{"id":270,"date":"2019-01-29T17:57:34","date_gmt":"2019-01-29T08:57:34","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=270"},"modified":"2019-01-29T17:57:34","modified_gmt":"2019-01-29T08:57:34","slug":"case-921-13","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-13","title":{"rendered":"CASE 921.13"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.13<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 13.36\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">34\u6b73\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u3081\u307e\u3044\uff0c\u9f3b\u51fa\u8840\u304c\u6642\u3005\u307f\u3089\u308c\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u982d\u75db\uff0c\u5614\u6c17\u304c\u51fa\u73fe\uff0c\u6b21\u7b2c\u306b\u5897\u5f37\u3002\u305d\u306e\u5f8c\u8996\u529b\u4f4e\u4e0b\uff0c\u5168\u8eab\u5026\u6020\u611f\u304c\u51fa\u73fe\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u300012\u6708\u3000 \u3000\u3000<\/th>\n<td class=\"td04\">\u773c\u79d1\u533b\u3067\u4e21\u5074\u3046\u3063\u8840\u4e73\u982d\u3092\u6307\u6458\u3055\u308c\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">36\u6b73\u3000\u3000 2\u6708\u3000 3\u65e5<\/th>\n<td class=\"td04\">\u8133\u5916\u79d1\u5165\u9662\u3002CT\u30b9\u30ad\u30e3\u30f3\u306b\u3066\u7b2c\uff13\u8133\u5ba4\u4ed8\u8fd1\u3092\u5360\u3081\u308b\u3084\u3084\u53f3\u5074\u306b\u5927\u304d\u3044high density area\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">36\u6b73\u3000\u3000 2\u6708\u300016\u65e5<\/th>\n<td class=\"td04\">\u8133\u5ba4\u8179\u8154\u77ed\u7d61\u8853\uff08V-P shunt\uff09<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u3000 4\u6708\u3000 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u5834\u6240\u306e\u5931\u898b\u5f53\u8b58\uff0c\u610f\u6b32\u4f4e\u4e0b\uff0c\u7cbe\u795e\u75c7\u72b6\u304c\u51fa\u73fe\u3002<\/td>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u3000 5\u6708\u3000 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u50be\u7720\u50be\u5411\uff0c\u60aa\u5fc3\uff0c\u5614\u5410\uff0c\u4e21\u5074\u3046\u3063\u8840\u4e73\u982d\u306a\u3069\u304c\u51fa\u73fe\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u3000 6\u6708\u3000 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">V-P shunt\u518d\u5efa\u8853\uff0c\u7167\u5c0456.5Gy\u3002<\/td>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u300010\u6708 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u50be\u7720\u50be\u5411\uff0c\u773c\u7403\u30fb\u56db\u80a2\u81ea\u767a\u904b\u52d5\u6e1b\u5c11\uff0c\u4e21\u4e0b\u80a2\u75c5\u7684\u53cd\u5c04\u51fa\u73fe\uff0c\u5c3f\u30fb\u4fbf\u5931\u7981\u304c\u307f\u3089\u308c\uff0c\u4e0b\u65ec\u306b\u306f\u547c\u5438\u56f0\u96e3\u51fa\u73fe\u3002<\/td>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/tr>\n<tr>\n<th class=\"th06\">36\u6b73\u3000\u3000 11\u6708 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u6c38\u7720<\/td>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/tr>\n<tr>\n<th class=\"th06\"><\/th>\n<td class=\"td04\">\u6a19\u672c\u306f\u5256\u691c\u6642\u306b\u677e\u679c\u4f53\u90e8\u816b\u760d\u3088\u308a\u4f5c\u6210\u3057\u305f\u3082\u306e\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\/92113-1.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\/92113-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92113-3.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\/92113-4.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\/92113-5.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\/92113-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, synaptophysin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92113-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, NFP 68Kd<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92113-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, NFP 68Kd<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92113-9.jpg\" target=\"_blank\" class=\"linkA\">IHC, chromogranin A<\/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 921.13 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1apineocytoma<\/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>36\u6b73\u5973\u6027\u306e\u677e\u679c\u4f53\u90e8\u816b\u760d<\/li>\n<li>\u4e2d\u7b49\u5ea6\u306e\u7d30\u80de\u5bc6\u5ea6\uff0c\u5206\u8449\u72b6\u69cb\u9020<\/li>\n<li>\u5747\u4e00\u306a\u985e\u5186\u5f62\u6838\u3068\u5883\u754c\u306e\u4e0d\u660e\u306a\u7d30\u80de\u8cea\u3092\u6301\u3064\u816b\u760d\u7d30\u80de<\/li>\n<li>\u7d30\u80de\u9593\u3084\u8840\u7ba1\u5468\u56f2\u306b\u8c4a\u5bcc\u306a\u7dda\u7dad\u6027\u57fa\u8cea<\/li>\n<li>\u597d\u9178\u6027\u306e\u7121\u6838\u91ce\u3092\u56f2\u3080\u6838\u306e\u30ed\u30bc\u30c3\u30c8\u72b6\u914d\u5217 pineocytomatous rosette<\/li>\n<li>\u6838\u5206\u88c2\u50cf\u306f\u4e4f\u3057\u3044<\/li>\n<li>\u7d44\u7e54\u306e\u58ca\u6b7b\u3084\u8840\u7ba1\u5185\u76ae\u306e\u5897\u6b96\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>\u82e5\u5e74\u304b\u3089\u9ad8\u9f62\u8005\u307e\u3067<\/li>\n<li>\u7b2c\uff13\u8133\u5ba4\u5f8c\u534a\u90e8\u306e\u5883\u754c\u9bae\u660e\u306a\u5145\u5b9f\u6027\u816b\u7624<\/li>\n<li>\u5747\u4e00\u306a\u985e\u5186\u5f62\u6838\u3092\u6301\u3064\u816b\u760d\u7d30\u80de\uff0c\u7dda\u7dad\u6027\u57fa\u8cea<\/li>\n<li>\u8840\u7ba1\u3068\u7dda\u7dad\u6027\u7d50\u5408\u7e54\u306b\u3088\u3063\u3066\u533a\u753b\u3055\u308c\u305f\u5206\u8449\u69cb\u9020<\/li>\n<li>\u5927\u578b\u306e\u30ed\u30bc\u30c3\u30c8\uff08pineocytomatous rosette\uff09<\/li>\n<li>\u8ef8\u7d22\u934d\u9280\u6cd5\u3067\u306f\uff0c\u816b\u760d\u7d30\u80de\u306e\u7a81\u8d77\u5148\u7aef\u304c\u30b4\u30eb\u30d5\u30af\u30e9\u30d6\u72b6\u306b\u816b\u5927\n<p class=\"indetP\">\n\uff08club-like expansion\uff09<\/li>\n<li> \u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1asynaptophysin, NSE, NFP, retinal S-antigen, <br \/>\nchromogranin A \u306a\u3069<\/li>\n<li>\u96fb\u9855\uff1a\u7d30\u80de\u8cea\u306eanulate lamellae, microtubules, synaptic ribon, <br \/>\nmicrotubular sheaves, 9+0 type cilia, \u7a81\u8d77\u5185\u306edense-cored <br \/>\nvesicles, clear vesicles, \u7a81\u8d77\u306e\u30b7\u30ca\u30d7\u30b9\u69d8\u69cb\u9020\u306a\u3069<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Pineocytoma \u677e\u679c\u4f53\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u677e\u679c\u4f53\u306e\u5b9f\u8cea\u7d30\u80de\u306b\u985e\u4f3c\u306e\u5f62\u614b\u3092\u6301\u3064\u3001\u826f\u304f\u5206\u5316\u3057\u305f\u7d30\u80de\u304b\u3089\u6210\u308b\u816b<br \/>\n\u760d\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u82e5\u5e74\u304b\u3089\u9ad8\u9f62\u8005\u307e\u3067\u767a\u751f\u3057\u3001\u677e\u679c\u4f53\u90e8\u306b\u5883\u754c\u9bae\u660e\u306a\u5145\u5b9f\u6027\u816b\u7624\u3092\u5f62\u6210\u3059\u308b\u3002\u3057\u3070\u3057\u3070\u8840\u7ba1\u7d50\u5408\u7e54\u6027\u306e\u9593\u8cea\u304c\u816b\u760d\u7d44\u7e54\u3092\u533a\u753b\u3057\u3066\u5206\u8449\u69cb\u9020\u3092\u5f62\u6210\u3059\u308b\u3002<br \/>\n\u5747\u4e00\u306a\u985e\u5186\u5f62\u6838\u3068\u5883\u754c\u306e\u4e0d\u660e\u77ad\u306a\u5f31\u597d\u9178\u6027\u7d30\u80de\u8cea\u3092\u6301\u3064\u816b\u760d\u7d30\u80de\u304c\u3001\u69d8\u3005\u306a\u91cf\u306e\u7dda\u7dad\u6027\u57fa\u8cea\u3092\u4f34\u3063\u3066\u5897\u6b96\u3059\u308b\u3002\u597d\u9178\u6027\u7121\u6838\u91ce\u306e\u5468\u56f2\u306b\u6838\u304c\u3086\u3063\u305f\u308a\u3068\u914d\u5217\u3059\u308b\u5927\u304d\u306a Homer Wright \u30ed\u30bc\u30c3\u30c8\uff08pineocytic rosette\uff09\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002<br \/>\n\u8ef8\u7d22\u934d\u9280\u6cd5\u3067\u306f\u816b\u760d\u7d30\u80de\u304c\u597d\u9280\u6027\u7a81\u8d77\u3092\u30ed\u30bc\u30c3\u30c8\u306e\u4e2d\u5fc3\u306b\u5411\u304b\u3063\u3066\u4f38\u3070\u3057\u3066\u304a\u308a\u3001 \u3057\u304b\u3082\u305d\u306e\u7a81\u8d77\u5148\u7aef\u304c\u30b4\u30eb\u30d5\u30af\u30e9\u30d6\u72b6\u306b\u816b\u5927\u3057\u3066\u3044\u308b\u6240\u898b\uff08club-like expansion\uff09\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u597d\u9280\u6027\u7a81\u8d77\u306e\u767a\u9054\u306e\u7a0b\u5ea6\u306f\u816b\u760d\u7d30\u80de\u306e\u5206\u5316\u5ea6\u3092\u77e5\u308b\u6307\u6a19\u3068\u306a\u308b\u3002<br \/>\n \u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u306f synaptophysin, chromogranin A \u304c\u6bdf\u6027\u3067\u3001\u4e00\u90e8\u306e\u75c7\u4f8b\u306f retinal S-antigen \u3092\u767a\u73fe\u3059\u308b\u3002\u816b\u760d\u7d30\u80de\u304c\u795e\u7d4c\u7d30\u80de\u3001\u30b0\u30ea\u30a2\u3001\u7db2\u819c\u3078\u306e\u5206\u5316\u3092\u793a\u3059\u3053\u3068\u3082\u3042\u308b\u3002<\/li>\n<\/ol>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/p>\n<h4>\uff15\uff0e\u6587\u732e<\/h4>\n<ol class=\"caseOL\">\n<li>Hassoun J, Gambarelli D: Pinealoma: need for an ultrastructural diagnosis.Fields WS ed: Primary Brain Tumors. A Review of<br \/>\nHistologic Classification.Springer-Verlag, New York, pp.82-85, 1989<\/li>\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-270","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/270","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=270"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}