{"created":"2023-06-20T16:00:26.341605+00:00","id":18860,"links":{},"metadata":{"_buckets":{"deposit":"d67d7f01-9fb6-44a3-8cdb-f38b201f8aa0"},"_deposit":{"created_by":41,"id":"18860","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"18860"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018860","sets":["340:341:733"]},"author_link":["70694","70698","70695","70692","70696","70697","70693","70701","70700","70699"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"64","bibliographicPageStart":"59","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"}]}]},"item_10001_description_4":{"attribute_name":"著者ID","attribute_value_mlt":[{"subitem_description":"高知赤十字病院","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"背景：甲状腺の好酸性細胞腫瘍は頻度が低く，良悪の鑑別が腫瘍全体の組織診により決定されるため，術前診断は困難と考えられている．今回我々は，18F-FDG PET/CT 検査にて偶発的に認められ，穿刺吸引細胞診でも評価できた好酸性細胞型濾胞腺腫を経験した．18F-FDG PET/CT 検査により発見された好酸性細胞型濾胞腺腫の症例は少なく，報告に値すると考えられた．また，好酸性細胞腫瘍の質的診断は不可能とされている穿刺吸引細胞診ではあるが，文献的考察にて本症例の穿刺吸引細胞診が質的診断に迫れるかを検討した． 症例：60 歳代女性で，副腎病変の精査目的で 18F-FDG PET/CT を施行したところ，偶発的に甲状腺左葉に約 2 ㎝大の FDG が集積する結節（SUV max 6.38）を認めた．超音波検査ではこの結節を含め両葉に多発する結節ないし嚢胞を認め，腺腫様甲状腺腫が考えられた．甲状腺左葉の主病変に対する穿刺吸引細胞診では，好酸性細胞が多数出現し，2 核細胞も出現しており，通常の濾胞上皮細胞はなかった．好酸性細胞は濾胞状の配列を示していたが，主として結合性の低下した形状不整な集塊としてみられ，集塊辺縁より突出する血管も認めた．好酸性細胞腫瘍の可能性はあるが，多発する結節の存在から好酸性細胞化生を示す腺腫様甲状腺腫も考えられ，意義不明と判定された．質的診断目的に甲状腺左葉切除術が施行され，主病変は好酸性細胞型濾胞腺腫であり，それ以外は腺腫様甲状腺腫と病理診断された．文献的には主病変の SUV max の値は，濾胞腺腫，腺腫様甲状腺腫，好酸性細胞型濾胞癌よりも好酸性細胞型濾胞腺腫に矛盾しない数値であった．細胞診所見としても好酸性細胞型濾胞腺腫を示唆することは文献上可能ではあったが，確定できる画像・細胞診所見は報告されていないため，質的診断には腫瘍全体の組織学的な評価が必要であると考えられた．\n結論：18F-FDG PET/CT 検査や穿刺吸引細胞診にて推定可能な好酸性細胞型濾胞腺腫の1例を経験した．","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高知赤十字病院"}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"高知赤十字病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小原, 昌彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"水野, 圭子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"甫喜本, 憲弘"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"行重佐, 和香"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奈路田, 拓史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中谷, 貴美子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安岡, 香"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"和田, 有加里"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"筒井, 宏行"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"賴田, 顕辞"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-06-02"}],"displaytype":"simple","filename":"病理診断科 小原昌彦.pdf","filesize":[{"value":"2.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.27-13  ","url":"https://redcross.repo.nii.ac.jp/record/18860/files/病理診断科 小原昌彦.pdf"},"version_id":"da1a8437-7b96-4243-8f6c-a589190450f3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"穿刺吸引細胞診","subitem_subject_scheme":"Other"},{"subitem_subject":"甲状腺","subitem_subject_scheme":"Other"},{"subitem_subject":"好酸性細胞","subitem_subject_scheme":"Other"},{"subitem_subject":"濾胞腺腫","subitem_subject_scheme":"Other"},{"subitem_subject":"FDG-PET/CT","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":"18F-FDG-PET/CT 検査にて偶発的に認められ，穿刺吸引細胞診を評価 できた甲状腺好酸性細胞型濾胞腺腫（oncocytic cell adenoma）の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"18F-FDG-PET/CT 検査にて偶発的に認められ，穿刺吸引細胞診を評価 できた甲状腺好酸性細胞型濾胞腺腫（oncocytic cell adenoma）の1例"}]},"item_type_id":"10001","owner":"41","path":["733"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-06-02"},"publish_date":"2023-06-02","publish_status":"0","recid":"18860","relation_version_is_last":true,"title":["18F-FDG-PET/CT 検査にて偶発的に認められ，穿刺吸引細胞診を評価 できた甲状腺好酸性細胞型濾胞腺腫（oncocytic cell adenoma）の1例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:34:24.405061+00:00"}