{"created":"2023-05-15T15:58:17.466297+00:00","id":27639,"links":{},"metadata":{"_buckets":{"deposit":"0cef185c-6821-423e-b472-ddefb9f68ce7"},"_deposit":{"created_by":3,"id":"27639","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"27639"},"status":"published"},"_oai":{"id":"oai:shinshu.repo.nii.ac.jp:00027639","sets":["2668"]},"author_link":["109065","109063","109066","109064","109068","109067","109069"],"item_20002_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case of Brainstem Metastasis from Breast Cancer Treated with Gamma Knife Radiosurgery"}]},"item_20002_biblio_info_27":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"223","bibliographicPageStart":"219","bibliographicVolumeNumber":"51","bibliographic_titles":[{"bibliographic_title":"信州医学雑誌"}]}]},"item_20002_creator_3":{"attribute_name":"作成者(その他言語)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"安達, 亙"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岸本, 恭"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"矢澤, 正信"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 裕志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小松, 誠"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小山, 徹"}],"nameIdentifiers":[{}]}]},"item_20002_date_19":{"attribute_name":"日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2015-09-24","subitem_date_issued_type":"Created"}]},"item_20002_description_14":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"A 41-year-old woman was admitted to our hospital complaining of left hemiparesis, dysphonia, vertigo, and headache for 3 days. Six years earlier she had undergone standard radical mastectomy for left breast cancer. Three years earlier multiple lung metastases had been found, and the metastatic lesions were  gradually increasing despite chemoendocrine therapy. Magnetic resonance imaging (MRI) scans showed a contrast-enhanced 1.5 cm-sized lesion in the right pons and 9 small contrast-enhanced lesions in the cerebrum. The pontine metastasis was the main lesion causing her symptoms. Gamma knife radiosurgery was performed on all these lesions,and treatment was also provided to prevent brain edema during and after gamma knife therapy. Her symptoms started to improve 6 days after the therapy, and she was discharged from our hospital after 14 days. Follow-up contrastenhanced MRI studies 1 month and 3 months after the therapy showed partial response in the pontine lesion and complete response in all cerebral lesions. However, the lung metastases were enlarged,and bone and soft tissue metastases were newly found. At present new chemoendocrine therapy is being performed for the generalized metastases. In this case, gamma knife radiosurgery was extremely useful for the brainstem metastasis from breast cancer.","subitem_description_type":"Other"}]},"item_20002_description_20":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_20002_description_21":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_20002_description_22":{"attribute_name":"その他の資源識別子","attribute_value_mlt":[{"subitem_description":"信州医学雑誌 51(4): 197-210(2003)","subitem_description_type":"Other"}]},"item_20002_full_name_16":{"attribute_name":"公開者(その他言語)","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"信州医学会"}]}]},"item_20002_identifier_23":{"attribute_name":"資源識別子URI","attribute_value_mlt":[{"subitem_identifier_type":"HDL","subitem_identifier_uri":"http://hdl.handle.net/10091/9340"}]},"item_20002_source_id_25":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0037-3826","subitem_source_identifier_type":"ISSN"}]},"item_20002_source_id_26":{"attribute_name":"処理レコードID(総合目録DB)","attribute_value_mlt":[{"subitem_source_identifier":"AN00120815","subitem_source_identifier_type":"NCID"}]},"item_20002_version_type_51":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"url":{"url":"https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4293&item_no=1&attribute_id=65&file_no=1"}}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"breast cancer","subitem_subject_scheme":"Other"},{"subitem_subject":"brainstem metastasis","subitem_subject_scheme":"Other"},{"subitem_subject":"gamma knife radiosurgery","subitem_subject_scheme":"Other"},{"subitem_subject":"乳癌","subitem_subject_scheme":"Other"},{"subitem_subject":"脳幹部転移","subitem_subject_scheme":"Other"},{"subitem_subject":"ガンマナイフ","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ガンマナイフ治療が有効であった乳癌脳幹部転移の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ガンマナイフ治療が有効であった乳癌脳幹部転移の１例"}]},"item_type_id":"20002","owner":"3","path":["2668"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-09-01"},"publish_date":"2020-09-01","publish_status":"0","recid":"27639","relation_version_is_last":true,"title":["ガンマナイフ治療が有効であった乳癌脳幹部転移の１例"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-05-15T22:02:37.549767+00:00"}