{"id":202,"date":"2019-01-29T16:44:22","date_gmt":"2019-01-29T07:44:22","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=202"},"modified":"2019-01-29T16:44:22","modified_gmt":"2019-01-29T07:44:22","slug":"case-921-6","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-6","title":{"rendered":"CASE 921.6"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.6<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 6.17\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">13\u6b73 1\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u5de6\u5074\u982d\u8449\u306e\u816b\u760d\u6458\u51fa\u8853\u3092\u53d7\u3051\u305f\u3002<br \/>\n\u75c5\u7406\u7d44\u7e54\u8a3a\u65ad\u306fpolymorphous spongioblastoma\u3002<br \/>\nCT\u30b9\u30ad\u30e3\u30f3\u306b\u3066\u7d4c\u904e\u3092\u89b3\u5bdf\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">17\u6b73\u30003\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u540c\u3058\u90e8\u4f4d\u306benhanced lesion\u304c\u51fa\u73fe\uff0c\u518d\u767a\u3068\u8a3a\u65ad\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">4\u6708\u300013\u65e5<\/th>\n<td class=\"td04\">\u816b\u760d\u6458\u51fa\u8853\u3092\u65bd\u884c\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u624b\u8853\u6240\u898b<\/th>\n<td class=\"td04\">\u816b\u760d\u306f\u5145\u5b9f\u6027\u3067\u3042\u3063\u305f\u304c\uff0c\u6df1\u90e8\u306b\u306f\u56a2\u80de\u3082\u3042\u308a\uff0c\u305d\u306e\u58c1\u3082\u542b\u3081\u3066\u5168\u6458\u3057\u305f\u3002<br \/>\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\/9216-1.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\/9216-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9216-3.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\/9216-4.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\/9216-5.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\/9216-6.jpg\" target=\"_blank\" class=\"linkA\">LM, Watanabe reticulin stain<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9216-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9216-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/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 921.6 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1apleomorphic xanthoastrocytoma<\/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>\u82e5\u5e74\u5973\u6027\u306e\u5074\u982d\u8449\u816b\u760d\uff0c\u521d\u56de\u6458\u51fa\u5f8c\uff14\u5e74\u3067\u518d\u767a\uff0c\u305d\u306e\u5f8c\uff15\u5e74\u9593\u518d\u767a\u306f\u306a\u3044\uff0e<\/li>\n<li>\u56a2\u80de\u3092\u4f34\u3046\u5145\u5b9f\u6027\u816b\u760d<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u306f\u3084\u3084\u9ad8\u304f\uff0c\u6975\u3081\u3066\u591a\u614b\u6027\u306e\u5f37\u3044\u7d30\u80de\u304b\u3089\u69cb\u6210\u3055\u308c\u3066\u3044\u308b<\/li>\n<p class=\"indetP\">\n\uff08\u4e00\u898b\uff0c\u60aa\u6027\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u7591\u3046\u6240\u898b\uff09<\/li>\n<li>\u591a\u6838\u5de8\u7d30\u80de\uff0c\u5927\u578b\u985e\u5186\u5f62\u7d30\u80de\uff0c\u7d21\u9318\u5f62\u7d30\u80de\uff0c\u5c0f\u578b\u5186\u5f62\u7d30\u80de\u7b49<\/li>\n<li>\u5206\u88c2\u50cf\u306f\u4e4f\u3057\u3044<\/li>\n<li>\u8840\u7ba1\u5185\u76ae\u306e\u5897\u6b96\u3084\u58ca\u6b7b\u306f\u306a\u3044<\/li>\n<li>\u816b\u760d\u7d30\u80de\u306e xanthomatous change<\/li>\n<li>\u9593\u8cea\u306b xanthoma cells, \u8840\u7ba1\u5468\u56f2\u306b\u30ea\u30f3\u30d1\u7403\u6d78\u6f64<\/li>\n<li>\u5909\u6027\u7523\u7269\uff1aRosenthal\u7dda\u7dad, granular body \u306e\u51fa\u73fe<\/li>\n<\/ol>\n<h4>\uff13\uff0e\u672c\u816b\u760d\u306e\u75c5\u7406\u5b66\u7684\u6982\u8981<\/h4>\n<ol class=\"caseOL\">\n<li>1979\u5e74\uff0cKepes\u3089\u304c\u63d0\u5531\u3057\u305f\u816b\u760d\u6982\u5ff5<\/li>\n<li>30\u6b73\u4ee5\u4e0b\u306e\u82e5\u5e74\u8005\u306e\u5927\u8133\u534a\u7403\uff08\u7279\u306b\u524d\u982d\u8449\u3068\u5074\u982d\u8449\uff09\u8133\u8868\u306b\u597d\u767a<\/li>\n<li>\u9ad8\u983b\u5ea6\u306b\u56a2\u80de\u3092\u5408\u4f75\uff0c\u305d\u306e\u58c1\u306b\u816b\u760d\u306e\u7d50\u7bc0\u304c\u898b\u3089\u308c\u308b<\/li>\n<li>astrocyte\u306e\u7279\u5fb4\u3092\u6301\u3064\u816b\u760d\u7d30\u80de\uff0c\u591a\u614b\u6027\u306b\u5bcc\u3080<\/li>\n<li>\u6838\u5206\u88c2\u50cf\u306f\u4e4f\u3057\u3044<\/li>\n<li>\u7d30\u80de\u8cea\u306b\u8102\u80aa\u6ef4\u3092\u542b\u3080xanthoma\u7d30\u80de<\/li>\n<li>\u7d30\u80de\u9593\u306b\u8c4a\u5bcc\u306a\u597d\u9280\u7dda\u7dad\u7db2\u306e\u5f62\u6210<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u001a\uff1aGFAP, S-100 \u86cb\u767d, vimentin, NSE\u304c\u967d\u6027<\/li>\n<li>\u96fb\u9855\uff1a\u7d30\u80de\u8cea\u306e\u30b0\u30ea\u30a2\u7d30\u7dda\u7dad\uff0c\u7d30\u80de\u8868\u9762\u306e\u57fa\u5e95\u819c<\/li>\n<li>\u60a3\u8005\u306e\u4e88\u5f8c\u306f\u6bd4\u8f03\u7684\u826f\u597d<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Pleomorphic xanthoastrocytoma(PXA)\u591a\u5f62\u9ec4\u8272\u661f\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u8133\u306e\u8868\u5c64\u306b\u767a\u751f\u3059\u308b\u661f\u7d30\u80de\u816b\u3067\u3001\u816b\u760d\u7d30\u80de\u306b\u306f\u9855\u8457\u306a\u591a\u5f62\u6027\u304c\u3042\u308a\u3001\u3057\u3070\u3057\u3070\u7d30\u80de\u8cea\u5185\u8102\u80aa\u6ef4\u306e\u51fa\u73fe\u3092\u8a8d\u3081\u308b\u3082\u306e\u3067\u3042\u308b<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u5c0f\u5150\u3068\u82e5\u5e74\u6210\u4eba\u306e\u5927\u8133\u534a\u7403\uff08\u7279\u306b\u524d\u982d\u8449\u3068\u5074\u982d\u8449\uff09\u306e\u8133\u8868\u306b\u597d\u767a\u3059\u308b\u3002\u9ad8\u983b\u5ea6\u306b\u56a2\u80de\u3092\u5408\u4f75\u3057\u3001\u305d\u306e\u58c1\u306b\u816b\u760d\u306e\u7d50\u7bc0\u304c\u898b\u3089\u308c\u308b\u3002<br \/>\n\u816b\u7624\u306e\u5927\u534a\u304c\u30af\u30e2\u819c\u4e0b\u8154\u306b\u5b58\u5728\u3059\u308b\u4f8b\u3082\u3042\u308b\u3002\u816b\u760d\u7d30\u80de\u306f\u661f\u7d30\u80de\u306e\u7279\u5fb4\u3092\u3082\u3061\u3001GFAP \u967d\u6027\u3067\u3042\u308b\u3002\u7d30\u80de\u306e\u591a\u5f62\u6027\u304c\u9855\u8457\u3067\u3001\u5947\u602a\u306a\u6838\u3092\u6301\u3064\u5de8\u7d30\u80de\u3082\u51fa\u73fe\u3059\u308b\u3002\u6838\u5206\u88c2\u50cf\u306f\u4e4f\u3057\u304f\u3001\u7d44\u7e54\u306e\u58ca\u6b7b\u306f\u307f\u3089\u308c\u306a\u3044\u3002<br \/>\n\u5927\u578b\u306e\u816b\u760d\u7d30\u80de\u306b\u306f\u7d30\u80de\u8cea\u306b\u8102\u80aa\u6ef4\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308b\u3002 \u307e\u305f granular bodies \u306e\u51fa\u73fe\u3082\u3057\u3070\u3057\u3070\u8a8d\u3081\u3089\u308c\u308b\u3002\u7d30\u80de\u9593\u306b\u306f\u8c4a\u5bcc\u306a\u597d\u9280\u7dda\u7dad\u7db2\u304c\u5f62\u6210\u3055\u308c\u3066\u3044\u308b\u3002\u8840\u7ba1\u5468\u56f2\u306b\u30ea\u30f3\u30d1\u7403\u6d78\u6f64\u3092\u8a8d\u3081\u308b\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\n<\/ol>\n<h4>\uff15\uff0e\u6587\u732e<\/h4>\n<ol class=\"caseOL\">\n<li> Kepes JJ, Rubinstein LJ, Eng LF: Pleomorphic xanthoastrocytoma:A distinctive meningocerebral glioma of young subjects with relatively favorable prognosis.Cancer 44:1839-1852, 1979<\/li>\n<li> Kepes JJ, Rubinstein LJ, Ansbacher L, et al: Histopathological features of recurrent pleomorphic xanthoastrocytomas: further corroboration of the glial nature of this neoplasm. A study of 3 cases.Acta Neuropathol (Berl) 78:585-593, 1989<\/li>\n<li> \u5ddd\u91ce\u4fe1\u4e4b\uff1aPleomorphic xanthoastrocytoma: \u75c5\u7406\u7d44\u7e54\u8a3a\u65ad\u306e\u8981\u70b9\u3068\u6700\u8fd1\u306e\u77e5\u898b\uff0e \u75c5\u7406\u3068\u81e8\u5e8a 9:604-610, 1991<\/li>\n<li> Kawano N: Pleomorphic xanthoastrocytoma (PXA) in Japan: Its clinicopathologic features and diagnostic clues.Brain Tumor Pathol 8:5-10, 1991<\/li>\n<li> Grant JW, Gallagher PJ: Pleomorphic xanthoastrocytoma. Immunohistochemical methods for differentiation from fibrous histiocytomas with similar morphology.Am J Surg Pathol 10:336-341, 1986<\/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\/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-202","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/202","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=202"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}