{"created":"2023-06-19T11:22:01.761278+00:00","id":2306,"links":{},"metadata":{"_buckets":{"deposit":"124fc65f-9fec-44ef-bb5f-ad5f39e00dbb"},"_deposit":{"created_by":3,"id":"2306","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2306"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002306","sets":["7","7:23"]},"author_link":["7061","7062","7063","7064","7065","7066"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"26","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"名寄市立病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"57歳女性。1ヵ月前より不正性器出血が出現した。腟鏡診にて右腟壁上部に脆く出血を伴う腫瘤を認めた。子宮腟部および体部細胞診、腟壁腫瘍擦過細胞診を施行し、孤立散在から不規則な配列を呈した集塊で出現する異型細胞および裸核腫瘍細胞を認めた。広く淡明な細胞質を持ち、核は類円形で中心性から偏在性、核形不整で大小不同を呈し、軽度のクロマチン増量を認めた。やや腫大した核小体を有し、硝子様物質も散見された。子宮腟部組織診でno malignancy、腟壁腫瘍生検組織診では典型的なhobnail cellの所見を認め、明細胞腺癌と診断した。精査にて右腟壁腫瘍のほか異常を認めず、子宮腟部および体部細胞診所見は、細胞採取時にcontaminationしたものと判断した。準広汎子宮全摘+両付属器摘出術+直腸腟合併切除+ストーマ造設術を施行し、病理組織所見にて術前の組織診と同様な細胞を確認した。腟傍組織までの浸潤があり、子宮および付属器には悪性細胞は認めず、腟原発の明細胞腺癌stage II期と診断した。術後化学療法を3コース行い、再発徴候なく経過している。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-2749","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2008006119"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"915"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"822"}]},"item_5_text_7":{"attribute_name":"著者 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