{"id":174,"date":"2019-01-29T16:04:00","date_gmt":"2019-01-29T07:04:00","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=174"},"modified":"2019-01-29T16:06:31","modified_gmt":"2019-01-29T07:06:31","slug":"case-921-3","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-3","title":{"rendered":"CASE 921.3"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.3<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 3.56\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">54\u6b73\u30001\u6708\u3000\u30004\u65e5<\/th>\n<td class=\"td04\">\n\u5614\u5410\u306b\u3066\u767a\u75c7\uff0cCT\u30b9\u30ad\u30e3\u30f3\u306b\u3066\u53f3\u524d\u982d\u8449\u306e\u816b\u7624\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u30001\u6708\u300018\u65e5<\/th>\n<td class=\"td04\">\n\u816b\u760d\u4e9c\u5168\u6458\u8853\u65bd\u884c\u3002\u8853\u5f8c\u5316\u5b66\u7642\u6cd5\uff0c\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u6295\u4e0e\u306868Gy\u306e<br \/>\n\u7167\u5c04\u304c\u884c\u308f\u308c\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\"> 10\u6708\u300011\u65e5<\/th>\n<td class=\"td04\">\u5168\u8eab\u75d9\u6523<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">55\u6b73\u30003\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">CT\u4e0a\u3067\u816b\u760d\u518d\u767a\u3068\u4e21\u5074\u5927\u8133\u3078\u306e\u6d78\u6f64\u304c\u307f\u3089\u308c\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">6\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u610f\u8b58\u30ec\u30d9\u30eb\u4f4e\u4e0b\uff0c\u7d4c\u53e3\u6442\u53d6\u4e0d\u80fd\u3068\u306a\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u305d\u306e\u5f8c<\/th>\n<td class=\"td04\">\u8180\u80f1\u708e\uff0c\u80ba\u708e\u3092\u4f75\u767a\uff0c\u8133\u5e79\u53cd\u5fdc\u6d88\u5931\u3068\u306a\u308a\uff0c56\u6b73\u30002\u6708\u30007\u65e5\u3000\u6b7b\u4ea1\u3002<br \/>\n\u6a19\u672c\u306f\u5256\u691c\u6642\u306b\u53f3\u524d\u982d\u8449\u3088\u308a\u4f5c\u6210\u3057\u305f\u3082\u306e\u3002<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/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\/9213-1.jpg\" target=\"_blank\" class=\"linkA nonePad\">CT, pre-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9213-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9213-3.jpg\" target=\"_blank\" class=\"linkA\">Macro<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9213-4.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\/9213-5.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\/9213-6.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\/9213-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9213-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, Factor-8<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/table>\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\/1_wp\/?page_id=33\" 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 921.3 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1aglioblastoma multiforme<\/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\u7537\u6027\u306e\u524d\u982d\u8449\u816b\u760d\uff0c\u5168\u7d4c\u904e\uff12\u5e74\u3067\u6b7b\u4ea1<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u3044\uff0c\u5e83\u7bc4\u56f2\u306b\u6d78\u6f64<\/li>\n<li>nuclear palisading \u3092\u4f34\u3046\u58ca\u6b7b\u5de3\u304c\u591a\u6570\u5f62\u6210\u3055\u308c\u3066\u3044\u308b<\/li>\n<li>\u69d8\u3005\u306a\u5f62\u614b\u306e\u816b\u760d\u7d30\u80de\uff0c\u5c0f\u578b\u306e\u7d30\u80de\u304c\u591a\u3044<\/li>\n<li>\u4e00\u90e8\u306e\u7d30\u80de\u306f\u661f\u72b6\u81a0\u7d30\u80de\u306b\u985e\u4f3c\u3057\u3066\u3044\u308b<\/li>\n<li>\u6838\u306e\u5927\u5c0f\u4e0d\u540c\uff0c\u6838\u5206\u88c2\u50cf\u304c\u307f\u3089\u308c\u308b<\/li>\n<li>\u9593\u8cea\u306f\u8840\u7ba1\u304c\u8c4a\u5bcc\u3067\uff0c\u8840\u7ba1\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\u304c\u307f\u3089\u308c\u308b<\/li>\n<\/ol>\n<h4>\uff13\uff0e\u672c\u816b\u760d\u306e\u75c5\u7406\u5b66\u7684\u6982\u8981<\/h4>\n<ol class=\"caseOL\">\n<li>\u60aa\u6027\u306e\u795e\u7d4c\u5916\u80da\u8449\u6027\u816b\u760d<\/li>\n<li>\u8089\u773c\u7684\u306b\u3082\u7d44\u7e54\u5b66\u7684\u306b\u3082\u591a\u5f69\u306a\u5f62\u614b\u3092\u793a\u3059\n<p class=\"indetP\">\n\uff08\u591a\u5f62\u81a0\u82bd\u816b\uff0cglioblastoma multiforme\uff09\n<\/li>\n<li>\u661f\u81a0\u816b\u3068\u306e\u5f62\u614b\u5b66\u7684\u985e\u4f3c\u70b9\u304c\u591a\u3044\uff08astrocytoma grade 4\uff09<\/li>\n<li>\u982d\u84cb\u5185\u816b\u760d\u306e10%\u3092\u5360\u3081\uff0c\u6210\u4eba\u306b\u591a\u3044<\/li>\n<li>\u597d\u767a\u90e8\u4f4d\u306f\u5927\u8133\u534a\u7403\n<p class=\"indetP\">\n\u524d\u982d\u8449(34%)\uff0c\u5074\u982d\u8449(25%)\uff0c\u982d\u9802\u8449(20%)\uff0c\u5f8c\u982d\u8449(5%)<br \/>\n\u57fa\u5e95\u6838\u30fb\u8996\u5e8a\u9818\u57df(5%)<\/li>\n<li>\u5927\u8133\u767d\u8cea\u306b\u591a\u5f69\u306a\u8272\u8abf\u3092\u6301\u3063\u305f\u8edf\u3089\u304b\u3044\u816b\u7624\u3092\u5f62\u6210<br \/>\n\u58ca\u6b7b\uff0c\u51fa\u8840\u304c\u3057\u3070\u3057\u3070\uff0c\u56a2\u80de\uff08+\/-\uff09<\/li>\n<li>\u6d78\u6f64\u6027\u5897\u6b96\u304c\u9855\u8457\uff0c\u8133\u6881\u3092\u4ecb\u3057\u3066\u53cd\u5bfe\u5074\u306e\u767d\u8cea\u3078\u6d78\u6f64\u3059\u308b\u3068<br \/>\n\u300c\u8776\u5f62\u300d\u306e\u5272\u9762\u50cf\u304c\u307f\u3089\u308c\u308b\uff0e\u30af\u30e2\u819c\u4e0b\u8154\u3084\u8133\u5ba4\u8154\u306b\u64ad\u7a2e\u6027\u5897\u6b96<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\uff0c\u591a\u7a2e\u591a\u69d8\u306e\u5f62\u614b\u3092\u793a\u3059\u7d30\u80de\u304b\u3089\u6210\u308b<\/li>\n<li>\u6838\u306e\u5927\u5c0f\u4e0d\u540c\uff0c\u591a\u6838\uff0c\u5de8\u6838\uff0c\u6838\u30af\u30ed\u30de\u30c1\u30f3\u5897\u91cf\uff0c\u6838\u5206\u88c2\u50cf\u304c\u591a\u6570<\/li>\n<li>\u5927\u5c0f\u306e\u58ca\u6b7b\u5de3\uff0c\u58ca\u6b7b\u5de3\u5468\u56f2\u306e\u6838\u306e\u67f5\u72b6\u914d\u5217<\/li>\n<li>\u8840\u7ba1\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\uff0c\u814e\u306e\u7cf8\u7403\u4f53\u4fc2\u8e44\u69d8\u69cb\u9020\uff08glomerular structure\uff09<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66: GFAP, vimentin, S-100\u86cb\u767d<br \/>\nKi-67\u6a19\u8b58\u7387\u306f\u5e73\u5747\u306718%\uff0cBrdU\u6a19\u8b58\u7387\u306f10%<\/li>\n<li>\u96fb\u9855\uff1a\u7d30\u80de\u8cea\u306b\u30b0\u30ea\u30a2\u7d30\u7dda\u7dad<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Glioblastoma \u81a0\u82bd\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u9000\u5f62\u6210\u5909\u5316\u306e\u9ad8\u5ea6\u306a\u81a0\u816b\u3067\u3001\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\u3001\u69cb\u6210\u7d30\u80de\u306b\u591a\u5f62\u6027\u304c\u307f\u3089\u308c\u308b\u304c\u3001\u5c11\u306a\u304f\u3068\u3082\u4e00\u90e8\u306b\u661f\u7d30\u80de\u816b\u306e\u7279\u5fb4\u304c\u6b8b\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u60aa\u6027\u81a0\u816b\u3067\u3042\u308a\u3001\u8089\u773c\u7684\u306b\u3082\u7d44\u7e54\u5b66\u7684\u306b\u3082\u591a\u5f69\u306a\u5f62\u614b\u50cf\u3092\u793a\u3059\u306e\u3067\u3001glioblastoma multiforme \u591a\u5f62\u81a0\u82bd\u816b\u3068\u3082\u547c\u3070\u308c\u308b\u3002\u6210\u4eba\u306e\u5927\u8133\u534a\u7403\u3001\u7279\u306b\u524d\u982d\u8449\u3068\u5074\u982d\u8449\u306b\u597d\u767a\u3059\u308b\u3002\u6d78\u6f64\u6027\u5897\u6b96\u304c\u9855\u8457\u3067\u3001\u8133\u6881\u3092\u4ecb\u3057\u3066\u53cd\u5bfe\u5074\u306e\u767d\u8cea\u3078\u6d78\u6f64\u3057\u3001\u8776\u3005\u306e\u5f62\u3092\u3057\u305f\u5272\u9762\u50cf\u3084\u3001\u30af\u30e2\u819c\u4e0b\u8154\u3084\u8133\u5ba4\u8154\u306b\u64ad\u7a2e\u3092\u304d\u305f\u3059\u3053\u3068\u3082\u3042\u308b\u3002<br \/>\n\u816b\u760d\u69cb\u6210\u7d30\u80de\u306f\u985e\u5186\u5f62\u3001\u77ed\u7d21\u9318\u5f62\u3001\u661f\u8292\u72b6\u3001\u591a\u6838\u5de8\u7d30\u80de\u306a\u3069\u591a\u7a2e\u591a\u69d8\u306e\u5f62\u614b\u3092\u793a\u3057\u3001\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u3044\u3002\u6838\u306e\u5927\u5c0f\u4e0d\u540c\u3084\u6838\u5206\u88c2\u50cf\u3001\u591a\u6838\u3084\u5de8\u6838\u306e\u51fa\u73fe\u3082\u3057\u3070\u3057\u3070\u3067\u3042\u308b\u3002\u816b\u760d\u5185\u306b\u306f\u5c0f\u3055\u306a\u58ca\u6b7b\u5de3\u304c\u5b58\u5728\u3057\u3001\u305d\u306e\u5468\u56f2\u306b\u6838\u304c\u67f5\u72b6\u306b\u914d\u5217\u3059\u308b\u6240\u898b\uff08nuclear pseudopalisading around foci ofnecrosis\uff09\u306f\u81a0\u82bd\u816b\u306b\u7279\u6709\u306a\u7d44\u7e54\u50cf\u3067\u3042\u308b\u3002<br \/>\n\u8840\u7ba1\u5897\u751f\u3068\u3001\u5185\u76ae\u7d30\u80de\u306e\u5897\u6b96\uff08endothelial proliferation\uff09\u304c\u76ee\u7acb\u3061\u3001\u814e\u306e\u7cf8\u7403\u4f53\u4fc2\u8e44\u306b\u985e\u4f3c\u306e\u69cb\u9020\u3092\u793a\u3059\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\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\/1_wp\/?page_id=33\" class=\"caseA\">\u75c7\u4f8b\u4e00\u89a7\u3078<\/a><\/p>\n<p><br class=\"stop\"\/><\/p>\n<\/div>\n","protected":false},"parent":0,"template":"","education_cat":[2],"class_list":["post-174","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/174","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=174"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}