{"created":"2023-07-25T09:04:31.840028+00:00","id":2398,"links":{},"metadata":{"_buckets":{"deposit":"6e981030-2952-4045-a3e2-c8a9c9284256"},"_deposit":{"created_by":3,"id":"2398","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2398"},"status":"published"},"_oai":{"id":"oai:toyama.repo.nii.ac.jp:00002398","sets":["439:440:441:442"]},"author_link":["6534","155061","155059","155058","155062","155057","155060"],"item_2_alternative_title_19":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case of Carcinoma in the Mucosal Layer of the Bile Duct without Jaundice"}]},"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-05","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"1221","bibliographicPageStart":"1217","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"日本消化器外科学会雑誌 : The Japanese journal of gastroenterological surgery"}]}]},"item_2_description_15":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"黄疸の発症する前の胆管癌の早期診断はいまだ困難であるが, 今回, 我々は初診時に無黄疸の粘膜内胆管癌の1例を経験した. 症例は72歳の女性. 火事による気道, 角膜熱傷などにて当院に入院したが, 入院時検査から持続する肝胆道系酵素の上昇を認めた. USとCTにて下部胆管に腫瘤像を認め, ERCPにて4.5cm長の結節集族様の陰影欠損を認めた. 全胃幽門輪温存膵頭十二指腸切除術施行し, 術中操作にて腫瘍は一部脱落したが, 切除標本では乳頭状に増殖する連続性のない2個の病変(1.2×1.2cm, 1.8×0.9cm)が見られた. 病理組織像はいずれも粘膜内に限局した乳頭腺癌であった(pap, m, med, INFα, ly_0, v_0, pn_0, hinf_0, ginf_0, panc_0, du_0, pv_0, a_0, n(-), hm_0, dm_0,em_0, t_1, stageI, curA). 術後17か月現在, 再発なく外来通院中である.\n A diagnosis of bile duct carcinoma is difficult to make in the early stage before the onset of jaundice. We report here, a patient with carcinoma in the mucosal layer of the bile duct, who was without jaundice, and who was diagnosed in the early stage. The patient was a 72-year-old woman who was admitted to our hospital because of a burn that occurred in her home. She exhibited liver dysfunction (elevation of GOT, GPT, ALP and γ-GTP) but without jaundice. Ultrasonography and computed tomography showed dilatation of the bile duct and a mass in the lower third portion of the extrahepatic bile duct. Endoscopic retrograde cholangiography revealed a 4.5 cm filling defect in the bile duct, and magnetic resonance cholangiography showed similar findings. Subsequently, pylorus-preserving pancreato-duodenectomy was performed. Pathological analysis revealed 2 papillary tumors (12×12 mm, and 18×9 mm in size) in the bile duct, which were characterized as papillary adenocarcinoma located in the mucosal layer with no lymph node metastasis (Bi, pap, m, hinf_0, ginf_0, panc_0, du_0, pv_0, a_0, n (-) , stage I) . The patient has been well for 17 months after surgery without recurrence.","subitem_description_type":"Abstract"}]},"item_2_description_40":{"attribute_name":"資源タイプ(DSpace)","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"6534","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000090171967","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/1000090171967"},{"nameIdentifier":"90171967","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000090171967"}],"names":[{"name":"Tsukada, Kazuhiro"}]},{"nameIdentifiers":[{"nameIdentifier":"155060","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kuroki, Yoshito"}]},{"nameIdentifiers":[{"nameIdentifier":"155061","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Odagiri, Syunyou"}]},{"nameIdentifiers":[{"nameIdentifier":"155062","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sakamoto, Takashi"}]}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本消化器外科学会"}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"rights: 本文データは日本消化器外科学会の許諾に基づき、CiNiiから複製したものである"}]},"item_2_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00192066","subitem_source_identifier_type":"NCID"}]},"item_2_source_id_8":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"3869768","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_16":{"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"塚田, 一博"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"黒木, 嘉人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小田切, 春洋"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂本, 隆"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-02-15"}],"displaytype":"detail","filename":"shoukakigeka99-1217.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"shoukakigeka99-1217.pdf","url":"https://toyama.repo.nii.ac.jp/record/2398/files/shoukakigeka99-1217.pdf"},"version_id":"575f97e1-2ce8-4a8f-a9b0-a3dd2244c587"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"early bile duct carcinoma","subitem_subject_scheme":"Other"},{"subitem_subject":"no jaundice of bile duct carcinoma","subitem_subject_scheme":"Other"},{"subitem_subject":"papillary adenocarcinoma of bile duct","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":"無黄疸で発見された粘膜内胆管癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"無黄疸で発見された粘膜内胆管癌の1例"}]},"item_type_id":"2","owner":"3","path":["442"],"pubdate":{"attribute_name":"公開日","attribute_value":"2008-02-07"},"publish_date":"2008-02-07","publish_status":"0","recid":"2398","relation_version_is_last":true,"title":["無黄疸で発見された粘膜内胆管癌の1例"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-07-25T13:06:17.751980+00:00"}