{"created":"2023-06-20T15:50:37.482936+00:00","id":3478,"links":{},"metadata":{"_buckets":{"deposit":"37d04206-31c2-4bd3-a377-8be59a03b21e"},"_deposit":{"created_by":18,"id":"3478","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3478"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003478","sets":["99:64:181"]},"author_link":["8329","72","73","1526","78","77","67","80","79","304","95","124","192","284","68","69"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"35","bibliographicPageStart":"30","bibliographicVolumeNumber":"18","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_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"虫垂原発癌は全消化管癌の0.5%と報告され,中でも虫垂内分泌細胞癌は,本邦での報告は自験例を除いて7例と極めて稀で予後不良な疾患である.今回,病理解剖にて虫垂原発神経内分泌細胞癌Neuroendocrine carcinoma(NEC)・大細胞型と判明した1例を経験したので,文献的考察を加えて報告する.症例は87歳女性.以前よりの右下腹部痛が増悪し,精査加療目的で当院紹介となった.造影CT 等により虫垂癌と腹膜炎が疑われ,抗生物質投与により腹痛,炎症反応とも軽減したが,第15病日より腹痛の増悪やSpO2の低下がみられた.また,CRP,肝逸脱酵素の上昇があり,第17病日に呼吸状態が不良となり永眠された.病理解剖では,虫垂入口部に3×3cm,Borrman3型の腫瘍が認められた.組織学的には,索状,リボン状,ロゼット状の増殖を示すN/C 比のきわめて大きい腫瘍細胞がリンパ管浸潤を伴って増殖していた.免疫染色の結果,2010年WHO 分類における虫垂原発の神経内分泌細胞癌・大細胞型,肝臓転移と診断\r\nした.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"304","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KASHINO, 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