{"created":"2021-03-01T06:12:33.569652+00:00","id":8537,"links":{},"metadata":{"_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":["453:456","471:537:538:905"]},"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"}]},{"nameIdentifiers":[{"nameIdentifier":"59377","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tajima, Yosuke"}]},{"nameIdentifiers":[{"nameIdentifier":"59378","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Okamura, Takuma"}]},{"nameIdentifiers":[{"nameIdentifier":"59379","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nagahashi, Masayuki"}]},{"nameIdentifiers":[{"nameIdentifier":"59380","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shimada, Yoshifumi"}]},{"nameIdentifiers":[{"nameIdentifier":"59381","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Koyama, Yu"}]},{"nameIdentifiers":[{"nameIdentifier":"59382","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Wakai, Toshifumi"}]}]},"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":"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","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-06"}],"displaytype":"detail","filename":"129(11)_692-698.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"129(11)_692-698.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/8537/files/129(11)_692-698.pdf"},"version_id":"fc2119fe-2d53-4cff-90ed-4794ce01f51d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Pagetoid 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spreadを契機に発見された直腸癌術後局所再発の1例"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:42:52.167400+00:00"}