{"created":"2023-05-18T10:11:56.458738+00:00","id":3781,"links":{},"metadata":{"_buckets":{"deposit":"d86a96b9-d7d3-4d26-aa39-daafaa2642b6"},"_deposit":{"created_by":5,"id":"3781","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"3781"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00003781","sets":["205:357:360"]},"author_link":[],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"28","bibliographicPageStart":"25","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"山梨肺癌研究会会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Yamanashi Society for Lung Cancer","bibliographic_titleLang":"en"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小林, 洋一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"内田, 賢典","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"飯島, 裕基","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"筒井, 俊晴","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"柿﨑, 有美子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"宮下, 義啓","creatorNameLang":"ja"}]}]},"item_10001_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"転移性多発脳腫瘍と左上葉原発の肺癌を認め、精査の後、肺腺癌cT2aNOMlb(BRA)、stagelVと診断した。また、入院時の喀痰検査で塗抹2+、結核菌PCR陽性であったこと、CT画像で気道散布性の陰影を認めたことから、活動性肺結核も合併していると診断した。結核菌は死菌である可能性はあるものの、抗結核治療を開始し、併せて肺癌に対する定位放射線治療(stereotactic radiotherapy;SRT)、抗癌剤治療(CBDCA+PEM)を行った。神経症状は改善し、画像上腫瘍は縮小したため、PRと判断した。その後も治療を継続し、現在通院中である。肺結核と肺癌は合併しうるが、診断に後れが生じやすく、抗結核薬と抗癌剤の相互作用などの問題を孕む。教訓的症例と考え、文献学的考察を加えて報告する。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00003774","subitem_identifier_reg_type":"JaLC"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨肺癌研究会","subitem_publisher_language":"ja"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10355815"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-7053"}]},"item_10001_text_4":{"attribute_name":"タイトルヨミ","attribute_value_mlt":[{"subitem_text_language":"ja-Kana","subitem_text_value":"ハイケッカク ガッペイ ハイガン ノ 1レイ"}]},"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":"haigan30-1-025to028.pdf","filesize":[{"value":"3.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"haigan30-1-025to028.pdf","objectType":"fulltext","url":"https://yamanashi.repo.nii.ac.jp/record/3781/files/haigan30-1-025to028.pdf"},"version_id":"52ea2075-08a1-4dc2-a4d8-f08cdf53dfd1"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"肺結核症","subitem_subject_language":"ja"},{"subitem_subject":"肺癌","subitem_subject_language":"ja"},{"subitem_subject":"rifampicin","subitem_subject_language":"en"},{"subitem_subject":"抗癌剤","subitem_subject_language":"ja"},{"subitem_subject":"相互作用","subitem_subject_language":"ja"}]},"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":"肺結核合併肺癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"肺結核合併肺癌の1例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"5","path":["360"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-08-01"},"publish_date":"2017-08-01","publish_status":"0","recid":"3781","relation_version_is_last":true,"title":["肺結核合併肺癌の1例"],"weko_creator_id":"5","weko_shared_id":-1},"updated":"2023-10-11T07:47:58.256816+00:00"}