{"created":"2023-06-20T17:00:00.716368+00:00","id":19274,"links":{},"metadata":{"_buckets":{"deposit":"c0171c1f-e172-46c2-be3e-6b4ba8435165"},"_deposit":{"created_by":3,"id":"19274","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"19274"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00019274","sets":["140:1307:1308:1984:1990"]},"author_link":["296951","296957","296956","296958","296950","296952","296954","296953","296955","296949"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"胃癌リンパ節転移初期像の検討 : 見張りリンパ節を指標とした胃癌手術は有効か"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6/7","bibliographicPageEnd":"328","bibliographicPageStart":"325","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"東京女子医科大学雑誌"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"KITAMURA, Yoichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SASAGAWA, Tsuyoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OGUMA, Hidetoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HAYASHI, Kazuhiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKASAKI, Ken"}],"nameIdentifiers":[{}]}]},"item_10001_date_25":{"attribute_name":"受付日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2010-08-10","subitem_date_issued_type":"Created"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胃癌外科治療におけるリンパ節廓清術は,術後QOLを考慮して,拡大廓清から縮小廓清の方向へ転化している.さらに近年では症例個々の癌病巣からのリンパ流を確認し,流れの最上流に位置するリンパ節をsentinel nodeとし,このリンパ節を術中病理検索して転移のない場合は,転移なしと考え縮小手術を行うsentinel node navigation surgeryが広く行われ始めている.しかし,本法はほとんどの症例で癌局在部位からのリンパ流が単一流でないと多数のリンパ節を術中に検索する必要性があり,また転移リンパ節を見落とす可能性がある.そこで今回我々は,胃癌においてリンパ節転移の初期症例として少数個リンパ節転移例を対象に,そのリンパ流が単一かを検討した. [対象]標準的2群リンパ節までの廓清が行われ治癒切除となった深達度ssまでの胃癌症例で,転移リンパ節個数が2個から4個までの145症例を対象とした. [結果]全症例の30～40%に複数のリンパ流によるリンパ節転移が存在し,早期癌においても30%, mp癌では38%, ss癌では41%に複数リンパ流による転移が存在した. [考察]胃癌はリンパの流れが多方向にあるため,すべてのsentinel nodeを同定することは困難と考えられた.","subitem_description_type":"Abstract"},{"subitem_description":"In consideration of the quality of life of patients, there is a trend in gastric cancer surgery to perform limited rather than extended lymph node dissection. If a sentinel node dissected during surgery is negative for cancer cells pathologically, there is believed to be almost no chance of lymph node metastasis. In this study we focused on gastric cancer cases with lymph node metastasis in order to reveal whether the lymphatic flow is a single stream from the cancerous lesion. Of 145 gastric cancer cases, about 30-40% had lymph node metastasis by multiple routes, and 30% of m, sm cancer, 38% of mp cancer, and 41% of ss cancer cases had multiple routes. Multiple sentinel nodes were involved in gastric cancer, and thus we conclude that it is difficult to identify the sentinel node in gastric cancer.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"296954","nameIdentifierScheme":"WEKO"}],"names":[{"name":"喜多村, 陽一"}]},{"nameIdentifiers":[{"nameIdentifier":"296955","nameIdentifierScheme":"WEKO"}],"names":[{"name":"笹川, 剛"}]},{"nameIdentifiers":[{"nameIdentifier":"296956","nameIdentifierScheme":"WEKO"}],"names":[{"name":"小熊, 英俊"}]},{"nameIdentifiers":[{"nameIdentifier":"296957","nameIdentifierScheme":"WEKO"}],"names":[{"name":"林, 和彦"}]},{"nameIdentifiers":[{"nameIdentifier":"296958","nameIdentifierScheme":"WEKO"}],"names":[{"name":"高崎, 健"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京女子医科大学学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00161368","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0040-9022","subitem_source_identifier_type":"ISSN"}]},"item_10001_subject_47":{"attribute_name":"著者キーワード","attribute_value_mlt":[{"subitem_subject":"gastric cancer","subitem_subject_scheme":"Other"},{"subitem_subject":"sentinel node","subitem_subject_scheme":"Other"},{"subitem_subject":"surgery","subitem_subject_scheme":"Other"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University"},{"subitem_text_value":"東京女子医科大学消化器病センター外科"},{"subitem_text_value":"東京女子医科大学消化器病センター外科"},{"subitem_text_value":"東京女子医科大学消化器病センター外科"},{"subitem_text_value":"東京女子医科大学消化器病センター外科"},{"subitem_text_value":"東京女子医科大学消化器病センター外科"}]},"item_10001_version_type_20":{"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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-08-22"}],"displaytype":"detail","filename":"KJ00006018888.pdf","filesize":[{"value":"299.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006018888.pdf","url":"https://twinkle.repo.nii.ac.jp/record/19274/files/KJ00006018888.pdf"},"version_id":"82904425-ced1-41ee-bd47-d9dd92efc79f"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"The Initial Stage of Lymph Node Metastasis in Gastric Cancer : Is Sentinel Node Navigation Surgery Rational for Gastric Cancer?","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The Initial Stage of Lymph Node Metastasis in Gastric Cancer : Is Sentinel Node Navigation Surgery Rational for Gastric Cancer?"}]},"item_type_id":"10001","owner":"3","path":["1990"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"19274","relation_version_is_last":true,"title":["The Initial Stage of Lymph Node Metastasis in Gastric Cancer : Is Sentinel Node Navigation Surgery Rational for Gastric Cancer?"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T20:59:00.470527+00:00"}