{"created":"2023-06-19T11:22:28.355772+00:00","id":84,"links":{},"metadata":{"_buckets":{"deposit":"59c30e1d-2201-4031-8074-9fd2f22b1d30"},"_deposit":{"created_by":12,"id":"84","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"84"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000084","sets":["14:19"]},"author_link":["599","600","601","602","603","604","605","606","607","608","609","610","587","588","589","590","591","592","593","594","595","596","597","598"],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"23","bibliographicPageStart":"19","bibliographicVolumeNumber":"37","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":"40歳女性。満月様顔貌，中心性肥満，赤色皮膚線条といったCushing徴候あり，血中ACTH抑制，コルチゾール高値で，左副腎に28mm大の腫瘍を認め，副腎性Cushing症候群と診断された。しかし，アドステロールシンチグラフィで集積なく，また尿中カテコラミンが軽度上昇し，MIBGシンチグラフィで甲状腺右側に有意に集積があり，精査目的で当院紹介となった。シンチグラフィ陰性の原因として副腎癌やblack adenomaが鑑別として考えられた。MIBGシンチグラフィの集積は，甲状腺髄様癌や傍神経節腫瘍は否定的で，腺腫様甲状腺腫による影響と考えられた。当院外科にて腹腔鏡下左副腎摘除術が施行された。腫瘍の割面は暗褐色調を呈し，病理組織所見からblack adenomaと診断された。アドステロールシンチグラフィ陰性で，副腎癌との鑑別を要した副腎black adenomaの症例を経験したので報告する。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Takahashi, Manabu","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Nagasaka, Shoichiro","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Kodachi, Tsuyoshi","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Wakabayashi, Tetsuji","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Saito, Naoko","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Noguchi, Nirei","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Okada, Kenta","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Imada, Hiroki","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Fukushima, Noriyoshi","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Sakuma, Yasunaru","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Sata, Naohiro","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Ishibashi, Shun","nameLang":"en"}]}]},"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":"高橋, 学","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長坂, 昌一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小太刀, 豪","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"若林, 徹治","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 奈緒子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野口, 仁麗","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡田, 健太","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今田, 浩生","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福嶋, 敬宣","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐久間, 康成","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐田, 尚宏","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 俊","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":"2015-05-12"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X 37巻 p19-23 2015.3..pdf","filesize":[{"value":"652.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要 1881-252X 37巻 p19-23 2015.3.","url":"https://jichi-ir.repo.nii.ac.jp/record/84/files/自治医科大学紀要 1881-252X 37巻 p19-23 2015.3..pdf"},"version_id":"07cf3c3c-1546-446b-8e9d-77df0035500d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Cushing症候群","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"副腎black adenoma","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"アドステロールシンチグラフィ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Cushing’s syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"adrenal black adenoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"adosterol scintigraphy","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":"departmental bulletin 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