{"created":"2024-11-11T07:20:51.978648+00:00","id":2000482,"links":{},"metadata":{"_buckets":{"deposit":"b6a6136f-760f-42c6-b19a-c2ed9baee379"},"_deposit":{"created_by":14,"id":"2000482","owner":"14","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"2000482"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:02000482","sets":["1875:1879:1731299883286"]},"author_link":[],"item_4_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of invasive perihilar cholangiocarcinoma with long-term survival after chemotherapy.","subitem_alternative_title_language":"en"}]},"item_4_biblio_info_6":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-09-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicNumberOfPages":"6","bibliographicPageEnd":"56","bibliographicPageStart":"51","bibliographicVolumeNumber":"48","bibliographic_titles":[{"bibliographic_title":"函館医学誌","bibliographic_titleLang":"ja"}]}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は70歳代女性.左下腹部痛,腰痛を主訴に前医受診した.X-5年3月,造影CT で肝S7腫瘤を認め,精査目的で当院紹介となった.初診で性状診断に至らず画像,採血フォローとなっていた.X-3年9月から腫瘍マーカーの上昇認め,CT,MRI 精査となった.X-3年10月にT3N0M0 StageⅢ 肝内胆管癌の診断となり,X-2年1月に腹腔鏡下肝S7部分切除術施行された.術中に肝内転移の指摘があり,T4N0M0 StageⅣa に診断が変更され,X-2年7月からTS-1, 続いてゲムシタビン+シスプラチンによる化学療法を導入した.切除不能肝内胆管癌の50%生存期間は12-13か月とされるが,本症例では2年9か月にわたる長期生存が得られた.剖検では原発巣である肝臓には腫瘍像を認めず,リンパ節転移による食道狭窄を契機にした誤嚥性肺炎,播種性血管内凝固症候群,多臓器不全が直接死因と考えられた.","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":"item_4_source_id_7","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":"伊佐治, 真樹史"}]},{"creatorNames":[{"creatorName":"成瀬, 宏仁"}]},{"creatorNames":[{"creatorName":"棟方, 哲"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-11-11"}],"filename":"n0910072548151.pdf","filesize":[{"value":"2 MB"}],"format":"application/pdf","url":{"url":"https://sapmed.repo.nii.ac.jp/record/2000482/files/n0910072548151.pdf"},"version_id":"f808095b-4eda-410b-abc7-95f42983ac24"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"tumor","subitem_subject_language":"en"},{"subitem_subject":"cholangiocarcinoma","subitem_subject_language":"en"},{"subitem_subject":"chemotherapy","subitem_subject_language":"en"},{"subitem_subject":"gemcitabine","subitem_subject_language":"en"},{"subitem_subject":"cisplatin","subitem_subject_language":"en"},{"subitem_subject":"TS-1","subitem_subject_language":"en"},{"subitem_subject":"Trousseau syndrome","subitem_subject_language":"en"},{"subitem_subject":"anticoagulant therapy","subitem_subject_language":"en"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"item_resource_type","attribute_value_mlt":[{"resourcetype":"technical report","resourceuri":"http://purl.org/coar/resource_type/c_18gh"}]},"item_title":"化学療法で長期生存を得られた進行型肝門部胆管癌 の一剖検例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"化学療法で長期生存を得られた進行型肝門部胆管癌 の一剖検例","subitem_title_language":"ja"}]},"item_type_id":"4","owner":"14","path":["1731299883286"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-11-11"},"publish_date":"2024-11-11","publish_status":"0","recid":"2000482","relation_version_is_last":true,"title":["化学療法で長期生存を得られた進行型肝門部胆管癌 の一剖検例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2024-11-11T07:52:38.842043+00:00"}