{"created":"2023-06-19T11:24:16.474272+00:00","id":4968,"links":{},"metadata":{"_buckets":{"deposit":"0136fd95-1c8e-4b3b-b8cb-08f4aa9eb02c"},"_deposit":{"created_by":1,"id":"4968","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4968"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004968","sets":["7","7:23"]},"author_link":["15487","15486","15484","15485","15483"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"601","bibliographicPageStart":"598","bibliographicVolumeNumber":"97","bibliographic_titles":[{"bibliographic_title":"日本泌尿器科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"73歳男性.患者は肉眼的血尿で近医を受診,CT上で右腎腫瘍,腹部リンパ節転移を疑われ紹介入院となった.CTでは右腎に11×9×9cmの内部不整な充実性腫瘤を認め,下大静脈背側,傍大動脈,縦隔に多発するリンパ節転移を認めた.cT3bN2M1(stage IV)の腎癌と診断し,選択的右腎動脈塞栓術を施行後に天然型インターフェロンα(IFN-α:スミフェロン)の週3回筋注とシメチジン内服を開始したが,4ヵ月後のCTで腹部・縦隔リンパ節の増大を認め,スミフェロンをインターロイキン2(IL-2:イムネース)の週5日間点滴に変更した.しかし,その後,投与5週目にCTで両肺野に多発する転移と腹部・縦隔リンパ節の更なる増大を認めた.IFN-α,IL-2の免疫療法の無効から別の天然型IFN-α(OIF)の週3回筋注に変更し,シメチジン内服も継続したところ,1ヵ月後に肺転移巣は著明に縮小し,3ヵ月後には完全消失を認め,腹部・縦隔リンパ節転移巣は増大を認めなかった.現在,OIF投与より9ヵ月経過でリンパ節転移の不変状態を維持している","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"雑誌掲載版\n著作権は学会に帰属","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":"0021-5287","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2006183796"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"743"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"533"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kato, Yuji"},{"subitem_text_value":"Saga, Yuji"},{"subitem_text_value":"Hori, Junichi"},{"subitem_text_value":"Hashimoto, Hiroshi"},{"subitem_text_value":"Kakizaki, Hidehiro"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"加藤, 祐司"},{"creatorName":"カトウ, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15483","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐賀, 祐司"},{"creatorName":"サガ, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15484","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"堀, 淳一"},{"creatorName":"ホリ, ジュンイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15485","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"橋本, 博"},{"creatorName":"ハシモト, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15486","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"柿崎, 秀宏"},{"creatorName":"カキザキ, ヒデヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15487","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":"5278.pdf","filesize":[{"value":"4.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5278.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4968/files/5278.pdf"},"version_id":"da86fa97-33df-4b68-870d-43035d187141"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"進行性腎癌、インターフェロンα、サブタイプ","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":"サイトカインの変更により異なる反応を呈した進行性腎癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"サイトカインの変更により異なる反応を呈した進行性腎癌の1例"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-06-17"},"publish_date":"2013-06-17","publish_status":"0","recid":"4968","relation_version_is_last":true,"title":["サイトカインの変更により異なる反応を呈した進行性腎癌の1例"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:32:35.502144+00:00"}