| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 日本語
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| ○著者 (必須): | 1. | 武知 浩和
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| 2. | (英) (日) 松岡 由江 (読)
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| 3. | (英) (日) 秋月 佐代 (読)
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| 4. | (英) (日) 森本 雅美 (読)
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| 5. | 中川 美砂子
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| 6. | 奥村 和正
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| 7. | 鳥羽 博明 ([徳島大学.大学院医歯薬学研究部.保健学域.保健科学部門.看護学系.臨床腫瘍医療学])
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| 8. | 吉田 卓弘
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| 9. | 丹黒 章
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| ○題名 (必須): | □ | (英) (日) 多職種連携による緩和治療が有効であった乳腺悪性葉状腫瘍の1例
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| ○要約 (任意): | □ | (英) (日) The case subject was a woman in her50s who consulted her local clinic for the chief complaint of pain extending from the left buttock to the lower leg. A sacral lesion and giant mass in the right breast were observed, and thus on suspicion of breast cancer the subject was referred to our department. The results of needle biopsy led to the definite diagnosis of malignant phyllodes tumor. At the start of treatment the subject presented markedly reduced activities of daily living due to the pain, and upon the introduction of opioids, and performing palliative irradiation for the sacral metastasis, the pain was successfully alleviated relatively quickly. During this period, the primary lesion became ulcerated and progression of anemia was also observed, and therefore upon applying metronidazole ointment and commencing irradiation for the right breast, therapeutic effects such as tumor regression and control of anemia progression were observed. After the initial consultation the subject expressed severe anxiety, and thus intervention was requested from a nurse specialist in cancer care, who sat with the patient when her condition was explained, and listened closely to her anxiety. Thereafter, 2 courses of epirubicin and cyclophosphamide therapy as systemic chemotherapy were administered, however the disease progressed. The subject desired to receive care at a local medical institution, and thus it was decided with the help of a social worker that she be transferred to a hospice in the short-term.
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| ○キーワード (推奨): | 1. | (英) Malignant phyllodes tumor (日) (読)
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| 2. | (英) Palliative care (日) (読)
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| 3. | (英) Nurse specialist in cancer care (日) (読)
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| 4. | (英) Social worker (日) (読)
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| 5. | (英) Hospice (日) (読)
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| ○発行所 (推奨): | □ | 徳島医学会
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| ○誌名 (必須): | □ | 四国医学雑誌 ([徳島医学会])
(pISSN: 0037-3699, eISSN: 2758-3279)
| ○ISSN (任意): | □ | 0037-3699
ISSN: 0037-3699
(pISSN: 0037-3699, eISSN: 2758-3279) Title: 四国医学雑誌Supplier: 徳島大学Publisher: Tokushima Igakkai (Webcat Plus)
(医中誌Web)
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| ○巻 (必須): | □ | 73
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| ○号 (必須): | □ | 3,4
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| ○頁 (必須): | □ | 169 172
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| ○年月日 (必須): | □ | 西暦 2017年 8月 25日 (平成 29年 8月 25日)
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| ○URL (任意): | □ | http://repo.lib.tokushima-u.ac.jp/111048
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| ○CRID (任意): | □ | 1050020697877149312
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| ○NAID : | □ | 120006392635
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| ○機関リポジトリ : | □ | 111048
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