{"id":330,"date":"2019-01-30T09:56:13","date_gmt":"2019-01-30T00:56:13","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=330"},"modified":"2019-01-30T09:56:13","modified_gmt":"2019-01-30T00:56:13","slug":"case-921-19","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-19","title":{"rendered":"CASE 921.19"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.19<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 19.50\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">\u5bb6\u65cf\u6b74<\/th>\n<td class=\"td04\">\n\u5144\uff0c\u59b9\u304c20\u5e74\u8fd1\u304f\u524d\u306b\uff0c\u5f8c\u982d\u4e0b\u958b\u982d\u8853\u3092\u53d7\u3051\u3066\u304a\u308a\uff0c\u5144\u306fhemangioblastoma\u3067\u3042\u3063\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">50\u6b73\u30005\u6708\u3000 1\u65e5<\/th>\n<td class=\"td04\">\n\u5614\u6c17\uff0c\u5614\u5410\uff0c\u9805\u90e8\u75db\u3042\u308a\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">50\u6b73\u30005\u6708\u3000 9\u65e5<\/th>\n<td class=\"td04\">\u8133\u816b\u760d\u306e\u8a3a\u65ad\u306b\u3066\u5165\u9662\u3059\u308b\u3002CT\u30b9\u30ad\u30e3\u30f3\u3067\u306f\u5c0f\u8133\u866b\u90e8\u3068\u53f3\u5c0f\u8133\u534a\u7403\u5185\u306e\u8133\u5e79\u90e8\u5bc4\u308a\u306b\u816b\u760d\u304c\u3042\u3063\u305f\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">50\u6b73\u30005\u6708\u300027\u65e5<\/th>\n<td class=\"td04\">\u591a\u767a\u6027\u5c0f\u8133\u816b\u760d\u306e\u8a3a\u65ad\u306e\u3082\u3068\u306b\u624b\u8853\u3092\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\u306e\u816b\u760d\u306e\u307f\u6458\u51fa\u3057\u305f\u3002\u816b\u760d\u306f\u6613\u51fa\u8840\u6027\uff0c\u5f3e\u6027\u786c\uff0c\u5468\u56f2\u3068\u306e\u5883\u754c\u660e\u77ad\u3067\u3042\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\/92119-1.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\/92119-2.jpg\" target=\"_blank\" class=\"linkA\">CT, post-enhancement<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92119-3.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\/92119-4.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\/92119-5.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\/92119-6.jpg\" target=\"_blank\" class=\"linkA\">IHC, Factor VIII<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92119-7.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\/92119-8.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 921.19 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1acapillary hemangioblastoma<\/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>0\u6b73\u306e\u7537\u6027\uff0c\u5c0f\u8133\u306e\u591a\u767a\u6027\u816b\u760d\uff0c\u5bb6\u65cf\u6027\uff1f<\/li>\n<li>\u6bdb\u7d30\u8840\u7ba1\u7db2\uff0c\u5c0f\u9759\u8108\u304c\u5897\u751f\u3057\uff0c\u5c0f\u8133\u5b9f\u8cea\u5185\u3078\u6d78\u6f64<\/li>\n<li>\u8840\u7ba1\u306e\u9593\u306b\u6ce1\u6cab\u72b6\u306a\u3044\u3057\u7a7a\u80de\u72b6\u306e\u7d30\u80de\u8cea\u3092\u6301\u3064\u9593\u8cea\u7d30\u80de\u304c\u5897\u6b96<\/li>\n<li>\u597d\u9178\u6027\u306e\u7d30\u80de\u8cea\u3092\u6301\u3064\u30b0\u30ea\u30a2\u3082\u5c0f\u6570\u307f\u3089\u308c\u308b<\/li>\n<li>\u306e\u7570\u578b\u3084\u6838\u5206\u88c2\u50cf\u306f\u306a\u3044<\/li>\n<li>\u6b7b\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\u306e2.5%<\/li>\n<li>\u6210\u4eba\u306e\u5c0f\u8133\uff0c\u5ef6\u9ac4\u80cc\u5074\u90e8\uff0c\u981a\u9ac4\u4e0a\u90e8<\/li>\n<li>\u5145\u5b9f\u6027\u3042\u308b\u3044\u306f\u5927\u578b\u306e\u56a2\u80de\u3092\u5f62\u6210\uff0c\u56a2\u80de\u306e\u58c1\u306b\u816b\u760d\u7d50\u7bc0<\/li>\n<li>\u6bdb\u7d30\u8840\u7ba1\u304c\u7db2\u76ee\u72b6\u306b\u543b\u5408\u3057\u306a\u304c\u3089\u5897\u751f<\/li>\n<li>\u8840\u7ba1\u306e\u9593\u306b\u9593\u8cea\u7d30\u80de\uff08stromal cell\uff09\uff0c\u7d30\u80de\u8cea\u306b\u306f\u8102\u8cea\u304c\u967d\u6027<\/li>\n<li>\u514d\u75ab\u7d44\u7e54\u5316\u5b66\uff1a\u9593\u8cea\u7d30\u80de\u306bvimentin\uff0ctubulin\u304c\u967d\u6027<\/li>\n<li>\u96fb\u9855\uff1a\u9593\u8cea\u7d30\u80de\u306b\u8102\u8cea\u7a7a\u80de\u3068\u4e2d\u9593\u5f84\u7d30\u7dda\u7dad<\/li>\n<li>\u9593\u8cea\u7d30\u80de\u306e\u7531\u6765\u304c\u4e0d\u660e\uff1a\u5185\u76ae\u7d30\u80de\u7531\u6765\u8aac\uff0c\u30b0\u30ea\u30a2\u7531\u6765\u8aac\uff0c\u9593\u8449\u7cfb\u7d30\u80de\u7531\u6765\u8aac<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Hemangioblastoma \u8840\u7ba1\u82bd\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u5b9a\u7fa9<\/strong>\u3000\u6210\u4eba\u306e\u5c0f\u8133\u306b\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u304c\uff0c\u5ef6\u9ac4\u80cc\u5074\u90e8\u3084\u981a\u9ac4\u4e0a\u90e8\u306b\u3082\u307f\u3089\u308c\u308b\uff0e<br \/>\n\u982d\u84cb\u5185\u816b\u760d\u306e 2.5%\u3092\u5360\u3081\u308b\uff0e\u5b64\u767a\u4f8b\u3068 von Hippel-Lindau \u75c5\u306e\u90e8\u5206\u75c7\u3068\u3057<br \/>\n\u3066\u51fa\u73fe\u3059\u308b\u4f8b\u304c\u3042\u308b\uff0e\u5145\u5b9f\u6027\u306e\u816b\u7624\u3042\u308b\u3044\u306f\u5927\u578b\u306e\u56a2\u80de\u3092\u5f62\u6210\u3057\uff0c\u56a2\u80de\u968f\u4f34\u4f8b<br \/>\n\u3067\u306f\u305d\u306e\u58c1\u306b\u816b\u760d\u7d50\u7bc0\uff08mural nodule\uff09\u304c\u8a8d\u3081\u3089\u308c\u308b\uff0e\u8840\u7ba1\u306b\u5bcc\u3080\u816b\u760d\u3067\u3042\u308a\uff0c<br \/>\n\u6bdb\u7d30\u8840\u7ba1\u306e\u69cb\u9020\u3092\u793a\u3059\u8840\u7ba1\u304c\u7db2\u76ee\u72b6\u306b\u543b\u5408\u3057\u306a\u304c\u3089\u5897\u751f\u3057\u3066\u304a\u308a\uff0c\u305d\u306e\u9593\u306b\u9593<br \/>\n\u8cea\u7d30\u80de\uff08stromal cell\uff09\u304c\u8a8d\u3081\u3089\u308c\u308b\uff0e\u9593\u8cea\u7d30\u80de\u306f\u5c0f\u578b\u306e\u6838\u3068\u5e83\u3044\u6ce1\u6cab\u72b6\u306a\u3044<br \/>\n\u3057\u30ec\u30fc\u30b9\u72b6\u306e\u7d30\u80de\u8cea\u304b\u3089\u306a\u308a\uff0c\u7d30\u80de\u8cea\u306b\u306f\u8102\u8cea\u304c\u542b\u307e\u308c\u3066\u3044\u308b\uff0e\u6838\u306b\u306f\u304b\u306a\u308a<br \/>\n\u306e\u591a\u5f62\u6027\u3092\u793a\u3059\u4f8b\u3082\u3042\u308b\uff0e \u514d\u75ab\u7d44\u7e54\u5316\u5b66\u7684\u306b vimentin \u3068 tubulin \u304c\u9593\u8cea\u7d30<br \/>\n\u80de\u306b\u8a3c\u660e\u3055\u308c\u308b\uff0e\u96fb\u9855\u7684\u306b\u306f\u9593\u8cea\u7d30\u80de\u306b\u306f\u8102\u8cea\u7a7a\u80de\u3068\u4e2d\u9593\u5f84\u7d30\u7dda\u7dad\u304c\u89b3\u5bdf\u3055\u308c<br \/>\n\u308b\uff0e\u9593\u8cea\u7d30\u80de\u306e\u7531\u6765\u306b\u95a2\u3057\u3066\u306f\uff0c\u5185\u76ae\u7d30\u80de\u7531\u6765\u8aac\uff0c\u30b0\u30ea\u30a2\u7531\u6765\u8aac\uff0c\u8840\u7ba1\u3092\u5f62\u6210<br \/>\n\u3059\u308b\u9593\u8449\u7cfb\u7d30\u80de\u7531\u6765\u8aac\u304c\u3042\u308a\uff0c\u78ba\u305f\u308b\u5b9a\u8aac\u306f\u306a\u3044\uff0e<\/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-330","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/330","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=330"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}