{"created":"2023-05-18T10:11:28.652322+00:00","id":3219,"links":{},"metadata":{"_buckets":{"deposit":"886d38ed-f5a9-4241-b1b7-24a371ac2f45"},"_deposit":{"created_by":1,"id":"3219","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"3219"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00003219","sets":["205:251:306"]},"author_link":["15168","15164","15166","15176","15180","15162","15173","15169","15178","15175","15182","15183","15171","15170","15177","15179","15181","15174","15167","15165","15172","15163"],"item_10001_alternative_title_1":{"attribute_name":"タイトル(別表記)","attribute_value_mlt":[{"subitem_alternative_title":"Clinicopathological Studies on Carcinoma of the Gallbladder - with special references of 24 Patients with Anomalous Arrangement of the Pancreaticobiliary Ductal System -"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1989","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"81","bibliographicPageStart":"73","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"山梨医科大学雑誌"},{"bibliographic_title":"山梨医科大学雑誌","bibliographic_titleLang":"en"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松本, 由朗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"茂垣, 雅俊"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三浦, 和夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"飯塚, 秀彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 正之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"菅原, 克彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小山, 敏雄"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"須田, 耕一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小林, 一久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤野, 雅之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 宏"}],"nameIdentifiers":[{}]}]},"item_10001_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"昭和58年10月の山梨医大附属病院開院以来5年間に取り扱った胆嚢癌60例のうち, 主に切除47例について臨床所見,診断,切除標本の病理組織学的所見について検討し,特に47切除例中に占める膵・胆管合流異常(合流異常)24症例の特徴について考察した。60例の胆襲癌のうち,男性と女性の数は18人と42人で,女性が有意に多く,また60例の平均年齢は65.3歳であった。47切除例のうち治癒切除は27例(治癒切除率57%)であり,切除例の主たる症状としては黄疸,上腹部痛ならびに無症状(超音波断層診断装置による集団検診発見例)が同率に認められた。合流異常は47例中24例に認められ,そのうち女性は20例を占め,胆嚢癌では合流異常を伴う女性の頻度が極めて高いのが特徴であった。そして合流異常を伴う胆嚢癌の組織学的特微は高分化腺癌が多いことであり,さらに非癌部胆嚢粘膜の所見としては,粘膜の剥離脱落は結石併存例に比べて少なく,また粘膜層の丈の高さが極めて高いこと,さらに化生性変化のほかに上皮の dysplasiaが特徴的で,構造異型も目立つ所見であった。以上の成績から我が国の胆嚢癌の発生には胆嚢結石よりも合流異常がその背景因子として重要な役割を演じていることが示唆された。","subitem_description_type":"Other"}]},"item_10001_full_name_24":{"attribute_name":"著者名(別表記)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"15173","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Matsumoto, Yoshiro"}]},{"nameIdentifiers":[{"nameIdentifier":"15174","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Mogaki, Masatoshi"}]},{"nameIdentifiers":[{"nameIdentifier":"15175","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Miura, kazuo"}]},{"nameIdentifiers":[{"nameIdentifier":"15176","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Iizuka, Hidehiko"}]},{"nameIdentifiers":[{"nameIdentifier":"15177","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamamoto, Masayuki"}]},{"nameIdentifiers":[{"nameIdentifier":"15178","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sugahara, Katsuhiko"}]},{"nameIdentifiers":[{"nameIdentifier":"15179","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Koyama, Toshio"}]},{"nameIdentifiers":[{"nameIdentifier":"15180","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Suda, Kouichi"}]},{"nameIdentifiers":[{"nameIdentifier":"15181","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kobayashi, Kazuhisa"}]},{"nameIdentifiers":[{"nameIdentifier":"15182","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fujino, Masayuki"}]},{"nameIdentifiers":[{"nameIdentifier":"15183","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Suzuki, Hiroshi"}]}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00003212","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨医科大学医学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10044054","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0912-0025","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_4":{"attribute_name":"タイトルヨミ","attribute_value_mlt":[{"subitem_text_value":"ゲンチョ タンノウガン ノ リンショウテキ ケントウ トクニ スイ タンカン ゴウリュウ イジョウ トノ カンケイ ニツイテ"}]},"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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-27"}],"displaytype":"detail","filename":"AN10044054_04_02_05.pdf","filesize":[{"value":"2.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN10044054_04_02_05.pdf","url":"https://yamanashi.repo.nii.ac.jp/record/3219/files/AN10044054_04_02_05.pdf"},"version_id":"badf16b6-e04e-4d97-9315-b5eb604dfafa"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胆嚢癌の臨床像"},{"subitem_subject":"膵・胆管合流異常"},{"subitem_subject":"超音波断層診断"},{"subitem_subject":"clinical features of primary carcinoma of the gallbladder"},{"subitem_subject":"anomalous arrangement of the pancreaticobiliary ductal system"},{"subitem_subject":"mass survey by ultrasonography."}]},"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":"<原著>胆嚢癌の臨床的検討-特に膵・胆管合流異常との関係について-","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"<原著>胆嚢癌の臨床的検討-特に膵・胆管合流異常との関係について-"}]},"item_type_id":"10001","owner":"1","path":["306"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-05-18"},"publish_date":"2010-05-18","publish_status":"0","recid":"3219","relation_version_is_last":true,"title":["<原著>胆嚢癌の臨床的検討-特に膵・胆管合流異常との関係について-"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-10-11T07:42:28.354175+00:00"}