{"created":"2023-06-19T08:45:49.811729+00:00","id":1220,"links":{},"metadata":{"_buckets":{"deposit":"738a5880-309b-4941-9cdb-615aea3f9877"},"_deposit":{"created_by":25,"id":"1220","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"1220"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00001220","sets":["4:71:328:329"]},"author_link":["106","2613","587","2610","2609","2611","2612","570","2133","2608","589","2130","590"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-05-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1・2","bibliographicPageEnd":"15","bibliographicPageStart":"11","bibliographicVolumeNumber":"68","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"Yokohama Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は69歳女性．腹部膨満感と食思不振を主訴に他院を受診し，るい痩と腹水貯留を指摘され2016年1 月に当院紹介となった．腹部CT検査では腹腔内に大量の腹水貯留を認めた．大腸内視鏡検査ではS状結腸に1型病変を認め，同部からの生検はGroup5（tub1 ）であった．患者は虫垂切除の既往があり，両側卵巣に異常は認めなかった．以上からS状結腸癌原発の腹膜偽粘液腫を疑い，手術の方針とした．術中所見では腹腔内に約4.8kg のゼリー状腹水が貯留しており，小結節性病変が散在した．可及的に摘出し大量洗浄を施行した．S状結腸周囲には特に多くの結節性病変とゼリー状物質が付着していた．D3 郭清を伴うS状結腸切除術を施行した．病理組織検査の結果はS，type1 ，30×25㎜，tub1 >muc，pT1 （SM），ly 0 ，v 0 ，pN 0 （ 0 /37）であった．検体漿膜側や摘出した腹水中にも同様の腫瘍細胞が存在し，いずれにおいてもS 状結腸癌と同様にCK7 （－），CK20（＋），CDX- 2 （＋）であった．S状結腸癌原発の腹膜偽粘液腫と診断した．KRAS mutation（＋）（codon12;G12D）であり，術後はSOX+BVの化学療法の方針とし，現在術後1年無増悪経過中である．S状結腸癌原発の腹膜偽粘液腫は稀であり，更に壁進達度SMの報告は本邦では無いため，報告した．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"横浜市立大学医学会"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0372-7726","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"風間　, 慶祐"},{"creatorName":"カザマ, ケイスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塩澤, 学"},{"creatorName":"シオザワ, マナブ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"里吉, 哲太"},{"creatorName":"サトヨシ, テツタ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渥美, 陽介"},{"creatorName":"アツミ, 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