{"created":"2023-06-20T17:00:59.716142+00:00","id":20576,"links":{},"metadata":{"_buckets":{"deposit":"ab51ba45-a0ff-4c7a-ac84-824d9f04888e"},"_deposit":{"created_by":3,"id":"20576","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"20576"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00020576","sets":["140:1307:1308:2029:2034"]},"author_link":["297800","297791","297788","297796","297797","297798","297785","297789","297786","297792","297793","297799","297794","297787","297790","297795"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"子宮に発生した炎症性筋線維芽細胞性腫瘍のMRI所見"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-05","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"229","bibliographicPageStart":"225","bibliographicVolumeNumber":"78","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":"UENO, Eiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MACHIDA, Haruhiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MURAOKA, Mitsue"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"FUJIMURA, Mikihiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUZUKI, Kazufumi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MORITA, Satoru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKAGI, Koichiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"AIBA, Motohiko"}],"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":"炎症性筋線維芽細胞性腫瘍は,筋線維芽細胞や線維芽細胞に分化する細胞を含み,炎症細胞の浸潤が加わった稀な腫瘍である.様々な臓器に発生しうるが,子宮における報告は極めて稀である.今回我々は,組織学的に診断された子宮炎症性筋線維芽細胞性腫瘍の症例を経験したのでMRI所見を中心に報告する.症例は63歳女性.全身倦怠感,発熱,体重減少および下腹部痛を主訴に精査目的にて当院産婦人科に入院となった.MRIで腫大した子容体部にT2強調像で不均一な信号上昇を示す造影効果の低い腫瘤を認め,周囲の子宮体部筋層は瀰漫性に高信号を示し,強い造影効果を呈し,膿瘍形成が疑われた.抗生剤治療により臨床症状の改善を認めた.再度MRIが施行され,子宮体部腫大は改善,子容体部腫瘍も縮小し,T2強調像ではやや信号が低下し,ほぼ均一で強い造影効果を示すように所見の変化を認めた.しかし,患者の強い希望により,再発予防目的で子宮全摘術および両側子宮付属器切除術が施行された.病理組織学的にはcompact spindle cell subtypeの子宮炎症性筋線維芽細胞性腫瘍と診断された.子宮炎症性筋線維芽細胞性腫瘍は良性病変であるものの再発の可能性が高く,転移や血管浸潤も報告されており,外科的切除の適応がある.子宮病変の報告は11例しかなく,中でもMRIにおける画像所見を報告したものは1例のみである.抗生剤治療に反応する特徴的な臨床経過とMRIを中心とした画像診断により本症の術前診断の可能性が示唆される.","subitem_description_type":"Abstract"},{"subitem_description":"We describe the case of a 63-year-old woman with a rare uterine inflammatory myofibroblastic tumor. Magnetic resonance imaging revealed a heterogeneous mass of increased T_2 signal and poor gadolinium enhancement in the enlarged uterine corpus, surrounded by diffusely increased T_2 signal and gadolinium enhancement in the myometrium. Following antibiotic therapy for suspected abscess, the tumor appeared smaller, decreased T_2 signal, and increased gadolinium enhancement on magnetic resonance imaging. Thereafter, the patient requested to undergo total hysterectomy. The predominant pattern of the present tumor may be altered from the myxoid-vascular to compact spindle cell subtype by the medical therapy according to magnetic resonance features reported on extra-uterine inflammatory myofibroblastic tumors, although only the latter subtype was histogically confirmed. We correlate radiologic and pathologic findings in this tumor.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"297793","nameIdentifierScheme":"WEKO"}],"names":[{"name":"上野, 恵子"}]},{"nameIdentifiers":[{"nameIdentifier":"297794","nameIdentifierScheme":"WEKO"}],"names":[{"name":"町田, 治彦"}]},{"nameIdentifiers":[{"nameIdentifier":"297795","nameIdentifierScheme":"WEKO"}],"names":[{"name":"村岡, 光恵"}]},{"nameIdentifiers":[{"nameIdentifier":"297796","nameIdentifierScheme":"WEKO"}],"names":[{"name":"藤村, 幹彦"}]},{"nameIdentifiers":[{"nameIdentifier":"297797","nameIdentifierScheme":"WEKO"}],"names":[{"name":"鈴木, 一史"}]},{"nameIdentifiers":[{"nameIdentifier":"297798","nameIdentifierScheme":"WEKO"}],"names":[{"name":"森田, 賢"}]},{"nameIdentifiers":[{"nameIdentifier":"297799","nameIdentifierScheme":"WEKO"}],"names":[{"name":"高木, 耕一郎"}]},{"nameIdentifiers":[{"nameIdentifier":"297800","nameIdentifierScheme":"WEKO"}],"names":[{"name":"相羽, 元彦"}]}]},"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":"inflammatory myofibroblastic tumor","subitem_subject_scheme":"Other"},{"subitem_subject":"magnetic resonance imaging","subitem_subject_scheme":"Other"},{"subitem_subject":"uterus","subitem_subject_scheme":"Other"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Radiology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Radiology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Obstetrics and Gynecology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Radiology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Radiology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Radiology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Obstetrics and Gynecology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"Department of Pathology, Tokyo Women's Medical University, Medical Center East"},{"subitem_text_value":"東京女子医科大学東医療センター放射線科"},{"subitem_text_value":"東京女子医科大学東医療センター放射線科"},{"subitem_text_value":"東京女子医科大学産婦人科"},{"subitem_text_value":"東京女子医科大学東医療センター放射線科"},{"subitem_text_value":"東京女子医科大学東医療センター放射線科"},{"subitem_text_value":"東京女子医科大学東医療センター放射線科"},{"subitem_text_value":"東京女子医科大学産婦人科"},{"subitem_text_value":"東京女子医科大学病院病理科"}]},"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":"KJ00006014887.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006014887.pdf","url":"https://twinkle.repo.nii.ac.jp/record/20576/files/KJ00006014887.pdf"},"version_id":"314be8ac-428d-492c-8e72-be383d1369ff"}]},"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":"Magnetic Resonance Imaging Features of Inflammatory Myofibroblastic Tumor of the Uterus","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Magnetic Resonance Imaging Features of Inflammatory Myofibroblastic Tumor of the Uterus"}]},"item_type_id":"10001","owner":"3","path":["2034"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"20576","relation_version_is_last":true,"title":["Magnetic Resonance Imaging Features of Inflammatory Myofibroblastic Tumor of the Uterus"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T20:57:38.428908+00:00"}