Item type |
デフォルトアイテムタイプ(フル)(1) |
公開日 |
2021-11-19 |
タイトル |
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タイトル |
集学的治療により切除しえた乳腺巨大葉状腫瘍の1例 |
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言語 |
ja |
タイトル |
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タイトル |
A case of a giant phyllodes tumor of the breast successfully resected with multimodal therapy |
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言語 |
en |
作成者 |
藤澤, 重元
國仲, 弘一
牧野, 航
平安名, 常一
高槻, 光寿
Fujisawa, Shigemoto
Kuninaka, Kouichi
Makino, Wataru
Heianna, Joichi
Takatsuki, Mitsuhisa
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
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言語 |
ja |
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権利情報 |
琉球医学会 |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Giant phyllodes tumor |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
phyllodes tumor |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
selective intra-arterial chemotherapy |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
A 43-years-old woman presented with a giant light breast tumor that had grown approximately 3-25cm in diameter over the past two years. The tumor was elastic, hard, and had enlarged skin and was fixed on chest wall with poor mobility. Chest computed tomography(CT) scan revealed a giant tumor with thoracic wall and skin as well as, nipple invasion, without swollen axillary lymph nodule and distant metastasis. A diagnosis of giant phyllodes tumor was made. To avoid thoracic wall resection, we used Eribulin regimen for three courses as preoperative chemotherapy and performed selective intra-arterial chemotherapy (internal thoracic artery, thoracromial artety, lateral thoracic artery) with Docetaxel and Epirubicin and embolization with Embosphire for two times at, four weeks interval. Chest CT in two weeks revealed tumor shrinkage from 15.1×7.5cm to 13.4×6.3cm. We planned to revise the operative procedure, depending on surgical margin by intraoperative consultation. With surgical positive margin, we planned to perform mastectomy and thoracic wall resection, reconstruction by latissimus dorsi musculocutaneous flap, skin grafting on the defected area. With surgical negative margin, perform mastectomy and skin grafting on defected area. As surgical margin was negative, we performed mastectomy and skin grafting from outside of the right thigh, in four weeks following the last selective intra-arterial chemotherapy and embolization. The resected tumor weighed 1100g and ,measured 21.2×18.0×7.5cm. We report the present case alongside a review of the literature and discuss the preoperative chemotherapy and selective intra-arterial chemotherapy and embolization as well as the operative procedure. |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
論文 |
出版者 |
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言語 |
ja |
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出版者 |
琉球医学会 |
出版者 |
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言語 |
en |
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出版者 |
Ryukyu Medical Association |
言語 |
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言語 |
jpn |
資源タイプ |
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資源タイプ |
journal article |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
収録物識別子 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1346-888X |
収録物識別子 |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN10369445 |
収録物名 |
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言語 |
ja |
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収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
書誌情報 |
巻 39,
号 1-4,
p. 49-58
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