{"_buckets": {"deposit": "cb40f55d-cd70-42c4-bfe2-465bacb2b7a9"}, "_deposit": {"id": "30985", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "30985"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00030985"}, "item_9_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020-11", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "4", "bibliographicPageEnd": "798", "bibliographicPageStart": "791", "bibliographicVolumeNumber": "82", "bibliographic_titles": [{"bibliographic_title": "Nagoya Journal of Medical Science"}]}]}, "item_9_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Herein, we present a case of extramammary Paget\u2019s disease with brain metastasis that was diagnosed pathologically for the first time in Japan. Moreover, invasive extramammary Paget\u2019s disease (with distant metastasis) highly resistant to treatment. Only for brain metastasis, we may control the tumor by surgical resection and stereotactic radiosurgery (SRT) for the treatment of intracranial metastases was assessed.\nAn 76-year-old man was diagnosed with extramammary Paget\u2019s disease of the vulva at nearby hospital. Surgical resection and sentinel lymph node dissection were then performed, and the patient received che-motherapy because multiple lymph node metastases were suspected. The patient\u2019s response to chemotherapy was poor, and he was in the state of Progressive Disease. He complained of dyslexia and was referred to another hospital when he was 81 years old. Plain magnetic resonance imaging (MRI) was conducted, and two brain tumors in the vicinity of the left cerebellar tent were suspected.\nIn our hospital, gadolinium contrast-enhanced MRI was performed and showed a tumor in the cerebel-lum (left posterior temporal lobe) and another tumor under the tent (left cerebellar hemisphere). Significant edema was also noted. Based on these findings, the intracranial lesion was diagnosed as metastatic brain tumor. The pathological diagnosis was brain metastasis from extramammary Paget\u2019s disease. Postoperative intracranial residual disease was treated with stereotactic radiosurgery. MRI showed that the size of the cerebellar lesions decreased, and no recurrence of cerebral lesions was observed. SRT for extracranial lymph node metastases was performed.\nMass reduction and SRT may be the best way to treat brain metastasis from extramammary Paget\u2019s disease.", "subitem_description_type": "Abstract"}]}, "item_9_identifier_registration": {"attribute_name": "ID\u767b\u9332", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.18999/nagjms.82.4.791", "subitem_identifier_reg_type": "JaLC"}]}, "item_9_publisher_32": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Nagoya University Graduate School of Medicine, School of Medicine"}]}, "item_9_relation_43": {"attribute_name": "\u7570\u7248\u3067\u3042\u308b", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/824.html ", "subitem_relation_type_select": "URI"}}]}, "item_9_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_9_source_id_61": {"attribute_name": "ISSN\uff08Online\uff09", "attribute_value_mlt": [{"subitem_source_identifier": "2186-3326", "subitem_source_identifier_type": "ISSN"}]}, "item_9_source_id_7": {"attribute_name": "ISSN\uff08print\uff09", "attribute_value_mlt": [{"subitem_source_identifier": "0027-7622", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Hanyu, Taketo"}], "nameIdentifiers": [{"nameIdentifier": "102483", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Fujitani, Shigeru"}], "nameIdentifiers": [{"nameIdentifier": "102484", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ito, Ai"}], "nameIdentifiers": [{"nameIdentifier": "102485", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mizutani, Nobuhiko"}], "nameIdentifiers": [{"nameIdentifier": "102486", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2020-11-26"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "19_Hanyu.pdf", "filesize": [{"value": "27.6 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 27600000.0, "url": {"label": "19_Hanyu.pdf", "url": "https://nagoya.repo.nii.ac.jp/record/30985/files/19_Hanyu.pdf"}, "version_id": "0d1c2582-e397-45a0-8b99-b6502eecd39d"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "brain metastasis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "extramammary Paget\u2019s disease", "subitem_subject_scheme": "Other"}, {"subitem_subject": "stereotactic radiosurgery", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Brain metastasis from extramammary Paget\u2019s disease", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "Brain metastasis from extramammary Paget\u2019s disease"}]}, "item_type_id": "9", "owner": "1", "path": ["499/508/509/2601"], "permalink_uri": "https://doi.org/10.18999/nagjms.82.4.791", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_value": "2020-11-26"}, "publish_date": "2020-11-26", "publish_status": "0", "recid": "30985", "relation": {}, "relation_version_is_last": true, "title": ["Brain metastasis from extramammary Paget\u2019s disease"], "weko_shared_id": null}