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At the time of diagnosis, 75% of ACC are resectable. Reliable data concerning effective adjuvant chemotherapy has not been established.\nCase presentation A 30-mm tumor in the pancreatic tail was incidentally discovered by computed tomography in a 71-yearold man. Several swollen lymph nodes were seen around the main tumor. Endoscopic retrograde cholangiopancreatography (ERCP) revealed disruption of the main pancreatic duct. The patient underwent curative resection (R0) with distal pancreatectomy and node dissection. Histopathological examination revealed ACC with lymph node metastases; adjuvant chemotherapy was performed with gemcitabine after surgery. Twelve months later, the patient showed no sign of recurrence.\nConclusion The prognosis of ACC is dismal, although compared to ductal adenocarcinoma, the mean survival appears to be longer. Patients with advanced-stage ACC might benefit from gemcitabine-based adjuvant chemotherapy.", "subitem_description_type": "Abstract"}]}, "item_3_description_64": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "Acta medica Nagasakiensia, 58(1), pp.25-28; 2013", "subitem_description_type": "Other"}]}, "item_3_publisher_33": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Nagasaki University School of Medicine"}]}, "item_3_source_id_10": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00508430", "subitem_source_identifier_type": "NCID"}]}, "item_3_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00016055", "subitem_source_identifier_type": "ISSN"}]}, "item_3_text_62": {"attribute_name": "sortkey", "attribute_value_mlt": [{"subitem_text_value": "5"}]}, "item_3_text_63": {"attribute_name": "出版者別言語", "attribute_value_mlt": [{"subitem_text_value": "長崎大学医学部"}]}, "item_3_version_type_16": {"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_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Tominaga, Tetsuro"}], "nameIdentifiers": [{"nameIdentifier": "30419", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nanashima, Atsushi"}], "nameIdentifiers": [{"nameIdentifier": "30420", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Abo, Takafumi"}], "nameIdentifiers": [{"nameIdentifier": "30421", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Wakata, Kouki"}], "nameIdentifiers": [{"nameIdentifier": "30422", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hamasaki, Keiko"}], "nameIdentifiers": [{"nameIdentifier": "30423", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kunizaki, Masaki"}], "nameIdentifiers": [{"nameIdentifier": "30424", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "To, Kazuo"}], "nameIdentifiers": [{"nameIdentifier": "30425", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hidaka, Shigekazu"}], "nameIdentifiers": [{"nameIdentifier": "30426", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Takeshita, Hiroaki"}], "nameIdentifiers": [{"nameIdentifier": "30427", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kinoshita, Naoe"}], "nameIdentifiers": [{"nameIdentifier": "30428", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kudo, Takashi"}], "nameIdentifiers": [{"nameIdentifier": "30429", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nagayasu, Takeshi"}], "nameIdentifiers": [{"nameIdentifier": "30430", "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": "2020-12-21"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "ActMed58_25.pdf", "filesize": [{"value": "500.6 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 500600.0, "url": {"label": "ActMed58_25.pdf", "url": "https://nagasaki-u.repo.nii.ac.jp/record/7230/files/ActMed58_25.pdf"}, "version_id": "dbb49391-bdb3-4394-9365-9be619b58107"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "acinar cell carcinoma", "subitem_subject_scheme": "Other"}, {"subitem_subject": "adjuvant chemotherapy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "operation", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "A case of acinar cell carcinoma of the pancreas", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "A case of acinar cell carcinoma of the pancreas"}]}, "item_type_id": "3", "owner": "2", "path": ["512"], "permalink_uri": "http://hdl.handle.net/10069/32067", "pubdate": {"attribute_name": "公開日", "attribute_value": "2013-05-30"}, "publish_date": "2013-05-30", "publish_status": "0", "recid": "7230", "relation": {}, "relation_version_is_last": true, "title": ["A case of acinar cell carcinoma of the pancreas"], "weko_shared_id": 2}
A case of acinar cell carcinoma of the pancreas
http://hdl.handle.net/10069/32067
http://hdl.handle.net/10069/320671f4f15cf-aec9-4ced-b724-74bad5ca8847
名前 / ファイル | ライセンス | アクション |
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ActMed58_25.pdf (500.6 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2013-05-30 | |||||
タイトル | ||||||
タイトル | A case of acinar cell carcinoma of the pancreas | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | acinar cell carcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | adjuvant chemotherapy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | operation | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Tominaga, Tetsuro
× Tominaga, Tetsuro× Nanashima, Atsushi× Abo, Takafumi× Wakata, Kouki× Hamasaki, Keiko× Kunizaki, Masaki× To, Kazuo× Hidaka, Shigekazu× Takeshita, Hiroaki× Kinoshita, Naoe× Kudo, Takashi× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background Acinar cell carcinoma (ACC) is a very rare malignancy and represents only 1% to 2% of pancreatic exocrine carcinomas. At the time of diagnosis, 75% of ACC are resectable. Reliable data concerning effective adjuvant chemotherapy has not been established. Case presentation A 30-mm tumor in the pancreatic tail was incidentally discovered by computed tomography in a 71-yearold man. Several swollen lymph nodes were seen around the main tumor. Endoscopic retrograde cholangiopancreatography (ERCP) revealed disruption of the main pancreatic duct. The patient underwent curative resection (R0) with distal pancreatectomy and node dissection. Histopathological examination revealed ACC with lymph node metastases; adjuvant chemotherapy was performed with gemcitabine after surgery. Twelve months later, the patient showed no sign of recurrence. Conclusion The prognosis of ACC is dismal, although compared to ductal adenocarcinoma, the mean survival appears to be longer. Patients with advanced-stage ACC might benefit from gemcitabine-based adjuvant chemotherapy. |
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書誌情報 |
Acta medica Nagasakiensia 巻 58, 号 1, p. 25-28, 発行日 2013-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
長崎大学医学部 | ||||||
sortkey | ||||||
5 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia, 58(1), pp.25-28; 2013 |