{"id":231,"date":"2019-01-29T17:30:10","date_gmt":"2019-01-29T08:30:10","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=231"},"modified":"2019-01-29T17:30:10","modified_gmt":"2019-01-29T08:30:10","slug":"case-921-9","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-9","title":{"rendered":"CASE 921.9"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.9<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 9.5\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">3\u6b73\u30007\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u982d\u84cb\u5185\u5727\u4ea2\u9032\u75c7\u72b6\u306b\u3066\u767a\u75c7\u3002CT\u30b9\u30ad\u30e3\u30f3\u3067\u5c0f\u8133\u6b63\u4e2d\u90e8\u306benhanced mass\u304c\u8a8d\u3081\u3089\u308c\uff0c\u7b2c\uff14\u8133\u5ba4\u90e8\u816b\u760d\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">3\u6b73\u3000 7\u670827\u65e5<\/th>\n<td class=\"td04\">\n\u816b\u760d\u5168\u6458\u51fa\u8853\u304c\u65bd\u884c\u3055\u308c\uff0c\u8853\u5f8c54Gy\u306e\u5c40\u6240\u7167\u5c04\u304c\u884c\u308f\u308c\u305f\u3002CT\u4e0a\u816b\u7624\u306f\u6d88\u5931\u3057\uff0c\u7d4c\u904e\u306f\u826f\u597d\u3067\u3042\u3063\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">5\u6b73\u300010\u670829\u65e5<\/th>\n<td class=\"td04\">\n\u982d\u75db\u51fa\u73fe\u3002CT\u30b9\u30ad\u30e3\u30f3\u306b\u3066\u5c0f\u8133\u6b63\u4e2d\u90e8\u306b\u76f4\u5f84\uff13cm\u306eenhanced mass\u304c\u8a8d\u3081\u3089\u308c\uff0c\u816b\u760d\u518d\u767a\u3068\u8a3a\u65ad\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">5\u6b73\u300011\u670812\u65e5<\/th>\n<td class=\"td04\">\n\u982d\u75db\u51fa\u73fe\u816b\u760d\u5168\u6458\u51fa\u8853\u304c\u65bd\u884c\u3055\u308c\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\/9219-1.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\/9219-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9219-3.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\/9219-4.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\/9219-5.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\/9219-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, vimentin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9219-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9219-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, cytokeratin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/9219-9.jpg\" target=\"_blank\" class=\"linkA\">IHC, EMA<\/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 921.9 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1aependymoma<\/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>\uff15\u6b73\u306e\u7537\u5150\u306e\u7b2c\uff14\u8133\u5ba4\u816b\u760d<\/li>\n<li>\u4e00\u90e8\u306f\u4e73\u982d\u6027\uff0c\u4e00\u90e8\u306f\u5145\u5b9f\u6027\u306e\u8840\u7ba1\u306b\u5bcc\u3080\u816b\u760d<\/li>\n<li>\u591a\u5217\u5186\u67f1\u4e0a\u76ae\u69d8\u306e\u914d\u5217\uff0c\u3057\u304b\u3057\u57fa\u5e95\u819c\u3092\u6b20\u304f<\/li>\n<li>\u817a\u8154\u5f62\u6210: ependymal rosettes, ependymal tubules\uff0cependymal canals<\/li>\n<li>\u8840\u7ba1\u5468\u56f2\u6027\u30ed\u30bc\u30c3\u30c8\uff1a\u8840\u7ba1\u5468\u56f2\u306b\u7121\u6838\u5e2f\u304c\u3042\u308b<\/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>\u8840\u7ba1\u5185\u76ae\u306e\u5897\u6b96\u3084\u58ca\u6b7b\u5de3\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>\u982d\u84cb\u5185\u816b\u760d\u306e2.2%\uff0c\u81a0\u816b\u306e7%\u306e\u983b\u5ea6<\/li>\n<li>\u5c0f\u5150\u306b\u591a\u304f\uff0c\u7b2c\uff14\u8133\u5ba4\u304c\u597d\u767a\u90e8\u4f4d\uff0e\u810a\u9ac4\u4e0b\u90e8\uff0c\u7d42\u7cf8\u306b\u3082\u591a\u3044<\/li>\n<li>\u985e\u5186\u5f62\u6838\u3068\uff0c\u5883\u754c\u306e\u4e0d\u660e\u306a\u5f31\u597d\u9178\u6027\u7d30\u80de\u8cea\u3092\u6301\u3064\u7d30\u80de<\/li>\n<li>\u8840\u7ba1\u5468\u56f2\u6027\u507d\u30ed\u30bc\u30c3\u30c8\u3092\u5f62\u6210\uff1a\n<p class=\"indetP\">\n\u6838\u304c\u8840\u7ba1\u304b\u3089\u96e2\u308c\u305f\u4f4d\u7f6e\u306b\u5b58\u5728\u3057\uff0c\u8840\u7ba1\u8fd1\u508d\u306f\u7d30\u80de\u7a81\u8d77\u306e\u307f\u304b\u3089\u6210\u308b<br \/>\n\u6838\u5e2f\uff08kernfreie Manschetten, moose track\uff09\u304c\u5f62\u6210\u3055\u308c\u308b<\/li>\n<li>\u7d44\u7e54\u5b66\u7684\u4e9c\u578b\u306b\u306f\n<p class=\"indetP\">\n\u7d30\u80de\u6027\u4e0a\u8863\u816b\uff08cellular ependymoma\uff09\uff1a\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\u8840\u7ba1\u5468\u56f2\u6027\u914d\u5217\u306e\u307f\u304c\u76ee\u7acb\u3064\u816b\u760d\u308b<br \/>\n\u4e0a\u76ae\u6027\u4e0a\u8863\u816b\uff08epithelial ependymoma\uff09\uff1a\u7ba1\u8154\u3092\u56f2\u3080\u7d30\u80de\u914d\u5217\uff08true rosette, ependymal rosette\uff09<br \/>\n\u304c\u898b\u3089\u308c\u308b\u816b\u760d<br \/>\n\u4e73\u982d\u6027\u4e0a\u8863\u816b\uff08papillary ependymoma\uff09\uff1a\u4e73\u982d\u6027\u7d30\u80de\u914d\u5217\u306e\u76ee\u7acb\u3064\u816b\u760d<br \/>\n\u660e\u7d30\u80de\u4e0a\u8863\u816b\uff08clear cell ependymoma\uff09\uff1a\u4e4f\u7a81\u8d77\u81a0\u816b\u306b\u985e\u4f3c\u306ehoneycomb structure\u3092\u3057\u3081\u3059\u816b\u760d<\/li>\n<li>blephaloplast\uff08\u751f\u6bdb\u4f53\uff09\uff1a\u7ba1\u8154\u9762\u306e\u7d30\u80de\u8cea\u306bPTAH\u67d3\u8272\u967d\u6027\u306e\u5c0f\u4f53<\/li>\n<li>\u96fb\u9855\uff1a\u5fae\u5c0f\u30ed\u30bc\u30c3\u30c8\uff0c\u5fae\u7d68\u6bdb\uff0c\u7dda\u6bdb\uff0c\u7d30\u80de\u63a5\u7740\u88c5\u7f6e<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Ependymoma \u4e0a\u8863\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u4e0a\u8863\u7d30\u80de\u3078\u306e\u5206\u5316\u3092\u793a\u3059\u7d30\u80de\u304b\u3089\u69cb\u6210\u3055\u308c\u308b\u816b\u760d\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u8133\u5ba4\u7cfb\u306b\u95a2\u9023\u3057\u3066\u767a\u751f\u3059\u308b\u6bd4\u8f03\u7684\u5883\u754c\u306e\u9bae\u660e\u306a\u8edf\u3089\u304b\u3044\u816b\u760d\u3067\u3001\u7b2c\uff14\u8133\u5ba4\u304c\u597d\u767a\u90e8\u4f4d\u3067\u3042\u308b\u304c\u3001\u810a\u9ac4\u4e0b\u90e8\u3001\u7d42\u7cf8\u306b\u3082\u591a\u3044\u3002<br \/>\n\u7d44\u7e54\u5b66\u7684\u306b\u306f\u5fae\u7d30\u9846\u7c92\u72b6\u306e\u30af\u30ed\u30de\u30c1\u30f3\u3092\u6301\u3064\u985e\u5186\u5f62\u6838\u3068\u3001\u5883\u754c\u306e\u4e0d\u660e\u306a\u5f31\u597d\u9178\u6027\u7d30\u80de\u8cea\u3092\u6301\u3064\u7d30\u80de\u304c\u3001\u4e2d\u7b49\u5ea6\u306e\u7d30\u80de\u5bc6\u5ea6\u3092\u793a\u3057\u306a\u304c\u3089\u5897\u6b96\u3057\u3066\u3044\u308b\u3002\u7d30\u80de\u306f\u8840\u7ba1\u306b\u5411\u304b\u3063\u3066\u7e4a\u7d30\u306a\u5358\u6975\u6027\u7a81\u8d77\u3092\u4f38\u3070\u3057\u3066\u3001\u8840\u7ba1\u5468\u56f2\u6027\u507d\u30ed\u30bc\u30c3\u30c8\uff08perivascular pseudorosette\uff09<br \/>\n\u3092\u5f62\u6210\u3059\u308b\u3002\u816b\u760d\u7d30\u80de\u306e\u7d30\u80de\u7a81\u8d77\u306f\u304d\u308f\u3081\u3066\u9577\u3044\u306e\u3067\u3001\u8840\u7ba1\u8fd1\u508d\u306b\u306f\u7d30\u80de\u7a81\u8d77\u306e\u307f\u304b\u3089\u6210\u308b\u7121\u6838\u5e2f\u304c\u5f62\u6210\u3055\u308c\u308b\u3002\u4e0a\u8863\u816b\u306b\u6700\u3082\u7279\u5fb4\u7684\u306a\u69cb\u9020\u306f\u7ba1\u8154\u3092\u56f2\u3080\u7d30\u80de\u914d\u5217\u3067\u3042\u308b\u3002 \u7ba1\u8154\u304c\u5c0f\u3055\u3044\u3082\u306e\uff08true rosette, ependymal rosette\uff09\u3001<br \/>\n\u3084\u3084\u5927\u304d\u306a\u3082\u306e\uff08ependymaltubule\uff09\u3001\u5e83\u3044\u4e0d\u5b9a\u5f62\u306e\u8154\u3092\u4f5c\u308b\u3082\u306e\uff08ependymal\u3000canal\uff09\u304c\u533a\u5225\u3055\u308c\u308b\u304c\u3001\u672c\u8cea\u7684\u306a\u9055\u3044\u306f\u306a\u3044\u3002\u751f\u6bdb\u4f53\uff08blephaloplast\uff09\u306f\u7ba1\u8154\u9762\u306e\u7d30\u80de\u8cea\u306b\u8a8d\u3081\u3089\u308c\u308b PTAH \u67d3\u8272\u967d\u6027\u306e\u687f\u72b6\u9846\u7c92\u72b6\u5c0f\u4f53\u3067\u3042\u308a\u3001<br \/>\n\u7e4a\u6bdb\u306e\u57fa\u5e95\u5c0f\u4f53\u306b\u4e00\u81f4\u3059\u308b\u69cb\u9020\u3067\u3042\u308b\u3002\u5206\u5316\u578b\u306e\u4e0a\u8863\u816b\u3067\u3082\u816b\u760d\u5185\u306b\u58ca\u6b7b\u5de3\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u3002 \u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u306f GFAP, vimentin, cytokeratin \u304c\u967d\u6027\u3067\u3042\u308a\u3001\u7ba1\u8154\u306b\u9762\u3059\u308b\u7d30\u80de\u819c\u306f EMA \u304c\u967d\u6027\u3068\u306a\u308b\u3002<br \/>\n\u3044\u3002\n<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u4e9c\u578bcellular ependymoma \u7d30\u80de\u6027\u4e0a\u8863\u816b<\/strong>\u3000\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\u8840\u7ba1\u5468\u56f2\u6027\u914d\u5217\u306e\u307f\u304c\u76ee\u7acb\u3064\u816b\u760d\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u4e9c\u578b papillary ependymoma \u4e73\u982d\u6027\u4e0a\u8863\u816b<\/strong>\u3000\u4e73\u982d\u6027\u7d30\u80de\u914d\u5217\u306e\u76ee\u7acb\u3064\u4e0a\u8863\u816b\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u4e9c\u578b clearcell ependymoma \u660e\u7d30\u80de\u4e0a\u8863\u816b<\/strong>\u3000\u4e4f\u7a81\u8d77\u81a0\u816b\u306b\u985e\u4f3c\u306e honeycomb structure \u3092\u793a\u3059\u4e0a\u8863\u816b\u3067\u3042\u308b\u3002<\/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-231","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/231","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=231"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}