{"created":"2023-05-15T09:06:22.854486+00:00","id":13045,"links":{},"metadata":{"_buckets":{"deposit":"82e328d0-3914-4195-bd52-a6eececad776"},"_deposit":{"created_by":14,"id":"13045","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"13045"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00013045","sets":["1875:1885:1992"]},"author_link":["19665","19666","19667","19668","19669","19670","19671","19672","19673"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-10-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"22","bibliographicPageStart":"18","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":"1975年から2013年までに当院外科で取り扱った原発性乳癌は785例で、このうち原発性両側乳癌は17例（2.2％）であった。このうち同時性両側乳癌は6例（0.8％）、異時性両側乳癌は11例（1.4％）であった。発症時平均年齢は同時性72.7歳で異時性第一癌48.8歳との間に有意差を認めた。異時性第一と第二の間隔は11.1年で63.3％の癌は10年以内に発症していた。腫瘍占居部位は同時性、異時性とも外上、内上に多く、mirror imageは46.6％であった。組織型では同時性、異時性とも浸潤性乳管癌が多くを占め、亜型では乳頭腺管癌が多い傾向であった。ホルモンレセプターの一致率は同時性でER（＋）50.0％、異時性で28.6％、PgR（＋）は同時性で33.3％、異時性で14.3％であった。病期では同時性、異時性いずれも 期までの症例が多くを占めた。術式では同時性で非定型乳房切断術の占める比率が多く、第一癌で83.3％、第二癌で50.0％であった。一方、2000年以降の症例が多かった異時性例では乳房温存術式が徐々に増加し、第一癌、第二癌いずれも45.5％であった。転帰は脳転移で亡くなった同時性の1例、老衰死2例、異時性で多発性骨転移で死亡した1例を除き他の症例は生存中である。","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":"齋藤, 慶太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奥谷, 浩一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"内山, 素伸"}],"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, 陸夫"}],"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":"n0289277439118.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n0289277439118.pdf","url":"https://sapmed.repo.nii.ac.jp/record/13045/files/n0289277439118.pdf"},"version_id":"4dfa5a42-e48d-4e5e-adb4-e6e68c01bee6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"乳癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"両側乳癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"同時性","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"異時性","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":"両側乳癌症例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"両側乳癌症例の検討","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":"13045","relation_version_is_last":true,"title":["両側乳癌症例の検討"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:10:20.236779+00:00"}