{"created":"2025-03-27T01:54:19.712978+00:00","id":2000375,"links":{},"metadata":{"_buckets":{"deposit":"6bab85db-32be-444d-b0ed-1fcd76211cd2"},"_deposit":{"created_by":4,"id":"2000375","owner":"4","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2000375"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:02000375","sets":["1:12:1742862347019"]},"author_link":[],"control_number":"2000375","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2025-03-28","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"10","bibliographicPageStart":"2","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Shizuoka Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"妊娠に合併した子宮頸部扁平上皮癌は妊娠初期の頸部細胞診で診断できることが多いが、腺癌は細胞診の正診率が低いことが知られている。妊娠初期の頸部細胞診で指摘されず、妊娠中期に粗大な頸部腫瘤として発見され、診断に苦慮したが根治治療を行った子宮頸部腺癌ⅢC1期の1例を経験した。患者は29歳、4妊2産。前医で行った妊娠初期の頸部細胞診はNILMであった。妊娠24週に6cm大の頸部腫瘤が出現した。擦過細胞診はAGCで腺癌が疑われたが、組織診で確定診断できず、妊娠27週に当院へ紹介となった。頸部後唇に9cmの腫瘤を認め、直腸診では右基靭帯に硬結を触知した。針生検を施行したがやはり確定診断出来なかった。臨床的に頸部腺癌ⅡB期を強く疑い、周産期科および新生児科と検討の上、妊娠28週で帝王切開、その4週間後に広汎子宮全摘術を施行した。病理診断は子宮頸部腺癌（通常型内頸部腺癌と粘液性癌の混在、pT2bN1M0）で、腫瘤内に異なる組織型が混在していた。術後同時化学放射線療法を行い、治療終了後、再発所見なく経過観察中である。妊娠中の頸部腫瘤は悪性腫瘍を念頭におき、進行期や妊娠週数を十分に検討した管理・治療が重要である。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"In pregnant women, cervical squamous cell carcinoma can often be diagnosed in early pregnancy by cervical cytology, but adenocarcinoma is difficult to diagnose by cytology. The patient was 29 years old (gravida 4, para 2). Cervical cytology in early pregnancy found that she was negative for intraepithelial lesions or malignancy. A 6-cm cervical mass appeared at 24 weeks’ gestation. Uterine cervical adenocarcinoma was suspected, but histology could not confirm the diagnosis, and the patient was referred to our hospital at 27 weeks' gestation. A 9-cm cervical mass was found. A needle biopsy was performed, but the diagnosis could not be confirmed. Clinically, we strongly suspected stage IIB cervical adenocarcinoma, and, after consulting the perinatology and neonatology departments, we performed a cesarean section at 28 weeks' gestation, followed by abdominal radical hysterectomy four weeks later. The pathological diagnosis was adenocarcinoma of the cervix (mixed with endocervical adenocarcinoma, usual type and mucinous carcinoma, pT2bN1M0). The patient was treated with concurrent chemoradiotherapy and is under observation with no evidence of recurrence at 20 months after treatment. It is important to manage and treat cervical masses during pregnancy with malignancy in mind after carefully considering the disease stage and stage of pregnancy.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-1914","subitem_source_identifier_type":"EISSN"}]},"item_3_version_type_32":{"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":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"0000000417742166","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"https://isni.org/isni/0000000417742166"},{"affiliationNameIdentifier":"03w0x6k04","affiliationNameIdentifierScheme":"ROR","affiliationNameIdentifierURI":"https://ror.org/03w0x6k04"}],"affiliationNames":[{"affiliationName":"富士宮市立病院","affiliationNameLang":"ja"},{"affiliationName":"フジノミヤシリツビョウイン","affiliationNameLang":"ja-Kana"},{"affiliationName":"Fujinomiya City General Hospital","affiliationNameLang":"en"}]}],"creatorNames":[{"creatorName":"藤原, 回海勇","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"フジワラ, エミユ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"FUJIWARA, Emiyu","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"0000000089376696","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"https://isni.org/isni/0000000089376696"},{"affiliationNameIdentifier":"00ndx3g44","affiliationNameIdentifierScheme":"ROR","affiliationNameIdentifierURI":"https://ror.org/00ndx3g44"}],"affiliationNames":[{"affiliationName":"浜松医科大学","affiliationNameLang":"ja"},{"affiliationName":"ハママツイカダイガク","affiliationNameLang":"ja-Kana"},{"affiliationName":"Hamamatsu University School of Medicine","affiliationNameLang":"en"}]}],"creatorNames":[{"creatorName":"伊藤, 敏谷","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"イトウ, トシヤ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"ITO, Toshiya","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"東堂, 祐介","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"トウドウ, ユウスケ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"TODO, Yusuke","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"松家, まどか","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"マツヤ, マドカ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"MATSUYA, Madoka","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"安立, 匡志","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"アダチ, マサシ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"ADACHI, Masashi","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"柴田, 俊章","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"シバタ, トシアキ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"SHIBATA, Toshiaki","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"村上, 浩雄","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"ムラカミ, ヒロタケ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"MURAKAMI, Hirotake","creatorNameLang":"en","creatorNameType":"Personal"}]},{"creatorNames":[{"creatorName":"安部, 正和","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"アベ, マサカズ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"ABE, Masakazu","creatorNameLang":"en","creatorNameType":"Personal"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-03-27"}],"displaytype":"detail","filename":"jsog_13_1_2.pdf","filesize":[{"value":"1.8 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