{"created":"2023-06-20T16:00:15.925749+00:00","id":18608,"links":{},"metadata":{"_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":["95:28:708"]},"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":[{}]},"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","filename":"jrcsh4201_53-57.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-03"},"publish_date":"2023-03-03","publish_status":"0","recid":"18608","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_creator_id":"29","weko_shared_id":-1},"updated":"2023-12-27T07:22:06.331971+00:00"}