{"created":"2023-06-19T10:43:02.398923+00:00","id":3149,"links":{},"metadata":{"_buckets":{"deposit":"77f92888-040b-42d9-9c86-86ea73170668"},"_deposit":{"created_by":11,"id":"3149","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3149"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003149","sets":["6:7:115:116"]},"author_link":["6959","696","464","268","844","811","812","627","629"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of metastatic colon cancer detected due to a bowel obstruction following surgery for esophagogastric junction cancer"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"ショクドウ イ セツゴウ ブ ガン ジュツゴ ニ イレウス ヲ ケイキ ニ ハッケン サレタ テンイ セイ ダイチョウガン ノ 1レイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"84","bibliographicPageStart":"81","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Departmental Bulletin Paper","subitem_description_type":"Other"}]},"item_3_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"今回，我々は食道胃接合部癌術後にイレウスを契機に発見された転移性大腸癌の症例を経験した．症例は63歳男性．食道胃接合部癌術後の経過観察中にイレウスを発症し，入院加療となった．保存的加療で軽快を認めず，精査で下行結腸狭窄に伴うイレウスと判明し，生検組織診で食道胃接合部癌の腫瘍組織に類似した腫瘍細胞が検出された．胸腹部造影CT検査で，他に遠隔転移・再発を疑う所見は認めず，開腹下行結腸部分切除術を施行した．病理組織学的に粘膜下層から筋層を主体に中分化管状腺癌が増生しており，食道胃接合部癌の病理組織と比較して類似の組織像を認め，食道胃接合部癌の転移性大腸癌と診断した．\n転移性大腸癌は大腸癌全体の0.1～1%に認め，比較的まれな疾患である．転移性大腸癌は原発性大腸癌との鑑別が問題になることがあり，定まった治療方針が無いのが現状である．自験例のようにイレウスを発症する場合もあり，腫瘍の病勢，患者の状態を把握しながら手術のみならず，化学療法を含めた集学的治療を行うことが肝要と思われる．","subitem_description_type":"Other"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0912-3016","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"森, 治樹"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"三宅, 亨"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"園田, 寛道"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"清水, 智治"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"植木, 智之"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"飯田, 洋也"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"山口, 剛"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"貝田, 佐知子"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"谷, 眞至"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-07-03"}],"displaytype":"detail","filename":"jsums3001p081.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"jsums3001p081","url":"https://shiga-med.repo.nii.ac.jp/record/3149/files/jsums3001p081.pdf"},"version_id":"bd2109d4-b31a-499b-a2ed-e7ba03a3187b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"転移性大腸癌","subitem_subject_scheme":"Other"},{"subitem_subject":"胃癌","subitem_subject_scheme":"Other"},{"subitem_subject":"イレウス","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":"食道胃接合部癌術後にイレウスを契機に発見された転移性大腸癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"食道胃接合部癌術後にイレウスを契機に発見された転移性大腸癌の1例"}]},"item_type_id":"3","owner":"11","path":["116"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-07-03"},"publish_date":"2017-07-03","publish_status":"0","recid":"3149","relation_version_is_last":true,"title":["食道胃接合部癌術後にイレウスを契機に発見された転移性大腸癌の1例"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T12:27:54.222836+00:00"}