{"@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/1390282679822343296.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3919/jjsa.62.167"}},{"identifier":{"@type":"URI","@value":"http://www.jstage.jst.go.jp/article/ringe1998/62/1/62_1_167/_pdf"}},{"identifier":{"@type":"NAID","@value":"130003602179"}},{"identifier":{"@type":"NAID","@value":"10008387626"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2001157560"}}],"dc:title":[{"@language":"en","@value":"A Case of Early Primary Adenocarcinoma of the Vermiform Appendix Diagnosed Preoperatively."},{"@value":"術前診断しえた原発性早期虫垂腺癌の１例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A 79-year-old woman was admitted to the hospital because of right lower abdominal pain and constipation. We suspected acute appendicitis and a cecal tumor by an abdominal CT scan and other imagings. After symptomatic remission was attained by conservative treatment, we performed more close examination. CT scan of the abdomen showed dilatation of the vermiform appendix and a cecal mass. Colonoscopy demonstrated an easily bleeding protruded lesion with central depression at the end of the cecum, and the orifice of the appendix was undetected. Histological examination of the biopsy specimens from the cecal tumor demonstrated tubulovillous tumor, Group 4. Under a diagnosis of appendiceal adenocarcinoma, an ileocecal resection was performed. Pathological examination showed well differentiated adenocarcinoma in tubulo-villous adenoma with submucosal invasion. No lymph node metastasis was recognized. In instances in which carcinoma of the vermiform appendix is suspected, we should perform colonoscopy, and in instances in which circular fold, elevated lesion and a mass similar to submucosal tumor at the end of the cecum are recognized, we should suspect carcinoma of the vermiform appendix."},{"@value":"症例は79歳女性.便秘,右下腹部痛を主訴に当院を受診した.諸検査にて急性虫垂炎,盲腸腫瘍等が疑われ,入院となった.保存的治療後,自他覚症状が改善し,精査を進めた. CTでは虫垂の拡張,盲腸内腔に突出する腫瘍像を認めた.大腸内視鏡検査では虫垂開口部付近に易出血性の,中心に陥凹を伴う絨毛状の隆起性病変を認め,生検でGroup 4の診断を得た.原発性虫垂腺癌を疑い,回盲部切除術を施行した.病理組織学的所見では腫瘍の主体は管状絨毛腺腫で,散在性に高分化腺癌の部分を認め,根部付近では一部粘膜下層に癌組織を認めた.以上より,原発性早期虫垂腺癌と診断した.諸検査で虫垂癌が疑われる場合には,積極的に大腸内視鏡検査を施行し,大腸内視鏡検査で虫垂開口部の隆起性病変,はち巻きひだ,粘膜下腫瘍様の隆起を認めた時は,虫垂癌を疑うべきであると考えられた."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679822343298","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253374979"}],"foaf:name":[{"@language":"ja","@value":"野本 一博"},{"@language":"en","@value":"NOMOTO Kazuhiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Toyama Saiseikai Hospital"},{"@language":"ja","@value":"富山県済生会富山病院外科"},{"@language":"en","@value":"Department of Surgery, Toyama Medical and Pharmaceutical 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Kazuhiro"},{"@language":"ja","@value":"塚田 一博"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"富山医科薬科大学第2外科"},{"@language":"en","@value":"Department of Surgery, Toyama Medical and Pharmaceutical University"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13452843"},{"@type":"EISSN","@value":"18825133"},{"@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 Association"},{"@language":"ja","@value":"日本臨床外科学会"}],"prism:publicationDate":"2001","prism:volume":"62","prism:number":"1","prism:startingPage":"167","prism:endingPage":"171"},"reviewed":"false","url":[{"@id":"http://www.jstage.jst.go.jp/article/ringe1998/62/1/62_1_167/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2001157560"}],"availableAt":"2001","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%99%AB%E5%9E%82%E8%85%AB%E7%98%8D","dc:title":"虫垂腫瘍"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%85%BA%E8%85%AB%E5%86%85%E7%99%8C","dc:title":"腺腫内癌"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1361699994296268544","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"The management of primary adenocarcinoma of the vermiform appendix"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204214330880","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A case of primary carcinoma of the vermiform appendix in an early stage."},{"@value":"急性虫垂炎を契機に発見された早期虫垂癌の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204215880192","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Case of Early Primary Adenocarcinoma of the Vermiform Appendix."},{"@value":"便潜血反応陽性を契機に発見された早期虫垂癌の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204844402560","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"LAPAROSCOPIC RESECTION FOR ADENOCARCINOMA IN ADENOMA OF THE VERMIFORM APPENDIX-A CASE REPORT-."},{"@value":"腹腔鏡下切除を行った虫垂の腺腫内癌の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204847827968","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"RARE CASE OF MULTIFOCAL EARLY CARCINOMAS ARISING FROM THE VERMIFORM APPENDIX"},{"@language":"ja","@value":"極めて稀な早期虫垂多発癌の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204847902592","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A CASE OF PREOPERATIVELY DIAGNOSED ADENOCARCINOMA OF THE APPENDIX"},{"@value":"術前に診断した早期虫垂癌の1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204853291008","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A CASE OF 5-YEAR DISEASE-FREE SURVIVAL AFTER LAPAROSCOPIC APPENDECTOMY FOR EARLY APPENDICEAL CANCER"},{"@language":"ja","@value":"腹腔鏡下虫垂切除術後５年以上生存した早期虫垂癌の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204912589184","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Villous Tumor of the Appendix Presenting with Acute Appendicitis: Report of A Case."},{"@value":"急性虫垂炎を契機に術前診断できた虫垂ｖｉｌｌｏｕｓ　ｔｕｍｏｒの１手術例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679820780288","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A CASE OF PRIMARY CANCER OF THE APPENDIX ASSOCIATED WITH LYMPHOID HYPERPLASIA AT THE APPENDICEAL OPENING ON THE CECUM"},{"@value":"盲腸の虫垂開口部にｌｙｍｐｈｏｉｄ　ｈｙｐｅｒｐｌａｓｉａが併存した原発性虫垂癌の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679832388864","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Case of Appendiceal Intussusception."},{"@value":"虫垂重積症の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679891088000","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Case of Appendiceal Primary Mucinous Cystadenocarcinoma In Situ Presenting as a Small Bowel 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Wurmfortsatzes"}]},{"@id":"https://cir.nii.ac.jp/crid/1571417124647216128","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"虫垂絨毛腺腫の1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1571698599539520768","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"早期虫垂癌の1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1572543024244028160","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Primary carcinoma of the appendix resembling carcinoma of the colon"}]},{"@id":"https://cir.nii.ac.jp/crid/1572543024554059008","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"原発性虫垂腺癌の1治験例"}]},{"@id":"https://cir.nii.ac.jp/crid/1572824499530768896","@type":"Article","relationType":["cites"]},{"@id":"https://cir.nii.ac.jp/crid/1572824499530770048","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"腹水中における絮状片の鏡検的価値"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387451530017792","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"早期虫垂癌の1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1573950401587116672","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"S状結腸癌を併存した虫垂粘液嚢胞癌の1例"},{"@language":"en","@value":"A CASE OF CYSTADENOCARCINOMA OF THE APPENDIX WITH SIGMOID CANCER"}]},{"@id":"https://cir.nii.ac.jp/crid/1574231874414324096","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"腹腔鏡下に切除した原発性早期虫垂癌の1例"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0008996238"},{"@type":"CROSSREF","@value":"10.3919/jjsa.62.167"},{"@type":"CIA","@value":"10008387626"},{"@type":"CIA","@value":"130003602179"},{"@type":"CROSSREF","@value":"10.5833/jjgs.2012.0128_references_DOI_DLo96uMt7User3vPaguLx3ZO9HW"}]}