{"id":290,"date":"2019-01-30T09:16:33","date_gmt":"2019-01-30T00:16:33","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=290"},"modified":"2019-01-30T09:16:33","modified_gmt":"2019-01-30T00:16:33","slug":"case-9215-15","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-9215-15","title":{"rendered":"CASE 9215.15"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 9215.15<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 15.41\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">30\u6b73\u9803\u3088\u308a\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u3081\u307e\u3044\u611f\u304c\u51fa\u73fe\u3057\u3066\u3044\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">40\u6b73\u300010\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u5de6\u96e3\u8074\u3092\u81ea\u899a\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">41\u6b73\u30003\u6708 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u820c\u5de6\u534a\u5206\u306e\u5473\u899a\u4f4e\u4e0b\uff0c\u5de6\u9f3b\u7ffc\u4ed8\u8fd1\u306e\u7570\u5e38\u77e5\u899a\u304c\u51fa\u73fe\u3057\u305f\u3002CT\u30b9\u30ad\u30e3\u30f3\u306b\u3066\u5de6\u5c0f\u8133\u6a4b\u5076\u89d2\u90e8\u306b\u816b\u760d\u3092\u8a8d\u3081\u305f\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">41\u624d\u30005\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u816b\u760d\u4e9c\u5168\u6458\u8853\u65bd\u884c\u3002<\/td>\n<\/tr>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/p>\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\/92115-1.jpg\" target=\"_blank\" class=\"linkA nonePad\">MRI, T1<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92115-2.jpg\" target=\"_blank\" class=\"linkA\">MRI, GdDTPA<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92115-3.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\/92115-4.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\/92115-5.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\/92115-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, S-100<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92115-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, Leu 7<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92115-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, 2E<\/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 921.15 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1aschwannoma<\/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>41\u6b73\u306e\u7537\u6027\uff0c\u3081\u307e\u3044\u3068\u96e3\u8074\uff0c\u9577\u3044\u7d4c\u904e<\/li>\n<li>\u5c0f\u8133\u6a4b\u89d2\u90e8\u306e\u816b\u760d<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u306f\u4e2d\u7b49\u5ea6<\/li>\n<li>\u7d30\u9577\u3044\u6838\u3068\u7e4a\u7d30\u306a\u7d30\u80de\u7a81\u8d77\u3092\u4f38\u3070\u3059\u7d21\u9318\u5f62\u7d30\u80de\uff0c\u7dda\u7dad\u675f\u3092\u5f62\u6210<\/li>\n<li>\u6838\u304c\u308f\u305a\u304b\u306b\u67f5\u72b6\u306b\u4e26\u3076\u50be\u5411\u3082\u307f\u3089\u308c\u308b<\/li>\n<li>\u6838\u306e\u7570\u578b\u306f\u4e4f\u3057\u304f\uff0c\u5206\u88c2\u50cf\u306f\u307b\u3068\u3093\u3069\u898b\u3089\u308c\u306a\u3044<\/li>\n<li>\u4e00\u90e8\u306b\u30d8\u30e2\u30b8\u30c7\u30ea\u30f3\u306e\u6c88\u7740<\/li>\n<li>\u8840\u7ba1\u306e\u5897\u751f\u306f\u306a\u304f\uff0c\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\u306e\uff15\uff5e10\uff05<\/li>\n<li>\u4e2d\u9ad8\u5e74\u306e\u5973\u6027\u306b\u591a\u3044<\/li>\n<li>\u8074\u795e\u7d4c\u306b\u597d\u767a\uff0c\u7a00\u306b\u7b2c\uff15\uff0c\u7b2c10\u795e\u7d4c\u306b\u767a\u751f<\/li>\n<li>\u88ab\u819c\u3092\u6301\u3064\u5883\u754c\u660e\u77ad\u306a\u816b\u760d\uff0c\u3057\u3070\u3057\u3070\u51fa\u8840\u3068\u56a2\u80de\u3092\u5408\u4f75<\/li>\n<li>\u30b7\u30e5\u30ef\u30f3\u7d30\u80de\u306b\u985e\u4f3c\u306e\u7d21\u9318\u5f62\u7d30\u80de\u304c\u5897\u6b96<\/li>\n<li>\u7d30\u9577\u3044\u6838\u304c\u6a2a\u306b\u4e26\u3076\uff1a\u6838\u306e\u67f5\u72b6\u914d\u5217 nuclear palisading<\/li>\n<li>\u7d30\u80de\u304c\u7dfb\u5bc6\u306b\u914d\u5217\uff1afascicular pattern, Antoni type A<\/li>\n<li>\u7d30\u80de\u304c\u7dfb\u5bc6\u306b\u914d\u5217\uff1afascicular pattern, Antoni type A\n<\/p>\n<p>\u6c34\u816b\u6027\u9593\u8cea\u304c\u8c4a\u5bcc\uff1areticular pattern, Antoni type B\n<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1aS-100 protein, leu 7<\/li>\n<li>\u96fb\u9855\uff1a\u4e2d\u9593\u5f84\u7d30\u7dda\u7dad\uff0c\u7d30\u80de\u5468\u56f2\u306e\u57fa\u5e95\u819c\uff0clong spacing collagen<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Schwannoma \u30b7\u30e5\u30ef\u30f3\u7d30\u80de\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u795e\u7d4c\u9798\u816b\uff08neurilemmoma, neurinoma\uff09\u3068\u3082\u547c\u3070\u308c\u308b\u3002 \u982d\u84cb\u5185\u3067\u306f\u8133\u795e\u7d4c\u3001\u810a\u9ac4\u5185\u3067\u306f\u810a\u9ac4\u795e\u7d4c\u306b\u767a\u751f\u3059\u308b\u3002\u77e5\u899a\u795e\u7d4c\u306b\u983b\u5ea6\u304c\u9ad8\u3044\u306e\u3067\u3001<br \/>\n\u982d\u84cb\u5185\u3067\u306f\u7b2c\uff18\u795e\u7d4c\u304c\u6700\u3082\u591a\u304f\u3001\u7b2c\uff15\u304a\u3088\u3073\u7b2c 10 \u795e\u7d4c\u306b\u3082\u307f\u3089\u308c\u3001\u810a\u9ac4\u795e\u7d4c\u3067\u306f\u5f8c\u6839\u306b\u597d\u767a\u3059\u308b\u3002\u7b2c\uff18\u8133\u795e\u7d4c\u306b\u767a\u751f\u3057\u305f\u3082\u306e\u306f\u5185\u8033\u5b54\u4ed8\u8fd1\u304b\u3089\u5c0f\u8133\u6a4b\u89d2\u90e8\u306b\u767a\u80b2\u3057\u3001\u5c0f\u8133\u3084\u8133\u5e79\u3092\u5727\u8feb\u3057\u306a\u304c\u3089\u5897\u6b96\u3059\u308b\u3002<br \/>\n\u8584\u3044\u88ab\u819c\u3092\u6301\u3064\u816b\u760d\u3067\u3001\u5c0f\u3055\u306a\u3082\u306e\u306f\u5145\u5b9f\u6027\u3067\u6de1\u6843\u8272\u3092\u5448\u3059\u308b\u304c\u3001\u5927\u304d\u306a\u816b\u760d\u3067\u306f\u3057\u3070\u3057\u3070\u56a2\u80de\u3084\u51fa\u8840\u3092\u4f34\u3063\u3066\u3044\u308b\u3002\u3000\u7d44\u7e54\u5b66\u7684\u306b\u306f\u7d30\u9577\u3044\u6746\u72b6\u6838\u3068\u6838\u306e\u4e21\u6975\u304b\u3089\u4f38\u3073\u308b\u7e4a\u7d30\u306a\u7d30\u80de\u8cea\u7a81\u8d77\u3092\u6709\u3059\u308b\u53cc\u6975\u6027\u7d30\u80de\u304c\u7dda\u7dad\u675f\u3092\u4f5c\u3063\u3066\u5897\u6b96\u3057\u3066\u3044\u308b\u3002<br \/>\n\u7d30\u80de\u306f\u6bd4\u8f03\u7684\u5747\u4e00\u3067\u3001\u6838\u306e\u7570\u578b\u306f\u4e4f\u3057\u304f\u3001\u6838\u5206\u88c2\u50cf\u306f\u307b\u3068\u3093\u3069\u307f\u3089\u308c\u306a\u3044\u3002\u3053\u306e\u3088\u3046\u306a\u90e8\u5206\u306f\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\u3001Antoni A \u578b\uff08\u7dda\u7dad\u675f\u578b fascicular type\uff09\u3068\u547c\u3070\u308c\u3066\u3044\u308b\u3002 \u7dda\u7dad\u675f\u306e\u306a\u304b\u3067\u816b\u760d\u7d30\u80de\u306e\u6838\u304c\u3001<br \/>\n\u6a2a\u306b\u4e26\u3076\u50be\u5411\u304c\u3057\u3070\u3057\u3070\u8a8d\u3081\u3089\u308c\u308b\u3002 \u3053\u308c\u304c\u6838\u306e\u67f5\u72b6\u914d\u5217\uff08palisading\uff09\u3067\u3042\u308b\u3002\u3053\u306e\u3088\u3046\u306a\u67f5\u72b6\u914d\u5217\u304c\u3001\u9593\u306b\u6838\u306e\u7121\u3044\u9818\u57df\uff08\u7121\u6838\u5e2f\uff09\u3092\u631f\u3093\u3067\uff12\u5217\u306b\u4e26\u3076\u69cb\u9020\u306f\u30b7\u30e5\u30ef\u30f3\u7d30\u80de\u816b\u306b\u7279\u7570\u7684\u3068\u3044\u308f\u308c\u3001<br \/>\n\u3053\u306e\u9818\u57df\u306fVerocay bodies \u3068\u547c\u3070\u308c\u3066\u3044\u308b\u3002 \u307e\u305f\u3001\u3068\u304d\u306b\u306f\u7dda\u7dad\u675f\u304c\u6e26\u5dfb\u72b6\u306b\u914d\u5217\u3057\u3001\u9ac4\u819c\u816b\u306b\u4f3c\u305f\u6240\u898b\u3092\u793a\u3059\u3053\u3068\u3082\u3042\u308b\u3002\u4e00\u65b9\u3001\u7d30\u80de\u9593\u9699\u306b\u7d44\u7e54\u6db2\u304c\u5897\u91cf\u3057\u305f\u90e8\u5206\u3067\u306f\u3001\u7d30\u80de\u306f\u96e2\u958b\u3057\u3066\u500b\u3005\u306e\u816b\u760d\u7d30\u80de\u306e\u5f62\u614b\u304c\u660e\u77ad\u3068\u306a\u308a\u3001\u7279\u5fb4\u7684\u306a\u914d\u5217\u306f\u5931\u308f\u308c\u308b\u3002<br \/>\n\u3053\u306e\u3088\u3046\u306a\u90e8\u5206\u306f Antoni B \u578b\uff08\u7db2\u72b6\u578b reticular type\uff09\u3068\u547c\u3070\u308c\u308b\u3002Antoni A \u578b\u3068 B \u578b\u306e\u7d44\u7e54\u50cf\u306f\u540c\u4e00\u306e\u816b\u7624\u5185\u306b\u5171\u5b58\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u4e21\u8005\u9593\u306b\u79fb\u884c\u3092\u8a8d\u3081\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u3000\u816b\u760d\u7d30\u80de\u306e\u6838\u306b\u306f\u8457\u3057\u3044\u591a\u5f62\u6027\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br \/>\n\u6bd4\u8f03\u7684\u7d4c\u904e\u306e\u9577\u3044\u30b7\u30e5\u30ef\u30f3\u7d30\u80de\u816b\u306b\u591a\u304f\u3001ancient schwannoma \u3068\u547c\u3070\u308c\u308b\u3002 \u3053\u306e\u6240\u898b\u306f\u60aa\u6027\u3092\u610f\u5473\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002\u7d30\u80de\u5bc6\u5ea6\u306f\u4f4e\u304f\u3001\u6838\u5206\u88c2\u50cf\u304c\u306a\u304f\u3053\u3068\u3092\u78ba\u8a8d\u3059\u308c\u3070\u8a3a\u65ad\u306f\u5bb9\u6613\u3067\u3042\u308b\u3002<br \/>\n\u307e\u305f\u3001\u5909\u6027\u6240\u898b\u3068\u3057\u3066\u3001\u7d30\u80de\u8cea\u306b\u9ec4\u8910\u8272\u306a\u3044\u3057\u7070\u9752\u8272\u306e\u8272\u7d20\u9846\u7c92\u304c\u51fa\u73fe\u3059\u308b\u3053\u3068\u304c\u3057\u3070\u3057\u3070\u3042\u308b\u3002\u3053\u306e\u8272\u7d20\u306f\u30e1\u30e9\u30cb\u30f3\u3068\u306f\u7570\u306a\u308b\u7269\u8cea\u3067\u3042\u308a\u3001melanotic schwannoma \u3068\u6df7\u540c\u3057\u306a\u3044\u3088\u3046\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u3000\u9593\u8cea\u306b\u306f\u8840\u7ba1\u304c\u3088\u304f\u767a\u9054\u3057\u3066\u304a\u308a\u3001<br \/>\n\u30d8\u30e2\u30b8\u30c7\u30ea\u30f3\u6c88\u7740\u3084\u7dda\u7dad\u5316\u306a\u3069\u306e\uff12\u6b21\u5909\u6027\u3082\u3057\u3070\u3057\u3070\u898b\u3089\u308c\u308b\u3002\u3000\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u306f\u3001\u816b\u760d\u7d30\u80de\u306b S-100 protein, vimentin, Leu 7, 2E \u6297\u539f\u306a\u3069\u306e\u967d\u6027\u6240\u898b\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002EMA \u306f\u9670\u6027\u3067\u3042\u308a\u3001\u9ac4\u819c\u816b\u3068\u306e\u9451\u5225\u306b\u6709\u52b9\u3067\u3042\u308b\u3002\n<\/p>\n<p>\u3000\u96fb\u9855\u7684\u306b\u306f\u3001\u816b\u760d\u7d30\u80de\u306b\u306f\u4e2d\u9593\u5f84\u7d30\u7dda\u7dad\u304c\u89b3\u5bdf\u3055\u308c\u3001\u7d30\u80de\u306e\u5468\u56f2\u3092\u57fa\u5e95\u819c\u3067\u5305\u307e\u308c\u3066\u3044\u308b\u70b9\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u7d30\u80de\u9593\u9699\u306b\u306flong-spacing collagen(Lusebodies)\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002\u3053\u308c\u306f 120 \uff5e 150 nm \u306e\u5468\u671f\u6027\u6a2a\u7d0b\u3092\u3082\u3064\u7279\u6b8a\u306a\u81a0\u539f\u7dda\u7dad\u3067\u3042\u308b\u3002<\/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-290","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/290","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=290"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}