{"created":"2023-05-15T09:44:18.651975+00:00","id":4926,"links":{},"metadata":{"_buckets":{"deposit":"7a6b9f00-ce77-4370-83e7-58b69a698aea"},"_deposit":{"created_by":11,"id":"4926","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4926"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:00004926","sets":["2:48:663"]},"author_link":["1501","751","636","2686","204","2878"],"control_number":"4926","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"18","bibliographicPageStart":"13","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"日本産科婦人科学会香川地方部会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"近年子宮内膜症は卵巣癌の発生母地として注目されている。今回我々は、卵巣チョコレート嚢腫管理中に発生した卵巣類内膜腺癌の1例を経験したので報告する。症例：41歳1回経妊1回経産の女性。平成11年3月に外陰部掻痒感を主訴として当科を受診した。初診時、左右卵巣はそれぞれ33×24mm、38×43mmと腫大し、CA125、CA19-9は正常だった。以後3ヶ月ごとに外来にてのフォローアップとした。平成12年6月に超音波にて腫大傾向を認めたため、MRIを施行した。左右卵巣の直径はそれぞれ55mmと65mmで、壁の肥厚や充実性部分を認めなかった。その後6ヶ月間GnRHアナログ療法を行ったが、腫瘍マーカーは抵抗性を示した。平成13年8月に両側卵巣腫瘍が再腫大したため、経膣的にエタノール固定術を行ったところ、内容液の細胞診がクラスⅢであったため、平成13年8月15日に開腹術を施行した。術後診断は卵巣癌Ⅰc期（類内膜腺癌）と子宮内膜癌Ⅰb（類内膜腺癌）で、あった。子宮内膜症は良性疾患であり、不妊症との関連から、保存療法を選択することが多い。今回の経験より、子宮内膜症の長期間管理中に定期的に超音波や腫虜マーカーのフォローが欠かせないと思われる。","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","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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