Primary liver cancer trends show an increase in non-viral, non-cirrhotic cases. Also, increments of intrahepatic cholangiocarcinoma and scirrhous hepatocellular carcinoma highlight a need to reassess diagnostic and management strategies.
Orthopedics/Sarcoma
Selumetinib for symptomatic, inoperable plexiform neurofibromas in pediatric patients with neurofibromatosis type 1: the first single-center real-world case series in Japan
Despite the short-term results, many patients benefited from selumetinib without serious AEs. In some patients, administration was discontinued or interrupted because of the balance between benefits and AEs.
Palliative and Supportive Care
Hospital function-associated deaths among patients with cancer: a comprehensive national study using death records in Japan
Over half of hospital cancer deaths occurred in facilities offering palliative care. Outreach to hospitals with 100–499 beds and 20–49 cancer deaths may enhance end-of-life care efficiently.
Thoracic Medicine
Real-world treatment patterns and survival in extensive stage small-cell lung cancer in Japan
Study analyzed ES-SCLC treatment patterns and survival in Japan using MDV and DeSC databases. Anti-PD-L1 therapies are now first-line, but survival remains poor, highlighting unmet medical needs.
Thoracic Surgery
Role of 18F-fluorodeoxyglucose accumulation in radiological ground-glass opacity of non-small cell lung cancer
The degree of FDG accumulation on FDG-PET/CT compensates for the limitation of HRCT in predicting the invasive component, particularly in assessing GGO.
Urology
Initial treatment and resource utilization among patients with metastatic-castration sensitive prostate cancer in Japan: a retrospective real-world study
A real-world database analysis showed that, while prescription of androgen receptor signaling inhibitors has increased, combined androgen blockade or androgen deprivation therapy remains the most common regimen for initial treatment of metastatic castration-sensitive prostate cancer patients in Japan.
First-line pembrolizumab-axitinib versus sunitinib in metastatic RCC: subgroup analysis of patients enrolled in the phase 3 KEYNOTE-426 in Eastern Asia
In East Asian patients with RCC, pembrolizumab + axitinib improved OS, PFS, and ORR over sunitinib. Results support the use of pembrolizumab + axitinib in patients with advanced RCC.
Clinical impact of a subtype of urothelial carcinoma in nonmuscle-invasive bladder cancer
Patients with a subtype of urothelial carcinoma had a higher rate of progression to muscle invasion and metastasis than those with pure urothelial carcinoma.
Optimization of dose-dense methotrexate, vinblastine, doxorubicin, and cisplatin therapy for Japanese patients with urothelial carcinoma
An adjustable dd-MVAC protocol for Japanese patients with urothelial carcinoma based on renal function and adverse events have favorable impact, with 68.6% patients completing six cycles successfully with manageable toxicities.
The real prevalence and clinical courses of non-metastatic castration-resistant prostate cancer: a retrospective single-institutional study
This retrospective study comprehensively analyzed consecutive localized prostate cancer cases treated at our institution to investigate the prevalence and clinical features of non-metastatic castration-resistant prostate cancer.