{"id":211,"date":"2019-01-29T17:16:19","date_gmt":"2019-01-29T08:16:19","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=211"},"modified":"2019-01-29T17:16:19","modified_gmt":"2019-01-29T08:16:19","slug":"case-921-7","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-7","title":{"rendered":"CASE 921.7"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.7<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 7.14\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">14\u6b73\u300010\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u982d\u84cb\u5185\u5727\u4ea2\u9032\u75c7\u72b6\u3042\u308aCT\u30b9\u30ad\u30e3\u30f3\u3067\u4e21\u5074\u8133\u5ba4\u4f53\u90e8\u304b\u3089\u524d\u89d2\u306b\u304b\u3051\u3066\uff0c<br \/>\n\u591a\u6570\u306e\u77f3\u7070\u6c88\u7740\u3092\u4f34\u3046\u8133\u5ba4\u5185\u816b\u760d\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">12\u6708\u300024\u65e5<\/th>\n<td class=\"td04\">\n\u816b\u760d\u90e8\u5206\u6458\u51fa\u8853\u3092\u65bd\u884c\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u624b\u8853\u6240\u898b<\/th>\n<td class=\"td04\">\u9ec4\u767d\u8272\u8edf\uff0c\u4e00\u90e8\u6613\u51fa\u8840\u6027\u306e\u816b\u760d\u3067\uff0c\u53f3\u5c3e\u72b6\u6838\u306b\u4ed8\u7740\u3057\u3066\u3044\u308b\u3002<br \/>\n\uff17\uff5e\uff18\u5272\u3092\u6458\u51fa\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\/9217-1.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\/9217-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9217-3.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\/9217-4.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\/9217-5.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\/9217-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9217-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, NF68K<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9217-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, NSE<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9217-9.jpg\" target=\"_blank\" class=\"linkA\">Skin lesion of the patient&#8217;s sister<\/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 921.7 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1asubependymal giant cell 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>\u82e5\u5e74\u5973\u6027\u306e\u5074\u8133\u5ba4\u816b\u760d\uff0c\u77f3\u7070\u6c88\u7740\u3092\u4f34\u3046<br \/>\n\u3000\u6458\u51fa\u8853\u5f8c\uff16\u5e74\u3067\u518d\u767a\u306f\u306a\u3044\uff0e<\/li>\n<li> \u8133\u5ba4\u58c1\u306b\u4ed8\u7740\u3057\u305f\uff0c\u6613\u51fa\u8840\u6027\u306e\u816b\u760d<\/li>\n<li> \u597d\u9178\u6027\u785d\u5b50\u69d8\u306e\u5e83\u3044\u7d30\u80de\u8cea\u3092\u6301\u3064\u5927\u578b\u7d30\u80de\u3068\u305d\u306e\u9593\u306b\u307f\u3089\u308c\u308b<br \/>\n\u3000\u5c0f\u578b\u7d21\u9318\u5f62\u7d30\u80de\uff0c\u7d30\u80de\u9593\u306b\u7dda\u7dad\u6027\u57fa\u8cea\u304c\u8c4a\u5bcc<\/li>\n<li>\u6838\u306f\u5927\u304d\u304f\uff0c\u6838\u5c0f\u4f53\u660e\u77ad\uff08\u795e\u7d4c\u7d30\u80de\u306e\u6838\u306b\u4f3c\u3066\u3044\u308b\u3082\u306e\u3082\u3042\u308b\uff09<\/li>\n<li>\u6838\u5206\u88c2\u50cf\u306f\u307b\u3068\u3093\u3069\u898b\u3089\u308c\u306a\u3044<\/li>\n<li>\u9593\u8cea\u306f\u8840\u7ba1\u304c\u8c4a\u5bcc\uff0c\u5185\u76ae\u306e\u5897\u6b96\u306f\u306a\u3044<\/li>\n<li>\u7d50\u7bc0\u6027\u786c\u5316\u75c7\u306e\u5bb6\u65cf\u6b74\uff0c\u65e2\u5f80\u6b74\u306b\u6ce8\u610f\u3059\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>\u7d50\u7bc0\u6027\u786c\u5316\u75c7\u306b\u3057\u3070\u3057\u3070\u5408\u4f75\u3059\u308b\u5074\u8133\u5ba4\u58c1\u306e\u816b\u760d<\/li>\n<li>\u5927\u578b\u7d30\u80de\uff1agemistocytic astrocyte\u69d8\u3042\u308b\u3044\u306f\u795e\u7d4c\u7d30\u80de\u69d8<br \/>\n\u5c0f\u578b\u306e\u7d21\u9318\u5f62\u7d30\u80de\uff1afibrillary astrocyte\u69d8<\/li>\n<li>\u9593\u8cea\uff1a\u8840\u7ba1\u304c\u3088\u304f\u767a\u9054\uff0c\u77f3\u7070\u6c88\u7740\u304c\u3057\u3070\u3057\u3070<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1a\u5927\u578b\u7d30\u80de\u306e\u4e00\u90e8\u306fGFAP\uff0c\u4e00\u90e8\u306fNFP \u306b\u967d\u6027<\/li>\n<li>\u96fb\u9855\uff1a\u4e2d\u9593\u5f84filament\uff0c\u5fae\u5c0f\u7ba1\uff0cdense core vesicles<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Subependymal giant cell astrocytoma \u4e0a\u8863\u4e0b\u5de8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u5074\u8133\u5ba4\u58c1\u304b\u3089\u767a\u751f\u3057\u3001\u4e3b\u306b\u8133\u5ba4\u5185\u306b\u5411\u304b\u3063\u3066\u767a\u80b2\u3059\u308b\u5883\u754c\u660e\u77ad\u306a\u816b\u760d\u3067\u3001\u661f\u7d30\u80de\u306b\u985e\u4f3c\u306e\u5927\u578b\u7d30\u80de\u304c\u4e3b\u306a\u69cb\u6210\u8981\u7d20\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u7d50\u7bc0\u6027\u786c\u5316\u75c7\u306e\uff11\u90e8\u5206\u75c7\u3068\u3057\u3066\u82e5\u5e74\u8005\u306e\u5074\u8133\u5ba4\u58c1\u306b\u597d\u767a\u3059\u308b\u816b\u760d\u3067\u3042\u308b\u3002\u9650\u5c40\u6027\u306e\u8133\u5ba4\u5185\u816b\u7624\u306e\u5f62\u3067\u5897\u6b96\u3057\u3001\u30e2\u30f3\u30ed\u30fc\u5b54\u3092\u9589\u585e\u3057\u3066\u6c34\u982d\u75c7\u3092\u4f75\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br \/>\n\u816b\u760d\u306e\u5272\u9762\u306f\u5b9f\u8cea\u6027\u3067\u3056\u3089\u3056\u3089\u3057\u305f\u8cea\u611f\u3092\u6301\u3063\u3066\u3044\u308b\u3002\u7d44\u7e54\u5b66\u7684\u306b\u306f gemistocytic astrocyte \u69d8\u3042\u308b\u3044\u306f\u795e\u7d4c\u7d30\u80de\u69d8\u306e\u5927\u578b\u7d30\u80de\u3068\u3001\u5c0f\u578b\u306e\u7d21\u9318\u5f62\u7d30\u80de\u304c\u5897\u6b96\u3057\u3066\u3044\u308b\u3002\u5927\u578b\u7d30\u80de\u306e\u6838\u306f\u3068\u304d\u306b\u504f\u5728\u3057\u3001\u6838\u8cea\u304c\u660e\u308b\u304f\u3001\u660e\u77ad\u306a\u6838\u5c0f\u4f53\u3092\u542b\u3093\u3067\u3044\u308b\u3002<br \/>\n\u7d30\u80de\u8cea\u306f\u5747\u4e00\u306b\u597d\u9178\u6027\u785d\u5b50\u69d8\u3067\u3042\u308b\u3002\u9593\u8cea\u306b\u306f\u8840\u7ba1\u304c\u3088\u304f\u767a\u9054\u3057\u3001 \u77f3\u7070\u6c88\u7740\u304c\u3057\u3070\u3057\u3070\u307f\u3089\u308c\u308b\u3002 \u5c11\u306a\u304f\u3068\u3082\u4e00\u90e8\u306e\u5927\u578b\u7d30\u80de\u306fGFAP \u967d\u6027\u3067\u3042\u308b\u3002\u3000\u7d50\u7bc0\u6027\u786c\u5316\u75c7\u306e\u8133\u5ba4\u58c1\u306b\u306f\u5c0f\u3055\u306a\u7d50\u7bc0\u75c5\u5de3\uff08subependymal nodules\uff09\u304c\u591a\u767a\u3057\u3001 \u8133\u5ba4\u58c1\u306b\u874b\u3092\u5782\u3089\u3057\u305f\u3088\u3046\u306a\u5916\u89b3\uff08candle gutterings\uff09\u3092\u4e0e\u3048\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br \/>\n\u3053\u306e\u7d50\u7bc0\u306f\u7d44\u7e54\u5b66\u7684\u306b\u306f\u4e0a\u8863\u4e0b\u5de8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3068\u307b\u307c\u540c\u69d8\u3067\u3042\u308a\u3001\u77f3\u7070\u6c88\u7740\u304c\u3088\u308a\u9855\u8457\u3067\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-211","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/211","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=211"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}