{"created":"2023-06-19T11:23:32.468346+00:00","id":4103,"links":{},"metadata":{"_buckets":{"deposit":"322b4bd5-652e-45c0-bf58-25cbb07471fa"},"_deposit":{"created_by":3,"id":"4103","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4103"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004103","sets":["7","7:23"]},"author_link":["12508","12509","12510","12511","12512","12513","12514","12515","12516","12517","12518"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"41","bibliographicPageStart":"36","bibliographicVolumeNumber":"20","bibliographic_titles":[{"bibliographic_title":"旭川厚生病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"20歳女性。2005年3月から左季肋部痛があり,近医受診。脾腫・血小板低下を認め,4月当科紹介入院となった。腹部CT検査で巨大脾腫を認めるも,肝腫大やリンパ節腫大は認めなかった。骨髄穿刺検査にてリンパ芽球を認めたことより,悪性リンパ腫を疑って待機的に脾臓摘出予定としたが,左季肋部痛の増悪があり,脾臓破裂のため,当院外科にて緊急的に脾摘術を施行し,肝脾T細胞リンパ腫と診断された。CHOP療法施行するも治療抵抗性で,旭川医大病院転院となり,HLA一致の兄から同種末梢血幹細胞移植を施行した。移植後5年以上経過しているが,完全寛解を維持している。肝脾T細胞リンパ腫は若年男性に発症することが多く,生存期間中央値は8〜16ヵ月と予後不良で,通常の化学療法のみでは長期生存は期待できない。本症は,脾臓破裂を来すも脾臓摘出により診断・救命し同種移植により長期生存している貴重な症例であり,報告する。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","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":"0917-8066","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2011100756"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1546"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"805"}]},"item_5_text_7":{"attribute_name":"著者 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