{"id":184,"date":"2019-01-29T16:17:13","date_gmt":"2019-01-29T07:17:13","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=184"},"modified":"2019-01-29T16:17:13","modified_gmt":"2019-01-29T07:17:13","slug":"case-921-4","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-4","title":{"rendered":"CASE 921.4"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.4<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 4.46\u6b73\uff0c\u7537\u6027<\/p>\n<p class=\"indetP\">\n\u65e2\u5f80\u6b74\uff1a\u751f\u6765\u77e5\u80fd\u4f4e\u4e0b\u6709\uff0c\u5341\u6570\u5e74\u524d\u3088\u308a\u6570\u79d2\u9593\u7d9a\u304f\u610f\u8b58\u6d88\u5931\u767a\u4f5c\u3002<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">45\u6b73\u30007\u6708\u4e2d\u65ec\u3000<\/th>\n<td class=\"td04\">\n\u5c3f\u5931\u7981\uff0c\u6b69\u884c\u969c\u5bb3\uff0c\u5614\u5410\u51fa\u73fe\u3002<br \/>\n\u5de6\u524d\u982d\u8449\u816b\u760d\u306e\u8a3a\u65ad\u3067\uff0c\u816b\u760d\u90e8\u5206\u6458\u51fa\u8853\u3092\u65bd\u884c\u3002<br \/>\n\u8853\u5f8c\uff0c\u5316\u5b66\u7642\u6cd5\u3068\u653e\u5c04\u7dda\u7167\u5c0460Gy\u3092\u53d7\u3051\u308b\u3002\n<\/td>\n<\/tr>\n<p>\u3000\u3000\u3000<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/p>\n<tr>\n<th class=\"th06\">8\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u5de6\u524d\u982d\u8449\u816b\u760d\u306e\u8a3a\u65ad\u3067\uff0c\u816b\u760d\u90e8\u5206\u6458\u51fa\u8853\u3092\u65bd\u884c\u3002<br \/>\n\u8853\u5f8c\uff0c\u5316\u5b66\u7642\u6cd5\u3068\u653e\u5c04\u7dda\u7167\u5c0460Gy\u3092\u53d7\u3051\u308b\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">12\u6708\u300018\u65e5<\/th>\n<td class=\"td04\">\n\u75d9\u6523\u767a\u4f5c\u3002\u767a\u71b1\u3002CT\u4e0a\u816b\u760d\u518d\u767a\u3042\u308a\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">46\u6b73\u30002\u6708\u3000\u30001\u65e5<\/th>\n<td class=\"td04\">\u816b\u760d\u90e8\u5206\u6458\u51fa\u8853\u65bd\u884c\u3002\u8853\u5f8c\uff0c\u610f\u8b58\u4f4e\u4e0b\u3068\u53f3\u7247\u9ebb\u75fa\u304c\u898b\u3089\u308c\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">4\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u5316\u5b66\u7642\u6cd5\u5264\uff0cTNF\u306e\u5c40\u6240\u6295\u4e0e\u3002CT\u4e0a\u816b\u760d\u306e\u62e1\u5927\u304c\u3042\u308a\uff0c<br \/>\n\u610f\u8b58\u30ec\u30d9\u30eb\u4f4e\u4e0b\uff0c\u5bdd\u305f\u304d\u308a\u3068\u306a\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u305d\u306e\u5f8c<\/th>\n<td class=\"td04\">8\u6708\uff0c10\u6708\u306b\u80ba\u708e\u3092\u4f75\u767a\u300212\u670826\u65e5\u6c38\u7720\u3002<br \/>\n\u6a19\u672c\u306f\u5256\u691c\u6642\u306b\u5de6\u524d\u982d\u8449\u3088\u308a\u4f5c\u88fd\u3057\u305f\u3082\u306e\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\/9214-1.jpg\" target=\"_blank\" class=\"linkA nonePad\">MRI, T1<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9214-2.jpg\" target=\"_blank\" class=\"linkA\">MRI, GdDTPA<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9214-3.jpg\" target=\"_blank\" class=\"linkA\">Macro<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9214-4.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\/9214-5.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\/9214-6.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\/9214-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9214-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, vimentin<\/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 921.4 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1agiant cell glioblastoma<\/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\uff11\u5e74\uff15\u30f6\u6708\u3067\u6b7b\u4ea1<\/li>\n<li>\u6bd4\u8f03\u7684\u9650\u5c40\u6027\u306e\u5897\u6b96\uff0c\u5468\u56f2\u306b\u6c34\u816b\u3068\u53cd\u5fdc\u6027\u30b0\u30ea\u30aa\u30fc\u30b7\u30b9<\/li>\n<li>\u51dd\u56fa\u58ca\u6b7b\uff0c\u51fa\u8840\u304c\u307f\u3089\u308c\u308b<\/li>\n<li>\u5947\u602a\u306a\u5f62\u614b\u3092\u793a\u3059\u5de8\u7d30\u80de\u304c\u76ee\u7acb\u3064<\/li>\n<p class=\"indetP\">\n\u7d21\u9318\u5f62\u7d30\u80de\u3084\u5c0f\u5186\u5f62\u7d30\u80de\u3082\u6df7\u5728\u3057\u3066\u3044\u308b<\/li>\n<li>\u9593\u8cea\u306b\u8457\u3057\u3044\u7dda\u7dad\u5316\u304c\u3042\u308b\uff0cxanthoma cell\u306e\u51fa\u73fe\u3082\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>\u6210\u4eba\u306e\u5927\u8133\u306b\u591a\u3044<\/li>\n<li>\u816b\u7624\u306f\u5883\u754c\u304c\u6bd4\u8f03\u7684\u660e\u77ad\uff0c\u5272\u9762\u306f\u7070\u767d\u8272\u9846\u7c92\u72b6\u3067\uff0c\u304b\u306a\u308a\u786c\u3044<\/li>\n<li>\u591a\u6838\u30fb\u5de8\u6838\u306e\u5947\u602a\u306a\u5f62\u614b\u3092\u793a\u3059\u7570\u5e38\u306b\u5927\u304d\u306a\u7d30\u80de\u304b\u3089\u306a\u308b<\/li>\n<p class=\"indetP\">\n\u5927\u304d\u3055\u3071\u6570\u767e\u30df\u30af\u30ed\u30f3\u306b\u9054\u3059\u308b<\/li>\n<li>d. \u7d30\u80de\u9593\u306b\u597d\u9280\u7dda\u7dad\u304c\u826f\u304f\u767a\u9054\uff0c\u8840\u7ba1\u5468\u56f2\u306b\u30ea\u30f3\u30d1\u7403\u6d78\u6f64<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u001a\uff1aVimentin\u967d\u6027\uff0cGFAP\u67d3\u8272\u306f\u9670\u6027\u307e\u305f\u306f\u967d\u6027<\/li>\n<li>\u7d44\u7e54\u7531\u6765\u306f\uff1f\n<p class=\"indetP\">\n\u795e\u7d4c\u5916\u80da\u8449\u816b\u760d\u8aac\u3000giant cell glioblastoma<br \/>\n\u9593\u8449\u7cfb\u816b\u760d\u8aac\u3000\u3000monstrocellular sarcoma\n<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Giant cell glioblastoma \u5de8\u7d30\u80de\u81a0\u82bd\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u81a0\u82bd\u816b\u306e\u4e00\u7a2e\u3067\u3001\u591a\u6838\u30fb\u5de8\u6838\u306e\u5947\u602a\u306a\u5f62\u614b\u3092\u793a\u3059\u5de8\u7d30\u80de\u304c\u4e3b\u8981\u306a\u69cb\u6210\u7d30\u80de\u3068\u3057\u3066\u3001\u7d44\u7e54\u5168\u4f53\u306b\u512a\u4f4d\u306b\u5897\u6b96\u3057\u3066\u3044\u308b\u816b\u760d\u578b\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u5883\u754c\u306e\u6bd4\u8f03\u7684\u660e\u77ad\u306a\u786c\u3044\u816b\u7624\u3092\u4f5c\u308a\u3001\u5272\u9762\u306f\u7070\u767d\u8272\u3067\u8089\u69d8\u3092\u5448\u3059\u308b\u3002\u5de8\u7d30\u80de\u306e\u5f62\u306f\u4e0d\u5b9a\u3067\u3001\u5927\u304d\u3055\u306f\u6570\u767e\u30df\u30af\u30ed\u30f3\u306b\u9054\u3059\u308b\u3002<br \/>\n\u5de8\u7d30\u80de\u306f vimentin \u67d3\u8272\u304c\u967d\u6027\u3067\u3042\u308a\u3001GFAP \u306f\u9670\u6027\u306e\u4f8b\u3068\u967d\u6027\u306e\u4f8b\u304c\u3042\u308b\u3002 \u9593\u8cea\u306b\u8c4a\u5bcc\u306a\u597d\u9280\u7dda\u7dad\u306e\u5f62\u6210\u3068\u3001\u8840\u7ba1\u5468\u56f2\u306e\u30ea\u30f3\u30d1\u7403\u6d78\u6f64\u304c\u3057\u3070\u3057\u3070\u8a8d\u3081\u3089\u308c\u308b\u3002\n<\/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-184","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/184","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=184"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}