{"id":261,"date":"2019-01-29T17:49:16","date_gmt":"2019-01-29T08:49:16","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=261"},"modified":"2019-01-29T17:49:16","modified_gmt":"2019-01-29T08:49:16","slug":"case-921-12","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-12","title":{"rendered":"CASE 921.12"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.12<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 12.35\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">22\u6b73 \u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u5074\u8133\u5ba4\u5185\u816b\u760d\u306e\u8a3a\u65ad\u3067\u816b\u760d\u6458\u51fa\u8853\u3092\u53d7\u3051\u308b\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">33\u6b73\u3000\u30009\u6708\u300012\u65e5<\/th>\n<td class=\"td04\">\u540c\u90e8\u306e\u816b\u760d\u518d\u767a\u306b\u3066\u6458\u51fa\u8853\u3092\u53d7\u3051\u308b\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u3000 4\u6708\u3000 4\u65e5<\/th>\n<td class=\"td04\">\u518d\u518d\u767a\u306e\u305f\u3081\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\uff0c\u4e00\u90e8\u56a2\u80de\u6027\u3067\u8840\u7ba1\u306b\u5bcc\u307f\uff0c\u30bf\u30e9\u30b3\u69d8\u306e\u5f62\u3092\u3057\u3066\u304a\u308a\uff0c<br \/>\n\u6bd4\u8f03\u7684\u8edf\u3089\u304b\u304b\u3063\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\/92112-1.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\/92112-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92112-3.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\/92112-4.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\/92112-5.jpg\" target=\"_blank\" class=\"linkA\">IHC, synaptophysin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92112-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, NSE<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92112-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, vimentin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92112-8.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 921.12 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1acentral neurocytoma<\/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\u7537\u6027\u306e\u5074\u8133\u5ba4\u5185\u816b\u760d<\/li>\n<li>13\u5e74\u9593\u306b\uff12\u56de\u518d\u767a<\/li>\n<li>\u9593\u8cea\u306e\u8840\u7ba1\u7d50\u5408\u7e54\u304c\u826f\u304f\u767a\u9054\uff0c\u5206\u8449\u72b6\u69cb\u9020\u3092\u793a\u3059<\/li>\n<li>\u5747\u4e00\u306a\u985e\u7e01\u5f62\u6838\u3068\uff0c\u6de1\u660e\u306a\u7d30\u80de\u8cea\u3092\u6301\u3064\u816b\u760d\u7d30\u80de<\/li>\n<li>\u6838\u306e\u591a\u614b\u6027\u306f\u306a\u3044\u304c\uff0c\u6838\u5206\u88c2\u50cf\u306f\u5c0f\u6570\u307f\u3089\u308c\u308b<\/li>\n<li>\u7d30\u80de\u9593\u306b\u7e4a\u7d30\u306a\u7dda\u7dad\u6027\u57fa\u8cea<\/li>\n<li>honey-combed structure\u306b\u985e\u4f3c\u306e\u3068\u3053\u308d\u3082\u3042\u308b<\/li>\n<li>\u8840\u7ba1\u5185\u76ae\u306e\u5897\u6b96\u3084\u58ca\u6b7b\u50cf\u306f\u4e4f\u3057\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>\u82e5\u5e74\u6210\u4eba<\/li>\n<li>\u5074\u8133\u5ba4\u524d\u534a\u90e8\u306e\u8133\u5ba4\u5185\u816b\u760d<\/li>\n<li>\u5186\u5f62\u5c0f\u578b\u306e\u5747\u4e00\u306a\u816b\u760d\u7d30\u80de\u304c\u6577\u77f3\u72b6\u306b\u914d\u5217\n<p class=\"indetP\">\n\u3057\u3070\u3057\u3070\u8702\u5de3\u69d8\u69cb\u9020\u3092\u793a\u3057 oligodendroglioma\u306b\u985e\u4f3c\n<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1a NSE, synaptophysin, NFP(+\/-)<\/li>\n<li>\u96fb\u9855\uff1a\u30b7\u30ca\u30d7\u30b9\u69d8\u69cb\u9020, clear vesicles, dense-cored vesicles<\/li>\n<li>\u8853\u5f8c\u306e\u4e88\u5f8c\u3071\u6bd4\u8f03\u7684\u826f\u597d\u306a\u3082\u306e\u304c\u591a\u3044<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">ntral neurocytoma \u4e2d\u5fc3\u6027\u795e\u7d4c\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u795e\u7d4c\u7d30\u80de\u306e\u7279\u5fb4\u3092\u3082\u3064\u5c0f\u3055\u306a\u816b\u760d\u7d30\u80de\u304b\u3089\u69cb\u6210\u3055\u308c\u308b\u8133\u5ba4\u5185\u816b\u760d\u3067\u3042<br \/>\n\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u82e5\u5e74\u6210\u4eba\u306e\u5074\u8133\u5ba4\u524d\u534a\u90e8\u306eMonro \u5b54\u4ed8\u8fd1\u306b\u3001\u8133\u5ba4\u5185\u816b\u760d\u3068\u3057\u3066\u767a\u751f\u3059\u308b\u5883\u754c\u306e\u9bae\u660e\u306a\u816b\u760d\u3067\u3042\u308b\u3002\u985e\u5186\u5f62\u306e\u6838\u3068\u6de1\u660e\u306a\u7d30\u80de\u8cea\u3092\u6301\u3064\u5c0f\u578b\u306e\u5747\u4e00\u306a\u816b\u760d\u7d30\u80de\u304c\u6577\u77f3\u72b6\u306b\u914d\u5217\u3057\u3001<br \/>\noligodendroglioma \u306b\u985e\u4f3c\u306e\u8702\u5de3\u69d8\u69cb\u9020\u3092\u793a\u3059\u3002\u9593\u8cea\u306b\u306f\u69d8\u3005\u306a\u91cf\u306e\u7d30\u7dda\u7dad\u6027\u57fa\u8cea\u304c\u5f62\u6210\u3055\u308c\u308b\u3002\u96fb\u9855\u7684\u306b\u30b7\u30ca\u30d7\u30b9\u69d8\u69cb\u9020\u3001clearvesicles, dense-cored vesicles \u306a\u3069\u306e\u795e\u7d4c\u7d30\u80de\u7cfb\u5206\u5316\u3092\u793a\u5506\u3059\u308b\u69cb\u9020\u3092\u8a3c\u660e\u3059\u308b\u3053\u3068\u304c\u8a3a\u65ad\u306e\u6c7a\u3081\u624b\u3068\u306a\u308b\u3002<br \/>\n\u540c\u69d8\u306e\u7279\u5fb4\u3092\u6301\u3064\u816b\u760d\u304c\u8133\u5ba4\u304b\u3089\u96e2\u308c\u3066\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u307e\u308c\u306b\u3042\u308b\u3002 \u305d\u308c\u3089\u306f\u5358\u306b neurocytoma \u795e\u7d4c\u7d30\u80de\u816b\u3068\u547c\u3070\u308c\u308b\u3002<\/p>\n<p>\u3000\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u306f synaptophysin \u3068 NSE \u304c\u967d\u6027\u3067\u3042\u308b\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u7cfb\u306e\u56fa\u5b9a\u6db2\u3092\u4f7f\u7528\u3059\u308b\u3068 neurofilament protein \u3082\u967d\u6027\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308b\u3002 \u4e00\u90e8\u306e\u75c7\u4f8b\u3067\u306f GFAP \u967d\u6027\u306e\u816b\u760d\u7d30\u80de\u3092\u542b\u3093\u3067\u3044\u308b\u3002Oligodendroglioma \u3068 clear cell ependymoma \u3068\u306e\u9451\u5225\u306b\u306f\u514d\u75ab\u7d44\u7e54\u5316\u7684\u6240\u898b\u306e\u307b\u304b\u96fb\u9855\u7684\u691c\u7d22\u304c\u6709\u7528\u3067\u3042\u308b\u3002\n<\/li>\n<\/ol>\n<h4>\uff15\uff0e\u6587\u732e<\/h4>\n<ol class=\"caseOL\">\n<li> Hassoun J, Gambarelli D, Grisoli W, et al: Central neurocytoma: an electron microscopic study of two cases.Acta Neuropathol 56:151-156, 1982<\/li>\n<li>\u4e45\u4fdd\u7530\u7d00\u5f66\uff1aCentral neurocytoma.\u75c5\u7406\u3068\u81e8\u5e8a 9:611-619, 1991<\/li>\n<li>von Deimling A, Kleihues P, Saremaslani P, Yasargil MG, Spoerri O, Sudhof TC, Wiestler OD: Histogenesis and differentiation potential of central neurocytomas.Lab Invest 64:585-591, 1991<\/li>\n<li>Figarella-Branger D, Pellissier JF, Daumas-Duport C, Delisle MB, Pasquier B, Parent M, Gambarelli D, Rougon G, Hassoun J: Central neurocytoma: critical evaluation of a small-cell neuronal tumor. Am J Surg Pathol 16:97-109, 1992\u760d<\/li>\n<li>Townsend JJ, Seaman JP: Central neurocytoma&#8211;a rare benign intraventricular tumor.Acta Neuropathol (Berl) 71:167-170, 1986<\/li>\n<\/ol>\n<p>\u3000\u3000\u3000\u3000\n<\/p><\/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-261","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/261","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=261"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}