{"@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/1390282679824319488.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3919/jjsa.69.175"}},{"identifier":{"@type":"URI","@value":"http://www.jstage.jst.go.jp/article/jjsa/69/1/69_1_175/_pdf"}},{"identifier":{"@type":"NAID","@value":"130004516730"}},{"identifier":{"@type":"NAID","@value":"10024143400"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2008123048"}}],"dc:title":[{"@language":"en","@value":"A CASE OF URACHAL CARCINOMA PRESENTED WITH AN ABSCESS OF A URACHAL REMNANT"},{"@language":"ja","@value":"尿膜管遺残膿瘍を契機に発見された尿膜管癌の１例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A 70–year–old man who had had douts of mild omphalitis from his childhood presented with abscess formation extending from the umbilicus to lower abdominal wall in April 1993. Abscess of a urachal remnant was diagnosed and he underwent total removal of the urachus, when a histopathological study revealed adenocarcinoma. Thus re–operation was indicated and additional resection of a part surrounding the bladder which seemed to be urachal remnant tissue and the head of the bladder was performed. No malignant tissues were demonstrated in the removed material. Thereafter, in October 1999, the patient developed an induration in a location where the umbilicus had been removed ; swelling of the right inguinal lymph node in January 2000 ; and induration of the right lower abdominal wall and bilateral inguinal lymph node swelling in April 2007. All lesions were suggestive of local recurrences and were removed which were histopathologically diagnosed as recurrence. In August 2007, bilateral multiple lung shadows as well as mediastinal lymph node swelling developed, multiple lung metastasis being suggested. Despite 8 courses of chemotherapy with tegafur, gimeracil and oteracil, no changes in size of the multiple lung shadows were revealed. The patient is still on treatment."},{"@language":"ja","@value":"症例は70歳，男性．幼少時より軽い臍炎を繰り返していた．平成４年４月，臍から下腹部腹壁に膿瘍を形成したため，尿膜管遺残膿瘍と診断され臍，尿膜管全摘術を施行された．病理組織学的検索で腺癌を認めたため，再手術により膀胱周囲の尿膜管遺残組織と思われる部分および膀胱頂部を追加切除されたが，癌組織は認められなかった．その後平成10年４月に臍摘出部の硬結，平成11年１月に右鼠径リンパ節の腫大，平成18年４月に右下腹部腹壁の硬結，両鼠径リンパ節の腫大をきたし，局所再発が疑われ腫瘍摘出術を施行された．いずれも病理組織学的検索で，再発と診断された．平成18年８月に両側多発肺陰影と縦隔リンパ節の腫大を認めたため，多発肺転移が疑われた．テガフール・ギメラシル・オテラシル配合剤による化学療法を８クール施行されたが，多発肺陰影の大きさは変化しておらず，現在も継続治療中である．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001206400743429","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000006565306"},{"@type":"NRID","@value":"9000258107779"},{"@type":"NRID","@value":"9000256639444"},{"@type":"NRID","@value":"9000258106435"}],"foaf:name":[{"@language":"en","@value":"WATANABE Takuya"},{"@language":"ja","@value":"渡邉 卓哉"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Koseiren Showa 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(J Jpn Surg Assoc)"},{"@language":"en","@value":"J Jpn Surg Assoc"},{"@language":"en","@value":"J. 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