{"_buckets": {"deposit": "6ae75289-0c84-4791-b90c-19b219ac0f98"}, "_deposit": {"id": "10822", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "10822"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00010822", "sets": ["456", "981"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "A case of Carcinoma of the Ascending Colon with Rapid Progression Suggesting Disseminated Carcinomatosis of the Bone Marrow"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2009-03", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "141", "bibliographicPageStart": "135", "bibliographicVolumeNumber": "123", "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": "消化器癌の転移様式のなかで骨髄癌症は稀であり, なかでも大腸癌を原発とした播種性骨髄癌症の報告例は少ない. 今回われわれは肝転移・肺転移を伴わない上行結腸癌で, 診断時にはすでにDICを伴っていた. 骨シンチにて多発骨転移を認め, また骨髄穿刺にて骨髄癌症と診断されたが, 急激な転帰で死亡した1例を経験したので, 文献的考察を加えて報告する. 症例は65歳の男性. 2ヶ月程前から腰痛があり, 整形外科にて治療を受けていた. 5月に入り39度の熱発が続くため, 精査目的に当院消化器内科に入院した. 入院時検査にて, 軽度の貧血を認めたが, 血小板減少は認めていなかった. 入院後の大腸内視鏡検査にて, 上行結腸に全周性の2型進行癌を認めた. CT上, 肝転移・肺転移は認めなった. 腰痛が続いていたため, 骨シンチ・MRIを施行したところ, 多発骨転移を認めた. 6月に入り, 手術目的に外科に転科となったが, 連日熱発がつづき, 血液検査上, DICの所見を認めたため, 胸骨より骨髄穿刺を施行したところ, 骨髄癌症の診断となった. DIC治療の効果もなく, DICは改善せず, 6月末日に死亡した. 今回の症例経験より, 消化管原発の播種性骨髄癌症は, DIC発症以前に発見し, 治療することが重要であると考えられた.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "73916", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Shimizu, Takao"}]}, {"nameIdentifiers": [{"nameIdentifier": "73917", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Chida, Tadasu"}]}]}, "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": "清水, 孝王"}], "nameIdentifiers": [{"nameIdentifier": "73914", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "千田, 匡"}], "nameIdentifiers": [{"nameIdentifier": "73915", "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", "download_preview_message": "", "file_order": 0, "filename": "123(3)_135-141.pdf", "filesize": [{"value": "2.5 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 2500000.0, "url": {"label": "123(3)_135-141.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/10822/files/123(3)_135-141.pdf"}, "version_id": "0600d43a-9887-4604-ae6f-94b3ef5dc6fa"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "播種性骨髄癌症 (Disseminated carcinomatosis of the bone marrow)", "subitem_subject_scheme": "Other"}, {"subitem_subject": "進行大腸癌", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Disseminated intravascular coagulation syndrome (DIC)", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Microangiopathic hemolytic anemia (MHA)", "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": "播種性骨髄癌症により急激な経過をたどった上行結腸癌の1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "播種性骨髄癌症により急激な経過をたどった上行結腸癌の1例"}, {"subitem_title": "播種性骨髄癌症により急激な経過をたどった上行結腸癌の1例", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "981"], "permalink_uri": "http://hdl.handle.net/10191/28296", "pubdate": {"attribute_name": "公開日", "attribute_value": "2014-07-22"}, "publish_date": "2014-07-22", "publish_status": "0", "recid": "10822", "relation": {}, "relation_version_is_last": true, "title": ["播種性骨髄癌症により急激な経過をたどった上行結腸癌の1例"], "weko_shared_id": null}