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  1. C100 医学部/医学系研究科
  2. C100d 学位論文
  3. 博士論文(医博・論医博)

胆管癌における上流側胆管の癌先進部の臨床病理学的研究

http://hdl.handle.net/2237/16958
http://hdl.handle.net/2237/16958
48766188-d467-453f-be32-7f1e16cc60e9
名前 / ファイル ライセンス アクション
o4163.pdf o4163.pdf (1.3 MB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2012-11-14
タイトル
タイトル 胆管癌における上流側胆管の癌先進部の臨床病理学的研究
言語 ja
その他のタイトル
その他のタイトル A clinicopathological study on the proximal border of bile duct carcinoma
言語 en
著者 山瀬, 博史

× 山瀬, 博史

WEKO 46289

ja 山瀬, 博史

Search repository
二村, 雄次

× 二村, 雄次

WEKO 46290

ja 二村, 雄次

Search repository
YAMASE, Hiroshi

× YAMASE, Hiroshi

WEKO 46291

en YAMASE, Hiroshi

Search repository
NIMURA, Yuji

× NIMURA, Yuji

WEKO 46292

en NIMURA, Yuji

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 胆管癌
キーワード
主題Scheme Other
主題 癌進展様式
キーワード
主題Scheme Other
主題 表層拡大型進展
キーワード
主題Scheme Other
主題 胆道造影
キーワード
主題Scheme Other
主題 経皮経肝胆道鏡検査(PTCS)
抄録
内容記述 胆道癌取扱い規約に表層型, 表層拡大型を加え胆管癌46例の上流側の癌先進部を臨床病理学的に検討した. 表層型, 表層拡大型進展を伴う乳頭型, 結節浸潤型, 浸潤型の癌先進部は粘膜層にあり, 上流の非癌部の胆管より粘膜の丈が高く肥厚していたが, 線維筋層, グリソン鞘の線維層の厚さは同定度であつた. 表層拡大型進展を伴わない結節浸潤型, 浸潤型の癌先進部は線維筋層, 線維層内にあり, 上流の非癌部胆管より線維筋層, 線維層が肥厚し, 胆管内腔の狭小化を認めた. 胆管癌の術前診断にはPTCSが有用で, 粘膜の顆粒状変化, 腫瘍血管の有無に着目し, 選択的胆管造影では壁不整像, 狭窄所見の範囲を読影し, 術前に胆管の切除線を決定すべきである.
言語 ja
内容記述タイプ Abstract
抄録
内容記述 We studied the clinicopathological characteristics of the proximal border of bile duct cancer among 46 cases. In both the superficial and the superficially spreading type, cancer was located within the mucosa and the mucous membrane at its verge was more hypertrophic than the proximal noncancerous mucosa, but they didnt differ from each other in thickness at the fibromuscular and Glissons fibrous layer. In bile duct cancer without superficial spread, on the other hand, the tumor involve the fibromuscular or Glissons fibrous layer and fibromuscular or Glissons fibrous layer at their verge was more hypertrophic than the proximal noncancerous bile duct, which resulted in the narrowing bile duct at the lesion. Percutaneous transhepatic cholangioscopy (PTCS) facilitates the preoperative diagnosis of the extent of the bile duct cancer, which shows a granular change of the mucosa and tumor vessels. The wall irregularity and narrowing of the bile duct demonstrated by the selective cholangiography are also referred to its extent.
言語 ja
内容記述タイプ Abstract
内容記述
内容記述 名古屋大学博士学位論文 学位の種類 : 博士(医学)(論文) 学位授与年月日:平成4年4月3日 山瀬博史氏の博士論文として提出された
言語 ja
内容記述タイプ Other
出版者
言語 ja
出版者 日本消化器病学会
言語
言語 jpn
資源タイプ
資源 http://purl.org/coar/resource_type/c_db06
タイプ doctoral thesis
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://joi.jlc.jst.go.jp/JST.Journalarchive/nisshoshi1964/88.2786
ISSN
収録物識別子タイプ PISSN
収録物識別子 0446-6586
書誌情報 ja : 日本消化器病学会雑誌

巻 8, 号 11, p. 2786-2794, 発行日 1991-11-05
学位名
言語 ja
学位名 博士(医学)
学位授与機関
学位授与機関識別子Scheme kakenhi
学位授与機関識別子 13901
言語 ja
学位授与機関名 名古屋大学
言語 en
学位授与機関名 Nagoya University
学位授与年度
学位授与年度 1991
学位授与年月日
学位授与年月日 1991-11-05
学位授与番号
学位授与番号 乙第4163号
著者版フラグ
値 publisher
URI
識別子 http://joi.jlc.jst.go.jp/JST.Journalarchive/nisshoshi1964/88.2786
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/16958
識別子タイプ HDL
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