{"id":163,"date":"2019-01-29T15:01:45","date_gmt":"2019-01-29T06:01:45","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=163"},"modified":"2019-01-29T16:08:05","modified_gmt":"2019-01-29T07:08:05","slug":"case-921-2","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-2","title":{"rendered":"CASE 921.2"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.2<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 2.20\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">19\u6b73\u30008\u670826\u65e5<\/th>\n<td class=\"td04\">\u5168\u8eab\u75d9\u6523\u767a\u4f5c\u304c\u51fa\u73fe<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\"> 9\u6708 4\u65e5<\/th>\n<td class=\"td04\">CT\u30b9\u30ad\u30e3\u30f3\u306b\u3066\u5de6\u5074\u982d\u5f8c\u982d\u8449\u306b\u5468\u56f2\u306blow density area\u3092\u4f34\u3046rim enhance\u3055\u308c\u308bhigh density area\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">10\u670814\u65e5<\/th>\n<td class=\"td04\">\u816b\u760d\u5168\u6458\u51fa\u8853\u65bd\u884c\u3002<br \/>\n\u8853\u5f8c\u5c40\u6240\u306b60Gy\u306e\u7167\u5c04\u304a\u3088\u3073\u5316\u5b66\u7642\u6cd5\u3092\u53d7\u3051\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">20\u6b73\u300010\u670813\u65e5<\/th>\n<td class=\"td04\">\u816b\u760d\u518d\u767a\u306e\u8a3a\u65ad\u306e\u57fa\u306b\u6458\u51fa\u8853\u3092\u53d7\u3051\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u624b\u8853\u6240\u898b<\/th>\n<td class=\"td04\">\u816b\u760d\u306f\u5de6\u5074\u982d\u8449\u5e95\u90e8\u306b\u3042\u308a\uff0c\u8d64\u8910\u8272\u5f3e\u6027\u786c\u3067\u3046\u305a\u3089\u5375\u5927\u3002<br \/>\n\u4e00\u90e8\u306b\u81a0\u69d8\u3067\u8edf\u3089\u304b\u3044\u90e8\u5206\u3068\u51dd\u8840\u3092\u6df7\u3058\u3066\u3044\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u753b\u50cf<\/th>\n<td class=\"td04\">\n<ul class=\"subNavi\">\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-1.jpg\" target=\"_blank\" class=\"linkA nonePad\">MRI, GdDTPA<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-2.jpg\" target=\"_blank\" class=\"linkA\">MRI, T2<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-3.jpg\" target=\"_blank\" class=\"linkA\">LM, H.E. stain<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-4.jpg\" target=\"_blank\" class=\"linkA\">LM, H.E. stain<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-5.jpg\" target=\"_blank\" class=\"linkA\">LM, H.E. stain<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, vimentin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9212-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, S-100<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/table>\n<p class=\"retopPP\">\n<p class=\"retopP\"><a href=\"#top\" class=\"retopA\">\u3053\u306e\u30da\u30fc\u30b8\u306e\u30c8\u30c3\u30d7\u3078<\/a><\/p>\n<p class=\"retopP\"><a href=\"http:\/\/jbtrc.com\/03_slide.php\" class=\"caseA\">\u75c7\u4f8b\u4e00\u89a7<\/a><\/p>\n<p><br class=\"stop\"\/><\/p>\n<\/div>\n<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.2 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1aanaplastic astrocytoma<br \/>\n<\/h4>\n<p class=\"space\">\u30b9\u30da\u30fc\u30b9<\/p>\n<h4>\uff12\uff0e\u8a3a\u65ad\u306b\u81f3\u308b\u8981\u70b9\u3068\u6ce8\u610f\u70b9<\/h4>\n<ol class=\"caseOL\">\n<li>\u6210\u4eba\u5973\u6027\u306e\u5074\u982d\u8449\u816b\u760d\uff0c\u5168\u6458\u5f8c\uff11\u5e74\u3067\u518d\u767a\uff08\u6bd4\u8f03\u7684\u901f\u3044\u7d4c\u904e\uff09<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u3044<\/li>\n<li>\u69d8\u3005\u306a\u5f62\u614b\u306e\u816b\u760d\u7d30\u80de\uff08\u7d21\u9318\u5f62\uff0c\u985e\u5186\u5f62\uff0c\u5de8\u7d30\u80de\u306a\u3069\uff09<\/li>\n<li>\u7d30\u80de\u8cea\u306e\u597d\u9178\u6027\u304c\u5f37\u3044\u7d30\u80de\u304c\u307f\u3089\u308c\u308b<\/li>\n<li>\u6838\u306e\u5927\u5c0f\u4e0d\u540c\uff0c\u6838\u5206\u88c2\u50cf<\/li>\n<li>\u9593\u8cea\u306f\u8840\u7ba1\u306b\u5bcc\u3080\uff0c\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\u306f\u76ee\u7acb\u305f\u306a\u3044<\/li>\n<li>\u58ca\u6b7b\u5de3\u306e\u5f62\u6210\u306f\u306a\u3044<\/li>\n<\/ol>\n<h4>\uff13\uff0e\u672c\u816b\u760d\u306e\u75c5\u7406\u5b66\u7684\u6982\u8981<\/h4>\n<ol class=\"caseOL\">\n<li>\u661f\u81a0\u816b\u306b\u9000\u5f62\u6210\u6027\u5909\u5316\u304c\u52a0\u308f\u3063\u305f\u816b\u760d\u578b<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u306e\u5897\u52a0\uff0c\u7d30\u80de\u306e\u7570\u578b\u6027\u591a\u614b\u6027\u306e\u51fa\u73fe\uff0c\u6838\u5206\u88c2\u50cf\u306e\u5897\u52a0\uff0c\u9593\u8cea\u8840\u7ba1\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\u306a\u3069\u304c\u307f\u3089\u308c\u308b<\/li>\n<li>\u3053\u306e\u7fa4\u306b\u542b\u307e\u308c\u308b\u816b\u760d\u306b\u306f\uff1a\n<p class=\"indetP\">\n\u901a\u5e38\u306e\u661f\u81a0\u816b\u306e\u4e00\u90e8\u306b\u9000\u5f62\u6210\u6027\u5909\u5316\u3092\u8a8d\u3081\u308b\u3082\u306e<br \/>\n\u5927\u578b\u985e\u5186\u5f62\u7d30\u80de\u306e\u5897\u6b96\u3092\u4e3b\u4f53\u3068\u3059\u308b\u3082\u306e<br \/>\n\uff08\u69d8\u3005\u306a\u5909\u6027\u69cb\u9020\u7269\u3092\u542b\u3080\u3082\u306e\uff09\n<\/p>\n<p>\u306a\u3069\u306e\u7d44\u7e54\u4e9c\u578b\u304c\u3042\u308b\uff0e\n<\/li>\n<li>\u9451\u5225\u8a3a\u65ad\uff1a\u826f\u6027\u661f\u81a0\u816b\u304b\u591a\u5f62\u81a0\u82bd\u816b\u304b<br \/>\nMayo Clinic\u306e\u30b0\u30eb\u30fc\u30d7\u306b\u3088\u308bgrading<\/p>\n<p class=\"indetP\">\n<strong>\uff14\u3064\u306e\u7d44\u7e54\u5b66\u7684\u57fa\u6e96<\/strong>\uff1a\u6838\u7570\u578b\uff0c\u6838\u5206\u88c2\u50cf\uff0c\u5185\u76ae\u7d30\u80de\u5897\u6b96\uff0c\u6b7b\u306e\u6709\u7121<br \/>\n\u57fa\u6e96\u3092\u6e80\u305f\u3055\u306a\u3044\u816b\u760d &#8212;&#8212;&#8212;&#8212; grade 1<br \/>\n\u57fa\u6e96\u3092\uff11\u3064\u6e80\u305f\u3059\u816b\u760d &#8212;&#8212;&#8212;&#8212; grade 2<br \/>\n\u57fa\u6e96\u3092\uff12\u3064\u6e80\u305f\u3059\u816b\u760d &#8212;&#8212;&#8212;&#8212; grade 3<br \/>\n\u57fa\u6e96\u3092\uff13\u3064\u4ee5\u4e0a\u6e80\u305f\u3059\u816b\u760d &#8212;&#8212;&#8211; grade 4<\/p>\n<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Anaplastic astrocytoma \u9000\u5f62\u6210\u6027\u661f\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u661f\u7d30\u80de\u816b\u306e\u7d44\u7e54\u5b66\u7684\u7279\u5fb4\u3092\u793a\u3059\u816b\u760d\u3067\u3042\u308b\u304c\u3001\u7d30\u80de\u5bc6\u5ea6\u306e\u5897\u52a0\u3001\u7d30\u80de\u306e\u591a\u5f62\u6027\u3068\u6838\u7570\u578b\u306e\u51fa\u73fe\u3001\u6838\u5206\u88c2\u50cf\u306e\u5897\u52a0\u3001\u9593\u8cea\u8840\u7ba1\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\u306a\u3069\u9000\u5f62\u6210\u6027\u5909\u5316\u304c\u52a0\u308f\u3063\u305f\u816b\u760d\u578b\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u6210\u4eba\u306e\u5927\u8133\u534a\u7403\u3068\u5c0f\u5150\u306e\u8133\u5e79\u306b\u767a\u751f\u3057\u3001\u5883\u754c\u306e\u4e0d\u9bae\u660e\u306a\u6d78\u6f64\u6027\u306e\u767a\u80b2\u3092\u793a\u3059\u3002\u661f\u7d30\u80de\u306e\u7279\u5fb4\u3092\u6301\u3063\u305f\u816b\u760d\u7d30\u80de\u304b\u3089\u6210\u308b\u304c\u3001\u5206\u5316\u578b\u306e\u661f\u7d30\u80de\u816b\u306b\u6bd4\u3079\u3066\u3001\u660e\u3089\u304b\u306b\u7d30\u80de\u5bc6\u5ea6\u3001\u6838\u306e\u591a\u5f62\u6027\u3001\u30af\u30ed\u30de\u30c1\u30f3\u91cf\u3001\u6838\u7d30\u80de\u8cea\u6bd4\u306a\u3069\u304c\u5897\u52a0\u3057\u3066\u304a\u308a\u3001\u6838\u5206\u88c2\u50cf\u3082\u6563\u898b\u3055\u308c\u308b\u3002\u3057\u304b\u3057\u3001\u6838\u306e\u67f5\u72b6\u914d\u5217\u3092\u4f34\u3046\u58ca\u6b7b\u5de3\u306f\u901a\u5e38\u8a8d\u3081\u3089\u308c\u306a\u3044\u3002\u9593\u8cea\u306b\u306f\u6bdb\u7d30\u8840\u7ba1\u306e\u5897\u751f\u3068\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\u304c\u307f\u3089\u308c\u308b\u304c\u3001\u81a0\u82bd\u816b\u306b\u307f\u3089\u308c\u308b\u7cf8\u7403\u4f53\u4fc2\u8e44\u69d8\u69cb\u9020\u306e\u5f62\u6210\u306f\u4e4f\u3057\u3044\u3002<\/p>\n<h4>\uff15\uff0e\u6587\u732e<\/h4>\n<ol class=\"caseOL\">\n<li>\u77f3\u7530\u967d\u4e00\uff1aAstrocytoma\u306e\u8af8\u554f\u984c\uff0e\u8133\u816b\u760d\u75c5\u7406 4:48-60, 1987<\/li>\n<li>Daumas-Duport C, Scheithauer B, O&#8217;Fallon J, et al.: Grading of astrocytomas: A simple and reproducible method.Cancer 62:2152-2165, 1988<\/li>\n<\/ol>\n<\/div>\n<p class=\"retopPP\">\n<p class=\"retopP\"><a href=\"#top\" class=\"retopA\">\u3053\u306e\u30da\u30fc\u30b8\u306e\u30c8\u30c3\u30d7\u3078<\/a><\/p>\n<p class=\"retopP\"><a href=\"http:\/\/jbtrc.com\/03_slide.php\" class=\"caseA\">\u75c7\u4f8b\u4e00\u89a7\u3078<\/a><\/p>\n<p><br class=\"stop\"\/><\/p>\n<\/div>\n<\/div>\n","protected":false},"parent":0,"template":"","education_cat":[2],"class_list":["post-163","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/163","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education"}],"about":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/types\/education"}],"wp:attachment":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=163"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}