{"created":"2023-05-15T11:23:56.255049+00:00","id":3669,"links":{},"metadata":{"_buckets":{"deposit":"49ffb050-310d-4048-808b-d554e630e435"},"_deposit":{"created_by":1,"id":"3669","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"3669"},"status":"published"},"_oai":{"id":"oai:showa.repo.nii.ac.jp:00003669","sets":["1:6:273:310"]},"author_link":["12355","12354","12352","12356","12359","12353","12357","12358"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-12"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"429","bibliographicPageStart":"422","bibliographicVolumeNumber":"80","bibliographic_titles":[{"bibliographic_title":"昭和学士会雑誌"}]}]},"item_10002_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"神経鞘腫はSchwann細胞に由来する良性腫瘍で，脳脊髄本幹から末梢神経に至るまで，神経鞘を有する有髄神経分布領域に広く発生する．口腔領域では舌に発生することが多いが，長径が30mm以上を超える報告は少ない．今回われわれは舌縁に発生した比較的大きな神経鞘腫の1例を経験したのでその概要を報告する．患者は48歳の男性で，幼少期より右側舌縁に腫瘤を自覚していたが，症状がなかったため放置していた．治療のため受診した歯科診療所にて，右側舌縁の腫瘤を指摘され，当科を2015年7月に受診した．初診時，右側舌縁に表面粘膜は正常な45×38mm大で弾性硬の腫瘤を認めた．造影MR所見では右側舌縁に，T1強調画像で低信号，T2強調画像で高信号を示す内部不均一な腫瘤を認め，右側舌良性腫瘍と診断した．手術後の舌運動障害を考慮し，術前に舌運動および構音機能の評価を行い，舌運動訓練を開始した．2015年10月に全身麻酔下にて右側舌腫瘍摘出術を施行した．病理組織学的に，腫瘍細胞の大半は核の柵状配列を示す紡錘形細胞で，細胞が束状に配列するVerocay bodyの形成と細胞分布がまだらで，基質が浮腫状を呈した領域を認めたため，Antoni A，B型の神経鞘腫と診断した．術前後に舌運動訓練を併用することで，舌運動および構音機能ともに術前の機能が維持された．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"昭和大学学士会"}]},"item_10002_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.14930/jshowaunivsoc.80.422"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2188-529X"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"葭葉, 清香"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"守谷, 崇"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 麻衣子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"八十, 篤聡"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"武井, 良子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高橋, 浩二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鎌谷, 宇明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"代田, 達夫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-04-20"}],"displaytype":"detail","filename":"80_422.pdf","filesize":[{"value":"867.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"80_422.pdf","url":"https://showa.repo.nii.ac.jp/record/3669/files/80_422.pdf"},"version_id":"f0aa27c1-da5f-43b7-9b28-f98c6327f4f8"}]},"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":"departmental bulletin paper"}]},"item_title":"舌縁に発生した神経鞘腫の1例—術前後の舌運動訓練が奏功した1例—","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"舌縁に発生した神経鞘腫の1例—術前後の舌運動訓練が奏功した1例—"}]},"item_type_id":"10002","owner":"1","path":["310"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-04-20"},"publish_date":"2021-04-20","publish_status":"0","recid":"3669","relation_version_is_last":true,"title":["舌縁に発生した神経鞘腫の1例—術前後の舌運動訓練が奏功した1例—"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T12:28:31.848112+00:00"}