{"created":"2023-06-19T11:24:12.674182+00:00","id":4890,"links":{},"metadata":{"_buckets":{"deposit":"8a51c086-0ea8-4410-b928-76b8ed364dab"},"_deposit":{"created_by":1,"id":"4890","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4890"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004890","sets":["7","7:23"]},"author_link":["15107"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"26","bibliographicPageStart":"19","bibliographicVolumeNumber":"57","bibliographic_titles":[{"bibliographic_title":"北海道外科雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"乳癌治療にあたっては、局所治療である手術療法や放射線療法と、全身療法である薬物療法を組み合わせ、癌の腫瘍学的特性(腫瘍径、リンパ節転移の有無、脈管侵襲因子、Ki-67等)と生物学的特性(ホルモンレセプター、HER2タンパク、等)を検討し、的確な治療計画を立てる事が重要である。手術は、乳房およびリンパ節を広範囲に除去した時代から、整容性、QOLの維持を求める機能温存手術を考慮する時代となった。乳房温存療法は、乳房切除術に比べ生存率に差は無く、Stage I、IIの局所療法として推奨されている。また、腋窩リンパ節郭清に伴う合併症(上肢のリンパ浮腫、等)発症予防の目的でセンチネルリンパ節生検の概念が生まれた。センチネルリンパ節転移陰性例に対する郭清省略群と郭清群との比較試験では、全生存率、再発率に差を認めず、現在多くの施設で施行している。以上を中心に、乳癌に対する乳房温存療法の現状について報告する。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","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":"2012320580","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-7509","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2012320580"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"571"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"920"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kitada, Masahiro"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"北田, 正博"},{"creatorName":"キタダ, マサヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15107","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":"5729.pdf","filesize":[{"value":"475.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5729.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4890/files/5729.pdf"},"version_id":"d637f1b8-7e8e-403f-85db-56d10e563df7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"乳癌、乳房温存療法、センチネルリンパ節生検、集学的治療","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":"乳癌に対する乳房温存療法の適応と限界　乳房温存手術とセンチネルリンパ節生検","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"乳癌に対する乳房温存療法の適応と限界　乳房温存手術とセンチネルリンパ節生検"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-05-21"},"publish_date":"2014-05-21","publish_status":"0","recid":"4890","relation_version_is_last":true,"title":["乳癌に対する乳房温存療法の適応と限界　乳房温存手術とセンチネルリンパ節生検"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:33:57.746522+00:00"}