{"created":"2021-03-01T06:14:13.052345+00:00","id":10102,"links":{},"metadata":{"_buckets":{"deposit":"7ec9c6fa-23f1-4831-b44e-7c7090d25ae6"},"_deposit":{"id":"10102","owners":[],"pid":{"revision_id":0,"type":"depid","value":"10102"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00010102","sets":["453:456","471:537:538:957"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Study of Histopathologic Characteristics, Mucin Phenotypes and Malignant Potential of IPMN Associated with Invasive Carcinoma of the Pancreas"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"133","bibliographicPageStart":"122","bibliographicVolumeNumber":"125","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"膵管内乳頭粘液性腫瘍 (intraductal papillary-mucinous neoplasm: IPMN) は Gastric type (G type), Intestinal type (I type), Pancreatobiliary type (PB type), Oncocytic type (O type) の4つの組織亜型に分類され, それぞれで粘液形質 (粘液コア蛋白発現様式) が異なるとされている. 本研究では, 外科切除浸潤癌随伴IPMN 24例を対象として, IPMNの組織亜型が, IPMNの組織発生, 生物学的態度 (腫瘍のprogressionや悪性度) のいずれを反映しているかを明らかにすることを目的とした. 24は, 面積的優勢像では G typeが10/24例 (41.6%), I typeが7/24 (29.2%), PB typeが7/24 (29.2%) であったが (O typeは検討症例にはなかった), 21/24例では複数の組織亜型が混在していた. 組織亜型領域別の粘液コア蛋白発現は, G typeでは MUC5AC+/MUC2-/MUC1-が, I typeでは MUC5AC+/MUC2+/MUC1-が, PB typeでは MUC5AC+/MUC2-/MUC1+が最頻で, それぞれ各亜型の35.0%, 40.0%, 47.1%を占めたが, 各組織亜型で粘液コア蛋白発現パターンには多様性と重複があった. 組織亜型の混在パターンでは, G typeを含むものが最も多く (20/21, 95.2%), 更に同型は I type, PB typeに比べ細胞異型の低いものの頻度が高かった (各組織亜型で94.1%, 60.0%, 20.0%). IPMNの組織亜型別の生存率の比較では, PB typeが優勢像を占める浸潤癌随伴IPMNは, G type, I typeに比べ有意に予後不良であった. これらのことから, IPMNの組織亜型はIPMNの生物学的態度の違いを反映しており, IPMNは G typeを初期病変として I type, 更に PB typeにprogressionを来たすこと, PB typeのIPMNに由来する浸潤癌は G type, I typeに由来するものに比べ悪性度が高いことが推定された.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"69631","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sato, Daisuke"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐藤, 大輔"}],"nameIdentifiers":[{"nameIdentifier":"69630","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-06"}],"displaytype":"detail","filename":"125(3)_122-133.pdf","filesize":[{"value":"1.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"125(3)_122-133.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/10102/files/125(3)_122-133.pdf"},"version_id":"c587864f-96f5-49d8-a828-62581a58a338"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"膵管内乳頭粘液性腫瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"IPMN","subitem_subject_scheme":"Other"},{"subitem_subject":"膵癌","subitem_subject_scheme":"Other"},{"subitem_subject":"粘液形質","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":"浸潤癌を伴う膵管内乳頭粘液性腫瘍 (IPMN) の病理組織像, 粘液形質および悪性度に関する研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"浸潤癌を伴う膵管内乳頭粘液性腫瘍 (IPMN) の病理組織像, 粘液形質および悪性度に関する研究"},{"subitem_title":"浸潤癌を伴う膵管内乳頭粘液性腫瘍 (IPMN) の病理組織像, 粘液形質および悪性度に関する研究","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","957"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-28"},"publish_date":"2014-07-28","publish_status":"0","recid":"10102","relation_version_is_last":true,"title":["浸潤癌を伴う膵管内乳頭粘液性腫瘍 (IPMN) の病理組織像, 粘液形質および悪性度に関する研究"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:49:40.540766+00:00"}