{"created":"2024-07-25T01:00:22.445672+00:00","id":2000460,"links":{},"metadata":{"_buckets":{"deposit":"d7027421-2f13-4749-99e6-c626a42dc03a"},"_deposit":{"created_by":50,"id":"2000460","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000460"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000460","sets":["2:1720746067615:1721712715562"]},"author_link":["4297","4292","4296","1739","2684","4295","4298"],"control_number":"2000460","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"33","bibliographicPageStart":"29","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology : official journal of the Kagawa Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"卵巣ステロイド細胞腫瘍は全卵巣腫瘍の約0.1%とされており非常に稀である。今回我々は、卵巣ステロイド細胞腫瘍の1例を経験したので報告する。症例は50歳の女性で2経妊2経産。近医眼科より虹彩毛様体炎、網膜出血のため当院眼科紹介となった。高血糖を認めて糖尿病性網膜症の診断となった。血糖コントロール目的に糖尿病内科に入院となった。入院時精査の腹部CTで右卵巣腫瘍を指摘されたため当科紹介された。経腟超音波検査で5cm大の充実性の腫瘍を認めた。腫瘍マーカーの上昇は認めなかったが、腹部MRI検査では充実部分に不均一な造影効果を認め右卵巣の悪性腫瘍が疑われた。血糖コントロールを行った後、手術を施行した。迅速病理では顆粒膜細胞腫疑いであった。手術は肥満のため両側付属器切除術のみで終了した。割面の肉眼所見では黄〜白色の領域が多結節性に混在しており、HE染色では中型の類円形核と淡好酸性の豊富な胞体を有する腫瘍細胞が、索状を呈して密に増生していた。PAS反応、alcian青染色陰性であった。免疫染色では、inhibin α陽性、EMA弱陽性、c-kit陽性でありステロイド細胞腫瘍（分類不能型）の診断で、進行期分類はⅠA期であった。術後は当科外来で経過観察中である。卵巣ステロイド細胞腫瘍は早期に発見されやすく、良性の経過をたどることが多いとされている一方で悪性の経過を示す報告例もある。また、病理学的に壊死像、高度の核異型、7cm以上の腫瘍径を認めると悪性の経過を来すことが多いと報告されているが、本症例はこれらの所見は乏しかった。今後は厳重フォローアップが必要であると思われる。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例報告","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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