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リンパ節転移の拡がりからみた, 広範囲郭清の必要性
https://doi.org/10.24517/00050901
https://doi.org/10.24517/00050901c1c230e4-3a76-4d1a-9f6e-6114cda781bd
名前 / ファイル | ライセンス | アクション |
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ME-PR-WATANABE-Y-4-9.pdf (461.6 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-06-01 | |||||
タイトル | ||||||
タイトル | リンパ節転移の拡がりからみた, 広範囲郭清の必要性 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Clinical significance of extended mediastinal lymph node dissection on the basis of clinicopathological analysis of nodal involvement in bronchogenic carcinoma | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00050901 | |||||
ID登録タイプ | JaLC | |||||
著者 |
渡辺, 洋宇
× 渡辺, 洋宇× 林, 義信× 高畠, 一郎× 清水, 淳三× 村上, 真也× 森田, 克哉× 荒能, 義彦× 野々村, 昭孝 |
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著者別表示 |
Watanabe, Yoh
× Watanabe, Yoh× Hayashi, Yoshinobu× Takabatake, Ichiro× Shimizu, Junzo× Murakami, Shinya× Morita, Katsuya× Arano, Yoshihiko× Nonomura, Akitaka |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域医学系 | |||||
書誌情報 |
胸部外科 = 日本心臓血管外科学会雑誌 en : The Japanese journal of thoracic surgery 巻 47, 号 1, p. 4-9, 発行日 1994-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0021-5252 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00062650 | |||||
出版者 | ||||||
出版者 | 日本心臓血管外科学会 = The Japanese Society for Cardiovascular Surgery / 南江堂 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | During the past 20 years, 1,064 cases of non-small cell lung cancer underwent resectional surgery in which all accessible mediastinal lymph nodes were dissected. Among 288 patients with histologically proven N2 disease, 182 underwent complete dissection of the mediastinal lymph nodes; 77 had one-level and 105 had multi-level metastases. Fifteen percent of the patients having primary lesions with a maximal diameter between 21 and 30 mm had N2 disease. Nodal metastases to the lower mediastinum from upper lobe cancer (nonregional metastasis) were frequently observed as were metastases of lower lobe cancer to the upper mediastinum. In addition, there were often skip metastases to the nonregional parts of the mediastinum without regional nodal involvement in the mediastinum. Among left-lung cancer patients, the group that underwent nodal dissection after mobilization of the aorta by dividing the Botallo's ligament frequently had a verified metastatic node at the tracheo-bronchial angle (#4) which might not have been detected without that procedure. In addition, many N2 and N3 diseases were detected by additional dissection through a median sternotomy. From the results of the present study, it appears that extensive mediastinal dissection should be recommended in surgery for lung cancer irrespective of the location and the size of the primary tumor. | |||||
権利 | ||||||
権利情報 | Copyright © 日本心臓血管外科学会 The Japanese Society for Cardiovascular Surgery | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://jscvs.umin.ac.jp/ | |||||
関連名称 | http://jscvs.umin.ac.jp/ |