{"_buckets": {"deposit": "440a9178-9d61-4c56-a4e8-a97004591620"}, "_deposit": {"created_by": 29, "id": "18608", "owners": [29], "pid": {"revision_id": 0, "type": "depid", "value": "18608"}, "status": "published"}, "_oai": {"id": "oai:redcross.repo.nii.ac.jp:00018608", "sets": ["708"]}, "author_link": [], "control_number": "18608", "item_10002_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2022-12-01", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "57", "bibliographicPageStart": "53", "bibliographicVolumeNumber": "42", "bibliographic_titles": [{"bibliographic_title": "静岡赤十字病院研究報", "bibliographic_titleLang": "ja"}, {"bibliographic_title": "Journal of Japanese Red Cross Shizuoka Hospital", "bibliographic_titleLang": "en"}]}]}, "item_10002_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は70代女性.3カ月前より左乳房に6cm大の腫瘤を自覚,経過観察していたが、数日前から急に増大してきたため,当院を受診した.左乳房C領域に手拳大の腫瘤を認め,乳房超音波検査では,8.5*5.8*6.9cmの境界明瞭,内部血流豊富な分葉状腫瘤を認めた.針生検では,間質に多形性の核を伴う紡錘形細胞が増殖しており,乳腺間質肉腫もしくは,悪性葉状腫瘍が疑われた.診断的治療目的に,左胸筋温存乳房切除術+植皮術を施行し,第14病日退院となった.摘出標本の病理組織学的検査では,ほとんどが非上皮性の肉腫様であったが,一部に既存の乳管上皮を認めたため,葉状腫瘍と考えられた.充実部位には,細胞密度がやや高く,核異型度は中等度であり,境界悪性葉状腫瘍の診断となった.針生検の段階で,乳腺間質肉腫と鑑別を行うことは困難であり,また臨床経過が似ていることも多いため,本症例のように診断的治療を兼ねた腫瘍摘出が必要になる.術後補助療法としては,化学療法,放射線療法等の有効性は乏しく,確立した治療法は無いため,今後は注意深く経過観察していく.", "subitem_description_language": "ja", "subitem_description_type": "Abstract"}]}, "item_10002_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "静岡赤十字病院", "subitem_publisher_language": "ja"}]}, "item_10002_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN10167098", "subitem_source_identifier_type": "NCID"}]}, "item_10002_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0911-9833", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorAlternatives": [{"creatorAlternative": "Kikuchi,Masayuki", "creatorAlternativeLang": "en"}], "creatorNames": [{"creatorName": "菊池, 雅之", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "宮部, 理香", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "田代, 和弘", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "田尻, 智也", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "海ヶ倉, 紀文", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "松岡, 大貴", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "松土, 昇平", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "小林, 純子", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "菊池, 直哉", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "熱田, 幸司", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "安藤, 崇史", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "新谷, 恒弘", "creatorNameLang": "ja"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2023-03-20"}], "displaytype": "simple", "download_preview_message": "", "file_order": 0, "filename": "jrcsh4201_53-57.pdf", "filesize": [{"value": "1.2 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1200000.0, "url": {"label": "pdf009006", "url": "https://redcross.repo.nii.ac.jp/record/18608/files/jrcsh4201_53-57.pdf"}, "version_id": "59beb03f-d187-4494-9476-63fcf56cee1e"}]}, "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "乳腺間質肉腫と鑑別を要した乳腺境界悪性葉状腫瘍の1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "乳腺間質肉腫と鑑別を要した乳腺境界悪性葉状腫瘍の1例", "subitem_title_language": "ja"}]}, "item_type_id": "10002", "owner": "29", "path": ["708"], "permalink_uri": "https://redcross.repo.nii.ac.jp/records/18608", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2023-03-03"}, "publish_date": "2023-03-03", "publish_status": "0", "recid": "18608", "relation": {}, "relation_version_is_last": true, "title": ["乳腺間質肉腫と鑑別を要した乳腺境界悪性葉状腫瘍の1例"], "weko_shared_id": -1}
乳腺間質肉腫と鑑別を要した乳腺境界悪性葉状腫瘍の1例
https://redcross.repo.nii.ac.jp/records/18608
https://redcross.repo.nii.ac.jp/records/18608