{"@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/1390282680258790144.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.5106/jjshns.21.91"}},{"identifier":{"@type":"NAID","@value":"10030814423"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2011296900"}}],"dc:title":[{"@language":"en","@value":"Advanced papillary thyroid carcinoma requiring reconstruction of the carotid artery and internal jugular vein: a case report"},{"@value":"総頸動脈および内頸静脈再建を必要とした進行甲状腺乳頭癌の1例"}],"description":[{"type":"abstract","notation":[{"@language":"en","@value":"Papillary thyroid carcinoma (PTC) usually progresses slowly and the survival rate is very high. The standard treatment for PTC is curative resection. We performed combined resection of the right carotid artery and bilateral internal jugular vein and vascular reconstruction for an advanced PTC case.<br>A 69-year-old woman was found to have bilateral vocal cord palsy because of thyroid malignancy at a previous clinic, and was referred to our hospital. We diagnosed PTC cT4bN1bM1 stage IVC. The primary lesion involved the right common carotid artery and right internal jugular vein. Left lymph node metastasis adhered to the left internal jugular vein. Total thyroidectomy combined with total laryngectomy bilateral neck dissection, right common carotid artery and bilateral internal jugular vein resection, and vascular reconstruction were performed. No central nervous system complications were observed."},{"@value":"甲状腺乳頭癌は生命予後良好な癌腫であり，その根治治療は治癒切除が原則である。従って進行癌であっても生命予後改善が見込めるため拡大切除の適応となりうる。今回われわれは初診時に両側反回神経麻痺，右総頸動脈浸潤，単発肺転移を来し，右総頸動脈および左内頸静脈の再建を要した進行甲状腺乳頭癌の切除を経験した。<br>症例は69歳女性で主訴は嗄声。術前診断甲状腺乳頭癌cT4bN1bM1stage IVCに対し甲状腺全摘術（右総頸動脈合併切除）＋喉頭全摘術＋両側頸部郭清術＋右総頸動脈再建＋左内頸静脈再建施行した。<br>拡大切除に際して，術前から合併症回避および治療完遂のために必要十分な手術戦略を建てることが重要と再認識した。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205283379589","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000017340264"}],"foaf:name":[{"@language":"en","@value":"Omura Go"},{"@language":"ja","@value":"小村 豪"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, Saitama Medical University International Medical Center"},{"@language":"ja","@value":"埼玉医科大学国際医療センター頭頸部腫瘍科"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658321292164","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00179110"},{"@type":"NRID","@value":"1000000179110"},{"@type":"NRID","@value":"9000021980578"},{"@type":"NRID","@value":"9000300216073"},{"@type":"NRID","@value":"9000396153001"},{"@type":"NRID","@value":"9000273012452"},{"@type":"NRID","@value":"9000256674404"},{"@type":"NRID","@value":"9000256663175"},{"@type":"NRID","@value":"9000364184325"},{"@type":"NRID","@value":"9000254291548"},{"@type":"NRID","@value":"9000254340712"},{"@type":"NRID","@value":"9000254471777"},{"@type":"NRID","@value":"9000256466244"},{"@type":"NRID","@value":"9000266428052"},{"@type":"NRID","@value":"9000017340265"},{"@type":"NRID","@value":"9000391659019"},{"@type":"NRID","@value":"9000345375266"},{"@type":"NRID","@value":"9000254473661"},{"@type":"NRID","@value":"9000258078473"},{"@type":"NRID","@value":"9000283466740"},{"@type":"NRID","@value":"9000256664580"},{"@type":"NRID","@value":"9000256074964"},{"@type":"NRID","@value":"9000020110333"},{"@type":"NRID","@value":"9000020928751"},{"@type":"NRID","@value":"9000021770997"},{"@type":"NRID","@value":"9000256825858"},{"@type":"NRID","@value":"9000256819317"},{"@type":"NRID","@value":"9000283515115"},{"@type":"NRID","@value":"9000003837818"},{"@type":"NRID","@value":"9000238915872"},{"@type":"NRID","@value":"9000345302133"},{"@type":"NRID","@value":"9000350558080"},{"@type":"NRID","@value":"9000346933649"},{"@type":"NRID","@value":"9000254473071"},{"@type":"NRID","@value":"9000255718923"},{"@type":"NRID","@value":"9000322735332"},{"@type":"NRID","@value":"9000238886286"},{"@type":"NRID","@value":"9000021807043"},{"@type":"NRID","@value":"9000254067139"},{"@type":"NRID","@value":"9000254070443"},{"@type":"NRID","@value":"9000254467810"},{"@type":"NRID","@value":"9000258077591"},{"@type":"NRID","@value":"9000256078300"},{"@type":"NRID","@value":"9000001138914"},{"@type":"NRID","@value":"9000314380079"},{"@type":"NRID","@value":"9000254468526"},{"@type":"NRID","@value":"9000398819420"},{"@type":"NRID","@value":"9000255902015"},{"@type":"NRID","@value":"9000259855150"},{"@type":"NRID","@value":"9000238895773"},{"@type":"NRID","@value":"9000322103588"},{"@type":"NRID","@value":"9000254472140"},{"@type":"NRID","@value":"9000254466416"},{"@type":"NRID","@value":"9000255810915"},{"@type":"NRID","@value":"9000258077991"},{"@type":"NRID","@value":"9000021980378"},{"@type":"NRID","@value":"9000019937664"},{"@type":"NRID","@value":"9000021732983"},{"@type":"NRID","@value":"9000388515287"},{"@type":"NRID","@value":"9000254067134"},{"@type":"NRID","@value":"9000256672876"},{"@type":"NRID","@value":"9000406363138"},{"@type":"NRID","@value":"9000021721132"},{"@type":"NRID","@value":"9000021719309"},{"@type":"NRID","@value":"9000258078069"},{"@type":"NRID","@value":"9000256671770"},{"@type":"NRID","@value":"9000256075830"},{"@type":"NRID","@value":"9000239592365"},{"@type":"NRID","@value":"9000020036302"},{"@type":"NRID","@value":"9000313199683"},{"@type":"NRID","@value":"9000255939403"},{"@type":"NRID","@value":"9000255717780"},{"@type":"NRID","@value":"9000256368467"},{"@type":"NRID","@value":"9000021752013"},{"@type":"NRID","@value":"9000399350059"},{"@type":"NRID","@value":"9000258079237"},{"@type":"NRID","@value":"9000256830567"},{"@type":"NRID","@value":"9000256674527"},{"@type":"NRID","@value":"9000341527082"},{"@type":"NRID","@value":"9000021521395"},{"@type":"NRID","@value":"9000311066876"},{"@type":"NRID","@value":"9000324640426"},{"@type":"NRID","@value":"9000254071316"},{"@type":"NRID","@value":"9000254067892"},{"@type":"NRID","@value":"9000254469466"},{"@type":"NRID","@value":"9000398275091"},{"@type":"NRID","@value":"9000283466852"},{"@type":"NRID","@value":"9000256672150"},{"@type":"NRID","@value":"9000256672333"},{"@type":"NRID","@value":"9000020848669"},{"@type":"NRID","@value":"9000021788455"},{"@type":"NRID","@value":"9000264234619"},{"@type":"NRID","@value":"9000254067290"},{"@type":"NRID","@value":"9000254469915"},{"@type":"NRID","@value":"9000254465122"},{"@type":"NRID","@value":"9000397689214"},{"@type":"NRID","@value":"9000021995445"},{"@type":"NRID","@value":"9000254473067"},{"@type":"NRID","@value":"9000254465743"},{"@type":"NRID","@value":"9000258257987"},{"@type":"NRID","@value":"9000256672341"},{"@type":"NRID","@value":"9000256077168"},{"@type":"NRID","@value":"9000256077560"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0128511"}],"foaf:name":[{"@language":"en","@value":"Sugasawa Masashi"},{"@language":"ja","@value":"菅澤 正"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, Saitama Medical University International Medical Center"},{"@language":"ja","@value":"埼玉医科大学国際医療センター頭頸部腫瘍科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751157501440","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00462242"},{"@type":"NRID","@value":"1000000462242"},{"@type":"NRID","@value":"9000017288036"},{"@type":"NRID","@value":"9000402613543"},{"@type":"NRID","@value":"9000405671229"},{"@type":"NRID","@value":"9000399498948"},{"@type":"NRID","@value":"9000402258518"},{"@type":"NRID","@value":"9000238884667"},{"@type":"NRID","@value":"9000238892500"},{"@type":"NRID","@value":"9000399378100"},{"@type":"NRID","@value":"9000022450871"},{"@type":"NRID","@value":"9000319556114"},{"@type":"NRID","@value":"9000324992838"},{"@type":"NRID","@value":"9000379607238"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/1706"}],"foaf:name":[{"@language":"en","@value":"Yoshimoto Seiichi"},{"@language":"ja","@value":"吉本 世一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, National Cancer Center"},{"@language":"ja","@value":"行政法人国立がん研究センター中央病院頭頸部腫瘍科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205283379585","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019195148"}],"foaf:name":[{"@language":"en","@value":"Matsumura Satoko"},{"@language":"ja","@value":"松村 聡子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, Saitama Medical University International Medical Center"},{"@language":"ja","@value":"埼玉医科大学国際医療センター頭頸部腫瘍科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290696263551108","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000010356090"},{"@type":"NRID","@value":"9000019195149"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0148054"}],"foaf:name":[{"@language":"en","@value":"Takajo Fumihiko"},{"@language":"ja","@value":"高城 文彦"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, Saitama Medical University International Medical Center"},{"@language":"ja","@value":"埼玉医科大学国際医療センター頭頸部腫瘍科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290696263551105","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019195150"}],"foaf:name":[{"@language":"en","@value":"Morita Kei"},{"@language":"ja","@value":"盛田 恵"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, Saitama Medical University International Medical Center"},{"@language":"ja","@value":"埼玉医科大学国際医療センター頭頸部腫瘍科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204260240512","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000006683802"},{"@type":"NRID","@value":"9000273012385"},{"@type":"NRID","@value":"9000021736970"}],"foaf:name":[{"@language":"en","@value":"Nakahira Mitsuhiko"},{"@language":"ja","@value":"中平 光彦"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Head and Neck Surgery, Saitama Medical University International Medical Center"},{"@language":"ja","@value":"埼玉医科大学国際医療センター頭頸部腫瘍科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"1349581X"},{"@type":"EISSN","@value":"1884474X"},{"@type":"NCID","@value":"AN10374707"}],"prism:publicationName":[{"@language":"en","@value":"JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY"},{"@language":"ja","@value":"頭頸部外科"},{"@language":"en","@value":"J Jpn Soc Head Neck Surg"},{"@language":"en","@value":"Toukeibu geka"},{"@language":"ja","@value":"頭頸部外科"},{"@language":"en","@value":"J J pn Soc Head Neck Surg"}],"dc:publisher":[{"@language":"en","@value":"JAPAN SOCIETY FOR HEAD AND NECK SURGERY"},{"@language":"ja","@value":"特定非営利活動法人 日本頭頸部外科学会"}],"prism:publicationDate":"2011","prism:volume":"21","prism:number":"1","prism:startingPage":"91","prism:endingPage":"95"},"reviewed":"false","url":[{"@id":"https://search.jamas.or.jp/link/ui/2011296900"}],"availableAt":"2011","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=thyroid%20papillary%20carcinoma","dc:title":"thyroid papillary carcinoma"},{"@id":"https://cir.nii.ac.jp/all?q=carotid%20artery%20resection","dc:title":"carotid artery resection"},{"@id":"https://cir.nii.ac.jp/all?q=bilateral%20internal%20jugular%20vein%20resection","dc:title":"bilateral internal jugular vein resection"},{"@id":"https://cir.nii.ac.jp/all?q=vascular%20reconstruction","dc:title":"vascular reconstruction"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%94%B2%E7%8A%B6%E8%85%BA%E4%B9%B3%E9%A0%AD%E7%99%8C","dc:title":"甲状腺乳頭癌"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%A0%B8%E5%8B%95%E8%84%88%E5%86%8D%E5%BB%BA","dc:title":"頸動脈再建"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%86%85%E9%A0%B8%E9%9D%99%E8%84%88%E5%86%8D%E5%BB%BA","dc:title":"内頸静脈再建"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%8B%A1%E5%A4%A7%E5%88%87%E9%99%A4","dc:title":"拡大切除"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1362262944186601088","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@value":"Bilateral radical neck dissection with unilateral internal jugular vein reconstruction"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679704620672","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"PROGNOSTIC FACTORS AND A NOVEL RISK GROUP CLASSIFICATION OF PAPILLARY THYROID CARCINOMA"},{"@value":"当科における甲状腺乳頭癌の予後因子と癌死危険度分類"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679705830528","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Strategies to improve prognosis of aggressive thyroid carcinoma."},{"@value":"甲状腺難治癌の治療成績向上にむけて"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679706956544","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"PROGNOSIS AND THERAPEUTIC STRATEGY FOR PATIENTS WITH DISTANT METASTASIS OF PAPILLARY THYROID CARCINOMA"},{"@value":"甲状腺乳頭癌における遠隔転移―予後の予測と治療方針"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679982273280","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Clinical Study on Prognostic Factors in Thyroid Carcinoma."},{"@value":"甲状腺分化癌の統計と予後因子の検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680200212736","@type":"Article","relationType":["references","cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"OUTCOMES OF CAROTID ARTERY RESECTION"},{"@language":"ja","@value":"頚動脈切除術の治療成績"}]},{"@id":"https://cir.nii.ac.jp/crid/1570291225976600320","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"当科における甲状腺乳頭癌症例の臨床的検討 : 予後因子数値化による遠隔転移リスク評価の検討"},{"@language":"en","@value":"Clinical analysis of papillary thyroid carcinomas : Prognostic factor score is correlated with the incidence rate of distant metastasis"}]},{"@id":"https://cir.nii.ac.jp/crid/1571135651172296832","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"甲状腺癌T4症例 国立京都病院における甲状腺癌T4症例の治療方針と成績"}]},{"@id":"https://cir.nii.ac.jp/crid/1572824500660260352","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Venous outflow of the brain after bilateral complete jugular ligation"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0037262285"},{"@type":"CROSSREF","@value":"10.5106/jjshns.21.91"},{"@type":"CIA","@value":"10030814423"}]}