{"_buckets": {"deposit": "e02d20d9-da2b-47ef-a3d5-218036f74810"}, "_deposit": {"created_by": 14, "id": "7774", "owners": [14], "pid": {"revision_id": 0, "type": "depid", "value": "7774"}, "status": "published"}, "_oai": {"id": "oai:sapmed.repo.nii.ac.jp:00007774", "sets": ["1887"]}, "author_link": ["4889", "4890", "4891", "4892", "4893", "4894", "4895", "4896", "4897"], "control_number": "7774", "item_2_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2004-04", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "18", "bibliographicPageStart": "15", "bibliographicVolumeNumber": "29", "bibliographic_titles": [{"bibliographic_title": "市立室蘭総合病院医誌 = Journal of Muroran City General Hospital"}]}]}, "item_2_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は76歳の男性.心窩部不快感を自覚し近医を受診,上部消化管内視鏡検査を施行された.胃体下部大彎後壁寄りに3cm大のIIa+IIc病変が認められ,生検にて高分化型腺癌と診断された.平成15年8月11日に精査加療目的で当科紹介入院となった.各種検査にて明らかな遠隔転移やリンパ節転移を認めず,手術目的に当院外科へ転科となった.9月12日に腹腔鏡補助下幽門側胃切除術が施行された.病理組織所見は高分化型腺癌,3.0x2.3cm,pT2,mp,ly2,v1,pN1,Stage IIの診断であった.病変は高分化型腺癌が優勢であるが,粘膜下を主体に免疫染色でsynaptophysin,CD56陽性の内分泌細胞癌が併存していた.本症例は粘膜下に浸潤している部位で高分化腺癌から内分泌細胞癌へと移行していると考えられる部分が存在し,内分泌細胞癌の発生を考える上で非常に興味深い症例と考えられた", "subitem_description_type": "Abstract"}]}, "item_2_identifier_60": {"attribute_name": "URI", "attribute_value_mlt": [{"subitem_identifier_type": "URI", "subitem_identifier_uri": "http://ir.cc.sapmed.ac.jp/dspace/handle/123456789/471"}]}, "item_2_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "市立室蘭総合病院"}]}, "item_2_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0289-2774", "subitem_source_identifier_type": "ISSN"}]}, "item_2_version_type_15": {"attribute_name": "著者版フラグ", "attribute_value_mlt": 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https://sapmed.repo.nii.ac.jp/records/7774
https://sapmed.repo.nii.ac.jp/records/7774