{"_buckets": {"deposit": "e7d50605-87a6-4292-95c6-0ce629ebda4c"}, "_deposit": {"id": "8537", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "8537"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00008537", "sets": ["456", "905"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "A  Case　of　Local　Recurrence　of　Lower　Rectal　Cancer After　Local　Resection　Found　with　Pagetoid　Spread"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2015-11", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "11", "bibliographicPageEnd": "698", "bibliographicPageStart": "692", "bibliographicVolumeNumber": "129", "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80歳女性. 前医で下部直腸癌に対し経肛門的局所切除術が施行された. 局所切除後2年1か月目に, 外陰部から肛門にかけて掻痒を伴う紅色扁平隆起性病変が明らかとなった. 生検でPaget細胞が認められた. 乳房外Paget病は, 皮膚原発の一次性乳房外Paget病と二次性乳房外Paget病に分類され, 鑑別診断には免疫組織化学染色が有用である. 本症例では, 免疫組織化学染色でGCDFP-15陰性, CK20陽性, CK7陰性であり, Pagetoid spreadを伴う直腸癌局所再発と診断した. CT検査で所属リンパ節および遠隔転移を認めなかった. 外陰部膣合併切除を伴う腹会陰式直腸切断術を行うことで, 治癒切除となった. 直腸癌局所切除後のPagetoid spreadを伴う再発形式は稀であるが, Paget細胞遺残の可能性を考慮し, 外来通院時の肛門皮膚観察に注意すべきである.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "59371", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Iwaki, Takawa"}]}, {"nameIdentifiers": [{"nameIdentifier": "59372", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kameyama, Hitoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "59373", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nakano, Masato"}]}, {"nameIdentifiers": [{"nameIdentifier": "59374", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yamada, Saki"}]}, {"nameIdentifiers": [{"nameIdentifier": "59375", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hirose, Yuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "59376", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yagi, Ryoma"}]}, 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{"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": "岩城, 孝和"}], "nameIdentifiers": [{"nameIdentifier": "59359", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "亀山, 仁史"}], "nameIdentifiers": [{"nameIdentifier": "59360", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "中野, 雅人"}], "nameIdentifiers": [{"nameIdentifier": "59361", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "山田, 沙季"}], "nameIdentifiers": [{"nameIdentifier": "59362", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "廣瀬, 雄己"}], "nameIdentifiers": [{"nameIdentifier": "59363", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "八木, 亮磨"}], "nameIdentifiers": [{"nameIdentifier": "59364", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "田島, 陽介"}], "nameIdentifiers": [{"nameIdentifier": "59365", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "岡村, 拓磨"}], "nameIdentifiers": [{"nameIdentifier": "59366", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "永橋, 昌幸"}], "nameIdentifiers": [{"nameIdentifier": "59367", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "島田, 能史"}], "nameIdentifiers": [{"nameIdentifier": "59368", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小山, 諭"}], "nameIdentifiers": [{"nameIdentifier": "59369", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "若井, 俊文"}], "nameIdentifiers": [{"nameIdentifier": "59370", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", 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