{"created":"2023-06-20T15:59:43.223273+00:00","id":17735,"links":{},"metadata":{"_buckets":{"deposit":"ffac8b17-e031-43a0-8638-90f5d2f8f8a0"},"_deposit":{"created_by":28,"id":"17735","owners":[28],"pid":{"revision_id":0,"type":"depid","value":"17735"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017735","sets":["172:173:642"]},"author_link":["15056","67339","49822","43999","2763","7939","67338","67335","49819","20659","67336","15053","67340","67341","1383","67337"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"94","bibliographicPageStart":"89","bibliographicVolumeNumber":"38","bibliographic_titles":[{"bibliographic_title":"日本赤十字社和歌山医療センター医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Wakayama Medical Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"若年性乳癌に罹患する年代は就労、妊娠、授乳期等が重なり検診を受ける機会も少ないため、受診時に進行した状態で発見となることがある。一方、この年代に認められる腫瘤の8割が線維腺腫と言われており、乳癌との鑑別が重要となる。今回、若年性乳癌（以下乳癌）と診断された8例と同年代の線維腺腫79例の乳房超音波（以下エコー）所見を比較検討したので報告する。腫瘤の境界が明瞭粗ぞう、内部不均質、分葉形または多角形を全て示したものは乳癌で8例（100％）、線維腺腫で10例（13％）であった。これらの所見に更に縦横比大を組み合わせると乳癌で6例、線維腺腫で4例となり、内部血流有では乳癌で7例、線維腺腫で4例という結果となった。今回の症例数は十分ではなく今後更に症例数を増やして検証する必要はあるが、“単独”の所見だけでなく、悪性を疑う“複数”の所見を組み合わせることで、エコー所見による若年の乳房腫瘤病変に対する良悪の鑑別精度が更に上がることが示唆された。","subitem_description_type":"Abstract"},{"subitem_description":"Among women in their early tweeties to middle thirties, breast cancer may often be found in an advanced stage at the time of examination, since their working, pregnancy or child care keeps them away from annual examinations. Because it is said that 80% of breast tumors found in women in these generations are fibroadenomas, the differentiation of breast cancers from fibroadenomas is important. For this purpose, we compared breast ultrasound (US) images of women in these generations diagnosed with breast cancer (8 cases) and those with fibroadenoma (79 cases). In all cases of breast cancer (100%) and ten cases of fibroadenoma (13%), the breast tumors showed clear and rough in border, heterogeneous in internal and lobulated or polygonal in shape. Furthermore, in six cases of cancer (75%) the tumors showed vertical shape added to these three findings, whereas in four cases of fibroadenoma (5%) they showed the same findings. Similarly, in seven cases of cancer (88%) and four cases of fibroadenoma (5%), they showed internal blood flow with those triad. These results suggest that differentiation accuracy of breast cancers from fibroadenomas in younger ages by US can increase further by combining multiple findings suspected malignancy rather than by each of those alone. ","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"TAKENAKA, Mikako"}]},{"nameIdentifiers":[{}],"names":[{"name":"ASANAGA, Mariko"}]},{"nameIdentifiers":[{}],"names":[{"name":"YUKAWA, Yuka"}]},{"nameIdentifiers":[{}],"names":[{"name":"INAGAKI, Masako"}]},{"nameIdentifiers":[{}],"names":[{"name":"KATUYAMA, Hiroki"}]},{"nameIdentifiers":[{}],"names":[{"name":"Ikeda, Norio"}]},{"nameIdentifiers":[{}],"names":[{"name":"YUZUKI, Yosuke"}]},{"nameIdentifiers":[{}],"names":[{"name":"YOSHIBAYASHI, Hiroshi"}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社和歌山医療センター"}]},"item_10001_relation_16":{"attribute_name":"情報源","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"日本赤十字社和歌山医療センター"}]}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本赤十字社和歌山医療センター"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN1051395X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-9927","subitem_source_identifier_type":"ISSN"}]},"item_10001_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":"竹中, 美賀子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浅長, 麻莉子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"湯川, 有加"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"稲垣, 真左子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"勝山, 浩樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"池田, 紀男"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"湯月, 洋介"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"芳林, 浩史"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-05-24"}],"displaytype":"detail","filename":"13竹中.pdf","filesize":[{"value":"731.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Wakayama38_13","url":"https://redcross.repo.nii.ac.jp/record/17735/files/13竹中.pdf"},"version_id":"04042b73-1300-432b-887e-82d6a8aef060"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"若年性乳癌","subitem_subject_scheme":"Other"},{"subitem_subject":"線維腺腫","subitem_subject_scheme":"Other"},{"subitem_subject":"乳房エコー検査","subitem_subject_scheme":"Other"},{"subitem_subject":"腫瘤の境界","subitem_subject_scheme":"Other"},{"subitem_subject":"腫瘤の形状","subitem_subject_scheme":"Other"},{"subitem_subject":"breast cancer in younger age","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Fibroadenoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ultrasound image","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":"線維腺腫と鑑別を要した“若年性乳癌”と同年代の“線維腺腫”との超音波画像の比較検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"線維腺腫と鑑別を要した“若年性乳癌”と同年代の“線維腺腫”との超音波画像の比較検討"},{"subitem_title":"Comparison of breast cancer and Fibroadenoma in younger age by ultrasonography","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"28","path":["642"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-05-24"},"publish_date":"2021-05-24","publish_status":"0","recid":"17735","relation_version_is_last":true,"title":["線維腺腫と鑑別を要した“若年性乳癌”と同年代の“線維腺腫”との超音波画像の比較検討"],"weko_creator_id":"28","weko_shared_id":-1},"updated":"2023-06-20T17:54:44.795765+00:00"}