{"created":"2024-08-09T01:27:09.751825+00:00","id":2000531,"links":{},"metadata":{"_buckets":{"deposit":"1703d706-fd5e-4550-819f-58cde1252e87"},"_deposit":{"created_by":50,"id":"2000531","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000531"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000531","sets":["2:1720746067615:1722583163086"]},"author_link":["4261","673","3078","372","4207"],"control_number":"2000531","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"43","bibliographicPageStart":"37","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":"子宮頸部腫瘍を円錐切除による評価後に、長期間IUD留置による子宮筋層炎の治療として全腹腔鏡下子宮摘出術（total laparoscopic hysterectomy : TLH）を実施したところ、子宮体部筋層に浸潤した扁平上皮癌を認めた症例を経験した。症例は62歳、3妊2産の閉経後女性で、約1か月持続する不正出血と下腹部痛のため前医を受診した。30年間もの長期にわたり留置されていたIUDを認めた。前医で施行した子宮頸部細胞診にてASC-H、子宮内膜細胞診classⅢ、コルポスコープ下狙い生検でSCCを認めたため当科へ紹介となった。肉眼的に明らかな浸潤癌を認めず、画像検査では子宮体部の細菌感染を疑う所見を認めた。円錐切除術を施行しCIN3と確認したが、臨床症状より子宮筋層炎を疑いTLHを施行した。術後病理組織診断にて子宮体部筋層に広範囲に浸潤した扁平上皮癌を認め、子宮頸部扁平上皮癌ⅠB1期と判明したため、追加治療として放射線化学同時療法（CCRT）を施行した。外来経過観察中に血液疾患を発症し、現在他科で治療中である。","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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conization","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"minimally invasive surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"uterine corpus invasion of cervical 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":"術前診断が困難であった子宮頸癌体部筋層浸潤の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"術前診断が困難であった子宮頸癌体部筋層浸潤の一例","subitem_title_language":"ja"},{"subitem_title":"A case of cervical cancer invading to uterine corpus muscle  that was difficult to diagnose preoperatively","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1722583163086"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-08-09"},"publish_date":"2024-08-09","publish_status":"0","recid":"2000531","relation_version_is_last":true,"title":["術前診断が困難であった子宮頸癌体部筋層浸潤の一例"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-20T02:45:33.505528+00:00"}