{"created":"2022-02-02T02:11:51.324569+00:00","id":2012510,"links":{},"metadata":{"_buckets":{"deposit":"c58395cb-aacb-4ea6-a06b-ea2035c1aa11"},"_deposit":{"id":"2012510","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2012510"},"status":"published"},"_oai":{"id":"oai:u-ryukyu.repo.nii.ac.jp:02012510","sets":["1642838163960:1642838338003","1642838403551:1642838407795"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_1551255647225":"腹腔鏡下に切除した17歳小腸GISTの1例","subitem_1551255648112":"ja"},{"subitem_1551255647225":"Laparoscopically Resected Gastrointestinal Stromal Tumor of the Small Intestine in a 17-year-old Patient","subitem_1551255648112":"en"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"西垣, 大志","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"金城, 達也","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"伊禮, 靖苗","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"小山, 寛文","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"松本, 裕文","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"西巻, 正","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"Nishigaki, Taishi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kinjo, Tatsuya","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Irei, Yasue","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Koyama, Hirofumi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Matsumoto, Hirofumi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Nishimaki, Tadashi","creatorNameLang":"en"}]}]},"item_1617186476635":{"attribute_name":"Access Rights","attribute_value_mlt":[{"subitem_1522299639480":"open access","subitem_1600958577026":"http://purl.org/coar/access_right/c_abf2"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_1522299896455":"en","subitem_1522300014469":"Other","subitem_1523261968819":"GIST"},{"subitem_1522299896455":"ja","subitem_1522300014469":"Other","subitem_1523261968819":"若年者"},{"subitem_1522299896455":"ja","subitem_1522300014469":"Other","subitem_1523261968819":"小腸腫瘍"},{"subitem_1522299896455":"en","subitem_1522300014469":"Other","subitem_1523261968819":"juvenile"},{"subitem_1522299896455":"en","subitem_1522300014469":"Other","subitem_1523261968819":"small intestinal tumor"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"17歳，女性．夕食後に腹痛が出現したため，近医の救急外来を受診．右卵巣腫瘍の診断にて精査加療目的に当院婦人科を紹介受診．婦人科での精査では小腸腫瘍の診断で，手術目的に当科紹介となった．腹部造影CT検査では骨盤内に9cm大の辺縁不整な腫瘤を認め，小腸腫瘍が疑われた．小腸腫瘍の診断で腹腔鏡下腫瘍摘出術を施行．骨盤内に9cm大の分葉状腫瘍を認め，小腸壁より発生した腫瘍と判明した．また，小腸は腫瘍を軸に時計方向に540度捻転していたが，明らかな血流障害はみられなかった．病理検査では紡錘形細胞が密に増殖し，核分裂像は5/50HPFであった．免疫染色でc-kit陽性でGISTと診断された．術後経過は良好で術後第5病日に退院．c-kit遺伝子exon11に変異を認め，imatinibによる術後補助化学療法を開始した．若年者小腸GISTは非常に稀であり，文献的考察を含め報告する．","subitem_description_type":"Other"},{"subitem_description":"論文","subitem_description_type":"Other"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_1522300295150":"ja","subitem_1522300316516":"日本臨床外科学会"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_1551255818386":"jpn"}]},"item_1617186783814":{"attribute_name":"Identifier","attribute_value_mlt":[{"subitem_identifier_type":"HDL","subitem_identifier_uri":"http://hdl.handle.net/20.500.12000/46272"}]},"item_1617186920753":{"attribute_name":"Source 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