{"created":"2023-05-15T14:51:28.659233+00:00","id":70368,"links":{},"metadata":{"_buckets":{"deposit":"5f7c99bc-e865-47c1-85b1-4dda876a41c1"},"_deposit":{"created_by":1,"id":"70368","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"70368"},"status":"published"},"_oai":{"id":"oai:repo.qst.go.jp:00070368","sets":["10:28"]},"author_link":["690986","690992","690991","690985","690987","690988","690990","690989"],"item_10005_date_7":{"attribute_name":"発表年月日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2006-11-25","subitem_date_issued_type":"Issued"}]},"item_10005_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【はじめに】局所進行子宮頸部腺癌は、扁平上皮癌と比較して化学療法や放射線治療に抵抗性であり、予後不良であることが知られている。我々は、炭素線治療を施行し３年７か月無病生存中のIIIb期子宮頸部腺癌の一例を報告する。【症例】初診時54歳の女性。不正性器出血を主訴に、近医を受診。精査にて子宮頸癌IIIb期（類内膜腺癌）と診断された。治療前のMRIにて子宮頸部に7×6×5cm大の腫瘍と右骨盤リンパ節腫大が認められた。内診上、腫瘍は右骨盤壁に達していた。腫瘍マーカーは、CA19-9が 142.4U/ml（基準値37U/ml以下）、CA125 が224.8U/ml（基準値35U/ml以下）であった。炭素線は週４回法にて、全骨盤に36GyE/12fr、続いて子宮＋転移リンパ節に16GyE/4fr、さらに腫瘍中心部にしぼって16GyE/4fr (計68GyE/20fr/5w)照射した。化学療法および腔内照射は併用していない。治療中の急性有害事象は腸管、膀胱、皮膚のいずれもGrade 0 (RTOG criteria)であった。治療終了時には腫瘍マーカーが正常化し、治療前にみられた下腹部痛と下肢の浮腫は軽快した。終了２か月後にはMRI上腫瘍の消失が認められた。治療開始2年5か月後に、肉眼的血尿（Grade2, RTOG/EORTC criteria）が出現したが、１か月後には軽快した。他の有害事象は認められず、3年7か月経過した現在、無病生存中である。","subitem_description_type":"Abstract"}]},"item_10005_description_6":{"attribute_name":"会議概要（会議名, 開催地, 会期, 主催者等）","attribute_value_mlt":[{"subitem_description":"日本放射線腫瘍学会第１９回学術大会","subitem_description_type":"Other"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田巻, 倫明"}],"nameIdentifiers":[{"nameIdentifier":"690985","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大野, 達也"}],"nameIdentifiers":[{"nameIdentifier":"690986","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 真吾"}],"nameIdentifiers":[{"nameIdentifier":"690987","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"辻井, 博彦"}],"nameIdentifiers":[{"nameIdentifier":"690988","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"田巻 倫明","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"690989","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大野 達也","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"690990","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤 眞吾","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"690991","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"辻井 博彦","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"690992","nameIdentifierScheme":"WEKO"}]}]},"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":"conference object","resourceuri":"http://purl.org/coar/resource_type/c_c94f"}]},"item_title":"炭素線治療を施行し３年７ヶ月無病生存中のIIIｂ期子宮頸部腺癌の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"炭素線治療を施行し３年７ヶ月無病生存中のIIIｂ期子宮頸部腺癌の一例"}]},"item_type_id":"10005","owner":"1","path":["28"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-12-21"},"publish_date":"2010-12-21","publish_status":"0","recid":"70368","relation_version_is_last":true,"title":["炭素線治療を施行し３年７ヶ月無病生存中のIIIｂ期子宮頸部腺癌の一例"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T20:03:44.691051+00:00"}