{"created":"2023-06-19T11:22:17.428823+00:00","id":2607,"links":{},"metadata":{"_buckets":{"deposit":"28aa1012-b1e7-4fa3-b132-c1890e3a3b9c"},"_deposit":{"created_by":3,"id":"2607","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2607"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002607","sets":["7","7:23"]},"author_link":["8208","8209","8210","8211","8212","8213"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"368","bibliographicPageStart":"365","bibliographicVolumeNumber":"56","bibliographic_titles":[{"bibliographic_title":"日本口腔外科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"75歳男。30歳代から右側上顎大臼歯部歯肉の腫瘤に気づいていたが放置していた。約4年前に歯周疾患による右上顎歯 6-7の抜歯を受けた。その後、腫瘤が増大し上顎腫瘍が疑われた。右側上顎臼歯部歯肉に弾性硬・有茎性を呈する20×20×15mmの腫瘤を認め、CTで 右側上顎大臼歯相当部に周囲との境界が明瞭な腫瘍性病変を認めたが、上顎骨および上顎洞に異常はなかった。MRIのT1強調像で低信号、T2強調画像で辺 縁に低信号を伴う不均一な造影効果がみられた。生検の病理組織学的診断は粘液腫で、歯原性上皮および神経軸索はみられなかった。腫瘍の外側1cmに切除域 を設定して、右上顎歯4から上顎結節を含む上顎歯槽突起部を切除を行った。腫瘍摘出後上顎洞が露出したが、粘膜は正常であったため切除域に含めた上顎洞底 部以外の上顎洞粘膜は保存した。腫瘍は上顎歯槽骨を圧排し、皮質骨の一部に菲薄化を認めた。腫瘍病変周囲には線維性結合組織がみられた。また、腫瘍の間質 は粘膜様の成分が主体でありそのなかに異型性に乏しい紡錘形細胞がみられた。組織化学的検査ではAlician blue-PASの2重染色においては、粘液基質はAlician blueに陽性、PASには陰性を示した。術後4年を経て再発徴候は認めていない。","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":"0021-5163","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2010286745"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1270"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"818"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Takekawa, Masanori"},{"subitem_text_language":"en","subitem_text_value":"Matsumoto, Akira"},{"subitem_text_language":"en","subitem_text_value":"Yoshida, Masatsugu"},{"subitem_text_language":"en","subitem_text_value":"Kondo, Eiji"},{"subitem_text_language":"en","subitem_text_value":"Matsuda, Mitsuyoshi"},{"subitem_text_language":"en","subitem_text_value":"Miyokawa, Naoyuki"},{"subitem_text_language":"en"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"竹川, 政範","creatorNameLang":"ja"},{"creatorName":"タケカワ, マサノリ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"8208","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松本, 章","creatorNameLang":"ja"},{"creatorName":"マツモト, アキラ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"8209","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"吉田, 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