2025/05/09 更新

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写真a

タケナカ トモヨシ
竹中 朋祐
TAKENAKA TOMOYOSHI
所属
九州大学病院 呼吸器外科(2) 准教授
医学部 医学科(併任)
職名
准教授
連絡先
メールアドレス
電話番号
0926425466
プロフィール
平成18年4月より消化器・総合外科大学院生として肺悪性腫瘍に関する研究を開始した。平成22年3月に「非小細胞肺癌患者のポジトロン断層撮影における最大標準摂取率(SUV[max])の生物学的意義に関する研究」で学位を取得した。その後、済生会唐津病院、国立病院機構九州医療センター、国立病院機構九州がんセンター、済生会福岡総合病院、広島赤十字・原爆病院で呼吸器外科医として、主に肺癌診療に従事した。多数の呼吸器外科手術を担当するとともに、肺癌診療の際の疑問点や議論になるテーマを臨床研究として継続してきた。2020年4月に九州大学病院 呼吸器外科(2)に異動し、呼吸器外科の臨床、学部学生・大学院生の教育、臨床試験・治験を含めた活動を開始した。2021年4月より九州大学病院 呼吸器外科(2)の疾患チーフに就任。2022年には消化器・総合外科の医局長に就任し、医局運営に関わった。2023年4月より九州大学病院呼吸器外科(1)、(2)が統合され、呼吸器外科となり診療科長に就任した。呼吸器外科の責任者として、肺癌を中心とした呼吸器外科診療に関わるとともに、後進の指導も積極的に行っている。
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研究分野

  • ライフサイエンス / 呼吸器外科学

学位

  • 医学博士 ( 2010年3月 九州大学 )

経歴

  • 九州大学 九州大学病院 呼吸器外科(2)  准教授 

    2020年4月 - 現在

研究テーマ・研究キーワード

  • 研究テーマ: 肺癌の治療成績向上のための臨床研究

    研究キーワード: 肺癌, 呼吸器外科手術, 化学療法, 放射線治療

    研究期間: 2020年6月 - 現在

受賞

  • 6th Asia Pacific Lung Cancer Conference 2014 Young Investigator Award

    2014年9月  

論文

  • DNA Polymerase Delta 2 Activates Cell Cycle in Lung Adenocarcinoma, Leading to High Malignancy and Poor Prognosis 査読

    Hashinokuchi A, Kinoshita F, Iimori M, Kosai K, Ono Y, Tomonaga T, Giacomo B, Matsudo K, Nagano T, Akamine T, Kohno M, Takenaka T, Oda Y, Yoshizumi T

    Annals of Surgical Oncology   32 ( 6 )   4487 - 4496   2025年3月

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    担当区分:責任著者  

  • Maximum resistance pressure at the time of lung tissue rupture after porcine lung transection using automatic linear staplers with different reinforcement methods 査読

    Takamori S, Takenaka T, Shimokawa M, Hashinokuchi A, Matsudo K, Nagano T, Kohno M, Miura N, Yoshizumi T

    Surgery Today   54 ( 12 )   1514 - 1519   2024年12月

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    担当区分:責任著者  

  • CD155 Expression in Early-Stage Lung Adenocarcinoma 査読

    Matsudo K, Takada K, Kinoshita F, Hashinokuchi A, Nagano T, Akamine T, Kohno M, Takenaka T, Shimokawa M, Oda Y, Yoshizumi T

    Annals of Thoracic Surgery   118 ( 6 )   1197 - 1205   2024年12月

  • Impact of timing and initial recurrence site on post-recurrence survival in resected non-small cell lung cancer 査読

    Akamine T, Takenaka T, Yano T, Okamoto T, Yamazaki K, Hamatake M, Kinoshita F, Kohno M, Shimokawa M, Yoshizumi

    European Journal of Surgical Oncology   50 ( 9 )   108374   2024年9月

  • Clinical and Prognostic Significance of Glutathione Peroxidase 2 in Lung Adenocarcinoma 査読

    Asato Hashinokuchi, Taichi Matsubara, Yuya Ono, Saito Shunichi, Kyoto Matsudo, Taichi Nagano, Fumihiko Kinoshita, Takaki Akamine, Mikihiro Kohno, Tomoyoshi Takenaka, Yoshinao Oda, Tomoharu Yoshizumi

    Annals of Surgical Oncology   31 ( 7 )   4822 - 4829   2024年7月

  • Role of Pathologic Single-Nodal and Multiple-Nodal Descriptors in Resected Non-Small Cell Lung Cancer 査読

    akamori S, Osoegawa A, Hashinokuchi A, Karashima T, Takumi Y, Abe M, Yamaguchi M, Takenaka T, Yoshizumi T, Zhu J, Komiya T.

    Chest   166 ( 5 )   1218 - 1228   2024年6月

  • MUC1-C Is a Common Driver of Acquired Osimertinib Resistance in NSCLC 査読 国際誌

    Haratake N, Ozawa H, Morimoto Y, Yamashita N, Daimon T, Bhattacharya A, Wang K, Nakashoji A, Isozaki H, Shimokawa M, Kikutake C, Suyama M, Hashinokuchi A, Takada K, Takenaka T, Yoshizumi T, Mitsudomi T, Hata AN, Kufe D.

    Journal of Thoracic Oncology   19 ( 3 )   434 - 450   2024年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.jtho.2023.10.017

  • Comparison of radiological and pathological tumor sizes in resected non-small cell lung cancer 査読 国際誌

    Nagano T, Takamori S, Hashinokuchi A, Matsydo K, Kohno M, Miura N, Takenaka T, Kamitani T, Shimokawa M, Ishigami K, Oda Y, Yoshizumi T

    General Thoracic and Cardiovascular Surgery   71 ( 12 )   708 - 714   2023年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1007/s11748-023-01938-3

  • Lobectomy for Pulmonary Arteriovenous Fistula in a Patient With Rendu-Osler-Weber Disease: A Case Report 査読 国際誌

    Ishikawa T, Takamori S, Kohno M, Miura N, Takenaka T, Yoshizumi T.

    In Vivo   37 ( 6 )   2854 - 2858   2023年11月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21873/invivo.13402.

  • Impact of Chronic Obstructive Pulmonary Disease on the Long-term Prognosis of Patients Undergoing Lobectomy for Non-small-cell Lung Cancer: A Propensity Score-matched Analysis 査読 国際誌

    Matsudo K, Takenaka T, Hashinokuchi A, Nagano T, Kinoshita F, Takamori S, Akamine T, Kohno M, Miura N, Yoshizumi T.

    Anticancer Research   43 ( 11 )   5215 - 5222   2023年11月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21873/anticanres.16723

  • Transducin Beta-Like 2 is a Potential Driver Gene that Adapts to Endoplasmic Reticulum Stress to Promote Tumor Growth of Lung Adenocarcinoma 査読 国際誌

    Kosai K, Masuda T, Kitagawa A, Tobo T, Ono Y, Ando Y, Takahashi J, Haratake N, Kohno M, Takenaka T, Yoshizumi T, Mimori K.

    Annals of Surgical Oncology   30 ( 12 )   7538 - 7548   2023年11月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1245/s10434-023-13864-y

  • Granzyme B (GZMB)-Positive Tumor-Infiltrating Lymphocytes in Lung Adenocarcinoma: Significance as a Prognostic Factor and Association with Immunosuppressive Proteins 査読 国際誌

    Kinoshita F, Takada K, Wakasu S, Saito S, Hashinokuchi A, Matsudo K, Nagano T, Akamine T, Kohno M, Takenaka T, Shimokawa M, Oda Y, Yoshizumi T.

    Annals of Surgical Oncology   30 ( 12 )   7579 - 7589   2023年11月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1245/s10434-023-14085-z

  • Development of artificial intelligence prognostic model for surgically resected non-small cell lung cancer 査読 国際誌

    Kinoshita F, Takenaka T, Yamashita T, Matsumoto K, Oku Y, Ono Y, Wakasu S, Haratake N, Tagawa T, Nakashima N, Mori M.

    Scientific Reports   13 ( 1 )   15683   2023年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1038/s41598-023-42964-8.

  • Modulation of host glutamine anabolism enhances the sensitivity of small cell lung cancer to chemotherapy 査読 国際誌

    Kodama M, Toyokawa G, Sugahara O, Sugiyama S, Haratake N, Yamada Y, Wada R, Takamori S, Shimokawa M, Takenaka T, Tagawa T, Kittaka H, Tsuruda T, Tanaka K, Komatsu Y, Nakata K, Imado Y, Yamazaki K, Okamoto I, Oda Y, Takahashi M, Izumi Y, Bamba T, Shimizu H, Yoshizumi T, Nakayama KI.

    Cell Reports   42 ( 8 )   15683   2023年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.celrep.2023.112899

  • Prognostic Impact of Central Nervous System Recurrence After Surgery in Patients With Epidermal Growth Factor Receptor Mutation-positive Non-small-cell Lung Cancer 査読 国際誌

    Okamoto T, Takenaka T, Yamazaki K, Hamatake M, Miura N, Takenoyama M, Kometani T, Ueda H, Kouso H, Yano T.

    Anticancer Research   43 ( 8 )   3543 - 3551   2023年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21873/anticanres.16532

  • Impact of the pretreatment prognostic nutritional index on the survival after first-line immunotherapy in non-small-cell lung cancer patients 査読 国際誌

    Oku Y, Toyokawa G, Wakasu S, Kinoshita F, Takamori S, Watanabe K, Haratake N, Nagano T, Kosai K, Takada K, Fujimoto A, Higashijima K, Shiraishi Y, Tanaka K, Takeoka H, Okamoto M, Yamashita T, Shimokawa M, Shoji F, Yamazaki K, Okamoto T, Seto T, Ueda H, Takeo S, Nakashima N, Okamoto I, Takenaka T, Yoshizumi T.

    Cancer Medicine   12 ( 13 )   14327 - 14336   2023年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1002/cam4.6110

  • Preventive effect of tertiary lymphoid structures on lymph node metastasis of lung adenocarcinoma 査読 国際誌

    Wakasu S, Tagawa T, Haratake N, Kinoshita F, Oku Y, Ono Y, Takenaka T, Oda Y, Shimokawa M, Mori M.

    Cancer Immunology Immunotherapy   72 ( 6 )   1823 - 1834   2023年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1007/s00262-022-03353-8

  • Is radical local therapy effective in postoperative recurrent EGFR-mutated non-small cell lung cancer? 査読 国際誌

    Takenaka T, Yano T, Yamazaki K, Okamoto T, Hamatake M, Takamori S, Kohno M, Miura N, Shimokawa M, Yoshizumi T

    Thoracic Cancer   14 ( 18 )   1660 - 1667   2023年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/1759-7714.14911

  • Nagano T, Takenaka T, Ono Y, Kohno M, Shiose A, Yoshizumi T 査読 国際誌

    Nagano T, Takenaka T, Ono Y, Kohno M, Shiose A, Yoshizumi T

    19   153 - 156   2023年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.xjtc.2023.03.002

  • Skeletal muscle area predicts the outcomes of non-small-cell lung cancer after trimodality therapy 査読 国際誌

    Watanabe K, Kinoshita F, Takenaka T, Nagano T, Oku Y, Kosai K, Ono Y, Haratake N, Kohno M, Kamitani T, Yoshitake T, Okamoto T, Shimokawa M, Ishigami K, Yoshizumi T.

    Interdisciplinary Cardiovascular and Thoracic Surgery   36 ( 2 )   ivad020   2023年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1093/icvts/ivad020

  • Conservative treatment for residual lung congestion after left upper trisegmentectomy: a case report 査読 国際誌

    Nagano T, Haratake N, Matsudo K, Hashinokuchi A, Watanabe K, Takamori S, Kohno M, Miura N, Takenaka T, Yoshizumi T

    Translational Cancer Research   12 ( 2 )   421 - 426   2023年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21037/tcr-22-2104

  • Prognostic Impact of C-Reactive Protein-to-Lymphocyte Ratio in Non-small Cell Lung Cancer: A Propensity Score-Matching Analysis 査読 国際誌

    Matsudo K, Takenaka T, Hashinokuchi A, Nagano T, Kinoshita F, Takamori S, Akamine T, Kohno M, Miura N, Yoshizumi T.

    Annals of Surgical Oncology   30 ( 6 )   3781 - 3788   2023年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1245/s10434-023-13250-8

  • Smoking enhances the expression of angiotensin-converting enzyme 2 involved in the efficiency of severe acute respiratory syndrome coronavirus 2 infection 査読 国際誌

    Suzuki R, Ono Y, Noshita K, Kim KS, Ito H, Morioka Y, Tamura T, Okuzaki D, Tagawa T, Takenaka T, Yoshizumi T, Shimamura T, Iwami S, Fukuhara T.

    Microbiology and Immunology   67 ( 1 )   22 - 31   2023年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/1348-0421.13034

  • Prognostic impact of noninvasive areas in resected pathological stage IA lung adenocarcinoma 査読 国際誌

    Kinoshita F, Shimokawa M, Takenaka T, Okamoto T, Taguchi K, Oda Y, Yoshizumi T.

    Thoracic Cancer   14 ( 18 )   1651 - 1659   2023年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/1759-7714.14910

  • Surgical resection of a tuberculoma in the diaphragm: a case report 査読 国際誌

    Hashinokuchi A, Kohno M, Kosai K, Ono Y, Haratake N, Shibata D, Yamamoto H, Takenaka T, Yoshizumi T

    Surgical Case r\Reports   8 ( 1 )   198   2022年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1186/s40792-022-01554-y

  • Association between sex and outcomes in patients with non-small-cell lung cancer receiving combination chemoimmunotherapy as a first-line therapy: a systematic review and meta-analysis of randomized clinical trials 査読 国際誌

    Takada K, Shimokawa M, Mizuki F, Takamori S, Takenaka T, Miura N, Shikada Y, Yoshizumi T

    European Journal of Medical Research   27 ( 1 )   157   2022年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1186/s40001-022-00789-7

  • Multiple systemic artery to pulmonary vessel fistulas (SAPVFs) completely resected by video-assisted thoracoscopic surgery: a case report 査読 国際誌

    Matsudo K, Haratake N, Ono Y, Kohno M, Takenaka T, Yoshizumi T

    Surgical Case Reports   8 ( 1 )   184   2022年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1186/s40792-022-01540-4

  • Clinical significance of the combination of preoperative SUVmax and CEA in patients with clinical stage IA lung adenocarcinoma 査読 国際誌

    Hashinokuchi A, Haratake N, Takenaka T, Matsudo K, Nagano T, Watanabe K, Kosai K, Oku Y, Ono Y, Takamori S, Kohno M, Baba S, Ishigami K, Yoshizumi T

    Thoracic Cancer   13 ( 18 )   2624 - 2632   2022年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/1759-7714.14599

  • Combination Antiemetic Therapy for Chemotherapy-Induced Nausea and Vomiting in Patients with NSCLC Receiving Carboplatin-Based Chemotherapy 査読 国際誌

    Shimokawa M, Haratake N, Takada K, Toyokawa G, Takamori S, Mizuki F, Takenaka T, Hayashi T

    Cancer Management and Research   14   2673 - 2680   2022年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.2147/CMAR.S370961

  • Antibiotic-dependent effect of probiotics in patients with non-small cell lung cancer treated with PD-1 checkpoint blockade 査読 国際誌

    Takada K, Buti S, Bersanelli M, Shimokawa M, Takamori S, Matsubara T, Takenaka T, Okamoto T, Hamatake M, Tsuchiya-Kawano Y, Otsubo K, Nakanishi Y, Okamoto I, Pinato DJ, Cortellini A, Yoshizumi T

    European Journal of Cancer   172   199 - 208   2022年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.ejca.2022.06.002

  • Relationship between consolidation tumor ratio and tumor-infiltrating lymphocytes in small-sized lung adenocarcinoma 査読 国際誌

    Ono Y, Tagawa T, Kinoshita F, Haratake N, Takada K, Kohno M, Takenaka T, Kamitani T, Shimokawa M, Oda Y, Mori M, Yoshizumi T.

    Thoracic Cancer   13 ( 15 )   2134 - 2141   2022年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1111/1759-7714.14524

  • Survival after recurrence following surgical resected non-small cell lung cancer: A multicenter, prospective cohort study 査読 国際誌

    Takenaka T, Yano T, Yamazaki K, Okamoto T, Hamatake M, Shimokawa M, Mori M

    JTCVS Open   10   370 - 381   2022年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.xjon.2022.03.004

  • Consideration of the Optimal Surgical Procedure Based on the Risk of Recurrence in Clinical Stage 0 or IA Lung Adenocarcinoma 査読 国際誌

    Takenaka T, Tagawa T, Kohno M, Haratake N, Kinoshita F, Ono Y, Wakasu S, Oku Y, Mori M

    Anticancer Research   42 ( 2 )   1137 - 1142   2022年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21873/anticanres.15577

  • Long-term complete response to gefitinib after treatment termination in a patient with recurrent post-operative EGFR-mutated lung adenocarcinoma: case report and literature review 査読 国際誌

    Watanabe K, Haratake N, Takenaka T, Nagano T, Oku Y, Kosai K, Ono Y, Kohno M, Oda Y

    Translational Cancer Research   10 ( 11 )   5010 - 5013   2021年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21037/tcr-21-1140

  • Identification of SLC38A7 as a Prognostic Marker and Potential Therapeutic Target of Lung Squamous Cell Carcinoma 査読 国際誌

    Haratake N, Hu Q, Okamoto T, Jogo T, Toyokawa G, Kinoshita F, Takenaka T, Tagawa T, Iseda N, Itoh S, Yamada Y, Oda Y, Shimokawa M, Kikutake C, Suyama M, Unoki M, Sasaki H, Mori M

    Annals of Surgey   274 ( 3 )   500 - 507   2021年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1097/SLA.0000000000005001

  • Prognostic value of postoperative decrease in serum albumin on surgically resected early-stage non-small cell lung carcinoma: A multicenter retrospective study 査読 国際誌

    Kinoshita F, Tagawa T, Yamashita T, Takenaka T, Matsubara T, Toyokawa G, Takada K, Oba T, Osoegawa A, Yamazaki K, Takenoyama M, Shimokawa M, Nakashima N, Mori M

    PLoS One   16 ( 9 )   e0256894   2021年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1371/journal.pone.0256894

  • Preoperative prognostic nutritional index level is associated with tumour-infiltrating lymphocyte status in patients with surgically resected lung squamous cell carcinoma 査読 国際誌

    Kitahara H, Shoji F, Akamine T, Kinoshita F, Haratake N, Takenaka T, Tagawa T, Sonoda T, Shimokawa M, Maehara Y, Mori M

    European Journal of Cardio-Thoracic Surgery   60 ( 2 )   393 - 401   2021年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1093/ejcts/ezab046

  • Spontaneous hemopneumothorax with a ruptured aneurysm in the second intercostal artery: report of a case 査読 国際誌

    Tanaka Y, Haratake N, Kinoshita F, Takenaka T, Tagawa T, Mori M

    General Thoracic and Cardiovascular Surgery   69 ( 7 )   1133 - 1136   2021年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1007/s11748-021-01620-6

  • Prognostic Impact of Albumin-bilirubin (ALBI) Grade on Non-small Lung Cell Carcinoma: A Propensity-score Matched Analysis 査読 国際誌

    Kinoshita F, Yamashita T, Oku Y, Kosai K, Ono Y, Wakasu S, Haratake N, Toyokawa G, Takenaka T, Tagawa T, Shimokawa M, Nakashima N, Mori M

    Anticancer Research   41 ( 3 )   1621 - 1628   2021年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.21873/anticanres.14924

  • Does short-term cessation of smoking before lung resections reduce the risk of complications? 査読 国際誌

    @Tomoyoshi Takenaka, Fumihiro Shoji, Tetsuzo Tagawa, Fumihiko Kinoshita, @Naoki Haratake, Makoto Edagawa, Koji Yamazaki, Mitsuhiro Takenoyama, Sadanori Takeo , Masaki Mori

    Journal of Thoracic Disease   12 ( 12 )   7127 - 7134   2020年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Background: Smoking cessation is a highly important preparation before thoracic surgery. We examined the effects of short-term smoking cessation intervention before pulmonary resection on postoperative pulmonary complications (PPCs).

    Methods: A retrospective analysis of prospectively collected data was performed for 753 patients who underwent curative surgical resection for thoracic malignancy at 3 institutions. Patients with a smoking history were instructed to quit smoking. After confirming smoking cessation by at least four weeks before surgery, surgical resection was performed. Subjects were classified into three groups based on their smoking status: abstainers (anyone who had stopped smoking for at least 4 weeks but less than 2 months), former smokers (anyone who had abstained from smoking for more than two months prior to surgery), and never smokers (those who had never smoked). We examined the relationship between the preoperative smoking status and PPCs.

    Results: Surgery was performed for 660 primary lung cancers and 93 metastatic lung tumors. The smoking statuses were classified as follows: abstainers (n=105, 14%), former smokers (n=361; 48%) and never smokers (n=287, 38%). The incidence of PPCs among abstainers, former smokers and never smokers was 15%, 8% and 6%, respectively (P=0.01). The mean duration of post-operative chest tube drainage among abstainers, former smokers and never smokers was 3.2, 2.2 and 2.2 days, respectively (P=0.04). The mean post-operative hospital stay among abstainers, former smokers and never smokers was 12.1, 10.6 and 10.2 days, respectively (P=0.07). There was no 30-day mortality in the cohort.

    Conclusions: Short-term smoking cessation intervention did not enough reduce the PPCs as much as in former or never smokers.

    DOI: 10.21037/jtd-20-2574

  • Prognostic ability of new T1 descriptors in the tumour, node and metastasis classification of surgically treated non-small-cell lung cancer 査読

    Tomoyoshi Takenaka, Koji Yamazaki, Naoko Miura, Sadanori Takeo

    Interactive cardiovascular and thoracic surgery   27 ( 5 )   714 - 719   2018年11月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    OBJECTIVES In the tumour, node and metastasis (TNM) classification (8th edition) of non-small-cell lung cancer, T (tumour size) is determined solely according to the size of the solid component determined using computed tomography (CT). However, it is unclear whether tumours of equal size but with differing solid and part-solid components should be similarly treated. Herein, we assessed the prognostic significance of the newly proposed T1 descriptors with respect to the size of the solid component. METHODS We analysed overall survival (OS) and disease-free survival (DFS) between groups of patients (n = 255) with solid or part-solid tumours using propensity score matching. The new staging system was used for classification and comparison of survival. RESULTS Chest CT detected 7 non-solid tumours, 123 part-solid tumours and 125 solid tumours. The 5-year OS and DFS rates differed significantly between the solid tumour (OS 71.2%; DFS 65.4%) and part-solid tumour (OS 83.2%; DFS 78.2%) groups. However, among 81 propensity score matching pairs (including those matched according to the size of the solid component), OS and DFS did not significantly differ between groups. The 5-year OS rates according to disease stage were as follows: cIA1 88.0%; cIA2 79.4% and cIA3 67.6%. CONCLUSIONS Propensity score matching of solid tumour and part-solid tumour groups did not reveal a significant difference in survival as a function of the size of the solid component. A study of a larger cohort is required to validate this result.

    DOI: 10.1093/icvts/ivy164

  • The prognostic impact of combined pulmonary fibrosis and emphysema in patients with clinical stage IA non-small cell lung cancer 査読

    Tomoyoshi Takenaka, Kiyomi Furuya, Koji Yamazaki, Naoko Miura, Kana Tsutsui, Sadanori Takeo

    Surgery today   48 ( 2 )   229 - 235   2018年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Purpose: We evaluated the long-term outcomes of clinical stage IA non-small cell lung cancer (NSCLC) patients with combined pulmonary fibrosis and emphysema (CPFE) who underwent lobectomy. Methods: We reviewed the chest computed tomography (CT) findings and divided the patients into normal, fibrosis, emphysema and CPFE groups. We evaluated the relationships among the CT findings, the clinicopathological findings and postoperative survival. Results: The patients were classified into the following groups based on the preoperative chest CT findings: normal lung, n = 187; emphysema, n = 62; fibrosis, n = 8; and CPFE, n = 17. The patients with CPFE were significantly older, more likely to be men and smokers, had a higher KL-6 level and lower FEV 1.0% value and had a higher rate of squamous cell carcinoma. The 5-year overall survival (OS) and disease-free survival rates were as follows: normal group, 82.5 and 76.8%; emphysema group, 80.0 and 74.9%; fibrosis group, 46.9 and 50%; and CPFE group, 36.9 and 27.9%, respectively (p < 0.01). A univariate and multivariate analysis determined that the pathological stage and CT findings were associated with OS. Conclusions: CPFE is a significantly unfavorable prognostic factor after lobectomy, even in early-stage NSCLC patients with a preserved lung function.

    DOI: 10.1007/s00595-017-1577-8

  • Post-recurrence survival of elderly patients 75 years of age or older with surgically resected non-small cell lung cancer 査読

    Tomoyoshi Takenaka, Eiko Inamasu, Tsukihisa Yoshida, Gouji Toyokawa, Kaname Nosaki, Fumihiko Hirai, Masafumi Yamaguchi, Takashi Seto, Mitsuhiro Takenoyama, Yukito Ichinose

    Surgery today   46 ( 4 )   430 - 436   2016年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Purpose: The purpose of this study was to evaluate the outcomes of elderly patients 75 years of age or older with recurrent non-small cell lung cancer (NSCLC). Methods: A total of 1237 consecutive patients with NSCLC underwent pulmonary resection at our institution. Of these patients, 280 experienced postoperative recurrence. The rate of the post-recurrence survival and predictors were analyzed independently in a group of younger patients (<75 years) and a group of elderly patients (≥75 years). Results: There were 215 younger patients (<75 years) and 65 elderly (≥75 years) patients at the time of diagnosis of recurrence. The median post-recurrence survival time and the five-year survival rate of all cases were 25 months and 20.8 %, respectively. There were no significant survival differences between the younger and elderly groups (p = 0.20). A univariate analysis determined that gender, Eastern Cooperative Oncology Group performance status, smoking status, histological type and epithelial growth factor receptor (EGFR) mutation status were factors influencing the post-recurrence survival among the elderly patients. In addition, a multivariate analysis determined the EGFR mutation status to be an independent prognostic factor for the post-recurrence survival. Conclusions: Elderly patients 75 years of age or older in this study achieved satisfactory long-term outcomes.

    DOI: 10.1007/s00595-015-1200-9

  • Influence of the distance between home and the hospital on patients with surgically resected non-small-cell lung cancer 査読

    Tomoyoshi Takenaka, Eiko Inamasu, Tsukihisa Yoshida, Gouji Toyokawa, Kaname Nosaki, Fumihiko Hirai, Masafumi Yamaguchi, Takashi Seto, Mitsuhiro Takenoyama, Yukito Ichinose

    European Journal of Cardio-thoracic Surgery   49 ( 3 )   842 - 846   2016年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    OBJECTIVES: There have been no previous reports examining how the travel distance affects the outcomes of non-small-cell lung cancer (NSCLC) patients. In this study, we examined the influence of the distance from home to the hospital on patients with NSCLC who underwent surgical resection. METHODS: From 2006 to 2011, 607 consecutive patients with NSCLC who had undergone pulmonary resection were enrolled. The patients were divided into three groups according to the distance from their home to the hospital: 0 < 10, 10-30 and > 30 km. We analysed the short-term and long-term outcomes according to the group. RESULTS: Two hundred and ninety-six patients lived less than 10 km from the hospital, 111 patients lived 10-30 km and 200 patients lived more than 30 km. There were no differences in the demographics, including age, European Cooperative Oncology Group performance status, histological type, surgical procedure and pathological stage, between the three groups. The mean postoperative hospital stay was as follows: 13.9 days in the < 10 km group, 13.3 days in the 10-30 km group and 14.3 days in the > 30 km group (P = 0.04). There were no significant differences in the median length of follow-up (50, 47, 43 months, P = 0.24), disease-free survival (DFS) (5-year DFS, 68.1, 68.2 and 70.1%, P = 0.89) or overall survival (OS) (5-year OS, 80.6, 78.8 and 79.4%, P = 0.99) between the three groups. CONCLUSIONS: The distance between home and the hospital was not found to influence the long-term outcomes of the patients with surgically resected NSCLC. Therefore, the travel distance should not represent a contraindication to surgical resection and postoperative therapy for NSCLC.

    DOI: 10.1093/ejcts/ezv253

  • The prognostic impact of tumor volume in patients with clinical stage IA non-small cell lung cancer 査読

    Tomoyoshi Takenaka, Koji Yamazaki, Naoko Miura, Ryo Mori, Sadanori Takeo

    Journal of Thoracic Oncology   11 ( 7 )   1074 - 1080   2016年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Introduction: Tumor volume promises to be an important factor for predicting the prognosis of patients with non- small cell lung cancer (NSCLC). Methods: A total of 255 patients who underwent curative surgical resection for clinical stage IA NSCLC were included. We performed semiautomated measurement of the whole tumor volume and the volume of the solid part (referred to as the solid part volume) from a volumetric analysis of chest three-dimensional computed tomography scans using the SYNAPSE VINCENT imaging software program (Fujifilm Medical, Tokyo, Japan). We evaluated the relationships among tumor size, tumor volume, and survival. Results: The mean whole tumor size, the ratio of the maximum diameter of consolidation to the maximum tumor diameter (CTR), the whole tumor volume, and the solid part volume were 20 mm (range 0-30 mm), 0.84 (range 0-1.0), 3080 mm3 (range 123-17509 mm3), and 2032 mm3 (0- 12466 mm3), respectively. The receiver operating characteristic area under the curve for the whole tumor size, CTR, whole tumor volume, and solid part volume used to identify recurrence were 0.60, 0.68, 0.58, and 0.69, respectively. A univariate analysis revealed that the whole tumor size, CTR, whole tumor volume, and solid part volume were associated with disease-free survival (DFS). A multivariate analysis of these factors identified the solid part volume to be the only independent factor for the prediction of DFS. Conclusions: The whole tumor volume and the solid part volume were associated with DFS. In particular, the solid part volume was a very useful factor for predicting prognosis in clinical stage IA NSCLC.

    DOI: 10.1016/j.jtho.2016.02.005

  • Role of surgical resection for patients with limited disease-small cell lung cancer 査読

    Tomoyoshi Takenaka, Mitsuhiro Takenoyama, Eiko Inamasu, Tsukihisa Yoshida, Gouji Toyokawa, Kaname Nosaki, Fumihiko Hirai, Masafumi Yamaguchi, Mototsugu Shimokawa, Takashi Seto, Yukito Ichinose

    Lung Cancer   88 ( 1 )   52 - 56   2015年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Although chemotherapy and radiotherapy are recommended for patients with limited disease small cell lung cancer (LD-SCLC), several series have reported favorable survival outcomes even in patients with stages II and III disease who underwent surgical resection. The purpose of this study is to compare the outcomes of the use of surgical resection to the other conventional non-surgical treatments in patients with LD-SCLC with respect to each clinical stage. Materials and methods: We retrospectively reviewed 277 patients who received treatment for LD-SCLC and compared the outcomes of the use of surgical resection to the other conventional non-surgical treatments. Results: The clinical stage was stage I in 50 cases (18%), stage II in 53 cases (19%) and stage III in 174 cases (63%). Eighty-eight patients received surgical resection and 189 patients were treated with non-surgical treatment. Surgery was performed in 44 patients (88%) with stage I, 27 patients (52%) with stage II and 17 patients (10%) with stage III disease. The five-year survival rates of the patients according to clinical stage were 58% in stage I, 29% in stage II and 18% in stage III. The five-year survival rates of the patients with and without surgical resection according to clinical stage were as follows: 62% and 25% in stage I (. p<. 0.01), 33% and 24% in stage II (. p=. 0.95), 18% and 18% in stage III (. p=. 0.35), respectively. In 44 propensity score-matched pairs with stages II and III disease, including matching for variables such as age, gender and the PS, the five-year survival rates was better in patients with surgical resection than in those without surgery (. p=. 0.04). Conclusion: Surgical resection is effective for the patients with stage I LD-SCLC and some cases of stage II or III disease.

    DOI: 10.1016/j.lungcan.2015.01.010

  • Impact of the epidermal growth factor receptor mutation status on the post-recurrence survival of patients with surgically resected non-small-cell lung cancer 査読

    Tomoyoshi Takenaka, Mitsuhiro Takenoyama, Masafumi Yamaguchi, Ryo Toyozawa, Eiko Inamasu, Miyako Kojo, Gouji Toyokawa, Tsukihisa Yoshida, Yoshimasa Shiraishi, Yosuke Morodomi, Fumihiko Hirai, Kenichi Taguchi, Mototsugu Shimokawa, Takashi Seto, Yukito Ichinose

    European Journal of Cardio-thoracic Surgery   47 ( 3 )   550 - 555   2015年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    OBJECTIVES: The impact of epidermal growth factor receptor (EGFR) status and the use of EGFR-tyrosine kinase inhibitor (EGFR-TKI) therapy have not been well discussed only in recurrent non-small-cell lung cancer (NSCLC). The purpose of this study was to identify the prognostic factors associated with post-recurrence survival after surgical resection of NSCLC in terms of the EGFR mutation status and the use of EGFR-TKI therapy. METHODS: From 2000 through 2011, 1237 consecutive patients with NSCLC underwent pulmonary resection at our institution. Of these patients, 280 experienced postoperative recurrence by the end of 2012. We reviewed the cases of recurrence and analysed the predictors and length of post-recurrence survival. RESULTS: The median post-recurrence survival time and the 5-year survival rate of all patients were 25 months and 20.8%, respectively. A multivariate analysis identified the Eastern Cooperative Oncology Group (ECOG) performance status (PS), brain metastasis, number of sites of recurrence and EGFR mutation status to be independent prognostic factors for post-recurrence survival. Among all cases, the median post-recurrence survival time according to the use of EGFR-TKI therapy was as follows: 49 months in the EGFR mutation-positive patients treated with EGFR-TKI therapy, 20 months in the EGFR wild or unknown cases treated with EGFR-TKI therapy and 17 months in the patients not treated with EGFR-TKI therapy. As to EGFR mutation-positive cases, the patients treated with EGFR-TKIs exhibited significantly longer post-recurrence survival time than the patients treated without EGFR-TKIs (49 vs 12 months). CONCLUSIONS: It is essential for recurrent NSCLC patients to be examined for the EGFR mutation status. Patients with a positive EGFR mutation status receive significant benefits from EGFR-TKI therapy.

    DOI: 10.1093/ejcts/ezu227

  • Concurrent chemoradiotherapy for patients with postoperative recurrence of surgically resected non-small-cell lung cancer 査読

    Tomoyoshi Takenaka, Mitsuhiro Takenoyama, Ryo Toyozawa, Eiko Inamasu, Tsukihisa Yoshida, Gouji Toyokawa, Yoshimasa Shiraishi, Fumihiko Hirai, Masafumi Yamaguchi, Takashi Seto, Yukito Ichinose

    Clinical Lung Cancer   16 ( 1 )   51 - 56   2015年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Background A few reports have evaluated the outcomes of concurrent chemoradiotherapy (CRT) for patients with postoperative recurrence of non-small cell lung cancer (NSCLC). Patients and Methods From 2000 through 2011, 1237 consecutive patients with NSCLC underwent pulmonary resection at our institution. Of those, 280 patients had experienced postoperative recurrence by the end of 2012. Thirty-five patients received concurrent CRT as initial treatment of the recurrent disease. We retrospectively reviewed these cases, analyzed the outcomes of concurrent CRT after surgical resection, and examined the factors that predict long-term postrecurrence survival. Results The most common sites of recurrence in this cohort were the lymph nodes in 24 patients, followed by the lung in 5 patients and bone in 6 patients. The median radiation dose given as the initial treatment of recurrence was 60 Gy (range, 30-60 Gy). Chemotherapy included a platinum agent in all cases; cisplatin-based chemotherapy was administered in 23 cases, and a carboplatin-based chemotherapy regimen was administered in 12. The median progression-free and postrecurrence survival after CRT was 13 months (range, 4-127 months) and 31 months (range, 5-127 months), respectively. Seven patients were still alive without evidence of disease for > 3 years after the recurrence diagnosis. The ECOG performance status (PS), surgical procedure, and types of platinum agents used were independent prognostic factors for postrecurrence survival. Conclusion Concurrent CRT for recurrent NSCLC is a promising therapy for selected patients. A poor PS and postpneumonectomy state were poor prognostic factors for patients who received concurrent CRT.

    DOI: 10.1016/j.cllc.2014.06.001

  • Outcome of surgical resection as a first line therapy in T3 Non-small Cell Lung Cancer Patients 査読

    Tomoyoshi Takenaka, Masakazu Katsura, Yasunori Shikada, Sadanori Takeo

    World journal of surgery   37 ( 11 )   2574 - 2580   2013年11月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Background: The T3 category of the 7th Edition of the TNM classification of non-small cell lung cancer (NSCLC) has added two factors that do not appear in the 6th Edition, large tumor size (>7 cm) and pulmonary metastasis of the same lobe. These factors are considered to have different biological and clinical features. In the present study we assessed the outcome of surgical resection as a first line therapy for T3 NSCLC. Methods: A total of 145 patients who were diagnosed according to the TNM 7th Edition with pathologic T3 NSCLC received surgical resection in our institution as a first line treatment. The outcomes of their treatment were analyzed. Results: The 5-year survival rate was 46.9 %. On the basis of the 6th TNM Edition, the 5-year survival rate was 63.1 % for patients diagnosed with T2 disease (large tumor size), 44.3 % for patients diagnosed with T3 disease, and 33.1 % for patients diagnosed with T4 disease (pulmonary metastasis of the same lobe). There were no significant correlations between these categories and overall survival (OS). Nevertheless, 6th Edition T factors were found to be significantly correlated with lymph node status (p < 0.01). The univariate analyses showed that age, lymph node metastasis, and curative resection had significant effects on OS. In addition, the multivariate analysis identified age and N factor as independent prognostic factors in this cohort. Conclusions: Indications for surgical resection as a first line therapy in T3 NSCLC should be based on N factors and patient age. Lymph node metastasis, especially N2 disease, was increasingly frequent in patients with 6th Edition T classifications.

    DOI: 10.1007/s00268-013-2174-7

  • The impact of cardiovascular comorbidities on the outcome of surgery for non-small-cell lung cancer 査読

    Tomoyoshi Takenaka, Masakazu Katsura, Yasunori Shikada, Syuichi Tsukamoto, Sadanori Takeo

    Interactive cardiovascular and thoracic surgery   16 ( 3 )   270 - 273   2013年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Objectives The presence of cardiovascular comorbidity in non-small-cell lung cancer (NSCLC) patients increases with age. Therefore, the influence of cardiovascular comorbidity in NSCLC patients on their short-or long-term prognosis remains controversial. This study evaluated the possible risk factors related to the short-term and long-term survivals in NSCLC patients with cardiovascular comorbidity. Methods One thousand one hundred and sixty-two consecutive patients with NSCLC who had undergone a surgical resection between 1984 and 2010 were enrolled in this study. A total of 360 (31%) patients with cardiovascular comorbidities were analysed to identify the risk factors for postoperative complications and prognostic factors. Results The patients with cardiovascular comorbidity included 301 with hypertension, 28 with coronary artery disease, 35 with peripheral vascular disease, 23 with arrhythmia and 11 with abdominal aortic aneurysm. Eighty-three patients exhibited more than one type of comorbidity. The postoperative cardiovascular morbidity rates were 3.6% in the cardiovascular comorbidity patients and 3.3% among patients without cardiovascular comorbidity (P = 0.73). No correlation was observed between preoperative cardiovascular comorbidity and postoperative pulmonary complications (P = 0.52). The operative mortality rates were 1.0% for the cardiovascular comorbidity patients and 0.8% for the other patients (P = 0.51). No difference in the postoperative outcomes was observed between the patients with and without cardiovascular comorbidity. The 5-year survival rates were 62.5% in comparison with 65.4% among patients without cardiovascular comorbidity (P = 0.48). Conclusions Patients with cardiovascular comorbidity were not found to be at increased risk of mortality and morbidity following surgery for NSCLC. In addition, cardiovascular comorbidity did not influence the long-term outcomes of patients after a pulmonary resection for NSCLC.

    DOI: 10.1093/icvts/ivs489

  • Prediction of true-negative lymph node metastasis in clinical IA non-small cell lung cancer by measuring standardized uptake values on positron emission tomography 査読

    Tomoyoshi Takenaka, Tokujiro Yano, Yosuke Morodomi, Kensaku Ito, Naoko Miura, Daigo Kawano, Fumihiro Shoji, Shingo Baba, Koichiro Abe, Hiroshi Honda, Yoshihiko Maehara

    Surgery today   42 ( 10 )   934 - 939   2012年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Purpose We developed a method for predicting truenegative lymph node metastases in clinical IA non-small lung cancer (NSCLC) by the combined evaluation of computed tomography (CT), 2-[18F]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) findings and the maximum standardized uptake value (SUVmax) of primary tumors. Methods The subjects of this study were 94 patients with clinical stage IA NSCLC who underwent both preoperative CT and FDG-PET. We analyzed the relationship between the SUVmax of primary tumors and various clinicopathological factors to find the best method available for assessing true-negative lymph node metastasis. Results The pathological stages were IA (n = 80), IB (n = 4), IIA (n = 5), IIIA (n = 4), and IV (n = 1). Pathologic lymph node metastasis was recognized in nine patients and the SUVmax of these tumors ranged from 3.3 to 20.3. A SUVmax of 3.0 was defined as the cut-off point and patients were dichotomized according to this point. Tumors with SUVmax of 3.0 or less were associated with a significantly lower incidence of pleural and vascular invasion and were characterized by the degree of differentiation. Conclusion The SUVmax of primary tumors reflects the grade of malignancy; therefore, the combined evaluation of FDG-PET/CT findings with the SUVmax of primary tumors may help predict lymph node metastasis negativity.

    DOI: 10.1007/s00595-012-0277-7

  • Effects of excision repair cross-complementation group 1 (ERCC1) single nucleotide polymorphisms on the prognosis of non-small cell lung cancer patients 査読

    Tomoyoshi Takenaka, Tokujiro Yano, Chikako Kiyohara, Naoko Miura, Hidenori Kouso, Taro Ohba, Takuro Kometani, Fumihiro Shoji, Ichiro Yoshino, Yoshihiko Maehara

    Lung Cancer   67 ( 1 )   101 - 107   2010年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Background: Excision repair cross-complementation group 1 (ERCC1) is the lead enzyme in the nucleotide excision repair process. Two polymorphisms of ERCC1, T19007C (rs11615) and C8092A (rs3212986), have been reported to affect both the carcinogenesis and the survival of the patients who received platinum-based chemotherapy, but the mechanism by which these polymorphisms influence the survival is unclear. In this study, we determined the function of these ERCC1 polymorphisms in the survival of NSCLC patients. Method: The ERCC1 T19007C and C8092A single nucleotide polymorphisms (SNPs) were evaluated in 122 Japanese non-small cell lung cancer (NSCLC) patients who underwent a complete resection and analyzed the clinicopathological significance of these SNPs. None of the patients received peri-operative platinum-based chemotherapy. The relationship between these SNPs and ERCC1 protein expression and the platinum sensitivity of the primary tumors were also examined. Result: Regarding T19007C SNP, the distribution of the CC, CT, and TT genotypes was 45%, 48% and 7%, respectively. As for C8092A SNP, the distribution of CC and CA genotypes was 70% and 30%, respectively. The patients with C8092A CA genotype were significantly poorer disease-free survival (DFS) and overall survival (OS) than those with the CC genotype (p = 0.037 and 0.004). In addition, no relationship was observed between T19007C SNP and DFS or OS. These two SNPs also did not correlate with either ERCC1 protein expression or platinum sensitivity. Conclusion: The ERCC1 C8092A polymorphism may influence the NSCLC prognosis regardless of the ERCC1 protein expression and platinum sensitivity.

    DOI: 10.1016/j.lungcan.2009.03.007

  • Biological significance of the maximum standardized uptake values on positron emission tomography in non-small cell lung cancer 査読

    Tomoyoshi Takenaka, Tokujiro Yano, Kensaku Ito, Yousuke Morodomi, Naoko Miura, Daigo Kawano, Fumihiro Shoji, Koichiro Abe, Hiroshi Honda, Yoshihiko Maehara

    Journal of Surgical Oncology   100 ( 8 )   688 - 692   2009年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Background: The 2-[18F]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) has recently become an important non-invasive tool for the diagnosis and staging in several cancers. The standardized uptake value (SUV) of primary tumor has been reported to relate to cancer progression and prognosis, however, biological mechanism is still unclear. Method: Seventy-nine patients with non-small cell lung cancer (NSCLC) who had undergone preoperative FDG-PET and a surgical resection were enrolled in this study. NSCLC tissue samples prepared from the surgical specimens were subjected to an immunohistochemical analysis for the expression of Ki-67 and vascular endothelial growth factor (VEGF) proteins. The relationships between the expression status of these proteins and SUVmax of primary tumors were evaluated. Result: Concerning the relationship with various clinicopathological findings, SUVmax of primary tumors was associated with histology, tumor proliferation, pleural or vascular invasion, and pathological stage. A significant correlation was observed between the SUVmax and either the Ki-67 or VEGF expression (P<0.001, P=0.006), respectively. Cases with both Ki-67-negative and VEGF-negative findings exhibited a significantly lower SUVmax than those with single positive or double positive cases (P=0.006, P<0.001). Conclusion: The SUVmax was associated with the expression of Ki-67 and VEGF in NSCLC. These findings indicated that the SUVmax of primary tumors might therefore reflect the biological malignant potential in NSCLC.

    DOI: 10.1002/jso.21386

  • Combined evaluation of Rad51 and ERCC1 expressions for sensitivity to platinum agents in non-small cell lung cancer 査読

    Tomoyoshi Takenaka, Ichiro Yoshino, Hidenori Kouso, Taro Ohba, Tomofumi Yohena, Atsushi Osoegawa, Fumihiro Shoji, Yoshihiko Maehara

    International Journal of Cancer   121 ( 4 )   895 - 900   2007年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DNA repair enzyme expression in tumor cells possibly affects sensitivity to anti-cancer agents. The aim of this study was to determine the relationship between expression status of DNA repair enzymes and chemosensitivity in patients with non-small cell lung cancer (NSCLC). NSCLC tissues prepared from the surgical specimens of 41 patients were subjected to immunohistochemical analysis for Rad51 and ERCC1 proteins and to a chemosensitivity test using the MTT assay. The relationships between the expression status of the DNA repair enzymes and ex vivo chemosensitivity to various agents were evaluated. A positive expression for Rad51 and ERCC1 was observed in 17 cases (41%) and 20 cases (49%), respectively. The positivity of Rad51 was closely related to a certain histologic type of squamous cell carcinoma and poor differentiation, and the positivity of ERCC1 tended to be related to squamous cell carcinoma. In chemosensitivity tests, sensitivities to CDDP and CBDCA were significantly lower when both 2 enzymes were positive (p = 0.012 and 0.04 in CDDP, 0.014 and 0.03 in CBDCA). Both Rad51 and ERCC1 expressions showed no significant relationship with sensitivities to paclitaxel, etoposide, vinorelbine, gemcitabine, 5-FU, or irinotecan. In conclusion, combined expression of Rad51 and ERCC1 expression is associated with resistance to platinum agents in the ex vivo study of clinical NSCLC, and evaluation of expression status of both DNA repair enzymes would be a predictor for clinical response to platinum-based chemotherapies.

    DOI: 10.1002/ijc.22738

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    開催年月日: 2024年12月

  • 術前免疫チェックポイント阻害剤併用化学療法と化学放射線療法における効果と腫瘍浸潤部の組織学的変化に関する検討

    竹中 朋祐, 朝日 達也, 木下 郁彦, 赤嶺 貴紀, 河野 幹寛, 大薗 慶吾

    第77回日本胸部外科学会定期学術集会 

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    開催年月日: 2024年11月

  • 完全胸腔鏡下肺葉切除術とロボット支援胸腔鏡下肺葉切除術の導入期から現在までの短期治療成績の比較

    竹中 朋祐, 朝日 達, 木下 郁彦, 赤嶺 貴紀, 河野 幹寛, 大薗 慶吾

    第65回日本肺癌学会学術集会 

     詳細を見る

    開催年月日: 2024年10月 - 2024年11月

  • The Optimal Surgical Procedure Based on the Risk of Recurrence in Clinical Stage 0 or IA Lung Adenocarcinoma 国際会議

    Tomoyoshi Takenaka, Keigo Ozono, Mikihiro Kohno, Takaki Akamine, Fumihiko Kinoshita, Yoshiyuki Nakanishi, Tomoharu Yoshizumi

    2024 World conference on Lung Cancer 

     詳細を見る

    開催年月日: 2024年9月

  • 肺がん外科診療の陰と陽

    竹中 朋祐

    第78回 手術手技研究会  2024年6月 

     詳細を見る

    開催年月日: 2024年6月

  • AIにより非小細胞肺癌術前胸部CTから病理学的悪性度を予測する

    竹中 朋祐,河野 幹寛,赤嶺 貴紀,木下 郁彦,斎藤 駿一,橋之口 朝仁,松堂 響人,長野 太智,山下 貴範,吉住 朋晴

    第124回日本外科学会定期学術集会  2024年4月 

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    開催年月日: 2024年4月

  • ラーニングカーブからみるロボット支援肺悪性腫瘍手術における右側上縦郭リンパ節

    竹中 朋祐、中西 芳之、木下 郁彦、赤嶺 貴紀、河野 幹寛、大薗 慶吾

    第74回日本気管食道科学会総会ならびに学術集会  2023年4月 

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    開催年月日: 2023年11月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • 機械学習に基づいた肺癌に対する免疫療法の効果予測モデルの開発

    竹中 朋祐、豊川 剛二、河野 幹寛、赤嶺 貴紀、木下 郁彦、奥 結華、山下 貴範、山口 正史、山﨑 宏司、岡本 勇、吉住 朋晴

    第64回日本肺癌学会学術集会  2023年11月 

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    開催年月日: 2023年11月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • 肺がんの外科治療および周術期治療のパラダイムシフト 招待

    竹中 朋祐

    第61回日本癌治療学会学術集会  2023年10月 

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    開催年月日: 2023年10月

    記述言語:日本語   会議種別:口頭発表(一般)  

    国名:日本国  

  • 転移性肺腫瘍の外科治療―原発巣別の治療成績と化学療法の与える影響―

    竹中 朋祐、橋之口 朝仁、松堂 響人、長野 太智、渡部 健二、高森 信吉、河野 幹寛、三浦 奈央子、吉住 朋晴

    第123回日本外科学会定期学術集会  2023年4月 

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    開催年月日: 2023年4月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • Survival after surgery for non-small-cell lung cancer patients with interstitial pneumonia

    Tomoyoshi Takenaka, Kyoto Matsudo, Asato Hashinokuchi, Taichi Nagano, Kenji Watanabe, Shinkichi Takamori, Mikihiro Kohno, Naoko Miura, Tomoharu Yoshizumi

    第60回日本癌治療学会学術集会  2022年10月 

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    開催年月日: 2022年10月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • IA期肺腺癌切除例から術前CEAおよび原発巣のSUVmaxを用いて予後不良症例を予測する

    #竹中朋祐, #田川哲三, #原武直紀, #木下郁彦, #小野雄生, #若洲翔, #奥結華, #森正樹

    第38回日本呼吸器外科学会  2021年5月 

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    開催年月日: 2022年5月

    記述言語:日本語  

    国名:日本国  

  • 肺癌術後再発症例の治療と予後に関する多施設共同前向きコホート観察研究 KLSS 2

    #竹中 朋祐, #田川 哲三, #木下 郁彦, #原武 直紀, @岡本 龍郎, @山﨑 宏司, @竹之山 光広, @濱武 基陽, @矢野 篤次郎, #森 正樹

    第121回日本外科学会定期学術集会  2021年4月 

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    開催年月日: 2022年5月

    記述言語:日本語  

    国名:日本国  

  • EGFR陽性再発肺癌に対して根治的局所療法は有効か?

    #竹中 朋祐, #長野 太智, #渡部 健二, #小斎 啓佑, #奥 結華, #原武 直紀, #河野 幹寛

    第62回日本肺癌学会定期学術集会  2021年11月 

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    開催年月日: 2021年11月

    記述言語:日本語  

    国名:日本国  

  • 肺癌切除後10年以上の長期予後とAIによる予後予測因子の解析

    #竹中 朋祐, @木下 郁彦, #長野 太智, #渡部 健二, #小斎 啓佑, #奥 結華, #原武 直紀, #河野幹寛

    第74回日本胸部外科学会定期学術集会  2021年10月 

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    開催年月日: 2021年10月

    記述言語:日本語  

    国名:日本国  

  • T因子、腫瘍形態からみた小型肺腺癌の至適治療時期に関する検討

    #竹中朋祐, #田川哲三, #原武直樹, #木下郁彦, #小野雄生, #田中健祐, #若洲翔, #奥結華, #森正樹

    第61回日本肺癌学会定期学術集会  2020年11月 

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    開催年月日: 2020年11月

    記述言語:日本語  

    開催地:Web開催   国名:日本国  

  • Does Short-Term Cessation of Smoking Before Lung Resections Reduce the Complication Risk? 国際会議

    Tomoyoshi Takenaka, Fumiiro Shoji, Koji Yamazaki, Mitsuhiro Takenoyama, Sadanori Takeo

    2019 World Conference on Lung Cancer  2019年6月 

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    開催年月日: 2019年9月

    記述言語:英語  

    国名:スペイン  

  • Prognostic Ability of New T1 Descriptors in the TNM Classification of Surgically Treated Non-Small Cell Lung Cancer. 国際会議

    Tomoyoshi Takenaka, Naoko Miura, Koji Yamazaki, Sadanori Takeo

    2018 World Conference on Lung Cancer  2018年9月 

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    開催年月日: 2018年9月

    記述言語:英語  

    国名:カナダ  

  • 肺癌外科治療は進歩しているのか?―propensity score matchingを用いた検討―

    竹中 朋祐、三浦 奈央子、山﨑 宏司、竹尾 貞徳

    第117回日本外科学会定期学術集会  2017年4月 

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    開催年月日: 2017年4月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • 局所進行肺癌に対する治療戦略:限局型小細胞肺癌に対する外科切除の意義ー局所進行症例に手術は必要かー

    竹中 朋祐、稲益 英子、豊川 剛二、吉田 月久、野崎 要、平井 文彦、山口 正史、瀬戸 貴司、竹之山 光広、一瀬 幸人

    第67回日本胸部外科学会定期学術集会  2014年10月 

     詳細を見る

    開催年月日: 2014年9月 - 2014年10月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • 非小細胞肺癌術後小数個転移に対する根治を目的とした同時化学放射線療法の意義

    竹中 朋祐、竹之山 光広、豊澤 亮、稲益 英子、吉田 月久、豊川 剛二、白石 祥理、平井 文彦、山口 正史、瀬戸 貴司、一瀬 幸人

    第54回日本肺癌学会総会  2013年11月 

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    開催年月日: 2013年11月 - 2020年11月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • 非小細胞肺癌術後再発例におけるEGFR遺伝子変異、EML4-ALK融合遺伝子検索の意義

    竹中 朋祐、豊澤 亮、稲益 英子、豊川 剛二、白石 祥理、諸富 洋介、平井 文彦、山口 正史、瀬戸 貴司、竹之山 光広、一瀬 幸人

    第66回日本胸部外科学会定期学術集会  2013年10月 

     詳細を見る

    開催年月日: 2013年10月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • Impact of the Epidermal Growth Factor Receptor Mutation Status on the Post-Recurrence Survival of Patients With Surgically Resected Non-Small-Cell Lung Cancer. 国際会議

    Takenaka T, Takenoyama M, Inamasu E, Toyokawa G, Shiraishi Y, Morodomi Y, Hirai F, Yamaguchi M, Seto T, Ichinose Y.

    The European Cancer Congress 2013  2013年9月 

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    開催年月日: 2013年9月 - 2013年10月

    記述言語:英語  

    国名:オランダ王国  

  • 非小細胞肺癌術後再発の治療成績-EGFRステータスが与えるインパクトー

    竹中 朋祐、豊澤 亮、稲益 英子、古城 都、豊川 剛二、白石 祥理、諸富 洋介、山口 正史、瀬戸 貴司、竹之山 光広、一瀬 幸人

    第113回日本外科学会定期学術集会  2013年4月 

     詳細を見る

    開催年月日: 2013年4月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    国名:日本国  

  • 肺葉切除における術前3D-CTによる肺血管再構成の有用性の評価

    @竹中朋祐、@枝川 真

    第37回日本呼吸器外科学会  2020年9月 

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    開催年月日: 2020年9月

    記述言語:日本語  

    開催地:Web開催   国名:日本国  

▼全件表示

MISC

所属学協会

  • 日本呼吸器外科学会

  • 日本外科学会

  • 日本胸部外科学会

  • 日本内視鏡外科学会

  • 日本胸腺研究会

  • 日本臨床腫瘍学会

  • 日本癌治療学会

  • 日本呼吸器学会

  • 日本肺癌学会

▼全件表示

委員歴

  • 日本癌治療学会   代議員   国内

    2023年8月 - 現在   

  • 日本肺癌学会   評議員   国内

    2022年12月 - 現在   

  • 日本胸部外科学会   評議員   国内

    2022年8月 - 現在   

  • 日本呼吸器外科学会   評議員   国内

    2017年5月 - 現在   

学術貢献活動

  • 学術論文等の審査

    役割:査読

    2024年

     詳細を見る

    種別:査読等 

    外国語雑誌 査読論文数:8

  • 学術論文等の審査

    役割:査読

    2023年

     詳細を見る

    種別:査読等 

    外国語雑誌 査読論文数:8

  • 学術論文等の審査

    役割:査読

    2022年

     詳細を見る

    種別:査読等 

    外国語雑誌 査読論文数:3

  • 学術論文等の審査

    役割:査読

    2021年

     詳細を見る

    種別:査読等 

    外国語雑誌 査読論文数:2

共同研究・競争的資金等の研究課題

  • 肺扁平上皮癌に対する新規グルタミントランスポーター阻害療法の確立

    2023年 - 2025年

    日本学術振興会  科学研究費助成事業  基盤研究(C)

      詳細を見る

    担当区分:研究代表者  資金種別:科研費

  • 肺扁平上皮癌に対する新規グルタミントランスポーター阻害療法の確立

    研究課題/領域番号:23K08322  2023年 - 2025年

    日本学術振興会  科学研究費助成事業  基盤研究(C)

      詳細を見る

    担当区分:研究代表者  資金種別:科研費

  • 非小細胞肺癌における新規バイオマーカーの探索的研究

    2014年 - 2016年

    科学研究費助成事業  若手研究(B)

      詳細を見る

    担当区分:研究代表者  資金種別:科研費

教育活動概要

  • ① 医学部3年生を対象に呼吸器外科学の講義を実施。
    ② 医学部5年生および6年生を対象に、ベッドサイドを中心に呼吸器外科の臨床について指導している。
    ③ 大学院博士課程学生に対して学位研究の指導する。
    ④ 博士号取得後の医員に対して学会活動、研究の指導を行う。

担当授業科目

  • 臨床腫瘍学

    2021年10月 - 現在   後期

  • 系統医学II「呼吸器」

    2021年10月 - 現在   後期

  • 医療経営・管理学専攻「外科学」

    2021年4月 - 現在   前期

  • 臨床医学III-②

    2021年4月 - 現在   前期

社会貢献・国際連携活動概要

  • ① 呼吸器外科領域の患者紹介を積極的に受け入れ、地域医療に貢献する。
    ② 院内の他科と連携し、呼吸器外科疾患患者の診療に当たる。
    ③ 国内外の呼吸器外科領域の学会に積極的に参加し、最新の知見を得るとともに、情報発信を行う。

学内運営に関わる各種委員・役職等

  • 2023年4月 - 現在   部門 クリティカルパス管理・運営WG長

専門診療領域

  • 生物系/医歯薬学/外科系臨床医学/呼吸器外科学

臨床医資格

  • 専門医

    日本外科学会

  • 指導医

    日本外科学会

  • 専門医

    日本呼吸器外科学会

  • 認定医

    日本内視鏡外科学会

  • 専門医

    日本呼吸器学会

医師免許取得年

  • 2002年

特筆しておきたい臨床活動

  • 呼吸器外科、特に肺癌に対する外科治療、集学的治療を専門にしています。胸腔鏡手術、ロボット支援手術などの低侵襲手術を推進し、安全な医療を心がけています。