{"created":"2023-07-27T06:29:08.192774+00:00","id":13829,"links":{},"metadata":{"_buckets":{"deposit":"18595614-c1b6-4bd2-be6a-3962d088eecf"},"_deposit":{"created_by":3,"id":"13829","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"13829"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00013829","sets":["1132:1133:1134"]},"author_link":["21576"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-01-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"74","bibliographicPageStart":"69","bibliographicVolumeNumber":"32","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":"1981年に本邦における胆道癌扱い規約が発刊されて15年以上を経過し, その間2回の小改訂が行われてきた.さらに, この度の改訂は, 胆道癌登録事業による症例の集積と, 胃癌, 膵癌の取扱い規約の改訂にともなって, 大幅なものとなった.こうして, 第4版が昨年10月に発刊された.今回の主な改正点は(1)胆管癌の分類のうち肝門部胆管癌の設定, (2)漿膜浸潤におけるSxの設定, (3)リンパ節(群)分類の変更, (4)腫瘍の肉眼的形態分類の名称の変更, (5)胆管周囲進展度(T, t)の設定と手術的, 総合的進行度分類の設定, (6)切除縁における肉眼的, 組織学的癌浸潤表現の変更, (7)切除術の根治度の評価の設定, (8)病理組織学的分類の変更と壁深達度におけるafの廃止などである.本稿では, 胆管癌についてその主な改訂点をとりあげ, いまだ残されている問題点についても解説を加えた. It has been fifteen years since the first edition of the Japanese General Rules of Cancer of the Biliary Tract was published. It was revised broad as the third trial last year according to the revision of both general rules of gastric cancer and pancreatic cancer. The portion of the biliary tract is described on this manuscript. The main present revised points were the establishment of cancer of the portal(hilar)bile duct(Bp), the revision of the rules of serosal invasion(Sx), the classification of lymph node groups, and the classification of the macroscopic types of tumor, the establishment of the rules of spread of tumor around the biliary tract(T or t category)and the operative and comprehensive cancer stage, the change of the expression of invasion to the surgical margin(BM, bm, Hm hm, Dm, dm, Em, and em), the establishment of the rules of estimation of operative curability, the change of invasive depth in the wall of the biliary tract(exception of af), the change of the histological types of tumor and so on. Those formations became similar to those of TNM classification by UICC. The differences between the Japanese and UICC rules were discussed additionally.","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_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":"http://ci.nii.ac.jp/naid/110001336619","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本消化器外科学会 | 本文データは学協会の許諾に基づきCiNiiから複製したものである"}]},"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":"永川, 宅和"}],"nameIdentifiers":[{"nameIdentifier":"21576","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"50019600","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000050019600"}]}]},"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-NAKAGAWA-T-69.pdf","filesize":[{"value":"537.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-NAKAGAWA-T-69.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/13829/files/ME-PR-NAKAGAWA-T-69.pdf"},"version_id":"7f2c4cf9-9b51-4640-bd30-ab216e2369a2"}]},"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":"胆道癌取扱いの改正について : 胆管癌","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胆道癌取扱いの改正について : 胆管癌"},{"subitem_title":"On the revision of the Japanese General Rules for Surgical and Pathological Studies on Cancer of the Biliary Tract","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":"13829","relation_version_is_last":true,"title":["胆道癌取扱いの改正について : 胆管癌"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-06-20T06:57:35.466821+00:00"}