{"created":"2023-06-19T08:46:41.450617+00:00","id":2267,"links":{},"metadata":{"_buckets":{"deposit":"51df74c2-3797-487b-8057-77f06d839a32"},"_deposit":{"created_by":25,"id":"2267","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"2267"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00002267","sets":["4","4:71:453:454"]},"author_link":["4220","4212","4221","4215","4217","4227","4223","4213","4224","4216","4226","4222","4218","4219","4214","4225"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-01-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"40","bibliographicPageStart":"33","bibliographicVolumeNumber":"72","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66歳，男性．前医で便潜血陽性を主訴に，下部消化管内視鏡検査を施行された．直腸に 0 -Ⅰsポリープを認め，内視鏡的粘膜切除術が施行された．病理組織検査の結果，粘膜下層（submucosa; 以下SM）深部浸潤，垂直断端不明，静脈浸潤を認め，追加切除目的に当科へ紹介された．しかし患者が追加切除を希望しなかったため半年毎に経過観察の方針とした．経過観察開始 2 年後の造影CT検査で直腸傍リンパ節の腫大を認めた．精査の結果，リンパ節転移再発と診断し，腹腔鏡下超低位前方切除術＋一時的回腸人工肛門造設術を施行した．病理組織学的検査では直腸腸間膜内に高～中分化型管状腺癌を認め，直腸傍リンパ節 1 個に転移を認めた．術後補助化学療法としてXELOX療法を 8 コース施行した後に人工肛門閉鎖術を施行し，現在術後 4 年無再発生存中である．追加治療を考慮すべき因子を有するpT 1 大腸癌に対しては注意深く経過観察する必要性がある．また予想される経過について患者に示し慎重に判断を行うことが重要である．","subitem_description_type":"Abstract"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15015/00002118","subitem_identifier_reg_type":"JaLC"}]},"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":"竹之内, 晶"},{"creatorName":"タケノウチ, アキラ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小澤, 真由美"},{"creatorName":"オザワ, マユミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石部, 敦士"},{"creatorName":"イシベ, アツシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"諏訪, 雄亮"},{"creatorName":"スワ, ユウスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中川, 和也"},{"creatorName":"ナカガワ, カズヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡邉, 純"},{"creatorName":"ワタナベ, ジュン","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"日比谷, 孝志"},{"creatorName":"ヒビヤ, タカシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"遠藤, 格"},{"creatorName":"エンドウ, イタル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takenouchi, Akira","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ozawa, Mayumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ishibe, Atsushi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Suwa, Yusuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakagawa, Kazuya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Watanabe, Jun","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hibiya, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Endo, Itaru","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-04-26"}],"displaytype":"detail","filename":"06_Takenouchi.pdf","filesize":[{"value":"994.8 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"横浜医学72巻1号（竹之内　晶）","url":"https://ycu.repo.nii.ac.jp/record/2267/files/06_Takenouchi.pdf"},"version_id":"9f16b165-3199-4290-8390-a81d8aa31497"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"pT1直腸癌｜内視鏡的摘除後｜根治切除","subitem_subject_scheme":"Other"},{"subitem_subject":"pT1 colorectal cancer｜after endoscopic resection｜radical resection","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"pT 1 直腸癌の内視鏡的摘除 2 年後に 直腸傍リンパ節に局所再発を来した 1 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"pT 1 直腸癌の内視鏡的摘除 2 年後に 直腸傍リンパ節に局所再発を来した 1 例"},{"subitem_title":"A CASE OF LOCAL RECURRENCE IN THE PARARECTAL LYMPH NODES  2 YEARS AFTER ENDOSCOPIC RESECTION OF PT1 RECTAL CANCER","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"25","path":["4","454"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-04-26"},"publish_date":"2021-04-26","publish_status":"0","recid":"2267","relation_version_is_last":true,"title":["pT 1 直腸癌の内視鏡的摘除 2 年後に 直腸傍リンパ節に局所再発を来した 1 例"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-06-19T09:18:42.194662+00:00"}