大阪大学 · 医学
岡悠文教授の研究室では、虚血性卒中を来院する癌患者における病態メカニズムと予後因子の解明を主眼としています。特に、原因不明の卒中(クロニックストローク)に伴う癌の潜在的関与や、D-ダイマー上昇、多巣性血管障害が示す高凝固状態の意義を、臨床的・生化学的アプローチで解明しています。また、癌サバイバーにおける心血管疾患リスクの上昇や、脳出血後の予後要因についても、大規模な前向き多施設研究を基にした疫学的・統計的分析を進めています。
Figures are computed from collected data and may differ slightly.
In cryptogenic stroke, patients with active cancer has a unique pathology characterized by high plasma D-dimer levels and multiple vascular lesions. The hypercoagulable state and malnutrition due to cancer and its treatments potentially influence the development of cryptogenic stroke in cancer patients.
High plasma D-dimer levels and lesions in multiple vascular regions can be used to predict occult cancer in patients with cryptogenic stroke.
Cancer survivors have a higher risk of fatal heart disease than the general population.
Combining the diagnostic code and clinical examination improved the proportion of the presence of disease in the diagnostic code and achieved appropriate accuracy for research. Clinical research using EMRs require outcome validation prior to conducting a study.
Background Limited data exist on the prognostic factors for patients with ischemic stroke and active cancer. Methods and Results We conducted a prospective, multicenter, observational study in Japan, including patients with acute ischemic stroke and active cancer, to investigate the prognostic factors. We followed up the patients for 1 year after stroke onset. The patients were divided into 2 groups according to cryptogenic stroke and known causes (small-vessel occlusion, large-artery atheroscle
The results suggest that cancer, especially distant metastatic cancer, is an independent predictor of poorer outcomes following ICH.
The risk for ATE varies according to sex, age, and cancer progression and type. Antithrombotic therapy after ATE is associated with improved survival among patients with cancer.
The proportion of non-cancer-related deaths among cancer patients has increased over time, emphasizing the need to manage cancer and its comorbidities carefully.
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