{"created":"2023-06-20T15:50:17.625963+00:00","id":2959,"links":{},"metadata":{"_buckets":{"deposit":"e7dc0a1b-e72b-46fb-8b7d-bc166b67a71f"},"_deposit":{"created_by":18,"id":"2959","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"2959"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00002959","sets":["99:64:65"]},"author_link":["6678","70","72","95","78","1526","77","6676","80","79","6677","67","192","68","71"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"98","bibliographicPageStart":"93","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は74歳,男性.肺癌手術の既往があった.2006年1月,下血を主訴に当院受診.下行結腸に高分化型腺癌を認め,術前病期:T3N0M0:StageⅡと診断.同年3月に腹腔鏡下左半結腸切除術・D3郭清を施行.病理診断は,pT3N1M0:StageⅢaであり,術後化学療法を2年間行った.経過中にAFP:20.5ng/mLと軽度上昇を認めたが,再発・転移や肝細胞癌等を示唆する画像所見は認めなかった.2009年11月AFP:101.72ng/mLとさらに上昇し,精査にて胃体下部後壁にⅡc+Ⅱb 様病変を認めた.生検にて,GroupV,AFP免疫染色陽性で,AFP産生胃癌と考えた.術前病期:T2N0M0:StageⅠBの診断で,同年2月に腹腔鏡下幽門側胃切除術・D2郭清・B-Ⅰ再建術を施行.病理診断はpT3N0M0:StageⅡAで治癒切除が得られ,AFPも基準値範囲内となり,外来通院中である.一般にAFP産生胃癌は予後不良とされるが,今回,鏡視下手術を選択し,良好な結果が得られた.またAFP 産生胃癌を含む3重複癌の報告は稀であり文献的考察も加え報告する.","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","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":"辻岡, 卓也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"沖津, 宏"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"松本, 大資"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"古川, 尊子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松岡, 裕"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木原, 歩美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浜田, 陽子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"湯浅, 康弘"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"石倉, 久嗣"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"木村, 秀"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"阪田, 章聖"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"山下, 理子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"藤井, 義幸"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"吉岡, 一夫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-11-02"}],"displaytype":"simple","filename":"trchmj1601_93-98.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001897","url":"https://redcross.repo.nii.ac.jp/record/2959/files/trchmj1601_93-98.pdf"},"version_id":"a07d010c-7321-42eb-950a-07e96302cd0d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"AFP産生胃癌","subitem_subject_scheme":"Other"},{"subitem_subject":"3重複癌","subitem_subject_scheme":"Other"},{"subitem_subject":"鏡視下手術","subitem_subject_scheme":"Other"},{"subitem_subject":"AFP-producing gastric cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"triple cancers","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"endoscopic surgery","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":"肺癌術後に発症し,鏡視下手術を行った下行結腸癌,AFP産生胃癌の異時性3重複癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"肺癌術後に発症し,鏡視下手術を行った下行結腸癌,AFP産生胃癌の異時性3重複癌の1例"},{"subitem_title":"A Case of Metachronous Triple Cancers, Developing Descending Colon Cancer and alpha-Fetoprotein-Producing Gastric Cancer after Surgery for Lung Cancer That was Treated with Laparoscopic Surgery","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["65"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-11-02"},"publish_date":"2012-11-02","publish_status":"0","recid":"2959","relation_version_is_last":true,"title":["肺癌術後に発症し,鏡視下手術を行った下行結腸癌,AFP産生胃癌の異時性3重複癌の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:55:21.068987+00:00"}