{"id":339,"date":"2019-01-30T10:07:03","date_gmt":"2019-01-30T01:07:03","guid":{"rendered":"http:\/\/jbtrc.com\/1_wp\/?post_type=education&#038;p=339"},"modified":"2019-01-30T10:07:03","modified_gmt":"2019-01-30T01:07:03","slug":"case-921-20","status":"publish","type":"education","link":"http:\/\/www.jbtrc.com\/?education=case-921-20","title":{"rendered":"CASE 921.20"},"content":{"rendered":"<p><a name=\"001\"><\/a><\/p>\n<div class=\"contents\">\n<h3>CASE 921.20<\/h3>\n<div class=\"contentsBox\">\n<h4>\u75c7\u4f8b 20.52\u6b73\uff0c\u7537\u6027<\/h4>\n<table class=\"case02\">\n<tr>\n<th class=\"th06\">51\u6b73\u3000 9\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u5f8c\u982d\u90e8\u75db\u3067\u767a\u75c7\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\">51\u6b73\u300010\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u5614\u6c17\uff0c\u56a5\u4e0b\u56f0\u96e3\uff0c\u5931\u8a08\u7b97\uff0c\u53f3\u534a\u8eab\u4e0d\u5168\u9ebb\u75fa\u304c\u51fa\u73fe\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\">51\u6b73\u300012\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u5165\u9662\u3002\u610f\u8b58\u969c\u5bb3\uff0c\u5931\u898b\u5f53\u8b58\uff0c\u53f3\u534a\u8eab\u9ebb\u75fa\uff0c\u982d\u84cb\u5185\u5727\u4ea2\u9032\u75c7\u72b6\uff0c\u5c3f\u5931\u7981\uff0cLt-CAG\u3067\u524d\u982d\u8449\u306btumor stain<\/td>\n<\/tr>\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/p>\n<tr>\n<th class=\"th06\">51\u6b73\u300012\u6708\u300017\u65e5<\/th>\n<td class=\"td04\">\n\u816b\u760d\u5168\u6458\u51fa\u8853\u8853\u5f8c\u7167\u5c0434Gy\uff0c\u809d\u708e\u4f75\u767a\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\">52\u6b73\u3000 3\u6708\u300027\u65e5<\/th>\n<td class=\"td04\">\n\u50be\u7720\u50be\u5411\uff0c\u56a5\u4e0b\u56f0\u96e3\u51fa\u73fe\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\">52\u6b73\u3000 4\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u53f3\u534a\u8eab\u9ebb\u75fa\uff0c\u3046\u3063\u8840\u4e73\u982d\u3042\u308a\u3002\u7167\u5c04\uff0828Gy\uff09\u3068\u5316\u5b66<br \/>\n\u7642\u6cd5\u3092\u958b\u59cb\u3002\u610f\u8b58\u969c\u5bb3\u306f\u6539\u5584\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">52\u6b73\u3000 7\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\n\u50be\u7720\u50be\u5411\u518d\u767a\uff0c\u75f4\u5446\uff0c\u7570\u5e38\u884c\u52d5\uff0c\u5c3f\u5931\u7981\u51fa\u73fe\u3002\u653e\u5c04\u7dda\u6cbb\u7642\uff0828Gy\uff09\u3002\n<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\">52\u6b73\u30008\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u534a\u660f\u7761\u304b\u3089\u660f\u7761\u72b6\u614b\u3078\u9032\u884c\u3002<\/td>\n<\/tr>\n<\/tr>\n<tr>\n<th class=\"th06\">52\u6b73\u30009\u6708\u3000\u3000\u3000<\/th>\n<td class=\"td04\">\u6b7b\u4ea1\u3002<\/td>\n<\/tr>\n<tr>\n<th class=\"th06\"><\/th>\n<td class=\"td04\">\u6a19\u672c\u306f\u5256\u691c\u6642\u306e\u3082\u306e\uff08\u53f3\u5074\u982d\u8449\u5185\u5074\u4e0b\u90e8\uff09\u3002\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\/92120-1.jpg\" target=\"_blank\" class=\"linkA nonePad\">CAG, arterial, A-P view<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92120-2.jpg\" target=\"_blank\" class=\"linkA\">CAG, arterial, lateral view<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92120-3.jpg\" target=\"_blank\" class=\"linkA\">Macro, Brain<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92120-4.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\/92120-5.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\/92120-6.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\/92120-7.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\/92120-8.jpg\" target=\"_blank\" class=\"linkA\">IHC, LCA<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92120-9.jpg\" target=\"_blank\" class=\"linkA\">IHC, L-26<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92120-10.jpg\" target=\"_blank\" class=\"linkA\">IHC, UCHL-1<\/a><\/li>\n<li><a href=\"http:\/\/jbtrc.com\/1_wp\/wp-content\/uploads\/2019\/01\/92120-11.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 921.20 SUMMARY<\/h3>\n<div class=\"contentsBox\">\n<h4>\uff11\uff0e\u7d44\u7e54\u5b66\u7684\u8a3a\u65ad\uff1amalignant lymphoma<\/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>52\u6b73\u306e\u7537\u6027\u306e\u5927\u8133\u816b\u760d\uff0c\uff11\u5e74\u306e\u7d4c\u904e\u3067\u6b7b\u4ea1<\/li>\n<li>\u8840\u7ba1\u5468\u56f2\u8154\u3092\u4e2d\u5fc3\u306b\u816b\u760d\u7d30\u80de\u304c\u5897\u6b96\uff0c\u3055\u3089\u306b\u8133\u5b9f\u8cea\u5185\u306b\u6d78\u6f64<\/li>\n<li>\u30af\u30ed\u30de\u30c1\u30f3\u306e\u8c4a\u5bcc\u306a\u985e\u5186\u5f62\u6838\u3068\u72ed\u3044\u7d30\u80de\u8cea\u3092\u6301\u3064\u816b\u760d\u7d30\u80de<\/li>\n<li>\u7d30\u80de\u914d\u5217\u306e\u7279\u5fb4\u306f\u306a\u3044\uff0c\u9ac4\u69d8\u306b\u5897\u6b96<\/li>\n<li>\u8133\u5b9f\u8cea\u306b\u306f reactive astrocytes \u306e\u5897\u751f\u304c\u9855\u8457<\/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\u7d04\uff11\uff05<\/li>\n<li>\u4e2d\u9ad8\u5e74\u8005\u306b\u767a\u751f\u3057\uff0c\u3084\u3084\u7537\u6027\u306b\u591a\u3044<\/li>\n<li>\u5927\u8133\u534a\u7403\u306b\u597d\u767a\uff0c\u57fa\u5e95\u6838\uff0c\u5c0f\u8133\uff0c\u8133\u5e79\u306b\u3082\u767a\u751f<\/li>\n<li>\u5358\u767a\u3042\u308b\u3044\u306f\u591a\u767a\u6027\u306e\u5883\u754c\u4e0d\u9bae\u660e\u306a\u816b\u7624\u3092\u5f62\u6210<\/li>\n<li>\u975e\u30db\u30b8\u30ad\u30f3\u30ea\u30f3\u30d1\u816b\uff0c\u3073\u6f2b\u6027\u5927\u7d30\u80de\u578b\uff0c\uff22\u7d30\u80de\u6027<\/li>\n<li>\u8840\u7ba1\u5468\u56f2\u306eVirchow-Robin\u8154\u306b\u6d78\u6f64\u3059\u308b\u50be\u5411\u304c\u5f37\u3044<\/li>\n<li>\u8840\u7ba1\u3092\u4e2d\u5fc3\u3068\u3059\u308b\u540c\u5fc3\u5186\u72b6\u306e\u597d\u9280\u7dda\u7dad\u5f62\u6210<\/li>\n<li>\u816b\u760d\u5185\u306b\u661f\u81a0\u7d30\u80de\u306e\u53cd\u5fdc\u6027\u816b\u5927<\/li>\n<\/ol>\n<h4>\uff14\uff0eComment<\/h4>\n<h4 class=\"midashi\">Primary malignant lymphoma \u8133\u539f\u767a\u60aa\u6027\u30ea\u30f3\u30d1\u816b<\/h4>\n<p class=\"str\">\u3000<strong class=\"blue\">\u7279\u5fb4<\/strong>\u3000\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306b\u767a\u751f\u3059\u308b\u60aa\u6027\u30ea\u30f3\u30d1\u816b\u306f\uff0c\u5f53\u521d\u306f\u8089\u816b\uff08perivascular sarcoma,reticulum cell sarcoma, perithelial sarcoma, etc\uff09\u3042\u308b\u3044\u306f\u30df\u30af\u30ed\u30b0\u30ea\u30a2\u306e\u816b\u760d\uff08microgliomatosis\uff09\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u305f\u304c\uff0c<br \/>\n\u73fe\u5728\u3067\u306f\u4ed6\u306e\u81d3\u5668\u306b\u767a\u751f\u3059\u308b\u30ea\u30f3\u30d1\u816b\u3068\u672c\u8cea\u7684\u306b\u5909\u308f\u3089\u306a\u3044\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u305f\uff0e\u982d\u84cb\u5185\u816b\u760d\u306e\u7d04\uff11\uff05\u3092\u5360\u3081\uff0c\u4e2d\u9ad8\u5e74\u8005\u306b\u767a\u751f\u3057\uff0c\u3084\u3084\u7537\u6027\u306b\u591a\u3044\u50be\u5411\u304c\u3042\u308b\uff0e\u5927\u8133\u534a\u7403\u304c\u597d\u767a\u90e8\u4f4d\u3067\u3042\u308b\u304c\uff0c\u57fa\u5e95\u6838\uff0c\u5c0f\u8133\uff0c\u8133\u5e79\u306b\u3082\u767a\u751f\u3059\u308b\uff0e<br \/>\n\u5358\u767a\u3042\u308b\u3044\u306f\u591a\u767a\u6027\u306e\u5883\u754c\u4e0d\u9bae\u660e\u306a\u816b\u7624\u3092\u5f62\u6210\u3057\u305f\u308a\uff0c\u8edf\u5316\u75c5\u5de3\u306b\u985e\u4f3c\u306e\u8089\u773c\u50cf\u3092\u793a\u3059\u3053\u3068\u3082\u3042\u308b\uff0e \u816b\u7624\u306b\u3088\u308bmass effect \u306f\u4e4f\u3057\u3044\uff0e\u7d44\u7e54\u5b66\u7684\u306b\u306f\u5927\u90e8\u5206\u306e\u75c7\u4f8b\u304c\u975e\u30db\u30b8\u30ad\u30f3\u30ea\u30f3\u30d1\u816b\u3067\u3042\u308a\uff0c\u30db\u30b8\u30ad\u30f3\u75c5\u306e\u5831\u544a\u306f\u5c11\u306a\u3044\uff0e<br \/>\n\u3073\u6f2b\u6027\u5927\u7d30\u80de\u578b\u30ea\u30f3\u30d1\u816b\u304c\u591a\u304f\uff0c\u5927\u90e8\u5206\u306e\u4f8b\u306f\uff22\u7d30\u80de\u6027\u3067\u3042\u308b\uff0e \u816b\u760d\u5468\u8fba\u90e8\u3067\u306f\uff0c\u8840\u7ba1\u5468\u56f2\u306e Virchow-Robin \u8154\u306b\u6d78\u6f64\u3059\u308b\u50be\u5411\u304c\u7279\u306b\u5f37\u304f\uff0c\u934d\u9280\u67d3\u8272\u3067\u306f\u8840\u7ba1\u3092\u4e2d\u5fc3\u3068\u3059\u308b\u540c\u5fc3\u5186\u72b6\u306e\u597d\u9280\u7dda\u7dad\u5f62\u6210\u304c\u898b\u3089\u308c\u308b\uff0e<br \/>\n\u816b\u760d\u5185\u306b\u661f\u81a0\u7d30\u80de\u306e\u53cd\u5fdc\u6027\u816b\u5927\u304c\u5f37\u304f\u73fe\u308c\u308b\u70b9\u3082\u7279\u5fb4\u3067\u3042\u308b\uff0e \u8840\u7ba1\u8154\u5185\u3092\u5897\u6b96\u306e\u5834\u3068\u3057\u3066\u816b\u760d\u7d30\u80de\u304c\u5897\u6b96\u3057\uff0c\u591a\u767a\u6027\u8133\u6897\u585e\u3092\u5f62\u6210\u3059\u308bneoplastic angioendotheliosis \u306f\uff22\u7d30\u80de\u6027\u30ea\u30f3\u30d1\u816b\u306e\u4e00\u7a2e\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\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-339","education","type-education","status-publish","hentry","education_cat-slide"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=\/wp\/v2\/education\/339","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=339"}],"wp:term":[{"taxonomy":"education_cat","embeddable":true,"href":"http:\/\/www.jbtrc.com\/index.php?rest_route=%2Fwp%2Fv2%2Feducation_cat&post=339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}