{"created":"2023-06-19T10:21:34.114762+00:00","id":527,"links":{},"metadata":{"_buckets":{"deposit":"09bad881-f5ac-4774-aaab-5ddf4ef0ec35"},"_deposit":{"created_by":3,"id":"527","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"527"},"status":"published"},"_oai":{"id":"oai:saitama-med.repo.nii.ac.jp:00000527","sets":["9:7:75"]},"author_link":["1887","1892","1894","1895","1888","1885","1882","1896","1886","1897","1883","1893","1891","1890","1884","1889"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"134","bibliographicPageStart":"131","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"埼玉医科大学雑誌"},{"bibliographic_title":"Journal of Saitama Medical University","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　Trousseau症候群の原因となる悪性腫瘍には固形癌が多く，その中では婦人科腫瘍が最も多いとされており胆管細胞癌に伴ったTrousseau症候群の報告は稀である．\n　今回，われわれは脳梗塞で発見され胆管細胞癌に伴ったTrousseau症候群の2例を経験した．症例1は，82歳・女性．胆管癌に伴う閉塞黄疸に対し内視鏡的胆管ステント留置後ゲムシタビン単独療法施行中であった．めまいにて入院した．頭部CTにて左前頭葉の脳梗塞所見及び，採血検査にて血小板の低下が認められ，胆管癌に伴ったTrousseau症候群と診断した．nafamostat mesilateの持続点滴施行するも入院36日後死亡した．症例2は，69歳・女性．意識レベル低下，歩行困難にて入院となった．頭部CTにて右前頭葉に多発脳梗塞所見，腹部造影CTにて肝左葉に計10 cm大の造影効果の乏しい腫瘤を認め，腫瘍生検にて胆管細胞癌の診断であった．胆管細胞癌に伴ったTrousseau症候群と診断しnafamostat mesilateの持続点滴施行するも入院25日後死亡した．癌患者において脳梗塞が発症した際は，常にTrousseau症候群の可能性を考慮すべきである．\n","subitem_description_type":"Abstract"},{"subitem_description":"　Two cases of Trousseau syndrome associated with cholangiocellular carcinoma have been reported. The first patient, a 82-year-old woman, received chemotheraphy with weekly gemcitabine after the placement of a self - expanding metal stent for palliation of unresectable malignant biliary obstruction. She was admitted to our hospital because of dizziness in October 2010. A computed tomography (CT) showed fresh cerebral infarcts in the area of left middle cerebral artery and in the right temporal lobe. The final diagnosis was Trousseau syndrome accompanied by cholangiocellular carcinoma. She died 36 days after admission. The second patient, a 69 - yearold woman, was admitted to our hospital because of disturbed consciousness. Her CT showed a cerebral infarct in the right temporal lobe. An enhanced abdominal CT showed a malignant tumor in left hepatic lobe. A fine needle biopsy showed a cholangiocellular carcinoma. The final diagnosis was Trousseau syndrome accompanied by cholangiocellular carcinoma. She died 25 days after admission.\n","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"埼玉医科大学医学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN0009506X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1347-1031","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_24":{"attribute_name":"記事区分","attribute_value_mlt":[{"subitem_text_value":"症例報告"}]},"item_10001_version_type_20":{"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":"山本, 龍一"}],"nameIdentifiers":[{"nameIdentifier":"1882","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 真吾"}],"nameIdentifiers":[{"nameIdentifier":"1883","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 正朋"}],"nameIdentifiers":[{"nameIdentifier":"1884","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大野, 志乃"}],"nameIdentifiers":[{"nameIdentifier":"1885","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"櫻田, 智也"}],"nameIdentifiers":[{"nameIdentifier":"1886","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"名越, 澄子"}],"nameIdentifiers":[{"nameIdentifier":"1887","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"西川, 稿"}],"nameIdentifiers":[{"nameIdentifier":"1888","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"屋嘉比, 康治"}],"nameIdentifiers":[{"nameIdentifier":"1889","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamamoto, Ryuichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1890","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kato, Shingo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1891","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Takahashi, Masatomo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1892","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ono, Shino","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1893","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sakurada, Tomoya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1894","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nagoshi, Sumiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1895","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nishikawa, Ko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1896","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yakabi, Koji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1897","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-03-01"}],"displaytype":"detail","filename":"402_p131_134.pdf","filesize":[{"value":"1.8 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"Trousseau syndrome accompanied by cholangiocellular carcinoma: Report of two","url":"https://saitama-med.repo.nii.ac.jp/record/527/files/402_p131_134.pdf"},"version_id":"8febf595-278e-4422-9b39-6b1709c58434"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Trousseau syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cholangiocellular carcinoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"胆管細胞癌に伴ったTrousseau症候群の2 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胆管細胞癌に伴ったTrousseau症候群の2 例"},{"subitem_title":"Trousseau syndrome accompanied by cholangiocellular carcinoma: Report of two","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"3","path":["75"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-03-01"},"publish_date":"2017-03-01","publish_status":"0","recid":"527","relation_version_is_last":true,"title":["胆管細胞癌に伴ったTrousseau症候群の2 例"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-19T10:38:36.019886+00:00"}