{"created":"2023-05-15T09:08:40.485008+00:00","id":16336,"links":{},"metadata":{"_buckets":{"deposit":"4c885d53-b0c5-4dc8-aa52-67677b52a03e"},"_deposit":{"created_by":14,"id":"16336","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"16336"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00016336","sets":["1875:1885:2167"]},"author_link":["32062","32063","32064","32065","32066","32067","32068","32069","32070","32071"],"control_number":"16336","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-09-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"23","bibliographicPageStart":"17","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"市立室蘭総合病院医誌 = Journal of Muroran City General Hospital"},{"bibliographic_title":"Journal of Muroran City General Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は60 歳代、男性。平成28 年11 月の健診で、上部消化管造影検査にて十二指腸ポリープを疑われ、同年12 月中旬当科を受診。上部消化管内視鏡検査で、幽門輪近傍の十二指腸球部前壁に12 mm 大の腫瘍を認め、生検によりカルチノイド腫瘍の診断となった。精査目的の下部消化管内視鏡検査で、下部直腸腹側に7 mm 大の粘膜下腫瘍病変を認め、生検によりカルチノイド腫瘍の診断となった。FDG-PET、ソマトスタチン受容体シンチグラフィーでは原発巣を含めて異常集積は認めなかった。超音波内視鏡検査では直腸カルチノイド腫瘍の固有筋層への明らかな浸潤は認めなかった。外科と協議した結果、直腸カルチノイド腫瘍に対してCap 法による内視鏡的粘膜切除術を先行して行い、十二指腸カルチノイド腫瘍に対して幽門側胃切除術を行った。治療後病理診断は、直腸についてはcarcinoid tumor、pT1b（3000 μm）、ly0、v0、pHM0、pVM0、synaptophysin(+)、CD 56(+)、chromograninA(-)、MIB-1 index＜1％で、十二指腸についてはcarcinoid tumor、pN0.synaptophysin(+)、CD 56(+)、chromograninA(+)、MIB-1 index＜1％の結果であった。今回我々は、術前の腫瘍径からガイドラインに準じて内視鏡的切除、外科手術を選択した結果、根治を得ることができ、複数臓器に同時性に認めた消化管カルチノイド腫瘍の稀な1例を経験したため報告する。","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立室蘭総合病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0289-2774","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"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":"那須野, 央"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 修司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大和田, 紗恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"一色, 裕之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊早坂, 舞"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 晴夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金戸, 宏行"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 賢一"}],"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":"2019-10-08"}],"displaytype":"detail","filename":"n028927744317.pdf","filesize":[{"value":"3.0 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"n028927744317","url":"https://sapmed.repo.nii.ac.jp/record/16336/files/n028927744317.pdf"},"version_id":"fbaf97c4-53b0-48ba-b5db-679a30d55b16"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"消化管カルチノイド腫瘍","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"同時性","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"複数臓器","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":"十二指腸および直腸に同時性に認めた消化管カルチノイド腫瘍の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"十二指腸および直腸に同時性に認めた消化管カルチノイド腫瘍の1例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"14","path":["2167"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-10-08"},"publish_date":"2019-10-08","publish_status":"0","recid":"16336","relation_version_is_last":true,"title":["十二指腸および直腸に同時性に認めた消化管カルチノイド腫瘍の1例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:09:20.604409+00:00"}