{"created":"2023-05-18T10:12:11.235939+00:00","id":4095,"links":{},"metadata":{"_buckets":{"deposit":"b1e741fd-ff3f-48ff-8038-ad5c14b81ccd"},"_deposit":{"created_by":5,"id":"4095","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"4095"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00004095","sets":["205:357:387"]},"author_link":["20402","20403","20404","20405","20406","20407","20408","20409","20410","20411","20412","20413","20414"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1998","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"18","bibliographicPageStart":"15","bibliographicVolumeNumber":"11","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 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p-T2N2M0(p2,n2)Stage III Aだった。気腫性肺嚢胞と肺癌の関連について、肺癌罹患率は健常人の32倍と報告され、発生部位は右上葉、肺葉の中では特に末梢部に多いと報告されている。組織型は、腺癌が半数以上を占め、腺扁平上皮癌は3)希である。発生機序については、1、癌による肺胞の破壊と、チェックバルブによる嚢胞の形成。2、肺嚢胞発生後に、肺胞上皮の扁平上皮からの化生、嚢胞壁のはん痕からの発癌、嚢胞内への癌原物質の停滞貯留による発癌。との報告がある5)6)。また、Woodringらは、嚢胞壁4mm以下--92%が良性疾患、5～15mm--49%が悪性疾患15mm以上--95%が悪性疾患と報告しており、早期発見、診断、治療の一つの手段として有効と思われる7)。初回受診時、気腫性肺嚢胞壁の肥厚を認めた本症例は、早期に悪性疾患を念頭におき、精査を行うべきだったと反省させられた。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_full_name_24":{"attribute_name":"著者名(別表記)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"20409","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Saka, Akira","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"20410","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ariizumi, Kenji","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"20411","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hashimoto, Ryouichi","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"20412","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ikeda, Hanako","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"20413","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Iwai, Kazuo","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"20414","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Mitsumata, 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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":"KJ00000605099.pdf","filesize":[{"value":"506.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00000605099.pdf","objectType":"fulltext","url":"https://yamanashi.repo.nii.ac.jp/record/4095/files/KJ00000605099.pdf"},"version_id":"95a9a3da-22e1-406d-8dc1-8e70b5783b62"}]},"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 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