{"id":317,"date":"2019-01-30T09:41:10","date_gmt":"2019-01-30T00:41:10","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=317"},"modified":"2019-01-30T09:41:10","modified_gmt":"2019-01-30T00:41:10","slug":"case-921-18","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-18","title":{"rendered":"CASE 921.18"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.18<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 18.42\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">24\u6b73\u30007\u6708\u3000\u3000\u3000 <\/th>\n<td class=\"td04\">\n\u75d9\u6523\u767a\u4f5c\uff0c\u982d\u75db\u306b\u3066\u767a\u75c7\uff0c\u524d\u982d\u8449\u508d\u77e2\u72b6\u6d1e\u90e8\u9ac4\u819c\u816b\u306e\u6458\u51fa\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">34\u6b73\u30007\u6708 \u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u816b\u760d\u304c\u518d\u767a\u3057\uff0c\u5168\u6458\u51fa\u3092\u65bd\u884c\u3055\u308c\u308b\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">35\u6b73\u3000\u3000\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u5de6\u773c\u7aa9\uff5e\u4e2d\u982d\u84cb\u7aa9\u306e\u9ac4\u819c\u816b\u3092\u5168\u6458\u51fa\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">38\u6b73\u3000\u3000\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u5de6\u773c\u7aa9\uff5e\u4e2d\u982d\u84cb\u7aa9\u306e\u9ac4\u819c\u816b\u3092\u5168\u6458\u51fa\u300235\u6b73\u540c\u4e0a\u306e\u90e8\u4f4d\u304a\u3088\u3073\u508d\u77e2\u72b6\u6d1e\u90e8\u9ac4\u819c\u816b\u304c\u518d\u767a\u3057\uff0c\u6458\u51fa\u8853\u65bd\u884c\u3002\u8853\u5f8c\uff0c\u4e2d\u982d\u84cb\u7aa9 60Gy\uff0c\u508d\u77e2\u72b6\u6d1e\u90e8 36Gy\u7167\u5c04\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">39\u6b73\u30006\u6708\u3000\u3000\u3000 <\/th>\n<td class=\"td04\">\u80f8\u90e8\uff58\u7dda\u306b\u3066\u7570\u5e38\u3092\u6307\u6458\u3055\u308c\u305f\u304c\u653e\u7f6e\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">40\u6b73\u30008\u6708\u3000\u3000\u3000 <\/th>\n<td class=\"td04\">\u5de6\u7be9\u9aa8\u6d1e\uff0c\u524d\u982d\u6d1e\uff0c\u5de6\u982d\u9802\u90e8\u9ac4\u819c\u816b\u3092\u6458\u51fa\u3002\u8853\u5f8c\uff0c\u5de6\u773c\u7aa9 30Gy\uff0c\u5074\u982d\u90e8 36Gy\u7167\u5c04\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">41\u6b73\u3000\u3000\u3000\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u5de6\u524d\u982d\u8449\u5e95\u90e8\u3068\u5927\u8133\u938c\u306e\u9ac4\u819c\u816b\u3092\u6458\u51fa\u3002\u305d\u306e\u5f8c\uff0c\u80ba\uff0c\u809d\uff0c\u9aa8\u306b\u8ee2\u79fb\u51fa\u73fe\u3002\u809d\u52d5\u8108\u585e\u6813\u8853\u3092\uff13\u56de\u65bd\u884c\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">42\u6b73\u30005\u6708\u3000\u3000\u3000 <\/th>\n<td class=\"td04\">\u981a\u690e\uff0c\u53f3\u5074\u80f8\u90e8\u75db\u3042\u308a\uff0c\u305d\u308c\u305e\u308c30Gy\u7167\u5c04\u3002\u9000\u9662\u5f8c\u3082\u5de6\u53f3\u80f8\u90e8\u3078\u306e\u7167\u5c04\u3092\u5916\u6765\u3067\u7d9a\u3051\u3066\u3044\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">42\u6b73\u30009\u6708\u300024\u65e5<\/th>\n<td class=\"td04\">\u80f8\u90e8\u75db\u304c\u8457\u3057\u3044\u305f\u3081\u5165\u9662\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">42\u6b73\u30009\u6708\u300025\u65e5<\/th>\n<td class=\"td04\">\u6b7b\u4ea1\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\"><\/th>\n<td class=\"td04\">\u6a19\u672c\u306f38\u6b73\u306b\u518d\u3005\u767a\u3057\u305f\u508d\u77e2\u72b6\u6d1e\u90e8\u816b\u760d\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\/92118-1.jpg\" target=\"_blank\" class=\"linkA nonePad\">CAG, arterial phase<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-2.jpg\" target=\"_blank\" class=\"linkA\">CAG, late arterial &#8211; capillary phase<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-3.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\/92118-4.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\/92118-5.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\/92118-6.jpg\" target=\"_blank\" class=\"linkA\">LM, Watanabe&#8217;s reticulin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-7.jpg\" target=\"_blank\" class=\"linkA\">IHC, vimentin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, smooth muscle actin<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-9.jpg\" target=\"_blank\" class=\"linkA\">IHC, Factor VIII<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-10.jpg\" target=\"_blank\" class=\"linkA\">Macro, Brain<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-11.jpg\" target=\"_blank\" class=\"linkA\">Macro, Lungs<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92118-12.jpg\" target=\"_blank\" class=\"linkA\">Macro, Liver<\/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 921.18 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1ahemangiopericytoma<\/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>42\u6b73\u306e\u7537\u6027\uff0c\u518d\u767a\u3092\u7e70\u308a\u8fd4\u3059\u816b\u760d\uff0c\u81d3\u5668\u8ee2\u79fb\u3092\u6765\u3057\u3066\u6b7b\u4ea1<\/li>\n<li>\u8840\u7ba1\u304c\u8c4a\u5bcc\uff0c\u7d30\u80de\u5bc6\u5ea6\u304c\u3084\u3084\u9ad8\u3044<\/li>\n<li>\u816b\u5927\u3057\u305f\u6838\u3068\u72ed\u3044\u7d30\u80de\u8cea\u3092\u6301\u3064\u7d21\u9318\u5f62\u306e\u816b\u760d\u7d30\u80de<\/li>\n<li>\u6838\u306f\u7570\u578b\u7684\u3067\uff0c\u6838\u5206\u88c2\u50cf\u304c\u6563\u5728\u3057\u3066\u3044\u308b<\/li>\n<li>\u9759\u8108\u69d8\u306e\u8840\u7ba1\u306f\u8154\u304c\u5727\u8feb\u3055\u308c\u3066\u72ed\u304f\u306a\u3063\u3066\u3044\u308b<\/li>\n<\/ol>\n<h4>\uff13\uff0e\u672c\u816b\u760d\u306e\u75c5\u7406\u5b66\u7684\u6982\u8981<\/h4>\n<ol class=\"caseOL\">\n<li>\u5c0f\u8133\u30c6\u30f3\u30c8\u4e0a\uff0c\u9ac4\u819c\u306b\u767a\u751f\u3059\u308b<\/li>\n<li>\u7d30\u80de\u5bc6\u5ea6\u306e\u9ad8\u3044\u816b\u760d\uff0c\u816b\u760d\u7d30\u80de\u304c\u5145\u5b9f\u6027\u306b\u5897\u6b96<\/li>\n<li>\u5375\u5186\u5f62\u306e\u6838\u3068\u5883\u754c\u306e\u4e0d\u660e\u77ad\u306a\u72ed\u3044\u7d30\u80de\u8cea\u3092\u6301\u3064\u816b\u760d\u7d30\u80de<\/li>\n<li>\u6838\u5206\u88c2\u50cf\u304c\u3057\u3070\u3057\u3070\u89b3\u5bdf\u3055\u308c\u308b<\/li>\n<li>\u9593\u8cea\u306b\u8840\u7ba1\u304c\u3088\u304f\u767a\u9054\uff0c\u8840\u7ba1\u8154\u306f\u5727\u6392\u3055\u308c\u96c4\u9e7f\u306e\u89d2\u72b6\uff08staghorn-like\uff09<\/li>\n<li>\u934d\u9280\u67d3\u8272\u3067\u7d30\u80de\u9593\u306b\u7e4a\u7d30\u3067\u7dfb\u5bc6\u306a\u597d\u9280\u7dda\u7dad\u7db2<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1avimentin\u967d\u6027\uff0c\u03b1-smooth muscle actin\u9670\u6027<\/li>\n<li>\u7e4a\u7d30\u306a\u7a81\u8d77\u3092\u661f\u8292\u72b6\u306b\u4f38\u3070\u3059\u816b\u760d\u7d30\u80de\u304c\u3073\u6f2b\u6027\u306b\u5897\u6b96<\/li>\n<li>\u96fb\u9855\uff1a\u816b\u760d\u7d30\u80de\u9593\u9699\u3092\u53d6\u308a\u56f2\u3080\u57fa\u5e95\u819c\u69d8\u7269\u8cea\uff0c\u7d30\u80de\u8cea\u306e\u7d30\u7dda\u7dad\u675f<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Hemangiopericytoma \u8840\u7ba1\u5468\u76ae\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u8840\u7ba1\u5468\u76ae\u816b\u578b\u306e\u8840\u7ba1\u5f62\u6210\u578b\u9ac4\u819c\u816b\uff08angioblastic meningioma,<br \/>\nhemangiopericytic type\uff09\u3068\u547c\u3070\u308c\u3066\u3044\u305f\u816b\u760d\u306f\uff0c\u982d\u84cb\u5916\u306b\u767a\u751f\u3059\u308b\u8840\u7ba1\u5468\u76ae<br \/>\n\u816b\u3068\u7d44\u7e54\u5b66\u7684\u306b\u3082\u307e\u305f\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u3082\u533a\u5225\u3067\u304d\u306a\u3044\u816b\u760d\u3067\u3042\u308b\u3068\u3057\u3066\uff0c\u5358<br \/>\n\u306b\u8840\u7ba1\u5468\u76ae\u816b\u3068\u547c\u3076\u7814\u7a76\u8005\u304c\u5897\u3048\u305f\uff0e\u9ac4\u819c\u816b\u3068\u8840\u7ba1\u5468\u76ae\u816b\u306f\u7d30\u80de\u907a\u4f1d\u5b66\u7684\u306b\u3082<br \/>\n\u7570\u306a\u3063\u305f\u6027\u8cea\u3092\u793a\u3059\u3053\u3068\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u308b\uff0e\u3057\u304b\u3057\uff0c\u9ac4\u819c\u816b\u3068\u306e\u79fb\u884c\u3092\u793a\u3059\u4f8b<br \/>\n\u3084\uff0c\u816b\u760d\u5185\u306b\u6e26\u7d0b\u304c\u8a3c\u660e\u3055\u308c\u308b\u4f8b\u304c\u3042\u308b\u3053\u3068\u304b\u3089\uff0c\u9ac4\u819c\u816b\u306e\u4e00\u578b\u3067\u3042\u308b\u3068\u3059\u308b<br \/>\n\u610f\u898b\u3082\u3042\u308b\uff0e<br \/>\n\u3000\u7d30\u80de\u5bc6\u5ea6\u306e\u9ad8\u3044\u816b\u760d\u3067\u3042\u308a\uff0c\u5375\u5186\u5f62\u306e\u6838\u3068\u5883\u754c\u306e\u4e0d\u660e\u77ad\u306a\u72ed\u3044\u7d30\u80de\u8cea\u3092\u6301\u3064<br \/>\n\u816b\u760d\u7d30\u80de\u304c\u5145\u5b9f\u6027\u306b\u5897\u6b96\u3057\u3066\u3044\u308b\uff0e\u6838\u5206\u88c2\u50cf\u304c\u3057\u3070\u3057\u3070\u89b3\u5bdf\u3055\u308c\u308b\uff0e\u9593\u8cea\u306b\u306f<br \/>\n\u5e83\u3044\u8154\u3068\u8584\u3044\u58c1\u304b\u3089\u6210\u308b\u8840\u7ba1\u304c\u3088\u304f\u767a\u9054\u3057\u3066\u304a\u308a\uff0c\u8840\u7ba1\u8154\u306f\u816b\u760d\u7d30\u80de\u306b\u5727\u6392\u3055<br \/>\n\u308c\u3066\u72ed\u304f\u306a\u308a\uff0c \u3057\u3070\u3057\u3070\u96c4\u9e7f\u306e\u89d2\u72b6\uff08staghorn-like\uff09\u3092\u5448\u3059\u308b\uff0e\u934d\u9280\u67d3\u8272\u3067<br \/>\n\u306f\u7d30\u80de\u9593\u306b\u7e4a\u7d30\u3067\u7dfb\u5bc6\u306a\u597d\u9280\u7dda\u7dad\u7db2\u304c\u5f62\u6210\u3055\u308c\u3066\u3044\u308b\uff0e\u58ca\u6b7b\u5de3\u3082\u3057\u3070\u3057\u3070\u307f\u3089<br \/>\n\u308c\u308b\uff0e \u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b\u816b\u760d\u7d30\u80de\u306fvimentin\u967d\u6027\u3067\u3042\u308b\u304c\uff0c \u03b1 -smooth<br \/>\nmuscle actin \u306f\u9670\u6027\u3067\u3042\u308b\uff0e\u6b63\u5e38\u306e\u8840\u7ba1\u5468\u76ae\u7d30\u80de\u306f\u3053\u306e actin \u304c\u5e38\u306b\u967d\u6027\u3067<br \/>\n\u3042\u308b\uff0e\u816b\u760d\u304c\u8840\u7ba1\u5468\u76ae\u7d30\u80de\u7531\u6765\u3067\u3042\u308b\u3068\u306e\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u6839\u62e0\u306f\u306a\u3044\uff0e\u96fb\u9855\u7684<br \/>\n\u306b\u306f\u816b\u760d\u7d30\u80de\u9593\u9699\u3092\u53d6\u308a\u56f2\u3080\u57fa\u5e95\u819c\u69d8\u7269\u8cea\u304c\u826f\u304f\u767a\u9054\u3057\u3066\u304a\u308a\uff0c\u7d30\u80de\u8cea\u306b\u306f\u7d30<br \/>\n\u7dda\u7dad\u675f\u304c\u307f\u3089\u308c\u308b\u304c\uff0c\u7d30\u80de\u7a81\u8d77\u306e\u8907\u96d1\u306a\u5d4c\u5408\u3084\u30c7\u30bd\u30e2\u30bd\u30fc\u30e0\u306e\u5f62\u6210\u306f\u306a\u3044\uff0e\n<\/p>\n<\/ol>\n<h4>\uff15\uff0e\u6587\u732e<\/h4>\n<ol class=\"caseOL\">\n<li>Jellinger K, Paulus W, Slowik F: The enigma of meningeal hemangiopericytoma.Brain Tumor Pathol 8:33-43, 1991<\/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-317","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/317","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=317"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}