{"created":"2024-08-02T07:02:38.422275+00:00","id":2000509,"links":{},"metadata":{"_buckets":{"deposit":"37d93e18-99bb-4022-a911-218c9f54f751"},"_deposit":{"created_by":50,"id":"2000509","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000509"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000509","sets":["2:1720746067615:1722393751130"]},"author_link":["3136","1553","673","4338","3078","372","4287","2297","1151"],"control_number":"2000509","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"39","bibliographicVolumeNumber":"21","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":"外陰癌は稀な悪性腫瘍であるが、発症は高齢者に多く、近年の高齢化に伴って疾患の重要性が増大している。治療は広汎外陰切除術+系統的リンパ節郭清が行われるが、症例ごとに個別に判断し、根治性を保ちながらQOLに配慮した手術が必要となる。今回我々は当院で経験した外陰癌5症例について臨床的に検討したため報告する。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"診断時平均年齢は66.6歳。組織学的分類は5症例のうち1症例は悪性黒色腫、その他4症例は扁平上皮癌（Squamous cell carcinoma : SCC）であった。術式はいずれも広汎外陰切除術+両側鼠径リンパ節郭清の適応となり、各症例に合わせて形成外科や泌尿器科、消化器外科と連携して皮弁や膀胱全摘+尿路変更、人工肛門造設術を行った。SCC4症例ではいずれも鼠径リンパ節転移を認めなかった。一方、悪性黒色腫1症例は左鼠径リンパ節転移陽性であった。術後補助治療として、悪性黒色腫1症例では術後にダカルバジン単独化学療法を行い、SCC4症例のうち1症例では膣側断端に癌細胞の露出を認めたため、CCRT（weeklyTC）を行った。最長3年間の経過観察中に、外陰癌が原因で死亡に至った症例はなかった。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"当院で経験した外陰癌はいずれも広汎外陰切除術+両側鼠径リンパ節郭清を要する症例であり、QOLをなるべく維持するためにも、形成外科をはじめとした他科と密に連携し、患者ごとに最適な治療戦略をたてることが重要と思われた。","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 report]","subitem_heading_language":"en"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"香川産科婦人科学会","subitem_publisher_language":"ja"}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type":"isPartOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.med.kagawa-u.ac.jp/~perigyne/ksog/journal/pdf/bukai21.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2185-1409","subitem_source_identifier_type":"EISSN"}]},"item_10001_version_type_20":{"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"山下, 智也","creatorNameLang":"ja"},{"creatorName":"ヤマシタ, トモヤ","creatorNameLang":"ja-Kana"},{"creatorName":"Yamashita, Tomoya","creatorNameLang":"en"}],"familyNames":[{"familyName":"山下","familyNameLang":"ja"},{"familyName":"ヤマシタ","familyNameLang":"ja-Kana"},{"familyName":"Yamashita","familyNameLang":"en"}],"givenNames":[{"givenName":"智也","givenNameLang":"ja"},{"givenName":"トモヤ","givenNameLang":"ja-Kana"},{"givenName":"Tomoya","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"4338","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000398832798","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000398832798"}]},{"creatorNames":[{"creatorName":"Yamamoto, Kenta","creatorNameLang":"en"},{"creatorName":"山本, 健太","creatorNameLang":"ja"},{"creatorName":"ヤマモト, ケンタ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Yamamoto","familyNameLang":"en"},{"familyName":"山本","familyNameLang":"ja"},{"familyName":"ヤマモト","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Kenta","givenNameLang":"en"},{"givenName":"健太","givenNameLang":"ja"},{"givenName":"ケンタ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1151","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tenkumo, Chiaki","creatorNameLang":"en"},{"creatorName":"天雲, 千晶","creatorNameLang":"ja"},{"creatorName":"テンクモ, チアキ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Tenkumo","familyNameLang":"en"},{"familyName":"天雲","familyNameLang":"ja"},{"familyName":"テンクモ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Chiaki","givenNameLang":"en"},{"givenName":"千晶","givenNameLang":"ja"},{"givenName":"チアキ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3078","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000364454230","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000364454230"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"伊藤, 恵","creatorNameLang":"ja"},{"creatorName":"イトウ, メグミ","creatorNameLang":"ja-Kana"},{"creatorName":"Ito, Megumi","creatorNameLang":"en"}],"familyNames":[{"familyName":"伊藤","familyNameLang":"ja"},{"familyName":"イトウ","familyNameLang":"ja-Kana"},{"familyName":"Ito","familyNameLang":"en"}],"givenNames":[{"givenName":"恵","givenNameLang":"ja"},{"givenName":"メグミ","givenNameLang":"ja-Kana"},{"givenName":"Megumi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"4287","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"read0154556","nameIdentifierScheme":"researchmap","nameIdentifierURI":"https://researchmap.jp/read0154556"}]},{"creatorNames":[{"creatorName":"Nitta, Emiko","creatorNameLang":"en"},{"creatorName":"新田, 絵美子","creatorNameLang":"ja"},{"creatorName":"ニッタ, エミコ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Nitta","familyNameLang":"en"},{"familyName":"新田","familyNameLang":"ja"},{"familyName":"ニッタ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Emiko","givenNameLang":"en"},{"givenName":"絵美子","givenNameLang":"ja"},{"givenName":"エミコ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"3136","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000364507268","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000364507268"}]},{"creatorNames":[{"creatorName":"Mori, Nobuhiro","creatorNameLang":"en"},{"creatorName":"森, 信博","creatorNameLang":"ja"},{"creatorName":"モリ, ノブヒロ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Mori","familyNameLang":"en"},{"familyName":"森","familyNameLang":"ja"},{"familyName":"モリ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Nobuhiro","givenNameLang":"en"},{"givenName":"信博","givenNameLang":"ja"},{"givenName":"ノブヒロ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1553","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"8000001629764","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/8000001629764"}]},{"creatorNames":[{"creatorName":"Hanaoka, Uiko","creatorNameLang":"en"},{"creatorName":"花岡, 有為子","creatorNameLang":"ja"},{"creatorName":"ハナオカ, ウイコ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Hanaoka","familyNameLang":"en"},{"familyName":"花岡","familyNameLang":"ja"},{"familyName":"ハナオカ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Uiko","givenNameLang":"en"},{"givenName":"有為子","givenNameLang":"ja"},{"givenName":"ウイコ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"372","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000364312257","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000364312257"},{"nameIdentifier":"10314931","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=10314931"},{"nameIdentifier":"read0130357","nameIdentifierScheme":"researchmap","nameIdentifierURI":"https://researchmap.jp/read0130357"}]},{"creatorNames":[{"creatorName":"Tanaka, Hirokazu","creatorNameLang":"en"},{"creatorName":"田中, 宏和","creatorNameLang":"ja"},{"creatorName":"タナカ, ヒロカズ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Tanaka","familyNameLang":"en"},{"familyName":"田中","familyNameLang":"ja"},{"familyName":"タナカ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Hirokazu","givenNameLang":"en"},{"givenName":"宏和","givenNameLang":"ja"},{"givenName":"ヒロカズ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"2297","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kanenishi, Kenji","creatorNameLang":"en"},{"creatorName":"金西, 賢治","creatorNameLang":"ja"},{"creatorName":"カネニシ, ケンジ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Kanenishi","familyNameLang":"en"},{"familyName":"金西","familyNameLang":"ja"},{"familyName":"カネニシ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Kenji","givenNameLang":"en"},{"givenName":"賢治","givenNameLang":"ja"},{"givenName":"ケンジ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"673","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000002840860","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000002840860"},{"nameIdentifier":"10263906","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=10263906"},{"nameIdentifier":"read0210775","nameIdentifierScheme":"researchmap","nameIdentifierURI":"https://researchmap.jp/read0210775"}]}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"外陰癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"膣癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"外陰部悪性黒色腫","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"広汎外陰切除術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"扁平上皮癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"vulvar cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"vaginal cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"malignant melanoma of the vulva","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"radical vulvectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"squamous cell carcinoma","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当科で経験した外陰部悪性腫瘍の5症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当科で経験した外陰部悪性腫瘍の5症例","subitem_title_language":"ja"},{"subitem_title":"Experience of 5 cases of vulvar cancer","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1722393751130"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-08-02"},"publish_date":"2024-08-02","publish_status":"0","recid":"2000509","relation_version_is_last":true,"title":["当科で経験した外陰部悪性腫瘍の5症例"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-26T02:17:13.659006+00:00"}