{"created":"2023-05-15T09:06:22.725893+00:00","id":13042,"links":{},"metadata":{"_buckets":{"deposit":"49a23610-6ff3-4004-8f82-0c153fe01b2b"},"_deposit":{"created_by":14,"id":"13042","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"13042"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00013042","sets":["1875:1885:1992"]},"author_link":["19634","19635","19636","19637","19638","19639","19640","19641","19642","19643","19644","19645"],"control_number":"13042","item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-10-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"8","bibliographicPageStart":"5","bibliographicVolumeNumber":"39","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":"当院で経験した肝内胆管癌について後方視的に検討した。対象は2001年1月から2012年12月までに当院で肝内胆管癌と診断した29症例。男性/女性：20/9例、年齢中央値71歳（40-93歳）、背景肝疾患はHBV/HCV/肝内結石/胆道拡張症術後：2/4/2/1例、同時性異時性重複癌8例であり、肉眼型は腫瘤形成型/腫瘤形成＋胆管浸潤型/胆管内発育型：11/17/1例、組織型は高分化型/中分化型/低分化型：4/15/10例、Stage Ⅰ/ Ⅱ/ Ⅲ/ ⅣA/ ⅣB ：0/5/4/1/19例であった。初回治療は、外科的切除（治癒度Ａ/Ｂ）/化学療法/best supportive care(BSC)：7（3/4）/13/9例であり、生存期間中央値は全症例で328日、切除群/化学療法群/BSC 群：1320/305/134日であった。生存期間に関与する因子としては、単変量解析で腫瘍径、CEA 値、リンパ節転移の有無、遠隔転移の有無、stage、治療の有無であり、多変量解析ではstageと治療の有無であった。","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":"石上, 敬介"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金戸, 宏行"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"飯田, 智哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 基"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永縄, 由美子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中垣, 卓"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 修司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 晴夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 賢一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渋谷, 均"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小西, 康宏"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今, 信一郎"}],"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":"n028927743915.pdf","filesize":[{"value":"938.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n028927743915.pdf","url":"https://sapmed.repo.nii.ac.jp/record/13042/files/n028927743915.pdf"},"version_id":"4609b17a-9d74-400e-8587-db4d4893e77d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肝内胆管癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"危険因子","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"予後","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":"当院における肝内胆管癌の臨床的検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における肝内胆管癌の臨床的検討","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1992"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-10-24"},"publish_date":"2014-10-24","publish_status":"0","recid":"13042","relation_version_is_last":true,"title":["当院における肝内胆管癌の臨床的検討"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:10:22.834000+00:00"}