呼吸器・免疫内科学

吉村　華子Yoshimura Hanako M.D.

略歴

所属学会

日本内科学会、日本呼吸器学会、日本アレルギー学会、日本呼吸器内視鏡学会

資格等

内科認定医

臨床

初期研修は兵庫県立淡路医療センターで行いました。とにかく忙しい研修生活でしたが、多くの患者さんと出会い、多くの責任ある局面を経験させていただきました。医学的知識の研鑽はもちろんのこと、患者さんや他の医療スタッフとの関わり方についても学ぶことが多かったです。初期研修中に最も興味を持った分野が呼吸器内科でした。悪性腫瘍、感染症、間質性肺炎、自己免疫疾患、アレルギーなど多岐にわたる疾患を知り、急性期から慢性期まで、一人ひとりの患者さんに親身に向き合って的確な診療を行うことのできる呼吸器内科医を目指し、東京の日本赤十字社医療センターでの研修を選びました。淡路島では経験できなかった、クライオバイオプシーや気管支充填術、気管支ステントなどの高度な気管支鏡の技術を学んだり、日々の診療で出た疑問を臨床研究として深めたりと、充実した研修を行うことができました。今後も新たな知見を貪欲に吸収し、患者さんに寄り添ってより良い診療を心がけて参ります。

論文

• Yoshimura H, Awano N, Inomata M, Kuse N, Tone M, Jo T, Takemura T, Kumasaka T, Izumo T. Diagnostic utility of transbronchial lung cryobiopsy: Two cases of anti-aminoacyl-tRNA synthetase syndrome with respiratory failure. Respiratory Investigation. 57(4):399-403, 2019
• Tone M, Izumo T, Awano N, Kuse N, Inomata M, Jo T, Yoshimura H, Minami J, Takada K, Miyamoto S, Kunitoh H. High mortality and poor treatment efficacy of immune checkpoint inhibitors in patients with severe grade checkpoint inhibitor pneumonitis in non-small cell lung cancer. Thoracic cancer. 10(10):2006-2012, 2019
• Izumo T, Terada Y, Inomata M, Kuse N, Awano N, Tone M, Jo T, Yoshimura H, Moriya A, Furuhata Y. Impact of preoperative pathological confirmation on surgical and postoperative outcomes of lung resection for early stage lung cancer. Adv Respir Med. 87(4):203-208, 2019
• Izumo T, Terada Y, Tone M, Inomata M , Kuse N, Awano N, Moriya A, Jo T, Yoshimura H, Furuhata Y. Rapid effects of benralizumab on severe asthma during surgery for residual tumor after advanced lung squamous cell carcinoma treatment with pembrolizumab. Respir Med. 26:292-295, 2019.
• Kuse N, Inomata M, Awano N, Yoshimura H, Jo T, Tone M, Moriya A, Bae Y, Kumasaka T, Takemura T, Izumo T. Management and utility of transbronchial lung cryobiopsy in Japan. Respiratory Investigation. 57(3):245-251, 2019.
• Tone Mari, Awano N, Inomata M, Kuse N, Jo T, Yoshimura H, Furuhata Y, Takemura T, Kumasaka T, Izumo T. The combination of EBUS-TBNA and the PAB antibody led to a successful treatment for lung cancer in a patient with asymptomatic sarcoidosis mimicking nodal metastasis. Respir Med. 25:296-299, 2018.
• Tone Mari, Izumo T, Awano N, Kuse N, Inomata M, Jo T, Yoshimura H, Miyamoto S, Kunitoh H. Treatment effect and safety profile of salvage chemotherapy following immune checkpoint inhibitors in lung cancer. Lung Cancer Management. 8(2): Research Article 2019.
• Akagi Y, Awano N, Inomata M, Kuse N, Tone M, Yoshimura H, Jo T, Takada K, Kumasaka T, Izumo T. Hemophagocytic Lymphohistiocytosis in a Patient with Rheumatoid Arthritis on Pembrolizumab for Lung Adenocarcinoma. Intern Med. 3889-19, 2020.
• Kori M, Awano N, Inomata M, Kuse N, Tone M, Yoshimura H, Jo T, Takada K, Kumasaka T, Takemura T, Izumo T. Anti-MDA5 Antibody-positive Clinically Amyopathic Dermatomyositis Complicated by Unilateral Right-sided Interstitial Lung Disease. Intern Med. 3604-19, 2020.
• Awano N, Inomata M, Kuse N, Tone M, Yoshimura H, Jo T, Takada K, Sugimoto C, Tanaka T, Sumikawa H, Suzuki Y, Fujisawa T, Suda T, Izumo T. Quantitative computed tomography measures of skeletal muscle mass in patients with idiopathic pulmonary fibrosis according to a multidisciplinary discussion diagnosis: A retrospective nationwide study in Japan. Respiratory Investigation. 58(2):91-101, 2020.
• Tone M, Awano N, Izumo T, Yoshimura H, Jo T, Kuse N, Inomata M, Fukumoto K, Furuhata Y, Hashimoto T, Kumasaka T, Kunitoh H. Diagnosis and outcome of resected solitary pulmonary nodules after liver transplantation. Jpn J Clin Oncol. 50(2):193-197, 2020.
• H. Yoshimura, Y. Takeda, Y. Shirai, M. Yamamoto, D. Nakatsubo, S. Amiya, et al. Galectin-10 in serum extracellular vesicles reflects asthma pathophysiology. J Allergy Clin Immunol 2024.