{"created":"2023-06-20T16:00:10.954980+00:00","id":18483,"links":{},"metadata":{"_buckets":{"deposit":"0392043c-0105-4fdb-993c-c4615705eb4a"},"_deposit":{"created_by":53,"id":"18483","owners":[53],"pid":{"revision_id":0,"type":"depid","value":"18483"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018483","sets":["615:616:715"]},"author_link":["69822","69826","69829","69831","69827","69820","69821","69819","69830","69823","69824","69832","69825","69828","69818"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-11-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"61","bibliographicPageStart":"56","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"岡山赤十字病院医学雑誌"},{"bibliographic_title":"The Okayama Red Cross Hospital Journal of Medicine","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"40代女性． 4 年前に関節リウマチ（RA）を発症し，前医でメトトレキサート（MTX）投与中にLDH 上昇あり，精査目的に当院紹介となった．造影CT で左乳腺腫瘤と左腋窩リンパ節腫大を認め，エコーでは左Ｃ領域に縦横比の小さい楕円形低エコー腫瘤が見られた．線維腺腫を推定し穿刺吸引細胞診を施行したところ，中型でやや大小不同のあるlymphoid cellを多数認めるも組織球の混在が確認され，鑑別困難とした．摘出生検にてびまん性大細胞型Ｂ細胞リンパ腫の像を認め，MTX 内服と併せ「その他の医原性免疫不全関連リンパ増殖異常症（OIIA-LPD）」と診断した．直ちにMTX を中止しサラゾスルファピリジン単剤へ変更したが， 7 ヶ月後，左乳腺に再発所見を認めた為，化学療法を開始し現在腫瘤消失に至っている．乳腺のOIIA-LPD 発症頻度は非常に低いが，急速進行の可能性もあり，常に患者背景を意識した診療が必要であると考える．\n","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"岡山赤十字病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0915-8073","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":"林, 栄子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田村, 麻衣子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"樋口, 俊惠"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊東, 優花"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石﨑, 愛理"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅野, 里奈"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"増田, 雅史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"斎藤, 利江子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大森, かすみ"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"林, 敦志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大木, 知佳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"都地, 友紘"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小山, 芳伸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉富, 誠二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹内, 誠"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-01-31"}],"displaytype":"simple","filename":"04　症例03　林 p.56-61.pdf","filesize":[{"value":"7.8 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