{"created":"2023-05-15T09:06:20.262193+00:00","id":12979,"links":{},"metadata":{"_buckets":{"deposit":"90c89a5f-d757-4ce3-bcff-e40277ff2dd6"},"_deposit":{"created_by":14,"id":"12979","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"12979"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00012979","sets":["1875:1885:1988"]},"author_link":[],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-10-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"9","bibliographicPageStart":"5","bibliographicVolumeNumber":"37","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59歳男性。下腹部の膨満を主訴に来院した。当院外科で施行した腹腔内腫瘤の生検の結果、びまん性大細胞型Ｂ細胞リンパ腫（DLBCL）と診断された。R-CHOP 療法6コース施行するもCR に至らず、サルベージ療法としてR-DeVIC 療法を3コース施行した。病変は回腸末端に限局して残存しており、回盲部切除術を施行した。その後、評価目的で行ったPET 検査で右腎下極に新たな病変を認めた。追加治療としてCHASER 療法を施行したところ、同病変は縮小するも腹水の貯留と小腸病変の再燃を認め、その後急激に意識状態の悪化を認めた。頭部MRI 検査では造影Ｔ1強調画像にて脳室周囲に造影効果を認め、髄液検査では髄液中にリンパ腫細胞を認めたため、悪性リンパ腫の髄膜播種と診断した。","subitem_description_type":"Abstract"}]},"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":[{"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":"矢島, 秀教"}]},{"creatorNames":[{"creatorName":"佐藤, 修司"}]},{"creatorNames":[{"creatorName":"内藤, 崇史"}]},{"creatorNames":[{"creatorName":"伊東, 文子"}]},{"creatorNames":[{"creatorName":"山本, 至"}]},{"creatorNames":[{"creatorName":"一色, 裕之"}]},{"creatorNames":[{"creatorName":"中垣, 卓"}]},{"creatorNames":[{"creatorName":"清水, 晴夫"}]},{"creatorNames":[{"creatorName":"金戸, 宏行"}]},{"creatorNames":[{"creatorName":"近藤, 哲夫"}]},{"creatorNames":[{"creatorName":"小西, 康宏"}]},{"creatorNames":[{"creatorName":"今, 信一郎"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n028927743715.pdf","filesize":[{"value":"386.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n028927743715.pdf","url":"https://sapmed.repo.nii.ac.jp/record/12979/files/n028927743715.pdf"},"version_id":"d543cd1f-d1bf-4bda-9e05-8c77fd902628"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"悪性リンパ腫","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"びまん性大細胞型Ｂ細胞リンパ腫","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"髄膜播種","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"小腸原発","subitem_subject_language":"ja","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":"治療に難渋し髄膜播種をきたした小腸原発びまん性大細胞型Ｂ細胞リンパ腫の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"治療に難渋し髄膜播種をきたした小腸原発びまん性大細胞型Ｂ細胞リンパ腫の1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1988"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-08-05"},"publish_date":"2014-08-05","publish_status":"0","recid":"12979","relation_version_is_last":true,"title":["治療に難渋し髄膜播種をきたした小腸原発びまん性大細胞型Ｂ細胞リンパ腫の1例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:10:43.473739+00:00"}