{"created":"2021-03-01T06:16:05.989441+00:00","id":11863,"links":{},"metadata":{"_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":["453:456","471:537:538:1006"]},"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's 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","filename":"110006483559.pdf","filesize":[{"value":"1.2 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