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[4], '術前の上部消化管内視鏡検査の生検結果から,': [5], '十二指腸原発のgastrointestinal': [6], 'stromal': [7, 26], 'tumor': [8], '(GIST)': [9], 'と診断され,': [10], '十二指腸部分切除術を施行した.': [11], '摘出標本は38×37×30mmの境界明瞭な粘膜下腫瘍で,': [12], '中心部が粘膜面に露出し潰瘍を形成していた.': [13], '組織学的には,': [14], '紡錘形の腫瘍細胞が束状に増殖し,': [15], '核分裂像を2~4個/10HPF認めた.': [16], '免疫組織学的にはvimentin,': [17], 'CD34のみが陽性を示し,': [18], 'desmin,': [19], 'α-smooth': [20], 'muscle': [21], 'actin,': [22], 'HHF-35,': [23], 'S-100蛋白は陰性で,': [24], 'gastrointestinal': [25], 'tumor,': [27], 'uncommitted': [28], 'type,': [29], 'malignantと診断した.': [30], '十二指腸原発のGISTはまれであるが,': [31], 'ほかの部位の消化管原発のGISTと比較して悪性度は高いといわれ,': [32], '厳重な経過観察が必要と考えられた.': [33]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W2325018743', 'counts_by_year': [], 'updated_date': '2024-12-09T11:00:30.933025', 'created_date': '2016-06-24'}