{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001204683838336.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2482/haigan.45.373"}},{"identifier":{"@type":"URI","@value":"http://www.jstage.jst.go.jp/article/haigan/45/4/45_4_373/_pdf"}},{"identifier":{"@type":"NAID","@value":"110003143642"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2005295290"}}],"dc:title":[{"@language":"en","@value":"Typical Pulmonary Carcinoid With Mediastinal Lymph Node Metastasis"},{"@language":"ja","@value":"縦隔リンパ節に転移を認めた末梢型定型的肺カルチノイドの１例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<b><i>Background.</i></b> We report a rare case of typical pulmonary carcinoid with mediastinal lymph node metastasis. <b><i>Case.</i></b> A 62-year-old man was admitted to our hospital for further examination of an abnormal shadow on a chest roentgenogram. Chest CT scan showed a 18×18 mm tumor in the middle lobe. With a diagnosis of primary pulmonary small cell carcinoma, a middle lobectomy with mediastinal lymph node dissection was done. The pathological diagnosis of the resected specimen was typical carcinoid. All areas of the tumor was immunohistochemically positive for chromogranin A, NSE, and N-CAM. Subcarinal lymph nodes were metastatic from the carcinoid tumor. <b><i>Conclusion.</i></b> A limited operation is thought to be acceptable only in patients with typical carcinoid in a peripheral lesion without lymph node metastasis. Lobectomy with mediastinal lymph node dissection is necessary for possibly metastatic case."},{"@language":"ja","@value":"<b>背景.</b> 末梢型の定型的カルチノイドで縦隔リンパ節に転移を認めるのは非常に稀であるため, 若干の文献的考察を加えて報告する. <b>症例.</b> 62歳, 男性. 発熱, 肝機能障害で当院入院し加療を受けた際の胸部単純写真にて右肺に径約2 cmの孤立陰影を認め, 精査目的で当科紹介となった. 胸部CTにて右中葉に1.8 cm大の結節影がみられた. 右B<sup>5</sup>よりの生検にて, 小細胞癌疑いと診断され, 手術施行. 術中迅速診断にても小細胞癌であり, 右中葉切除 (ND2a) を施行し術後化学療法に備えた. 病理所見では, 細胞質の乏しい異型の少ない細胞の増殖で, 壊死がなく, またmitosisが少ないことよりcarcinoid tumor (typical) と考えられた. 免疫組織化学検査でクロモグラニンA, NSE, N-CAMが陽性であり, typical carcinoidとの診断を得たが, 縦隔の分岐部リンパ節 (#7) のみに転移を認めた. <b>結論.</b> 術前に定型的カルチノイドと診断された場合には, 縮小手術を基本とし, 迅速診断で転移陽性例に対しては標準郭清を行うなどの工夫が必要であると思われた."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410853646490131589","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021504160"}],"foaf:name":[{"@language":"en","@value":"Okitsu Hiroshi"},{"@language":"ja","@value":"沖津 宏"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratry Medicine, Tokushima Red Cross Hospital"},{"@language":"ja","@value":"徳島赤十字病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646490131587","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021504152"}],"foaf:name":[{"@language":"en","@value":"Ishikura Hisashi"},{"@language":"ja","@value":"石倉 久嗣"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratry Medicine, Tokushima Red Cross Hospital"},{"@language":"ja","@value":"徳島赤十字病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646490131588","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021504156"}],"foaf:name":[{"@language":"en","@value":"Kimura Suguru"},{"@language":"ja","@value":"木村 秀"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratry Medicine, Tokushima Red Cross Hospital"},{"@language":"ja","@value":"徳島赤十字病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646490131584","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021504176"}],"foaf:name":[{"@language":"en","@value":"Kondo Haruo"},{"@language":"ja","@value":"近藤 治男"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratry Medicine, Tokushima Red Cross Hospital"},{"@language":"ja","@value":"徳島赤十字病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646490131585","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021504166"}],"foaf:name":[{"@language":"en","@value":"Yuasa Yasuhiro"},{"@language":"ja","@value":"湯浅 康弘"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratry Medicine, Tokushima Red Cross Hospital"},{"@language":"ja","@value":"徳島赤十字病院呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646490131586","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000021504171"}],"foaf:name":[{"@language":"en","@value":"Shinohara Tsutomu"},{"@language":"ja","@value":"篠原 勉"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratry Medicine, Tokushima Red Cross Hospital"},{"@language":"ja","@value":"徳島赤十字病院呼吸器科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03869628"},{"@type":"LISSN","@value":"03869628"},{"@type":"EISSN","@value":"13489992"},{"@type":"NCID","@value":"AN00203978"}],"prism:publicationName":[{"@language":"en","@value":"Haigan"},{"@language":"ja","@value":"肺癌"},{"@language":"en","@value":"JJLC"},{"@language":"en","@value":"Japanese Journal of Lung Cancer"},{"@language":"ja","@value":"肺癌"},{"@language":"en","@value":"Haigan"}],"dc:publisher":[{"@language":"en","@value":"The Japan Lung Cancer Society"},{"@language":"ja","@value":"特定非営利活動法人 日本肺癌学会"}],"prism:publicationDate":"2005","prism:volume":"45","prism:number":"4","prism:startingPage":"373","prism:endingPage":"376"},"reviewed":"false","url":[{"@id":"http://www.jstage.jst.go.jp/article/haigan/45/4/45_4_373/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2005295290"}],"availableAt":"2005","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Pulmonary%20carcinoid","dc:title":"Pulmonary carcinoid"},{"@id":"https://cir.nii.ac.jp/all?q=Typical%20carcinoid","dc:title":"Typical carcinoid"},{"@id":"https://cir.nii.ac.jp/all?q=Mediastinal%20metastasis","dc:title":"Mediastinal metastasis"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E3%82%AB%E3%83%AB%E3%83%81%E3%83%8E%E3%82%A4%E3%83%89","dc:title":"肺カルチノイド"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%AE%9A%E5%9E%8B%E7%9A%84%E3%82%AB%E3%83%AB%E3%83%81%E3%83%8E%E3%82%A4%E3%83%89","dc:title":"定型的カルチノイド"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%B8%A6%E9%9A%94%E3%83%AA%E3%83%B3%E3%83%91%E7%AF%80%E8%BB%A2%E7%A7%BB","dc:title":"縦隔リンパ節転移"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011145319836160","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Carcinoid tumors of the lung: Do atypical features require aggressive management?"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292621095472768","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Clinical-radiological presentation and outcome of surgically treated pulmonary carcinoid tumours: a long-term single institution experience"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418521230547456","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Bronchial carcinoids"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981468345913216","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Bronchial carcinoids: A review of 60 patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981470834710784","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Treatment and prognosis in bronchial carcinoids involving regional lymph nodes"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107370485191040","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Low grade neuroendocrine tumours of the lung (bronchial carcinoids) — 25 years experience"}]},{"@id":"https://cir.nii.ac.jp/crid/1363388844414382080","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Typical and Atypical Pulmonary 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