{"created":"2023-06-20T15:54:16.571431+00:00","id":9393,"links":{},"metadata":{"_buckets":{"deposit":"97f1fd50-2ac0-4d09-a0cf-f99a054b8698"},"_deposit":{"created_by":22,"id":"9393","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"9393"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00009393","sets":["100:90:265"]},"author_link":["6399","33276","28432","33278","6396","6395","18194","18195","33277","6400","25731"],"item_10004_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"58","bibliographicPageStart":"51","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌"},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10004_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"悪性胚細胞腫瘍は悪性卵巣腫瘍の4％と稀な腫瘍である．当院で経験した過去15年間の20症例について後方視的に臨床的検討を行った．病理組織学的別には，悪性転化を伴う成熟嚢胞性奇形腫（Mature cystic teratoma with malignant transformation，以下MCTMT）9例，ディスジャーミノーマ（Dysgerminoma，以下Dysg）6例，卵黄嚢腫瘍2例，未熟奇形腫1例，混合型胚細胞腫瘍2例であった．進行期はⅠ期が14例と最も多かった．平均年齢はDysg の20.2歳に対し，MCTMT では55.8歳と高齢であった．初回治療は全例に手術療法を施行し，40歳未満の12例には妊孕性温存手術を施行した．術後の化学療法は13例に施行した．MCTMT 以外の組織型では，進行症例・手術残存症例であってもBEP（bleomycin, etoposide, and cisplatin）療法が奏功し予後良好であり，化学療法後の温存卵巣機能も回復している．MCTMT の9例中，Ⅰ期5例の予後は良好であったが，Ⅱ期以上の4例では原病死となり，うち1例は22歳と若年の症例であった．MCTMTの進行症例の予後は悪く，成熟嚢胞性奇形腫については慎重な経過観察が必要である．","subitem_description_type":"Abstract"}]},"item_10004_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"33278","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KATO, 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