{"@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/1390282679822126336.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3919/jjsa.61.3314"}},{"identifier":{"@type":"URI","@value":"http://www.jstage.jst.go.jp/article/ringe1998/61/12/61_12_3314/_pdf"}},{"identifier":{"@type":"NAID","@value":"130003432586"}},{"identifier":{"@type":"NAID","@value":"10008505177"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2001122801"}}],"dc:title":[{"@language":"en","@value":"A case report of peritoneal dissemination of hepatocellular carcinoma with unknown primary lesion."},{"@value":"腹膜播種をきたした原発巣不明の肝細胞癌の１例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We report a case of peritoneal dissemination of hepatocellular carcinoma with unknown primary lesion in the liver. A 56-year-old man was admitted to the hospital for close examination of abdominal distension with bloody ascites. Ultrasonography, CT scan and angiography revealed only a hemangioma 2cm in size in the liver but no other space-occupying lesion in the liver. Laboratory examination showed only an elevation in serum alpha-fetoprotein (AFP; 870ng/ml). Liver function was within normal ranges. The patient had been exposed to asbestos for 30 years, so that malignant peritoneal mesothelioma was suspected. On July 22, 1997, an exploratory laparotomy was performed, which revealed about 4, 000ml of bloody ascites and multiple nodular hemorrhagic tumors approximately 1.0cm in size disseminated on the peritoneum and mesentery. Histopathologically the tumors resected from the peritoneum were diagnosed as hepatocellular carcinoma. Although intraperitoneal infusion of CDDP 100mg reduced ascites, patient's general condition gradually deteriorated. The patient succumbed to peritonitis carcinomatosa on December 11, 1997. An autopsy revealed no primary tumor lesion in the liver nor in any other organs. This case might have developed ectopic hepatocellular carcinoma in the abdominal cavity."},{"@value":"腹膜播種で診断された,原発巣不明の肝細胞癌の1例を経験したので報告する.症例は56歳男性.腹部膨満感を主訴に近医受診.血性腹水を認め精査加療目的で当科入院した.腹水細胞診ではClass II,画像診断では腹膜播種の所見を認めるものの,原発巣を指摘できなかった. 30年にわたるアスベスト曝露歴があるため悪性腹膜中皮腫を疑い,試験開腹術を施行した.血性腹水約4000ml,腹膜,腸間膜に1cm大,易出血性の腫瘍を多数認めた.腫瘍は病理組織学的検索にて肝細胞癌と診断された. CDDP腹腔内投与にて腹水軽減し一時退院するも,癌性腹膜炎にて死亡した.原発巣の検索のために剖検を行ったが肝内には腫瘍を認めず,またその他の部位にも原発巣は認められなかった.可能性として異所性肝細胞癌や肝細胞癌の腹腔内へ脱落が考えられたが,確定診断に至らなかった."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679822126336","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000252855314"}],"foaf:name":[{"@language":"en","@value":"ORITA Hajime"},{"@language":"ja","@value":"折田 創"}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, Juntendo University, School of Medicine"},{"@language":"ja","@value":"順天堂大学第1外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204914717312","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002898818"},{"@type":"NRID","@value":"9000255891225"},{"@type":"NRID","@value":"9000252855315"}],"foaf:name":[{"@language":"en","@value":"TAKADA Takeshi"},{"@language":"ja","@value":"高田 丈"}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, Juntendo University, School of Medicine"},{"@language":"ja","@value":"順天堂大学第1外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679822126210","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002913470"},{"@type":"NRID","@value":"9000252852329"},{"@type":"NRID","@value":"9000253365855"},{"@type":"NRID","@value":"9000252855316"},{"@type":"NRID","@value":"9000253380806"}],"foaf:name":[{"@language":"en","@value":"SAKAKIBARA Takashi"},{"@language":"ja","@value":"榊原 敬"}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, Juntendo University, School of Medicine"},{"@language":"ja","@value":"順天堂大学第1外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204347715588","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002371305"},{"@type":"NRID","@value":"9000256636881"},{"@type":"NRID","@value":"9000253360279"},{"@type":"NRID","@value":"9000273016616"},{"@type":"NRID","@value":"9000253383224"},{"@type":"NRID","@value":"9000253376558"},{"@type":"NRID","@value":"9000273031398"},{"@type":"NRID","@value":"9000252855317"},{"@type":"NRID","@value":"9000273016767"},{"@type":"NRID","@value":"9000258072460"},{"@type":"NRID","@value":"9000256614119"},{"@type":"NRID","@value":"9000253388661"},{"@type":"NRID","@value":"9000256637705"},{"@type":"NRID","@value":"9000391409657"},{"@type":"NRID","@value":"9000273016607"},{"@type":"NRID","@value":"9000273016711"},{"@type":"NRID","@value":"9000255804005"},{"@type":"NRID","@value":"9000256634787"},{"@type":"NRID","@value":"9000273015886"},{"@type":"NRID","@value":"9000391415799"},{"@type":"NRID","@value":"9000253374083"},{"@type":"NRID","@value":"9000273016753"},{"@type":"NRID","@value":"9000252857983"},{"@type":"NRID","@value":"9000253390845"},{"@type":"NRID","@value":"9000256351189"},{"@type":"NRID","@value":"9000273016666"},{"@type":"NRID","@value":"9000391409633"},{"@type":"NRID","@value":"9000273016835"},{"@type":"NRID","@value":"9000257970667"}],"foaf:name":[{"@language":"en","@value":"KAMANO Toshiki"},{"@language":"ja","@value":"鎌野 俊紀"}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, Juntendo University, School of Medicine"},{"@language":"ja","@value":"順天堂大学第1外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679822126208","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000252855318"}],"foaf:name":[{"@language":"en","@value":"TSURUMARU Masahiko"},{"@language":"ja","@value":"鶴丸 昌彦"}],"jpcoar:affiliationName":[{"@language":"en","@value":"First Department of Surgery, Juntendo University, School of Medicine"},{"@language":"ja","@value":"順天堂大学第1外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204736056195","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002901212"},{"@type":"NRID","@value":"9000253374166"},{"@type":"NRID","@value":"9000252855319"},{"@type":"NRID","@value":"9000258072458"},{"@type":"NRID","@value":"9000256614121"},{"@type":"NRID","@value":"9000255881955"}],"foaf:name":[{"@language":"en","@value":"KATAMI Atsuo"},{"@language":"ja","@value":"片見 厚夫"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Urayasu-Ichikawa Municipal Hospital"},{"@language":"ja","@value":"浦安市川市民病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13452843"},{"@type":"EISSN","@value":"18825133"},{"@type":"PISSN","@value":"http://id.crossref.org/issn/13452843"},{"@type":"NCID","@value":"AA11189709"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)"},{"@language":"en","@value":"J Jpn Surg Assoc"},{"@language":"en","@value":"J. Jpn. Surg. Assoc."},{"@language":"ja","@value":"日臨外会誌"},{"@language":"en","@value":"Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)"},{"@language":"ja","@value":"日本臨床外科学会雑誌"}],"dc:publisher":[{"@language":"en","@value":"Japan Surgical 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