{"_buckets": {"deposit": "4ab50504-5da9-46b8-86d0-0cb488814278"}, "_deposit": {"id": "11863", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "11863"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00011863", "sets": ["456", "1006"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Carcinoma Arising in Rectovaginal Fistulas Associated with Crohn\u0027s Disease : Report of A Case"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2007-02", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "110", "bibliographicPageStart": "106", "bibliographicVolumeNumber": "121", "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": "症例は38歳の女性.17年経過した小腸大腸型Crohn病症例で,13年前から複雑痔瘻を合併していた.今回,膣からの出血と会陰部痛で入院した.婦人科診察を含めた精査で直腸膣瘻,悪性所見無しと判断された.抗TNF_α抗体治療が行われたが,症状は改善しなかった.難治性であり,再度婦人科的診察を受けたが,膣からの生検で腺癌と診断された.入院後4か月目に骨盤後方全摘術が施行された.切除標本では膣側に明らかな潰瘍を伴う直腸膣瘻部に癌を認めた.病理組織診断では,粘液成分を伴う中分化から低分化の腺癌であり,瘻孔上皮内進展を認めた.Crohn病に合併した痔瘻を発生母地とした直腸膣瘻部癌と考えられた.左右の膣動脈根部リンパ節外転移を1個ずつ認めた.術後補助化学療法を施行したが,肺転移,骨盤内局所再発が出現し,術後約2年3か月で原病死となった.Crohn病の直腸膣瘻の合併は時に見られるが,癌合併の報告は少ない.診断に苦慮した自験例を供覧し,若干の文献的考察を加えて報告する.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "80147", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kuwabara, Akifumi"}]}, {"nameIdentifiers": [{"nameIdentifier": "80148", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Okamoto, Haruhiko"}]}, {"nameIdentifiers": [{"nameIdentifier": "80149", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Takaku, Hideya"}]}, {"nameIdentifiers": [{"nameIdentifier": "80150", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hatakeyama, Katsuyoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "80151", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ajioka, Yoichi"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, "item_7_rights_15": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "本文データは学協会の許諾に基づきCiNiiから複製したものである"}]}, "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": "桑原, 明史"}], "nameIdentifiers": [{"nameIdentifier": "80142", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "岡本, 春彦"}], "nameIdentifiers": [{"nameIdentifier": "80143", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "高久, 秀哉"}], "nameIdentifiers": [{"nameIdentifier": "80144", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "畠山, 勝義"}], "nameIdentifiers": [{"nameIdentifier": "80145", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "味岡, 洋一"}], "nameIdentifiers": [{"nameIdentifier": "80146", "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": "2019-08-07"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "110006483559.pdf", "filesize": [{"value": "1.2 MB"}], 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{"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Crohn病の直腸膣瘻に合併した進行癌の1例"}, {"subitem_title": "Crohn病の直腸膣瘻に合併した進行癌の1例", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1006"], "permalink_uri": "http://hdl.handle.net/10191/20453", "pubdate": {"attribute_name": "公開日", "attribute_value": "2012-11-05"}, "publish_date": "2012-11-05", "publish_status": "0", "recid": "11863", "relation": {}, "relation_version_is_last": true, "title": ["Crohn病の直腸膣瘻に合併した進行癌の1例"], "weko_shared_id": null}