{"id":280,"date":"2019-01-29T18:06:12","date_gmt":"2019-01-29T09:06:12","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=280"},"modified":"2019-01-29T18:06:12","modified_gmt":"2019-01-29T09:06:12","slug":"case-921-14","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-14","title":{"rendered":"CASE 921.14"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.14<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 14.6\u6b73\uff0c\u5973\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">3\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u6642\u3005\u982d\u75db\u3068\u5614\u5410\u3042\u308a\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">9\u6708\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u982d\u75db\uff0c\u5614\u5410\u304c\u983b\u56de\u3068\u306a\u308a\uff0c\u8907\u8996\u3082\u73fe\u308c\u5143\u6c17\u304c\u306a\u304f\u306a\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">9\u6708\u300017\u65e5<\/th>\n<td class=\"td04\">\u521d\u8a3a\u3002\u982d\u84cb\u5185\u5727\u4ea2\u9032\u75c7\u72b6\uff0c\u8907\u8996\uff0c\u53f3\u7247\u9ebb\u75fa\uff0c\u5c0f\u8133\u75c7\u72b6\u3092\u8a8d\u3081\u305f\u3002CT\u30b9\u30ad\u30e3\u30f3\u3067\u5c0f\u8133\u866b\u90e8\u306b\u5927\u304d\u306ahigh density mass\u3002\u9020\u5f71\u5264\u306b\u3066\u5f37\u304f\u5897\u5f37\u3055\u308c\u305f\u3002<br \/>\n\u307e\u305f\uff0c\u3053\u308c\u3068\u306f\u5225\u306b\u978d\u5185\uff5e\u978d\u4e0a\u90e8\uff5e\u7b2c\uff13\u8133\u5ba4\u306b\u3082high density mass\u3092\u8a8d\u3081\u305f\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\">9\u6708\u300025\u65e5<\/th>\n<td class=\"td04\">\u816b\u760d\u6458\u51fa\u8853\u65bd\u884c\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">\u624b\u8853\u6240\u898b<\/th>\n<td class=\"td04\">\u5c0f\u8133\u866b\u90e8\u306belastic hard\u3067\u8840\u7ba1\u306e\u8c4a\u5bcc\u306a\u90e8\u5206\u304c\u3042\u308a\uff0c\u3053\u308c\u3092\u53d6\u308a\u5dfb\u304f\u3088\u3046\u306b\u7070\u8272\u3067\u8edf\u3089\u304b\u3044\u816b\u760d\u304c\u5b58\u5728\u3057\uff0c\u3053\u308c\u3092\u4e9c\u5168\u6458\u3057\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\/92114-1.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\/92114-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92114-3.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\/92114-4.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\/92114-5.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\/92114-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, synaptophysin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92114-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, GFAP<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92114-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, NSE<\/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 921.14 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1amedulloblastoma<\/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>\uff16\u6b73\u5973\u5150\u306e\u5c0f\u8133\u816b\u760d<\/li>\n<li>\u5c0f\u8133\u866b\u90e8\u306b\u767a\u751f\u3057\u305f\uff0c\u8840\u7ba1\u306b\u5bcc\u3080\u8edf\u3089\u304b\u3044\u816b\u760d<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u304c\u6975\u3081\u3066\u9ad8\u3044\uff0c\u3044\u308f\u3086\u308b blue tumor<\/li>\n<li>\u5c0f\u578b\u306e\u6838\u304c\u5bc6\u96c6\u3057\u305f\u6697\u8abf\u306a\u90e8\u5206\u3068\u3084\u3084\u5927\u304d\u306a\u7d30\u80de\u304b\u3089\u6210\u308b\u660e\u8abf\u306a\u90e8\u5206<\/li>\n<li>\u816b\u760d\u7d30\u80de\u306f\u985e\u5186\u5f62\u6838\u3068\u72ed\u3044\u7d30\u80de\u8cea\u304b\u3089\u6210\u308b\u5c0f\u578b\u306e\u7d30\u80de<\/li>\n<li>Homer Wright\u30ed\u30bc\u30c3\u30c8\u306f\u3042\u307e\u308a\u660e\u77ad\u3067\u306f\u306a\u3044<\/li>\n<li>\u6838\u5206\u88c2\u50cf\u306f\u591a\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\u306e2.7%\uff0c\u795e\u7d4c\u5916\u80da\u8449\u6027\u816b\u760d\u306e7.6%<\/li>\n<li>\u5c0f\u5150\uff0c\u5c0f\u8133\u866b\u90e8\u306e\u4e0b\u534a\u90e8\u306b\u597d\u767a<\/li>\n<li>\u8d64\u307f\u306e\u5f37\u3044\u8edf\u3089\u304b\u3044\u816b\u760d\uff0c\u8133\u5ba4\u58c1\u3084\u30af\u30e2\u819c\u4e0b\u8154\u3078\u306e\u64ad\u7a2e<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u304c\u6975\u3081\u3066\u9ad8\u3044\uff0c\u30af\u30ed\u30de\u30c1\u30f3\u306e\u8c4a\u5bcc\u306a\u985e\u5186\u5f62\u6838\u3068\u6975\u3081\u3066\u72ed\u3044\n<p class=\"indetP\">\n\u7d30\u80de\u8cea\u3092\u6301\u3064\u5207\u682a\u5f62\uff08cone-shaped\uff09\uff0c\u4eba\u53c2\u5f62\uff08carrot-shaped\uff09\u7d30\u80de<\/li>\n<li>\u82b1\u74b0\u72b6\u306e\u7d30\u80de\u914d\u5217 Homer Wright\u30ed\u30bc\u30c3\u30c8<\/li>\n<li>\u6bd4\u8f03\u7684\u5927\u304d\u306a\u6838\u3068\u6de1\u660e\u306a\u7d30\u80de\u8cea\u3092\u6301\u3064\u7d30\u80de\u304c\u5cf6\u5dbc\u72b6\u306e\u96c6\u584a\u3092\u4f5c\u308b\u50cf<\/li>\n<li>\u7d44\u7e54\u4e9c\u578b\uff1a\n<p class=\"indetP\">\n\u7dda\u7dad\u5f62\u6210\u6027\u9ac4\u82bd\u816b\uff08desmoplastic medulloblastoma\uff09<br \/>\n\u9ac4\u82bd\u7b4b\u82bd\u816b\uff08medullomyoblastoma\uff09<br \/>\n\u8272\u7d20\u6027\u9ac4\u82bd\u816b\uff08melanotic medulloblastoma\uff09<\/li>\n<li>\u8272\u7d20\u6027\u9ac4\u82bd\u816b\uff08melanotic medulloblastoma\uff09<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1asynaptophysin, retinal S-antigen, GFAP, NFP<\/li>\n<li>\u7279\u5fb4\u304c\u4e4f\u3057\u3044\uff0c\u5fae\u5c0f\u7ba1<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Medulloblastoma \u9ac4\u82bd\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u5c0f\u8133\u306b\u767a\u751f\u3059\u308b\u816b\u760d\u3067\u3001\u795e\u7d4c\u5916\u80da\u8449\u6027\u306e\u672a\u5206\u5316\u306a\u5c0f\u578b\u7d30\u80de\u304c\u816b\u760d\u3092\u69cb\u6210\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u5c0f\u5150\u306b\u591a\u3044\u816b\u760d\u3067\u3001\u5c0f\u8133\u866b\u90e8\u306e\u4e0b\u534a\u90e8\u304c\u597d\u767a\u90e8\u4f4d\u3067\u3042\u308b\u3002\u8d64\u307f\u306e\u5f37\u3044\u8edf\u3089\u304b\u3044\u816b\u760d\u3067\u3001\u5468\u56f2\u7d44\u7e54\u3078\u306e\u6d78\u6f64\u50be\u5411\u304c\u5f37\u304f\u3001\u8133\u5ba4\u58c1\u3084\u30af\u30e2\u819c\u4e0b\u8154\u3078\u306e\u64ad\u7a2e\u3082\u3057\u3070\u3057\u3070\u767a\u751f\u3059\u308b\u3002<br \/>\n\u816b\u760d\u7d30\u80de\u306f\u30af\u30ed\u30de\u30c1\u30f3\u306b\u5bcc\u3080\u5375\u5186\u5f62\u306a\u3044\u3057\u985e\u5186\u5f62\u306e\u6838\u3068\u6975\u3081\u3066\u4e4f\u3057\u3044\u7d30\u80de\u8cea\u3092\u6301\u3061\u3001\u7d30\u80de\u8cea\u306e\u4e00\u5074\u304b\u3089\u77ed\u7a81\u8d77\u304c\u4f38\u3073\u3066\u3001\u5186\u9310\u5f62\u3042\u308b\u3044\u306f\u30cb\u30f3\u30b8\u30f3\u5f62\u3092\u5448\u3057\u3066\u3044\u308b\u3002\u591a\u6570\u306e\u6838\u5206\u88c2\u50cf\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u7d30\u80de\u306e\u7a81\u8d77\u3092\u4e2d\u5fc3\u306b\u5411\u304b\u3063\u3066\u4f38\u3070\u3059\u82b1\u74b0\u72b6\u306e\u7d30\u80de\u914d\u5217 Homer Wright \u30ed\u30bc\u30c3\u30c8\u306f\u3057\u3070\u3057\u3070\u8a8d\u3081\u3089\u308c\u308b\u9ac4\u82bd\u816b\u306e\u7279\u5fb4\u7684\u69cb\u9020\u3067\u3042\u308b\u3002<br \/>\n\u816b\u760d\u306e\u306a\u304b\u306b\u3084\u3084\u5927\u304d\u306a\u6838\u3068\u660e\u308b\u3044\u7d30\u80de\u8cea\u3092\u6301\u3064\u7d30\u80de\u304c\u5cf6\u72b6\u306e\u96c6\u56e3\u3092\u4f5c\u3063\u3066\u51fa\u73fe\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u7d30\u80de\u304c primitive polar spongioblastoma \u306b\u985e\u4f3c\u306e\u67f5\u72b6\u914d\u5217\u3092\u793a\u3059\u3053\u3068\u3084\u3001\u58ca\u6b7b\u5de3\u3092\u56f2\u3080\u6838\u306e\u507d\u67f5\u72b6\u914d\u5217\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002<br \/>\n\u816b\u760d\u7d30\u80de\u306f\u795e\u7d4c\u7d30\u80de\u7cfb\u306e\u5206\u5316\u3092\u793a\u3059\u3053\u3068\u304c\u3042\u308a\u3001\u305d\u306e\u69d8\u306a\u75c7\u4f8b\u3067\u306f synaptophysin \u3084 NFP \u304c\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u8a3c\u660e\u3055\u308c\u308b\u3002\u307e\u308c\u306b GFAP \u304c\u967d\u6027\u306e\u816b\u760d\u7d30\u80de\u304c\u51fa\u73fe\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002<\/li>\n<\/ol>\n<h4>\uff15\uff0e\u6587\u732e<\/h4>\n<ol class=\"caseOL\">\n<li> Rorke LB: The cerebellar medulloblastoma and its relationship to primitive neuroectodermal tumors.J Neuropathol Exp Neurol 42:1-15, 1983<\/li>\n<li> Rubinstein LJ: Justification for a cytogenetic scheme of embryonal central neuroepithelial tumors.Fields WS ed: Primary Brain Tumors. A Review of Histologic Classification.Springer-Verlag, New York, pp16-17, 1989<\/li>\n<li> \u9577\u5d8b\u548c\u90ce\uff1a Primitive neuroectodermal tumor.\u75c5\u7406\u3068\u81e8\u5e8a 9:592-596, 1991 <\/li>\n<li> Rorke LB: Classification and grading of childhood brain tumors: overview and statement of the problem. Cancer 56:1848-1849, 1985 <\/li>\n<li> Rorke LB: Primitive neuroectodermal tumor &#8211; a concept requiring an apologia?Fields WS ed: Primary Brain Tumors. A Review of Histologic Classification.Springer-Verlag, New York, pp5-15, 1989<\/li>\n<\/ol>\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-280","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/280","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=280"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}