{"created":"2023-06-20T17:00:32.028906+00:00","id":19971,"links":{},"metadata":{"_buckets":{"deposit":"31983b1f-481e-49b3-bcea-88977538cc75"},"_deposit":{"created_by":3,"id":"19971","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"19971"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00019971","sets":["140:1307:1308:2004:2012"]},"author_link":["294554","294553","294555","294557","294548","294551","294558","294549","294556","294550","294547","294552"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"乳房温存手術における超音波を用いた乳腺切除範囲診断の意義"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-11","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10/11","bibliographicPageEnd":"399","bibliographicPageStart":"394","bibliographicVolumeNumber":"76","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":"KAMIO, Takako"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAGUCHI, Masako"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OHCHI, Tetsuya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"AOYAMA, Kei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NISHIKAWA, Toshiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KAMEOKA, Shingo"}],"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":"乳癌に対する乳房温存療法の頻度の増加に伴い,残存乳房内への癌遺残リスクも上昇している.\"切除断端陽性\"は,乳房温存手術後の最も重要な再発リスク因子であるため,これを回避するための術前診断が極めて重要となる.今回われわれは,最近2年間に当科で手術を施行した原発性乳癌症例300例のうち,腫瘍径3cm以下の189例(63.0%)を対象として,乳房温存手術における超音波検査を用いた乳腺切除範囲診断の意義について検討した.術前の超音波検査で,乳房温存手術の適応ありと診断した症例は189例中124例(65.6%)であり,このうち乳房温存を希望しない症例および高度のリンパ節転移を認めた20例を除く104例(189例中55.0%)に乳房温存手術を施行した.この結果,断端陽性率は104例中6例,5.8%と非常に低く,極めて良好な成績が得られた.断端陽性例のうち2例は微細石灰化を伴う非触知の非浸潤性乳管癌であり,2例は浸潤性小葉癌であった.一方,術前超音波検査で,乳頭近傍(1cm以内)への癌の広がり,あるいは多発癌を認め乳房切除術の適応であると診断された症例は189例中65例(34.4%)であり,このうち64例,98.4%で病理組織学的診断との一致が得られた.超音波検査は,乳房温存手術における適切な乳腺切除範囲の診断に極めて有用である.限界はあるものの,癌遺残を回避し局所再発リスクを軽減する上で必須の検査法であり,今後,新たな装置の開発と診断技術の向上に伴い一層重要な役割を担うものと期待される.","subitem_description_type":"Abstract"},{"subitem_description":"\"Surgical margin (SM) positive\" is the most significant recurrence risk factor in breast conserving surgery, which makes accurate preoperative diagnosis quintessential to avoid this risk. The objective of the present study was to examine the significance of ultrasonic (US) diagnosis for the decision of the appropriate extent of resection in breast conserving surgery. Of the 300 cases of primary breast cancers for which surgery was performed in our department for the past two years, 189 cases (63%) were for tumors 3 cm or less in diameter. In the preoperative US examination of 189 cases, 124 cases were (65.6%) diagnosed as indicating breast conserving surgery, and breast conserving surgery was performed on 104 cases of those 189 cases (55%), excluding 16 cases of patients who did not want breast conserving and the 4 cases of advanced lymph node metastasis. As a result, the SM-positive ratio was low (6 of 104 cases, 5.8%), an outstanding result. US examinations are useful for determining the appropriate extent of resection in breast conserving surgery, and although there are limitations, a US examination is necessary to avoid leaving cancer cells and to reduce the risk of local recurrence.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"294553","nameIdentifierScheme":"WEKO"}],"names":[{"name":"神尾, 孝子"}]},{"nameIdentifiers":[{"nameIdentifier":"294554","nameIdentifierScheme":"WEKO"}],"names":[{"name":"山口, 昌子"}]},{"nameIdentifiers":[{"nameIdentifier":"294555","nameIdentifierScheme":"WEKO"}],"names":[{"name":"大地, 哲也"}]},{"nameIdentifiers":[{"nameIdentifier":"294556","nameIdentifierScheme":"WEKO"}],"names":[{"name":"青山, 圭"}]},{"nameIdentifiers":[{"nameIdentifier":"294557","nameIdentifierScheme":"WEKO"}],"names":[{"name":"西川, 俊郎"}]},{"nameIdentifiers":[{"nameIdentifier":"294558","nameIdentifierScheme":"WEKO"}],"names":[{"name":"亀岡, 信悟"}]}]},"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":"breast conserving surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"ultrasonic examination","subitem_subject_scheme":"Other"},{"subitem_subject":"ductal spreading","subitem_subject_scheme":"Other"},{"subitem_subject":"surgical margin","subitem_subject_scheme":"Other"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Surgery II, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery II, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery II, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery II, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgical Pathology, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Surgery II, Tokyo Women's Medical University"},{"subitem_text_value":"東京女子医科大学第二外科学"},{"subitem_text_value":"東京女子医科大学第二外科学"},{"subitem_text_value":"東京女子医科大学第二外科学"},{"subitem_text_value":"東京女子医科大学第二外科学"},{"subitem_text_value":"東京女子医科大学病院病理科"},{"subitem_text_value":"東京女子医科大学第二外科学"}]},"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":"KJ00006018343.pdf","filesize":[{"value":"848.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006018343.pdf","url":"https://twinkle.repo.nii.ac.jp/record/19971/files/KJ00006018343.pdf"},"version_id":"c8b5b79d-e7ba-4d30-8c4f-769b7c66c9ca"}]},"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":"Significance of the Ultrasonic Diagnosis for the Decision of the Appropriate Extent of Resection in Breast Conserving Surgery","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Significance of the Ultrasonic Diagnosis for the Decision of the Appropriate Extent of Resection in Breast Conserving Surgery"}]},"item_type_id":"10001","owner":"3","path":["2012"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"19971","relation_version_is_last":true,"title":["Significance of the Ultrasonic Diagnosis for the Decision of the Appropriate Extent of Resection in Breast Conserving Surgery"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T21:02:48.819114+00:00"}