{"created":"2023-06-20T15:56:56.422496+00:00","id":14028,"links":{},"metadata":{"_buckets":{"deposit":"f9dd6ff9-0f51-43e9-9c91-f9fb0abd8ffd"},"_deposit":{"created_by":29,"id":"14028","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"14028"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00014028","sets":["95:28:536"]},"author_link":["5346","43565","7578","19417","7595","3060","43566","5345","5341","50922","5336"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"7","bibliographicPageStart":"1","bibliographicVolumeNumber":"38","bibliographic_titles":[{"bibliographic_title":"静岡赤十字病院研究報"},{"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":"単形成上皮向性腸管T細胞リンパ腫(MEITL)は2016年の世界保健機関(World Health Organization:WHO)で新たに定義されたまれな消化管原発悪性リンパ腫である.今回我々は小腸穿孔をきたしたMEITLの1例を経験したので報告する.症例は50歳代,女性.貧血の精査目的で施行した上部消化管内視鏡検査および下部消化管内視鏡検査でMEITLと診断された.貧血の発症より4か月後に化学療法を開始したが,その5日後に腹痛を訴えた.腹部Computed Tomography(以下CT)検査でfree airを認め,消化管穿孔がうたがわれたため緊急手術を行った.開腹時,バウヒン弁から口側30㎝の回腸に穿孔部を認め,小腸部分切除術を施行した.術後に化学療法を再開したが,十二指腸MEITLによる閉塞性黄疸を術後1か月に発症した.化学療法を変更するも奏功せず,術後2か月に呼吸不全をきたし原病死した.消化管原発悪性リンパ腫は,緊急手術ではじめて診断されることも多く,さらに緊急手術例の予後がきわめて不良であることが報告されている.MEITLに対する早期診断および集学的治療の確立が望まれる","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"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0911-9833","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"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":"中村, 公彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中山, 隆盛"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"田口, 淳"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"笠原, 正男"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"小林, 純子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"熱田, 幸司"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"安藤, 崇史"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"宮部, 理香"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"白石, 好"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"磯部, 潔"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-03-25"}],"displaytype":"simple","filename":"jrcsh3701_1-7.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf008838","url":"https://redcross.repo.nii.ac.jp/record/14028/files/jrcsh3701_1-7.pdf"},"version_id":"23650a6d-5f6f-4d5a-9b57-f2ca06bb2e52"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"MEITL","subitem_subject_scheme":"Other"},{"subitem_subject":"EATL","subitem_subject_scheme":"Other"},{"subitem_subject":"穿孔","subitem_subject_scheme":"Other"},{"subitem_subject":"化学療法","subitem_subject_scheme":"Other"},{"subitem_subject":"小腸","subitem_subject_scheme":"Other"},{"subitem_subject":"MEITL","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"EATL","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Perforation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Chemotherapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Small bowel intestine","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"化学療法中に小腸穿孔をきたした単形性上皮向性腸管T細胞リンパ腫の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"化学療法中に小腸穿孔をきたした単形性上皮向性腸管T細胞リンパ腫の1例"},{"subitem_title":"A Case of Monomorphic Epitheliotropic Intestinal T-cell Lymphoma causing Intestinal Perforation during Chemotherapy","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"29","path":["536"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-03-25"},"publish_date":"2019-03-25","publish_status":"0","recid":"14028","relation_version_is_last":true,"title":["化学療法中に小腸穿孔をきたした単形性上皮向性腸管T細胞リンパ腫の1例"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-06-20T18:49:00.285882+00:00"}