{"id":221,"date":"2019-01-29T17:21:51","date_gmt":"2019-01-29T08:21:51","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=221"},"modified":"2019-01-29T17:23:03","modified_gmt":"2019-01-29T08:23:03","slug":"case-921-8","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-8","title":{"rendered":"CASE 921.8"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.8<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 8.39\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">38\u6b73\u300010\u6708\u9803\u3088\u308a<\/th>\n<td class=\"td04\">\n\u6642\u3005\u982d\u75db\u3042\u308a\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">4\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u982d\u75db\u304c\u5897\u5f37\uff0c\u67d0\u9662\u306b\u3066CT\u30b9\u30ad\u30e3\u30f3\u3067\u8133\u816b\u760d\u306e\u7591\u3044\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">39\u6b73\u30004\u6708\u300019\u65e5<\/th>\n<td class=\"td04\">\n\u5165\u9662\u3002\u795e\u7d4c\u5b66\u7684\u306b\u7570\u5e38\u6240\u898b\u306a\u3057\u3002CT, MRI, \u8133\u8840\u7ba1\u64ae\u5f71\u306b\u3066<br \/>\n\u5de6\u524d\u982d\u8449\u8133\u816b\u760d\u3068\u8a3a\u65ad\u3057\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">4\u6708\u300026\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\u767d\u8272\u3067\u786c\u304f\uff0c\u4e00\u90e8\u306fmulticystic\u3067\u3042\u3063\u305f\u3002<br \/>\n\u307e\u305f\uff0c\u77f3\u7070\u5316\u304c\u8a8d\u3081\u3089\u308c\u305f\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\/9218-1.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\/9218-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9218-3.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\/9218-4.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\/9218-5.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\/9218-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9218-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, S-100<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9218-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, Leu-7<\/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 921.8 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1aoligodendroglioma<\/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\u5973\u6027\u306e\u524d\u982d\u8449\u816b\u760d<\/li>\n<li>\u591a\u623f\u6027\u56a2\u80de\u3092\u4f34\u3046\u767d\u8272\u306e\u786c\u3044\u816b\u760d\uff0c\u77f3\u7070\u5316<\/li>\n<li>\u6a19\u672c\u5185\u306b\u816b\u760d\u7d44\u7e54\u3068\u8133\u7d44\u7e54\u7247\u5341\u6570\u500b\uff0c\u77f3\u7070\u6c88\u7740\u304c\u8457\u660e<\/li>\n<li>\u816b\u760d\u7d30\u80de\u306f\u5c0f\u578b\u306e\u985e\u5186\u5f62\u6838\u3068\u6de1\u660e\u306a\u7d30\u80de\u8cea\u3092\u6301\u3064<\/li>\n<li>\u8702\u5de3\u69cb\u9020 honey-combed structure<\/li>\n<li>\u6838\u306f\u5747\u4e00\uff0c\u6838\u5206\u88c2\u50cf\u306f\u307b\u3068\u3093\u3069\u898b\u3089\u308c\u306a\u3044<\/li>\n<li>\u9593\u8cea\u306b\u6bdb\u7d30\u8840\u7ba1\u7db2\uff0c\u5185\u76ae\u306e\u5897\u6b96\u306f\u306a\u3044<\/li>\n<li>\u58ca\u6b7b\u5de3\u3082\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>\u6210\u4eba\u306e\u5927\u8133\u534a\u7403\u7279\u306b\u524d\u982d\u8449\u306b\u597d\u767a\uff0c\u767a\u80b2\u306f\u9045\u3044<\/li>\n<li>\u6de1\u6843\u8272\u306e\u6bd4\u8f03\u7684\u5883\u754c\u660e\u77ad\u306a\u816b\u760d\uff0c\u8edf\uff0c\u77f3\u7070\u6c88\u7740\u3092\u4f34\u3046<\/li>\n<li>\u5747\u4e00\u306a\u5186\u5f62\u6838\u3068\u6975\u3081\u3066\u6de1\u660e\u306a\u7d30\u80de\u8cea\uff0c\u7d30\u80de\u819c\u306f\u6975\u3081\u3066\u9bae\u660e<\/li>\n<li>\u7d30\u80de\u306e\u8f2a\u90ed\u306f\u985e\u5186\u5f62\u306a\u3044\u3057\u591a\u89d2\u5f62\u3067\uff0e\u7d30\u80de\u306f\u6577\u77f3\u72b6\u306b\u5bc6\u306b\u914d\u5217<\/li>\n<li>\u8702\u306e\u5de3\u69cb\u9020\uff08honey-comb structure\uff09<br \/>\n\u68fa\u5f62\u6210\uff08boxed-in appearance\uff09<br \/>\n\u76ee\u7389\u713c\u304d\u50cf\uff08fried-egg appearance\uff09<br \/>\n\u3000\u6a19\u672c\u4f5c\u88fd\u904e\u7a0b\u306e\u4eba\u5de5\u7523\u7269\u3067\u3042\u308b\n<\/li>\n<li>\u3068\u304d\u306b\uff0cGFAP\u67d3\u8272\u967d\u6027\u306e\u5c0f\u578b\u5186\u5f62\u7d30\u80de &#8220;minigemistocytes&#8221;<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1aGFAP, S-100 \u86cb\u767d, MBP, Leu 7<\/li>\n<li>\u96fb\u9855\uff1a\u5fae\u5c0f\u7ba1\uff0c\u7e1e\u6a21\u69d8\u3092\u6301\u3064\u591a\u89d2\u7d50\u6676\u69cb\u9020\uff0c\u540c\u5fc3\u5186\u72b6\u5c64\u677f\u69cb\u9020<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Oligodendroglioma \u4e4f\u7a81\u8d77\u81a0\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u4e4f\u7a81\u8d77\u81a0\u7d30\u80de\u306b\u985e\u4f3c\u306e\u816b\u760d\u7d30\u80de\u304b\u3089\u69cb\u6210\u3055\u308c\u305f\u816b\u760d\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u6210\u4eba\u306e\u5927\u8133\u767d\u8cea\u3001\u7279\u306b\u524d\u982d\u8449\u306b\u597d\u767a\u3059\u308b\u767a\u80b2\u306e\u9045\u3044\u816b\u760d\u3067\u3042\u308b\u3002\u8089\u773c\u7684\u306b\u306f\u6bd4\u8f03\u7684\u5883\u754c\u660e\u77ad\u306a\u6de1\u6843\u8272\u306e\u8edf\u3089\u304b\u3044\u816b\u7624\u3092\u4f5c\u308b\u3002<br \/>\n\u5149\u9855\u7684\u306b\u306f\u7d30\u80de\u5bc6\u5ea6\u306e\u9ad8\u3044\u816b\u760d\u3067\u3042\u308a\u3001\u7d30\u80de\u306e\u307b\u307c\u4e2d\u5fc3\u306b\u3042\u308b\u985e\u5186\u5f62\u6838\u3068\u969b\u7acb\u3063\u3066\u6de1\u660e\u306a\u7d30\u80de\u8cea\u3092\u6301\u3064\u7d30\u80de\u304b\u3089\u69cb\u6210\u3055\u308c\u3066\u3044\u308b\u3002\u7d30\u80de\u819c\u306f\u6975\u3081\u3066\u9bae\u660e\u3067\u3001\u826f\u304f\u4fdd\u5b58\u3055\u308c\u3001\u7d30\u80de\u306e\u8f2a\u90ed\u304c\u308f\u304b\u308a\u3084\u3059\u3044\u3002<br \/>\n\u3053\u306e\u3088\u3046\u306a\u816b\u760d\u7d30\u80de\u306e\u7279\u5fb4\u7684\u6240\u898b\u306f\u3001\u8702\u306e\u5de3\u69cb\u9020\uff08honeycombstructure\uff09\u3042\u308b\u3044\u306f\u3001\u76ee\u7389\u713c\u304d\u50cf\uff08fried egg appearance\uff09\u3068\u547c\u3070\u308c\u3066\u3044\u308b\u3002\u6838\u5468\u56f2\u306e\u6de1\u660e\u5316\u306f\u56fa\u5b9a\u3068\u8131\u6c34\u306b\u3088\u308b\u4eba\u5de5\u7523\u7269\u3068\u8a00\u308f\u308c\u3066\u304a\u308a\u3001\u8fc5\u901f\u8a3a\u65ad\u6642\u306e\u51cd\u7d50\u5207\u7247\u3067\u306f\u898b\u3089\u308c\u306a\u3044\u3002<br \/>\n\u6838\u306e\u5f62\u614b\u306f\u5747\u4e00\u3067\u3001\u5206\u88c2\u50cf\u306f\u5c11\u306a\u3044\u3002\u6838\u5468\u56f2\u306e\u7d30\u80de\u8cea\u304c\u597d\u9178\u6027\u3067\u785d\u5b50\u69d8\u3092\u793a\u3059\u7d30\u80de\u304c\u51fa\u73fe\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u3053\u306e\u7d30\u80de\u306f minigemistocytes \u3068\u547c\u3070\u308c\u3066\u304a\u308a\u3001GFAP \u67d3\u8272\u304c\u967d\u6027\u3067\u3042\u308b\u3002GFAP \u967d\u6027\u306e\u816b\u760d\u7d30\u80de\u306f\u4e4f\u7a81\u8d77\u81a0\u816b\u306e\u6570\u5341\uff05\u306b\u89b3\u5bdf\u3055\u308c\u308b\u3002<br \/>\n\u307e\u305f\u3001\u7d30\u80de\u8cea\u306b\u5fae\u7d30\u306a\u597d\u9178\u6027\u9846\u7c92\u3092\u5145\u6e80\u3055\u305b\u305f\u985e\u5186\u5f62\u7d30\u80de\u304c\u51fa\u73fe\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u3000\u9593\u8cea\u306b\u306f\u5206\u5c90\u3068\u543b\u5408\u3092\u793a\u3059\u6bdb\u7d30\u8840\u7ba1\u304c\u7db2\u76ee\u72b6\u306b\u767a\u9054\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u6240\u898b\u306f\u9ce5\u5c0f\u5c4b\u306e\u91d1\u7db2\u50cf\uff08chicken wire pattern\uff09\u3068\u8868\u73fe\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u77f3\u7070\u6c88\u7740\u3082\u3053\u306e\u816b\u760d\u306e\u7279\u5fb4\u6240\u898b\u306e\u4e00\u3064\u306b\u6319\u3052\u3089\u308c\u308b\u3002\u57fa\u8cea\u306b\u597d\u5869\u57fa\u6027\u306e\u7269\u8cea\u304c\u5897\u91cf\u3057\u3001\u5fae\u5c0f\u56a2\u80de\u6027\u5909\u5316\uff08microcystic change\uff09\u3092\u793a\u3059\u3053\u3068\u3082\u3042\u308b\u3002\u307e\u308c\u306b\u3001\u7d30\u80de\u304c\u6570\u500b\u305a\u3064\u5c0f\u96c6\u584a\u3092\u4f5c\u3063\u305f\u308a\u3001\u67f5\u72b6\u306e\u30ea\u30ba\u30df\u30ab\u30eb\u306a\u914d\u5217\u3092\u793a\u3057\u3066\u3000primitive polar spongioblastoma \u306b\u985e\u4f3c\u306e\u50cf\u3092\u5448\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002<br \/>\n\u76ae\u8cea\u3078\u306e\u6d78\u6f64\u90e8\u3067\u306f\u816b\u760d\u7d30\u80de\u304c\u795e\u7d4c\u7d30\u80de\u306e\u5468\u56f2\u3092\u53d6\u308a\u56f2\u3080\u50cf\u304c\u3057\u3070\u3057\u3070\u307f\u3089\u308c\u308b\u3002\u3000\u8a3a\u65ad\u306b\u3042\u305f\u3063\u3066\u306f central neurocytoma, clear cell ependymoma \u3068\u306e\u9451\u5225\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u4e4f\u7a81\u8d77\u81a0\u7d30\u80de\u306b\u7279\u7570\u7684\u306a\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u30de\u30fc\u30ab\u30fc\u306f\u306a\u3044\u3002\u3053\u308c\u3089\u306e\u816b\u760d\u3068\u306e\u9451\u5225\u306b\u306f\u96fb\u5b50\u9855\u5fae\u93e1\u7684\u691c\u7d22\u304c\u6709\u52b9\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-221","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/221","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=221"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}