{"created":"2021-03-01T06:14:59.050356+00:00","id":10822,"links":{},"metadata":{"_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":["453:456","471:537:538:981"]},"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","filename":"123(3)_135-141.pdf","filesize":[{"value":"2.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-22"},"publish_date":"2014-07-22","publish_status":"0","recid":"10822","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_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:44:22.165836+00:00"}