{"created":"2023-05-18T10:12:01.730313+00:00","id":3892,"links":{},"metadata":{"_buckets":{"deposit":"c3ef463f-b6cf-489f-995e-db18d46f4482"},"_deposit":{"created_by":5,"id":"3892","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"3892"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00003892","sets":["205:357:369"]},"author_link":[],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"18","bibliographicPageStart":"14","bibliographicVolumeNumber":"21","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":"佐藤, 亮太","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"渡邉, 一孝","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"金澤, 正樹","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"西川, 圭一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"久木山, 清貴","creatorNameLang":"ja"}]}]},"item_10001_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"症例は61歳男性。右上背部の鈍痛のため近医を受診、胸部単純X線で右上肺野に9cm大の腫瘤を指摘された。胸部CTでは右上葉に9×8.2cm、辺縁が不均一に造影される腫瘤を認めた。当院を紹介受診し気管支鏡検査を施行したところ、ブラシ擦過細胞診にてクラスV(未分化扁平上皮癌の疑い)と診断された。右腎より下方の後腹膜に転移があり、臨床病期はT3N3M1、ステージIVだった。シスプラチン(CDDP)+ジェムシタビン(GEM)併用およびドセタキセル(TXT)単剤による化学療法を行ったが、ともに無効であった。胸壁、隣接臓器への浸潤傾向が強く、痺痛緩和目的に原発巣および後腹膜の転移に対してそれぞれ17Gy、45Gyの放射線療法を行ったが、腫瘍の急速な増大を認め初診から約4ヶ月にて永眠された。剖検にて肺原発多形癌pleomorphic carcinomaと診断され、縦隔、胸壁への浸潤、左心室、胃、腸間膜、後腹膜への転移を認めた。肺原発多形癌はまれな組織型だが、急速な進行を示し、化学療法、放射線療法ともに抵抗性である。手術不能例に対して有効な治療法の確立が望まれる。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00003885","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":"カガク リョウホウ ホウシャセン リョウホウ ニ テイコウセイ オ シメシ キュウソク ニ シンコウシタ ハイゲンパツ タケイガン ノ 1 ボウケンレイ"}]},"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":"haigan21-1-014to018.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"haigan21-1-014to018.pdf","objectType":"fulltext","url":"https://yamanashi.repo.nii.ac.jp/record/3892/files/haigan21-1-014to018.pdf"},"version_id":"ec03aa6b-ac86-48ff-bdef-66f8bc742c38"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"多形癌","subitem_subject_language":"ja"},{"subitem_subject":"肺癌","subitem_subject_language":"ja"},{"subitem_subject":"放射線療法","subitem_subject_language":"ja"},{"subitem_subject":"化学療法","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":"化学療法、放射線療法に抵抗性を示し、急速に進行した肺原発多形癌の1剖検例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"化学療法、放射線療法に抵抗性を示し、急速に進行した肺原発多形癌の1剖検例","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"5","path":["369"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-06-14"},"publish_date":"2010-06-14","publish_status":"0","recid":"3892","relation_version_is_last":true,"title":["化学療法、放射線療法に抵抗性を示し、急速に進行した肺原発多形癌の1剖検例"],"weko_creator_id":"5","weko_shared_id":-1},"updated":"2023-10-11T07:51:05.765805+00:00"}