{"@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/1390282679657929344.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2482/haigan.47.143"}},{"identifier":{"@type":"URI","@value":"http://www.jstage.jst.go.jp/article/haigan/47/2/47_2_143/_pdf"}},{"identifier":{"@type":"NAID","@value":"110006274129"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2007225651"}}],"dc:title":[{"@language":"en","@value":"A Case of Mandibular Ameloblastoma with Multiple Lung Metastases"},{"@language":"ja","@value":"多発性肺転移を伴う下顎骨ａｍｅｌｏｂｌａｓｔｏｍａの１例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<i><b>Background</b></i>. Ameloblastoma is one of the odontogenic tumors, and accounts for about 60% of all odontogenic tumors. Malignant ameloblastoma with distant metastasis is rare. We present here a patient who had a mandibular ameloblastoma with multiple pulmonary metastases. <i><b>Cases</b></i>. A 65-year-old woman was referred to our hospital in December 1987 because of a chest abnormal shadow. The chest radiograph showed multiple nodules in both lungs. A thorough examination failed to reach a diagnosis. She was followed up until 2001, because she had no symptom until that time. She was referred to our hospital again because of hemoptysis and was admitted in October 2002. The multiple lung nodules had increased on the chest radiography. She underwent an operation for lung biopsy by video-assisted thoracoscopy (VATS) to establish a definitive diagnosis in November 2002. Pathologically, they were diagnosed as metastatic ameloblastoma, for which she had been operated in August 1965. <i><b>Conclusion</b></i>. Metastatic ameloblastoma arose after more than 20 years since her operation for primary mandibular ameloblastoma. This case is also rare because she is alive at over 15 years from when the pulmonary metastasis was pointed out.<br>"},{"@language":"ja","@value":"<b>背景</b>．ameloblastoma（エナメル上皮腫）は歯原性腫瘍の1つに分類され，良性腫瘍が大部分であり，悪性腫瘍や他臓器への遠隔転移は非常に稀であると言われている．多発性肺転移を伴う下顎骨ameloblastomaの1例を報告する．<b>症例</b>．65歳女性，既往歴として1965年8月，下顎骨ameloblastomaにて腫瘍摘出術施行された．1987年12月，胸部異常影にて当院受診し，胸部X線写真上両側全肺野に多発性結節影が認められた．精査されるも確定診断に至らず，その後著変なく経過していたが，2002年9月下旬より喀血出現したため10月上旬当院受診，入院となった．胸部画像所見上多発性結節影の増大が認められたため，診断確定目的に同年11月上旬胸腔鏡下右肺下葉S<sup>9</sup>部分切除施行された．術後病理組織診にてmetastatic ameloblastomaと診断され，既往にあった下顎骨ameloblastomaの肺転移によるものと考えられた．<b>結論</b>．ameloblastomaの肺転移は，原発巣摘出後10年以上の経過を経て発症することが多く，本症例は発症後，さらに15年以上の経過を観察できた大変貴重な症例と考えられる．<br>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410853646553827842","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Sawazumi Tomoe"},{"@language":"ja","@value":"澤住 知枝"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratory Internal Medicine, Kitami Douritsu Hospital"},{"@language":"ja","@value":"北海道立北見病院呼吸器科"},{"@language":"en","@value":"Third Department of Medicine, Sapporo Medical University"},{"@language":"ja","@value":"札幌医科大学第3内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679657929345","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"相坂 治彦"},{"@language":"en","@value":"Aisaka Haruhiko"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiratory Internal Medicine, Kitami Douritsu Hospital"},{"@language":"ja","@value":"北海道立北見病院呼吸器科"},{"@language":"en","@value":"Third Department of Medicine, Sapporo Medical University"},{"@language":"ja","@value":"札幌医科大学第3内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646553827840","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Kitada Junya"},{"@language":"ja","@value":"北田 順也"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"札幌医科大学第3内科"},{"@language":"en","@value":"Third Department of Medicine, Sapporo Medical University"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646553827841","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Takahashi Hiroki"},{"@language":"ja","@value":"高橋 弘毅"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Third Department of Medicine, Sapporo Medical University"},{"@language":"ja","@value":"札幌医科大学第3内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1030285133327729408","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"60113510"},{"@type":"NRID","@value":"1000060113510"},{"@type":"NRID","@value":"9000020477643"},{"@type":"NRID","@value":"9000000450706"},{"@type":"NRID","@value":"9000253582400"},{"@type":"NRID","@value":"9000253626811"},{"@type":"NRID","@value":"9000252909594"},{"@type":"NRID","@value":"9000018357589"},{"@type":"NRID","@value":"9000254621163"},{"@type":"NRID","@value":"9000021359050"},{"@type":"NRID","@value":"9000021246207"},{"@type":"NRID","@value":"9000253593581"},{"@type":"NRID","@value":"9000253587851"},{"@type":"NRID","@value":"9000253592387"},{"@type":"NRID","@value":"9000253112435"},{"@type":"NRID","@value":"9000022130568"},{"@type":"NRID","@value":"9000253596443"},{"@type":"NRID","@value":"9000253601150"},{"@type":"NRID","@value":"9000254640602"},{"@type":"NRID","@value":"9000254178905"},{"@type":"NRID","@value":"9000007734428"},{"@type":"NRID","@value":"9000254638339"},{"@type":"NRID","@value":"9000254638111"},{"@type":"NRID","@value":"9000364915133"},{"@type":"NRID","@value":"9000003746845"},{"@type":"NRID","@value":"9000254623047"},{"@type":"NRID","@value":"9000254638147"},{"@type":"NRID","@value":"9000364914809"},{"@type":"NRID","@value":"9000254620871"},{"@type":"NRID","@value":"9000020556556"},{"@type":"NRID","@value":"9000253582099"},{"@type":"NRID","@value":"9000253616440"},{"@type":"NRID","@value":"9000252905059"},{"@type":"NRID","@value":"9000254178188"},{"@type":"NRID","@value":"9000254189383"},{"@type":"NRID","@value":"9000255746761"},{"@type":"NRID","@value":"9000020664185"},{"@type":"NRID","@value":"9000021222937"},{"@type":"NRID","@value":"9000253623813"},{"@type":"NRID","@value":"9000253581674"},{"@type":"NRID","@value":"9000254625085"},{"@type":"NRID","@value":"9000254187982"},{"@type":"NRID","@value":"9000252908507"},{"@type":"NRID","@value":"9000254854145"},{"@type":"NRID","@value":"9000254175602"},{"@type":"NRID","@value":"9000020663429"},{"@type":"NRID","@value":"9000020459608"},{"@type":"NRID","@value":"9000021280128"},{"@type":"NRID","@value":"9000253624377"},{"@type":"NRID","@value":"9000253627335"},{"@type":"NRID","@value":"9000253599397"},{"@type":"NRID","@value":"9000253631204"},{"@type":"NRID","@value":"9000253602421"},{"@type":"NRID","@value":"9000253635238"},{"@type":"NRID","@value":"9000254175377"},{"@type":"NRID","@value":"9000022118374"},{"@type":"NRID","@value":"9000253626552"},{"@type":"NRID","@value":"9000253612402"},{"@type":"NRID","@value":"9000253614961"},{"@type":"NRID","@value":"9000253601188"},{"@type":"NRID","@value":"9000253592209"},{"@type":"NRID","@value":"9000253112020"},{"@type":"NRID","@value":"9000254624479"},{"@type":"NRID","@value":"9000004675426"},{"@type":"NRID","@value":"9000020546639"},{"@type":"NRID","@value":"9000253631166"},{"@type":"NRID","@value":"9000253611881"},{"@type":"NRID","@value":"9000254626964"},{"@type":"NRID","@value":"9000256566582"},{"@type":"NRID","@value":"9000253621665"},{"@type":"NRID","@value":"9000253618831"},{"@type":"NRID","@value":"9000254640910"},{"@type":"NRID","@value":"9000254620591"},{"@type":"NRID","@value":"9000253596562"},{"@type":"NRID","@value":"9000253601170"},{"@type":"NRID","@value":"9000254625452"},{"@type":"NRID","@value":"9000254187719"},{"@type":"NRID","@value":"9000254176026"},{"@type":"NRID","@value":"9000252911379"},{"@type":"NRID","@value":"9000253628144"},{"@type":"NRID","@value":"9000253113068"},{"@type":"NRID","@value":"9000254638481"},{"@type":"NRID","@value":"9000254625151"},{"@type":"NRID","@value":"9000252910558"},{"@type":"NRID","@value":"9000254624307"},{"@type":"NRID","@value":"9000254621065"},{"@type":"NRID","@value":"9000254622619"},{"@type":"NRID","@value":"9000020528276"},{"@type":"NRID","@value":"9000020684444"},{"@type":"NRID","@value":"9000253614612"},{"@type":"NRID","@value":"9000254638510"},{"@type":"NRID","@value":"9000254638887"},{"@type":"NRID","@value":"9000254177156"},{"@type":"NRID","@value":"9000020612841"},{"@type":"NRID","@value":"9000022170176"},{"@type":"NRID","@value":"9000253626148"},{"@type":"NRID","@value":"9000253613748"},{"@type":"NRID","@value":"9000253579582"},{"@type":"NRID","@value":"9000254626670"},{"@type":"NRID","@value":"9000008351367"},{"@type":"NRID","@value":"9000254621286"},{"@type":"NRID","@value":"9000020479172"},{"@type":"NRID","@value":"9000021304942"},{"@type":"NRID","@value":"9000253623375"},{"@type":"NRID","@value":"9000253584890"},{"@type":"NRID","@value":"9000253624213"},{"@type":"NRID","@value":"9000253585743"},{"@type":"NRID","@value":"9000253596790"},{"@type":"NRID","@value":"9000253113025"},{"@type":"NRID","@value":"9000254627666"},{"@type":"NRID","@value":"9000254624750"},{"@type":"NRID","@value":"9000253626791"},{"@type":"NRID","@value":"9000253623079"},{"@type":"NRID","@value":"9000253601915"},{"@type":"NRID","@value":"9000253586598"},{"@type":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Shosaku"},{"@language":"ja","@value":"阿部 庄作"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"札幌南三条病院"},{"@language":"en","@value":"Sapporo Minami-sanjo Hospital"}]}],"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":"2007","prism:volume":"47","prism:number":"2","prism:startingPage":"143","prism:endingPage":"147"},"reviewed":"false","url":[{"@id":"http://www.jstage.jst.go.jp/article/haigan/47/2/47_2_143/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2007225651"}],"availableAt":"2007","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Odontogenic%20tumor","dc:title":"Odontogenic tumor"},{"@id":"https://cir.nii.ac.jp/all?q=Ameloblastoma","dc:title":"Ameloblastoma"},{"@id":"https://cir.nii.ac.jp/all?q=Multiple%20pulmonary%20metastases","dc:title":"Multiple pulmonary metastases"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%AD%AF%E5%8E%9F%E6%80%A7%E8%85%AB%E7%98%8D","dc:title":"歯原性腫瘍"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%A8%E3%83%8A%E3%83%A1%E3%83%AB%E4%B8%8A%E7%9A%AE%E8%85%AB","dc:title":"エナメル上皮腫"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%A4%9A%E7%99%BA%E6%80%A7%E8%82%BA%E8%BB%A2%E7%A7%BB","dc:title":"多発性肺転移"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011146065804288","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@value":"Metastatic malignant ameloblastoma responding to chemotherapy with paclitaxel and carboplatin"}]},{"@id":"https://cir.nii.ac.jp/crid/1360292618680841728","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Metastatic pulmonary ameloblastoma"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855569333788544","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@value":"Malignant ameloblastoma or ameloblastic carcinoma"}]},{"@id":"https://cir.nii.ac.jp/crid/1361137043881176704","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Chemotherapy of Metastatic Ameloblastoma"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418518930306432","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Metastasizing ameloblastoma"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418519451755264","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Biology of Metastasizing Ameloblastoma"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418521475413120","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Intraosseous carcinoma arising from mandibular ameloblastoma with progressive invasion and pulmonary metastasis"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825893323479168","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@value":"Ameloblastomas of the 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Partial Liver Resection: A Case Report"},{"@language":"ja","@value":"まれな転移性肝エナメル上皮腫に対し腹腔鏡下肝部分切除術を施行した1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1570009751264564864","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"当科における歯原性腫瘍についての臨床的検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1570854175486040960","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Chemotherapy of metastatic ameloblastoma. 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