{"created":"2023-07-27T06:29:08.107041+00:00","id":13827,"links":{},"metadata":{"_buckets":{"deposit":"ba16d316-f3f5-438d-b551-19dc9136b8d5"},"_deposit":{"created_by":3,"id":"13827","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"13827"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00013827","sets":["1132:1133:1134"]},"author_link":["622","23289","68","666","310","22001","22393","1000","23288","620"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-14","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"266","bibliographicPageStart":"258","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"日本消化器外科学会雑誌 = The Japanese journal of gastroenterological surgery"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"We report a case of advanced gastric cancer with para-aortic lymph node metastasis that underwent radical gastrectomy after neoadjuvant chemotherapy, and in this case, thoracoscopy was useful in excluding mediastinal lymph node metastasis. The patient was a 70-year-old man in whom a large type 2 advanced gastric cancer accompanied with para-aortic and mediastinal lymph node metastasis was diagnosed. We attempted combination therapy of Docetaxel, CDDP and TS-1. After 2 courses of treatment, the primary lesion and regional and para-aortic lymph nodes were significantly reduced in size, suggesting that this therapy had induced a partial response (PR). However, the size of mediastinal lymph node did not change. FDG-PET showed accumulation of FDG located in the mediastinal lymph node, in which metastasis was suspected. To judge the possibility of radical excision, we performed tho-racoscopic biopsy of the mediastinal lymph node. No metastasis was shown in the mediastinal lymph node biopsy, so we performed curative total gastrectomy with D3 lymph node dissection and cholecys-tectomy with curative intent. The pathological findings showed that there were very few cancer cells either in the primary lesion and only one lymph node (No.3). There has been no recurrence for two years after the operation. © 2012 The Japanese Society of Gastroenterological Surgery. 術前DCS（docetaxel，cisplatin，TS-1併用）療法が著効した大動脈周囲リンパ節転移を伴う進行胃癌を経験した．また，胸腔鏡下生検が縦隔リンパ節転移の除外診断に有用であったので報告する．症例は70歳の男性で，噴門直下から角上部に及ぶ大型の2型腫瘍を認めた．大動脈周囲・縦隔を含め多数のリンパ節腫大を認めた．DCS療法を2コース行い，原発巣・リンパ節転移巣ともに著明に縮小した．しかし，縦隔リンパ節に変化はなくPET-CTでも淡い集積を認め転移も否定できないため，胸腔鏡下に縦隔リンパ節生検を行ったところ，転移を認めなかった．根治切除可能と判断し大動脈周囲リンパ節郭清を伴う胃全摘術を行った．組織学的に腫瘍の大部分は壊死に陥り，原発巣の一部と壁在リンパ節1個にごく僅かに腫瘍細胞が残存していた．現在，術後2年が経過しているが，無再発生存中である．","subitem_description_type":"Abstract"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本消化器外科学会 = Japanese Society of Gastroenterological Surger"}]},"item_4_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.5833/jjgs.45.258","subitem_relation_type_select":"DOI"}}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.jsgs.or.jp/","subitem_relation_type_select":"URI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://japanlinkcenter.org/JST.JSTAGE/jjgs/45.258","subitem_relation_type_select":"URI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/article/jjgs/45/3/45_45.258/_article/-char/ja/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 2012 一般社団法人　日本消化器外科学会"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00192066","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-9768","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_25":{"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"山崎, 祐樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伏田, 幸夫"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"尾山, 勝信"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"木下, 淳"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"牧野, 勇"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中村, 慶史"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"藤田, 秀人"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"二宮, 致"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"藤村, 隆"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"太田, 哲生"}],"nameIdentifiers":[{},{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-03"}],"displaytype":"detail","filename":"ME-PR-OHTA-T-258.pdf","filesize":[{"value":"2.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-OHTA-T-258.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/13827/files/ME-PR-OHTA-T-258.pdf"},"version_id":"0308d878-45f7-49d7-b42e-7138365accef"}]},"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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"縦隔リンパ節転移の除外診断に胸腔鏡下生検が有用であった術前DCS療法後の治癒切除進行胃癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"縦隔リンパ節転移の除外診断に胸腔鏡下生検が有用であった術前DCS療法後の治癒切除進行胃癌の1例"},{"subitem_title":"A case of advanced gastric cancer responding to neoadjuvant chemotherapy","subitem_title_language":"en"}]},"item_type_id":"4","owner":"3","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-03"},"publish_date":"2017-10-03","publish_status":"0","recid":"13827","relation_version_is_last":true,"title":["縦隔リンパ節転移の除外診断に胸腔鏡下生検が有用であった術前DCS療法後の治癒切除進行胃癌の1例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-28T00:58:01.177962+00:00"}