{"created":"2023-06-19T11:22:28.042614+00:00","id":77,"links":{},"metadata":{"_buckets":{"deposit":"18a102f5-643f-4fb0-bc2b-e742b09d70d6"},"_deposit":{"created_by":12,"id":"77","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"77"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000077","sets":["14:18"]},"author_link":["537","538","539","540","541","542","543","544","545","546","547"],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"122","bibliographicPageStart":"119","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例70歳女。数年前からの右臀部皮膚腫瘤を主訴に受診した。臨床的に右臀部に単発でカリフラワー様の，大きさ65mm大の腫瘤をみた。生検で皮膚有棘細胞癌と診断した。CT検査では所属リンパ節転移及び遠隔転移は認めなかったが，拡大切除後，鼠径リンパ節転移と肺転移が出現した。リンパ節転移と肺転移が進行するにつれて白血球増多症（74100/μl）と高カルシウム血症（13.4 mg/dl）がみられるようになり，検査の結果G-CSF357pg/ml（n<39pg/ml）とPTHr-P25.2pmol/l（ n<1.1 pmol/l）の上昇も認めた。カルボプラチンとエピルビシンの投与を行ったが効果なく，緩和ケアとして放射線照射を行った。 \n初診６ヶ月後に肺転移による呼吸不全で死亡した。白血球増多症と高カルシウム血症は腫瘍がG-CSFとPTHr-Pを産生したためと思われた。G-CSFおよびPTHr-P産生有棘細胞癌は極めて稀であり文献的考察を含めて報告する。 \n","subitem_description_type":"Abstract"}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-252Ｘ","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中村, 考伸","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塚原, 理恵子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小山, 尚俊","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"飯田, 絵理","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"正木, 真澄","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"堂本, 隆志","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"柳林, 聡","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加倉井, 真樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"梅本, 尚可","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山田, 朋子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"出光, 俊郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-05-29"}],"displaytype":"detail","filename":"p119-122.pdf","filesize":[{"value":"708.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"p119-122","url":"https://jichi-ir.repo.nii.ac.jp/record/77/files/p119-122.pdf"},"version_id":"4b64ae46-b0e2-40f3-bb0d-2fc881f4ee69"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"有棘細胞癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"顆粒球コロニー刺激因子（G-CSF）","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"高カルシウム血症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"白血球増多","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"副甲状腺ホルモン関連蛋白（PTHr-P)","subitem_subject_language":"ja","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"臀部に生じたG-CSF およびPTHr-P 産生有棘細胞癌の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"臀部に生じたG-CSF およびPTHr-P 産生有棘細胞癌の１例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"12","path":["18"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-05-29"},"publish_date":"2014-05-29","publish_status":"0","recid":"77","relation_version_is_last":true,"title":["臀部に生じたG-CSF およびPTHr-P 産生有棘細胞癌の１例"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T06:10:26.741838+00:00"}