{"created":"2023-06-19T10:43:18.982318+00:00","id":3536,"links":{},"metadata":{"_buckets":{"deposit":"db3e407c-86e0-47d5-94bb-43d6bbcb50fa"},"_deposit":{"created_by":11,"id":"3536","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3536"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003536","sets":["6:7:275:276"]},"author_link":["6869","3178","7882","696","408","268","406","7883","7460","404","7881","218","173","365","876"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"ニュウンガン ジュツゴ 15ネンメ ニ ハッセイシタ ホウシャセン ユウハツ コツニクシュ ノ １レイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-04-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"4","bibliographicPageStart":"1","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"乳癌の術後放射線治療に伴う晩期障害の一つに放射線誘発肉腫（Radiation-induced sarcoma: RIS）が知られている. 組織型は様々であるが, いずれの組織型でも高悪性度である. 放射線治療後のため治療には放射線の追加治療ができない場合が多く, 外科的切除が第一選択となる．そのため診断が遅れると治療困難になりかねない．我々は左乳癌に対する術後放射線療法施行15年後に, 同部位に発生した骨肉腫で外科的に切除し得た1例を経験したので報告する. 乳癌の治療成績が向上するにつれ, RISの発生も今後さらに増加してくると考えられる.また, RISは比較的長い経過を経て発生してくるため, 乳癌術後に放射線療法を施行した際はRISの発生を念頭に入れ,胸壁腫瘤を確認した際には生検による早期診断が重要である．","subitem_description_type":"Abstract"},{"subitem_description":"Radiation-induced sarcoma (RIS) occasionally occurs in breast cancer patients following postoperative radiation. Generally, it manifests a high grade of malignancy while its histological types are not uniform. Considering the difficulty of additional radiation therapy, surgical resection is the only possible chance for cure in patients with RIS; therefore, delay of diagnosis deprives the chance of surgical resection should be avoided. Here, we report a case of a RIS that occurred 15 years after the postoperative radiation therapy for a left breast cancer. In association with the improvement of long prognosis in the patients with breast cancer, the incidence of RIS is assumed to be increased. Long term follow up is important to detect the post-radiation RIS; in addition, considering the existence of the RIS, biopsy should be performed if mass lesion were seen in the irradiation range.","subitem_description_type":"Abstract"}]},"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_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00012658","subitem_identifier_reg_type":"JaLC"}]},"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_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.14999/1521.00012658"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.00012658","subitem_relation_type_select":"DOI"}}]},"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":"澤田, 佳奈"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅田, 朋子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"河合, 由紀"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"冨田, 香"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"北村, 美奈"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"辰巳, 征浩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"油木, 映里"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂井, 幸子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"加藤, 久尚"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"森, 毅"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 智治"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"安藤, 厚生"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"花岡, 淳"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"森谷, 鈴子"}],"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":"2020-05-01"}],"displaytype":"detail","filename":"jsums3301p001.pdf","filesize":[{"value":"802.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3301p001","url":"https://shiga-med.repo.nii.ac.jp/record/3536/files/jsums3301p001.pdf"},"version_id":"b6ed53be-90f3-49e1-87e2-5ad743b464db"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"放射線誘発骨肉腫","subitem_subject_scheme":"Other"},{"subitem_subject":"RIS","subitem_subject_scheme":"Other"},{"subitem_subject":"乳癌","subitem_subject_scheme":"Other"},{"subitem_subject":"放射線治療","subitem_subject_scheme":"Other"},{"subitem_subject":"Radiation-induced sarcoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"RIS","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Breast cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Radiation therapy","subitem_subject_language":"en","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":"乳癌術後15年目に発生した放射線誘発骨肉腫の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"乳癌術後15年目に発生した放射線誘発骨肉腫の１例"},{"subitem_title":"Radiation-induced osteosarcoma 15 years after breast cancer surgery:  a case report and review of literature.","subitem_title_language":"en"}]},"item_type_id":"3","owner":"11","path":["276"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-05-01"},"publish_date":"2020-05-01","publish_status":"0","recid":"3536","relation_version_is_last":true,"title":["乳癌術後15年目に発生した放射線誘発骨肉腫の１例"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:15:00.310858+00:00"}