{"created":"2023-06-19T11:24:02.633055+00:00","id":4687,"links":{},"metadata":{"_buckets":{"deposit":"119da981-7a47-4280-96d8-31d9e71ab2b7"},"_deposit":{"created_by":3,"id":"4687","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4687"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004687","sets":["7","7:23"]},"author_link":["14540","14541","14542","14543","14544","14545"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"49","bibliographicPageStart":"45","bibliographicVolumeNumber":"14","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":"75歳女。健診で胃幽門部の陰影欠損を指摘された。上部消化管内視鏡検査(GF)で粘膜下腫瘍(SMT)様の病変を認めたが、生検では正常粘膜組織であった。以後3回GFおよび生検を行なったが、同様の結果であった。初診より1年後、腹部CTで胃幽門部および膵頭部の腫瘤を指摘された。GFでは隆起性病変の増大、粘膜面のびらん増加を認め、生検は粘液癌の所見で、幽門側胃切除術およびリンパ節郭清を施行した。切除標本では胃幽門小彎側を中心に陥凹を伴う40×35mmの隆起性病変を認めた。前壁側に伸びるBridging foldを認め、隆起表面の粘膜面の変化は比較的乏しかった。病理組織所見で蜂巣状の粘液産生能の強い構造異型を認め、内部にN/C比の高い変化に富んだ核異型を認めた。リンパ節には粘液産生に乏しい異型細胞が多量にみられた。最終診断はearly gastric cancer、mucinous adenocarcinoma、Stage IVであった。後治療は行わず、再発なく経過している。","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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2007010080","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-2749","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2007010080"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"585"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"801"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Saito, Hiroki"},{"subitem_text_language":"en","subitem_text_value":"Tamaki. Yosui"},{"subitem_text_language":"en","subitem_text_value":"Kobayashi, Atsushi"},{"subitem_text_language":"en","subitem_text_value":"Chisaka, Kenji"},{"subitem_text_language":"en","subitem_text_value":"Asai, Mahito"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"稲垣, 泰好","creatorNameLang":"ja"},{"creatorName":"イナガキ, ヤスヨシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14540","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"斉藤, 裕樹","creatorNameLang":"ja"},{"creatorName":"サイトウ, ヒロキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14541","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"玉木, 陽穂","creatorNameLang":"ja"},{"creatorName":"タマキ, ヨウスイ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14542","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小林, 厚志","creatorNameLang":"ja"},{"creatorName":"コバヤシ, アツシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14543","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"千坂, 賢次","creatorNameLang":"ja"},{"creatorName":"チサカ, ケンジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14544","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"浅井, 眞人","creatorNameLang":"ja"},{"creatorName":"アサイ, マヒト","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14545","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"5500.pdf","filesize":[{"value":"13.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5500.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4687/files/5500.pdf"},"version_id":"d4a99e4c-ee26-4ec7-892e-6727f86fec6d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胃粘液癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"mucinous adenocarcinoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"診断に苦慮した胃粘液癌の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"診断に苦慮した胃粘液癌の一例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-12-02"},"publish_date":"2013-12-02","publish_status":"0","recid":"4687","relation_version_is_last":true,"title":["診断に苦慮した胃粘液癌の一例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T08:44:37.345759+00:00"}