{"created":"2023-05-15T09:06:20.653163+00:00","id":12988,"links":{},"metadata":{"_buckets":{"deposit":"7dbbab31-55a4-4105-b437-0fb7c635304b"},"_deposit":{"created_by":14,"id":"12988","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"12988"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00012988","sets":["1875:1885:1989"]},"author_link":["19353","19354","19355","19356","19357","19358","19359","19360","19361","19362","19363"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-10-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"14","bibliographicPageStart":"10","bibliographicVolumeNumber":"36","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":"4型胃癌切除症例42例について臨床病理学的特徴と予後について検討した。さらに岩永分類の4亜型に分類し、それぞれの特徴を明らかにした。平均年齢は60.6歳、男女比は1.5：1、腫瘍の占居部位は胃体部から上部に多く、リンパ節転移率は85.7％であった。術式では全摘術が88.1％、深達度はSE 以上が88.1％であった。5年生存率は全体で14.6％、治癒切除例でも21.6％と不良であった。4亜型ではすう壁型とびらん型が15例づつ、表層 ｃ型7例、狭窄型5例であった。4亜型の特徴としてすうへき型は若年女性に多く、平均生存期間は18.4カ月と予後不良、びらん型は男性に多く、リンパ節転移率は93.3％ともっとも高く、予後は15.5カ月と不良、表層 ｃ型はリンパ節転移率は85.7％と高いが、予後は25.7カ月と良好、狭窄型は高齢者に多く、リンパ節転移率は60.0％と低いが予後は13.0カ月と不良であった。","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":"渋谷, 均"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 賢一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永山, 稔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"久木田, 和磨"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"植木, 知身"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今野, 愛"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"河野, 剛"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宇野, 智子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今, 信一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小西, 康宏"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西田, 睦夫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n0289277436110.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n0289277436110.pdf","url":"https://sapmed.repo.nii.ac.jp/record/12988/files/n0289277436110.pdf"},"version_id":"a72f88b2-3514-4377-9472-0e9f5e617c5b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Borrmann４型胃癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"スキルス胃癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"化学療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"拡大手術","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":"スキルス胃癌の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"スキルス胃癌の検討","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1989"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-08-06"},"publish_date":"2014-08-06","publish_status":"0","recid":"12988","relation_version_is_last":true,"title":["スキルス胃癌の検討"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:11:06.324496+00:00"}