{"created":"2023-11-20T08:16:56.258973+00:00","id":2000222,"links":{},"metadata":{"_buckets":{"deposit":"399a8839-661b-4369-80f8-dcae1c34e439"},"_deposit":{"created_by":14,"id":"2000222","owner":"14","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"2000222"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:02000222","sets":["1875:1879:1699939355205"]},"author_link":[],"item_4_alternative_title_19":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"An autopsy case of the gastric cancer StageⅣ b.","subitem_alternative_title_language":"en"}]},"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-09-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicNumberOfPages":"5","bibliographicPageEnd":"59","bibliographicPageStart":"55","bibliographicVolumeNumber":"46","bibliographic_titles":[{"bibliographic_title":"函館医学誌","bibliographic_titleLang":"ja"}]}]},"item_4_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"症例は60歳代男性．上腹部に広範な腫瘤を触れ近医を受診し，胃癌の診断となった．CT にて腹膜播種転移を認めcStage Ⅳb となり，全身化学療法（S-1/CDDP 療法）を開始された．S-1/CDDP 療法継続後，PD 判定となり二次化学療法として腹腔内DOC＋CDDP，S-1内服治療を開始．腹水著明貯留あり，PD 判定となり，三次治療Nivolumab導入目的に当科転院となった．\n　入院後，Nivolumab 治療開始．腹部膨満感が強く，複数回にわたって腹水穿刺を行っていたが，全身倦怠感が強く，次第に血圧低下を認め永眠した．剖検では腫瘍は一部壊死をきたしていた．また，低栄養状態による低Alb 血症から腔水症を来たし，肺水腫による呼吸不全や循環不全から死に至ったと考えられた．","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立函館病院","subitem_publisher_language":"ja"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0910-0725","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"吉田,有梨枝","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"畑中,一映","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"櫛引,英恵","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2023-11-20"}],"filename":"n0910072546155.pdf.pdf","filesize":[{"value":"2.4 MB"}],"format":"application/pdf","url":{"url":"https://sapmed.repo.nii.ac.jp/record/2000222/files/n0910072546155.pdf.pdf"},"version_id":"0a0e08e3-077f-4745-ad47-43f9e9067d35"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"gastric cancer","subitem_subject_language":"en"},{"subitem_subject":"Peritoneal Metastases","subitem_subject_language":"en"}]},"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":"technical report","resourceuri":"http://purl.org/coar/resource_type/c_18gh"}]},"item_title":"胃癌Stage Ⅳbの１剖検例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胃癌Stage Ⅳbの１剖検例","subitem_title_language":"ja"}]},"item_type_id":"4","owner":"14","path":["1699939355205"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-11-20"},"publish_date":"2023-11-20","publish_status":"0","recid":"2000222","relation_version_is_last":true,"title":["胃癌Stage Ⅳbの１剖検例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-12T04:46:03.202548+00:00"}