{"id":193,"date":"2019-01-29T16:38:52","date_gmt":"2019-01-29T07:38:52","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=193"},"modified":"2019-01-29T16:38:52","modified_gmt":"2019-01-29T07:38:52","slug":"case-921-5","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-5","title":{"rendered":"CASE 921.5"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.5<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 5.14\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">14\u6b73\u3000\u30003\u6708\u9803\u3000\u3000<\/th>\n<td class=\"td04\">\n\u30bd\u30d5\u30c8\u30dc\u30fc\u30eb\u306e\u30d4\u30c3\u30c1\u30e3\u30fc\u306e\u6295\u7403\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u60aa\u304f\u306a\u3063\u305f\u3002<br \/>\n\u53f3\u624b\u306edysmetria\u51fa\u73fe\u3002\u6642\u3005\u5614\u5410\u3042\u308a\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">8\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\nCT\u30b9\u30ad\u30e3\u30f3\u3067\u5c0f\u8133\u6b63\u4e2d\u304b\u3089\u5de6\u306b\u304b\u3051\u3066low density area\u304c\u3042\u308a\uff0c<br \/>\n\u305d\u306e\u58c1\u304b\u3089\u4e2d\u5fc3\u306b\u304b\u3051\u3066\u7a81\u51fa\u3059\u308b\u8efd\u5ea6\u306ehigh density area\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">8\u6708\u300027\u65e5<\/th>\n<td class=\"td04\">\u816b\u760d\u6458\u51fa\u8853\u65bd\u884c\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u624b\u8853\u6240\u898b<\/th>\n<td class=\"td04\">\u56a2\u80de\u3092\u958b\u304f\u3068\u7425\u73c0\u8272\u306e\u6db2\u4f53\u304c\u6d41\u51fa\u3002<br \/>\nmural nodule\u3068\u305d\u306e\u5468\u56f2\u306e\u5b9f\u8cea\u6027\u306e\u90e8\u5206\u3092\u5168\u6458\u51fa\u3057\u305f\u3002\n<\/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\/9215-1.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\/9215-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9215-3.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\/9215-4.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\/9215-5.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\/9215-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9215-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9215-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, S-100<\/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 921.5 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1apilocytic astrocytoma<\/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>14\u6b73\u5973\u5150\u306e\u5c0f\u8133\u816b\u760d<\/li>\n<li>\u56a2\u80de\u6027\u816b\u760d\uff0c\u58c1\u306b\u816b\u760d\u7d50\u7bc0 mural nodule<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u306f\u4f4e\u3044\uff0c\u7d30\u9577\u3044\u7a81\u8d77\u3092\u6301\u3064\u53cc\u6975\u6027\u7d30\u80de\uff0c\u6c34\u816b\u6027\u9593\u8cea<\/li>\n<li>\u6838\u306f\u985e\u5186\u5f62\u3067\u5c0f\u578b\uff0c\u5747\u4e00\uff0c\u5206\u88c2\u50cf\u306f\u4e4f\u3057\u3044<\/li>\n<li>\u9593\u8cea\u306e\u6c34\u816b\u3068 microcystic degeneration<\/li>\n<li>Rosenthal\u7dda\u7dad\u304c\u591a\u6570\u307f\u3089\u308c\u308b<\/li>\n<li>\u8840\u7ba1\u5185\u76ae\u306e\u5897\u6b96\u3084\u58ca\u6b7b\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>\u6bdb\u9aea\u69d8\u306e\u7d30\u9577\u3044\u7a81\u8d77\u3092\u6301\u3064\u7d21\u9318\u5f62\u7d30\u80de\u304b\u3089\u6210\u308b\u816b\u760d<\/li>\n<li>\u5c0f\u5150\u306e\u5c0f\u8133\uff0c\u8996\u795e\u7d4c\uff0c\u8996\u5e8a\u4e0b\u90e8\u304c\u597d\u767a\u90e8\u4f4d<\/li>\n<li>\u6bd4\u8f03\u7684\u5883\u754c\u660e\u77ad\uff0c\u56a2\u80de\u3092\u4f34\u3046\uff0c\u56a2\u80de\u306b mural nodule<\/li>\n<li>\u7570\u578b\u306e\u4e4f\u3057\u3044\u6838\u3068\u7e4a\u7d30\u306a\u7a81\u8d77\u3092\u4f38\u3070\u3059\u53cc\u6975\u6027\u7d30\u80de<\/li>\n<li>\u4e8c\u76f8\u6027\u306e\u7d44\u7e54\u50cf\uff08biphasic pattern, compact-spongy\uff09\n<p class=\"indetP\">\n1) \u7d30\u80de\u6210\u5206\u3068\u7a81\u8d77\u306e\u591a\u3044\u5145\u5b9f\u6027\u90e8\u5206<br \/>\n2) \u7d30\u80de\u9593\u306b\u5f37\u3044\u5fae\u5c0f\u56a2\u80de\u5909\u6027\u3092\u4f34\u3046\u6c34\u816b\u6027\u90e8\u5206\n<\/li>\n<li>Russel and Rubinstein \u306e\u5206\u985e\n<p class=\"indetP\">\n1) juvenile type &#8212;- biphasic pattern \u3092\u793a\u3059\u3082\u306e<br \/>\n2) adult type &#8212;&#8212;- \u5c02\u3089\u5145\u5b9f\u6027\u90e8\u5206\u306e\u307f\u3088\u308a\u6210\u308b\u3082\u306e\n<\/li>\n<li>Rosenthal fiber\uff1a \u816b\u760d\u7d30\u80de\u9593\u306b\u51fa\u73fe\u3059\u308b\u597d\u9178\u6027\u306e\u68cd\u68d2\u72b6\u3042\u308b\u3044\u306f\n<p class=\"indetP\">\n \u3000\u3000\u30bd\u30fc\u30bb\u30fc\u30b8\u72b6\u69cb\u9020\u7269\uff0c\u03b1B-crystallin\u304c\u4e3b\u6210\u5206\n<\/li>\n<li> granular body\uff1a \u9846\u7c92\u72b6\u306e\u7269\u8cea\u3092\u5165\u308c\u305f\u5186\u5f62\u69cb\u9020\u7269<\/li>\n<li>\u6458\u51fa\u5f8c\u306e\u4e88\u5f8c\u306f\u6975\u3081\u3066\u826f\u597d<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Pilocytic astrocytoma \u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u7d30\u9577\u3044\u6bdb\u69d8\u306e\u7a81\u8d77\u3092\u6301\u3064\u7d21\u9318\u5f62\u7d30\u80de\u304b\u3089\u69cb\u6210\u3055\u308c\u308b\u661f\u7d30\u80de\u816b\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u9650\u5c40\u6027\u306e\u816b\u7624\u3092\u4f5c\u308b\u816b\u760d\u3067\u3001\u3057\u3070\u3057\u3070\u56a2\u80de\u3092\u968f\u4f34\u3059\u308b\u3002\u4e3b\u306b\u5c0f\u5150\u306b\u767a\u751f\u3057\u3001\u5c0f\u8133\u3001\u8133\u5e79\u3001\u8996\u795e\u7d4c\u3001\u8996\u5e8a\u4e0b\u90e8\u304c\u597d\u767a\u90e8\u4f4d\u3067\u3042\u308b\u3002<br \/>\n\u53cc\u6975\u6027\u7a81\u8d77\u3092\u4f38\u3070\u3059\u816b\u760d\u7d30\u80de\u304c\u675f\u3092\u306a\u3057\u3066\u5897\u751f\u3059\u308b\u5145\u5b9f\u6027\u90e8\u5206\u3068\u3001\u7d30\u80de\u5bc6\u5ea6\u304c\u4f4e\u304f\u7d30\u80de\u9593\u306b\u8457\u660e\u306a\u5fae\u5c0f\u56a2\u80de\u5909\u6027\u3092\u4f34\u3046\u6c34\u816b\u6027\u90e8\u5206\u3068\u304c\u4ea4\u4ee3\u6027\u306b\u51fa\u73fe\u3059\u308b\u4e8c\u76f8\u6027\u306e\u7d44\u7e54\u50cf\uff08biphasic pattern, compact-spongy\uff09\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002<br \/>\n\u305f\u3060\u3057\u5145\u5b9f\u6027\u90e8\u5206\u3068\u6c34\u816b\u6027\u90e8\u5206\u306e\u6bd4\u7387\u306f\u69d8\u3005\u3067\u3042\u308b\u3002<br \/>\n\u3000\u4e8c\u76f8\u6027\u306e\u7d44\u7e54\u50cf\u304c\u307f\u3089\u308c\u308b\u3082\u306e\u3092\u82e5\u5e74\u578b\uff08juveniletype\uff09\u3001\u5145\u5b9f\u6027\u90e8\u5206\u306e\u307f\u304b\u3089\u306a\u308b\u3082\u306e\u3092\u6210\u4eba\u578b\uff08adult type\uff09\u3068\u533a\u5225\u3057\u3066\u3044\u308b\u3002\u816b\u760d\u7d30\u80de\u306e\u6838\u306f\u901a\u5e38\u306f\u5c0f\u578b\u5747\u4e00\u3067\u3042\u308b\u304c\u3001\u3068\u304d\u306b\u591a\u5f62\u6027\u3068\u30af\u30ed\u30de\u30c1\u30f3\u306e\u5897\u91cf\u3092\u793a\u3059\u3053\u3068\u304c\u3042\u308b\u3002<br \/>\n\u6838\u5206\u88c2\u50cf\u306f\u5e38\u306b\u4e4f\u3057\u3044\u3002\u5145\u5b9f\u6027\u90e8\u5206\u306e\u816b\u760d\u7d30\u80de\u7a81\u8d77\u5185\u306b\u306f\u5f37\u3044\u597d\u9178\u6027\u3092\u793a\u3059\u5747\u8cea\u7121\u69cb\u9020\u306a\u68cd\u68d2\u72b6\u3042\u308b\u3044\u306f\u30bd\u30fc\u30bb\u30fc\u30b8\u72b6\u306e\u69cb\u9020(Rosenthal fibers)\u304c\u3057\u3070\u3057\u3070\u8a8d\u3081\u3089\u308c\u308b\u3002<br \/>\n\u307e\u305f\u3001\u7d30\u80de\u8cea\u3084\u7a81\u8d77\u5185\u306b\u5fae\u7d30\u306a\u785d\u5b50\u6ef4\u51fa\u73fe\u3057\u305d\u308c\u304c\u96c6\u307e\u3063\u3066\u9846\u7c92\u5c0f\u4f53(granularbodies)\u3092\u5f62\u6210\u3059\u308b\u3053\u3068\u3082\u7279\u5fb4\u3067\u3042\u308b\u3002\u56a2\u80de\u58c1\u306a\u3069\u306b\u306f\u8840\u7ba1\u306e\u5897\u6b96\u3068\u7cf8\u7403\u4f53\u4fc2\u8e44\u69d8\u69cb\u9020\u306e\u5f62\u6210\u3001\u8840\u7ba1\u58c1\u306e\u785d\u5b50\u69d8\u80a5\u539a\u306a\u3069\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br \/>\n\u816b\u760d\u304c\u30af\u30e2\u819c\u4e0b\u8154\u306b\u9032\u5c55\u3059\u308b\u3053\u3068\u306f\u3042\u308b\u304c\u3001\u64ad\u7a2e\u3092\u304d\u305f\u3059\u3053\u3068\u306f\u306a\u3044\u3002<br \/>\n\u3000\u3054\u304f\u307e\u308c\u306b\u3001\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306e\u306a\u304b\u306b\u53cc\u6975\u6027\u7d30\u80de\u7a81\u8d77\u3092\u4f38\u3070\u3059\u816b\u760d\u7d30\u80de\u304c\u8457\u660e\u306a\u67f5\u72b6\u914d\u5217\u3092\u793a\u3057\u3066\u5897\u6b96\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3002\u3053\u306e\u3088\u3046\u306a\u914d\u5217\u30d1\u30bf\u30fc\u30f3\u304c\u9855\u8457\u306a\u816b\u760d\u306f\u304b\u3064\u3066primitive polar spongioblastoma \u539f\u59cb\u6975\u6027\u6d77\u7dbf\u82bd\u816b\u3068\u547c\u3070\u308c\u305f\u3002<br \/>\n\u4e4f\u7a81\u8d77\u81a0\u816b\u3084\u9ac4\u82bd\u816b\u3084\u795e\u7d4c\u7d30\u80de\u7cfb\u816b\u760d\u3067\u3082\u3053\u306e\u3088\u3046\u306a\u67f5\u72b6\u914d\u5217\u3092\u793a\u3059\u3053\u3068\u304c\u3042\u308a\u3001\u539f\u59cb\u6975\u6027\u6d77\u7dbf\u82bd\u816b\u306e\u816b\u760d\u6982\u5ff5\u3068\u3057\u3066\u306e\u72ec\u7acb\u6027\u306b\u306f\u7591\u554f\u304c\u3042\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-193","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/193","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=193"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}