{"created":"2023-06-20T15:49:05.053630+00:00","id":3628,"links":{},"metadata":{"_buckets":{"deposit":"15bd2ce7-29c2-46ed-943a-26e4eb76c580"},"_deposit":{"created_by":4,"id":"3628","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3628"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003628","sets":["1:12:74"]},"author_link":["10601","10602","10603","10604","10605","10606","10607"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"14","bibliographicPageStart":"8","bibliographicVolumeNumber":"9","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":"胸水の鑑別診断は多岐にわたり、Meigs症候群はその一つである。今回、胸水貯留の原因としてMeigs症候群が疑われたが、結核性胸膜炎が原因であった一例を経験したので報告する。45歳、0妊0産。呼吸困難を主訴に近医A病院を受診し、胸水貯留、右卵巣腫瘍、子宮筋腫を指摘された。B病院を紹介受診し、胸水細胞診は陰性で、卵巣腫瘍は画像上、良性の所見であったため、Meigs症候群を疑われた。その後、当科に紹介となった。経腟超音波検査で右卵巣腫瘍、子宮筋腫を認めた。再度、胸部-骨盤部computed tomography（CT）検査を施行したところ、左肺上葉に空洞を伴う腫瘤を認め、結核を疑った。呼吸器内科を受診し、気管支洗浄液での結核菌polymerase chain reaction（PCR）は陽性で、胸水中のadenosine deaminase（ADA）は高値であり、結核と診断された。抗結核薬の内服を開始し、半年間の治療後、結核性胸膜炎は改善したため、婦人科手術可能となった。単純子宮全摘術、左卵管切除術、右付属器切除術を施行し、最終病理診断は、成熟奇形腫と子宮筋腫であった。術後経過良好である。良性卵巣腫瘍に胸水貯留を伴う場合、Meigs症候群だけでなく、結核など、卵巣腫瘍と関係がない他疾患の可能性を考慮する必要がある。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"If an ovarian tumor and pleural effusion are detected, then we must differentiate between ovarian cancer and Meigs syndrome in the differential diagnosis. We encountered a case which was diagnosed with mature cystic teratoma and pleural effusion caused by tuberculosis. The patient was a 45-year-old female with a history of 0 pregnancies and 0 births. She complained of dyspnea and visited a nearby physician. She was diagnosed with pleural effusion, a right ovarian tumor, and uterine leiomyoma. She was thus referred to a cancer center. She was suspected to suffer from Meigs syndrome because a cytological examination of her pleural effusion was negative. A right ovarian tumor and uterine leiomyoma was revealed by transvaginal ultrasonography. She was suspected to have a thrombus because the D-dimer 4.3 μg/mL level was high. To examine her for a thrombus we performed Chest-pelvic computed tomography (CT) . Although no thrombus was identified, we did detect a tumor with a cavity in the left lung upper lobe which was not considered to be tuberculosis. She was referred to the Department of Repiratory Medicine, and showed a positive finding for TB by bronchial lavage fluid polymerase chain reaction (PCR) testing. She also showed a high pleural adenosine deaminase (ADA) level. She was thus diagnosed with tuberculosis, and was therefore administered antituberculous drugs. After six months of treatment, a CT scan revealed the pleural effusion and the cavernous lesions in the upper lobe of the lung to have both decreased. Abdominal total hysterectomy and bilateral salpingo-oophorectomy were performed, and the patient was diagnosed with mature teratoma. When encountering patients with an ovarian tumor and pleural effusion, a careful differential diagnosis is necessary. ","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_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2021084393","subitem_relation_type_select":"ICHUSHI"}}]},"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":[{"creatorNames":[{"creatorName":"井手, 香甫","creatorNameLang":"ja"},{"creatorName":"IDE, Kaho","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10601","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"深瀬, 正人","creatorNameLang":"ja"},{"creatorName":"FUKASE, Masato","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10602","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"内藤, 成美","creatorNameLang":"ja"},{"creatorName":"NAITOU, Narumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10603","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"辻井, 篤","creatorNameLang":"ja"},{"creatorName":"TSUJII, Atsushi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10604","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"廣田, 浩介","creatorNameLang":"ja"},{"creatorName":"HIROTA, Kousuke","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10605","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"吉田, 康秀","creatorNameLang":"ja"},{"creatorName":"YOSHIDA, Yasuhide","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10606","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"門, 智史","creatorNameLang":"ja"},{"creatorName":"KADO, Satoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"10607","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-10-14"}],"displaytype":"detail","filename":"jsog_9_2_8.pdf","filesize":[{"value":"556.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_9_2_8","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3628/files/jsog_9_2_8.pdf"},"version_id":"b9585805-a9dd-453d-a66c-bcf37551ba1b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"tuberculosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Ovarian tumor","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Pleural effusion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Malignant tumor","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Meigs syndrome","subitem_subject_language":"en","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":"胸水貯留の原因としてMeigs症候群が疑われたが、結核性胸膜炎と診断された一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胸水貯留の原因としてMeigs症候群が疑われたが、結核性胸膜炎と診断された一例","subitem_title_language":"ja"},{"subitem_title":"A case of tuberculous pleurisy and an ovarian tumor who was initially suspected to have Meigs syndrome","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["74"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-10-14"},"publish_date":"2020-10-14","publish_status":"0","recid":"3628","relation_version_is_last":true,"title":["胸水貯留の原因としてMeigs症候群が疑われたが、結核性胸膜炎と診断された一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-08-02T01:45:49.528815+00:00"}