{"created":"2024-08-08T08:04:37.233724+00:00","id":2000527,"links":{},"metadata":{"_buckets":{"deposit":"239a211b-8447-4d06-af8a-4084b7b54a7e"},"_deposit":{"created_by":50,"id":"2000527","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000527"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000527","sets":["2:1720746067615:1722583163086"]},"author_link":["4345","1983","1832","4354","2818"],"control_number":"2000527","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"31","bibliographicPageStart":"27","bibliographicVolumeNumber":"23","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":"卵巣には様々な臓器の腫瘍からの転移がみられる。今回、術前検査では原発、転移の有無が同定できなかったが、術後に虫垂原発転移性卵巣腫瘍と判明した3例を経験した。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"【症例1】61歳。腹部膨満感を自覚し前医より当院に紹介となった。当科診察では骨盤内に15cm,7cmの充実性腫瘍を認め、両側卵巣腫瘍を疑った。画像検査、上下部消化管内視鏡検査では卵巣腫瘍以外には明らかな異常を認めなかった。術中迅速病理組織診断でmucinous adenocarcinomaと診断されたが、転移、原発の判別が困難であったため、腹式子宮全摘、両側付属器切除、虫垂切除術を施行した。術後病理組織診断にて虫垂原発腺癌、両側卵巣転移と判明した。【症例2】69歳。腹部腫瘤感を自覚し、前医受診し当院に紹介となった。既往歴に虫垂癌（11年前）あり。当科診察にて13×8cmの嚢胞性充実性腫瘍を認め、虫垂癌再発卵巣腫瘍を否定できなかった。手術を行い、卵巣腫瘍の迅速病理組織診断では原発、転移の判別がつかなかったため、原発卵巣癌として根治術を行った。術後病理免疫組織化学染色にて消化管由来が示唆され、虫垂癌再発に矛盾しない結果であった。【症例3】78歳。子宮筋腫疑いにて前医でフォローされていたが、腫瘍の急速増大を認めたため当院に紹介となった。当科診察では子宮前面に13×10cmの腫瘍を認めた。手術を施行したが、癌性腹膜炎状態であった。腫瘍は左卵巣由来で子宮に浸潤しており、迅速病理組織はmucinous carcinomaと診断され、虫垂もあわせて切除した。術後、卵巣、虫垂は同様の腺癌を認め、免疫組織化学染色にて大腸癌由来が示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"術前の下部消化管内視鏡検査、注腸造影検査などでは虫垂病変の指摘をできないことも多く、術中に卵巣悪性粘液性腫瘍を認めた場合には、虫垂も含めた他臓器の十分な検索が必要であると考える。","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 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/bukai23.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 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