{"id":142,"date":"2012-04-17T23:16:44","date_gmt":"2012-04-17T14:16:44","guid":{"rendered":"\/sawamura\/blog\/?p=142"},"modified":"2024-12-06T15:59:00","modified_gmt":"2024-12-06T06:59:00","slug":"pituitary","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/braintumors\/pituitary\/","title":{"rendered":"\u4e0b\u5782\u4f53\u817a\u816b pituitary adenoma, PitNET\uff08\u4e0b\u5782\u4f53\u816b\u760d\uff09"},"content":{"rendered":"<div class=\"setumei\">\n<h5>\u3068\u3066\u3082\u5927\u5207\u306a\u3053\u3068<\/h5>\n<ul>\n<li>\u4e0b\u5782\u4f53\u816b\u760d\u3068\u3044\u308f\u308c\u308b\u3068\u307b\u3068\u3093\u3069\u304c<strong><span style=\"color: #000080;\">\u4e0b\u5782\u4f53\u817a\u816b\uff08\u304b\u3059\u3044\u305f\u3044\u305b\u3093\u3057\u3085\uff09<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u6700\u8fd1\uff0c\u7121\u75c7\u72b6\u306e\u4e0b\u5782\u4f53\u817a\u816b\u304c\u8133\u30c9\u30c3\u30af\u306a\u3069\u3067\u5076\u7136\u898b\u3064\u304b\u308b\u3053\u3068\u3082\u591a\u3044\u306e\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u826f\u6027\u816b\u760d\u3067\u304a\u3068\u306a\u3057\u3044<\/strong><\/span>\u3082\u306e\u3067\u3059<\/li>\n<li>\u305d\u306e\u591a\u304f\u306f\u6cbb\u7642\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u3067\u3059\u304b\u3089\u5b89\u6613\u306b\u624b\u8853\u3092\u53d7\u3051\u3066\u306f\u3044\u3051\u307e\u305b\u3093<\/li>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u306f\uff0c\u3068\u3066\u3082\u591a\u3044\u75c5\u6c17\u3067\u307b\u3063\u3066\u304a\u3044\u3066\u3082\u4f55\u3067\u3082\u306a\u3044\u3082\u306e\u3084\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3082\u306e\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u82e5\u3044\u4eba\u306b\u3082\u591a\u304f\uff0c\u601d\u6625\u671f\u304b\u3089\u82e5\u5e74\u6210\u4eba\u306e\u8133\u816b\u760d\u306e3\u5206\u306e1\u4ee5\u4e0a\u306f\u4e0b\u5782\u4f53\u817a\u816b\u3067\u3059<\/li>\n<li>\u5256\u691c\u3084\u8133\u30c9\u30c3\u30afMRI\u3067 1cm\u4ee5\u4e0b\u306e\u817a\u816b\u306f\u4eba\u53e3\u306e10%\u306b\u307f\u3064\u304b\u308a\uff0c\u3082\u306e\u3059\u3054\u304f\u591a\u3044\u3067\u3059\u3002\u4e00\u65b9\u3067\uff0c1cm\u4ee5\u4e0a\u306e\u3082\u306e\u306f0.3%\u304f\u3089\u3044\u3067\uff0c\u3053\u308c\u3089\u306f\u307b\u3068\u3093\u3069\u7121\u75c7\u72b6\u3067\u3059\u3002<\/li>\n<\/ul>\n<h5>\u4e0b\u5782\u4f53\u817a\u816b\uff08\u305b\u3093\u3057\u3085\uff09\u3067\u306f\u306a\u3044\u4e0b\u5782\u4f53\u816b\u760d\u306f\uff1f<\/h5>\n<ul>\n<li><a href=\"\/sawamura\/blog\/braintumors\/cranio\/\">\u982d\u84cb\u54bd\u982d\u816b<\/a><a href=\"\/sawamura\/blog\/braintumors\/cranio\/\">\uff08\u8a73\u3057\u3044\u3053\u3068\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/li>\n<li><a href=\"\/sawamura\/blog\/braintumors\/rathke\/\">\u30e9\u30c8\u30b1\u306e\u3046\u80de\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/li>\n<li><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/pediattumor\/germcelltumors\/germ\/\">\u80da\u7d30\u80de\u816b\u760d\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/li>\n<li><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/glioma\/pituicytoma\/\">\u4e0b\u5782\u4f53\u7d30\u80de\u816b\uff0c\u30aa\u30f3\u30b3\u30b5\u30a4\u30c8\u30fc\u30de\uff0c\u30c8\u30eb\u30b3\u978d\u90e8\u9846\u7c92\u7d30\u80de\u816b\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/li>\n<\/ul>\n<h5>2022\u5e74\u306e\u4e0b\u5782\u4f53\u816b\u760d\u306eWHO\u5206\u985e ENDO5 \u3067\u306f\uff0c\u4e0b\u5782\u4f53\u817a\u816b pituitary adenoma\u306f\uff0c\u4e0b\u5782\u4f53\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d PitNET\u3068\u547c\u3070\u308c\u308c\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u30022021\u5e74\u306eWHO\u5206\u985e\u8868 CNS5\u3067\u306fpituitary adenoma\/PitNET\u3068\u4e21\u65b9\u304c\u4f75\u8a18\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br \/>\n<span style=\"color: #ff0000;\">\u81e8\u5e8a\u306e\u5834\u3067\uff0c\u4eca\u3055\u3089\u8a3a\u65ad\u540d\u3092\u4e0b\u5782\u4f53\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d\u3068\u547c\u3073\u304b\u3048\u308b\u3053\u3068\u306b\u306f\u306a\u3093\u306e\u30e1\u30ea\u30c3\u30c8\u3082\u3042\u308a\u307e\u305b\u3093<\/span><\/h5>\n<h5>\u3053\u306e\u30da\u30fc\u30b8\u3067\u306f\u4e0b\u5782\u4f53\u817a\u816b\u306e\u540d\u79f0\u3067\u8a18\u8ff0\u3057\u307e\u3059<\/h5>\n<h5>\u4e0b\u5782\u4f53\u817a\u816b\u306e\u5927\u307e\u304b\u306a\u3053\u3068<\/h5>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/brainanatomy\/hypothpituitary\/hypothalpituit1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/brainanatomy\/hypothpituitary\/hypothalpituit1.png\" alt=\"\u4e0b\u5782\u4f53\" width=\"223\" height=\"219\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/brainanatomy\/hypothpituitary\/pituitarygland.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/brainanatomy\/hypothpituitary\/pituitarygland.png\" alt=\"\u4e0b\u5782\u4f53\" width=\"227\" height=\"218\" \/><\/a><\/p>\n<\/div>\n<div class=\"setumei\">\n<ul>\n<li><strong><a href=\"..\/anatomys\/hypothlpituitary\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u4e0b\u5782\u4f53<\/a><\/strong>\u3068\u306f\u8133\u306e\u307b\u307c\u771f\u3093\u4e2d\u306e\u5e95\u90e8\u3067<span style=\"color: #000080;\"><strong>\u8996\u5e8a\u4e0b\u90e8<\/strong><\/span>\u3068<span style=\"color: #000080;\"><strong>\u8996\u4ea4\u53c9<\/strong><\/span>\uff08\u4e21\u5074\u306e\u8996\u795e\u7d4c\u304c\u4ea4\u53c9\u3059\u308b\u3068\u3053\u308d\uff09\u306e\u4e0b\u306b\u3042\u308b\u5c0f\u6307\u306e\u5148\u304f\u3089\u3044\u306e\u5c0f\u3055\u3044\u7d44\u7e54\u3067\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u306b\u306f<span style=\"color: #000080;\"><strong>\u524d\u8449\u3068\u5f8c\u8449<\/strong><\/span>\u3068\u3044\u3046\u306e\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u3053\u306f<strong><span style=\"color: #ff0000;\">\u3044\u308d\u3044\u308d\u306a\u30db\u30eb\u30e2\u30f3\u3092\u5206\u6ccc\u3059\u308b<\/span><\/strong>\u30db\u30eb\u30e2\u30f3\u30bb\u30f3\u30bf\u30fc\u3067\u3059<\/li>\n<li>\u3053\u306e\u7d44\u7e54\u306e\u817a\u7d30\u80de\u304c\u5897\u3048\u308b\u816b\u760d\u304c\u4e0b\u5782\u4f53\u817a\u816b\u3068\u3044\u3046<strong><span style=\"color: #ff0000;\">\u826f\u6027\u306e\u75c5\u6c17<\/span><\/strong>\u3067\u3059<\/li>\n<\/ul>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8276 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull1-200x200.jpg\" alt=\"pitskull1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8277 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull2-200x200.jpg\" alt=\"pitskull2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitskull2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u982d\u84cb\u9aa8\u3092\u900f\u3057\u3066\u4e0b\u5782\u4f53\u817a\u816b\u3092\u898b\u305f\u3082\u306e\u3067\u3059\u3002\u4e21\u76ee\u306e\u9593\uff0c\u982d\u306e\u4e2d\u5fc3\u306b<span style=\"color: #008000;\"><strong>\u7dd1\u8272\u306b\u5857\u3063\u305f\u306e\u304c\u4e0b\u5782\u4f53\u817a\u816b<\/strong><\/span>\u3067\u3059\u3002\u982d\u84cb\u5e95\u306e\u9f3b\u8154\u306e\u5965\u306b\u3042\u308b\u3068\u3082\u3044\u3048\u307e\u3059\u3002\u8d64\u3044\u8272\u306f\u52d5\u8108\uff0c\u9752\u3044\u8272\u306f\u9759\u8108\u3067\uff0c\u591a\u304f\u306e\u8840\u7ba1\u306b\u56f2\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<ul>\n<li>\u5897\u3048\u3066\u304f\u308b\u816b\u760d\u7d30\u80de\u304c\u30db\u30eb\u30e2\u30f3\u3092\u4f5c\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u306b\u3088\u3063\u3066\u3044\u308d\u3044\u308d\u306a\u75c7\u72b6\u3092\u51fa\u3057\u307e\u3059<\/li>\n<li>\u5206\u6ccc\u3055\u308c\u308b\u30db\u30eb\u30e2\u30f3\u306f\uff0c<span style=\"color: #000080;\"><strong>\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\uff0c\u526f\u814e\u76ae\u8cea\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff0c\u7532\u72b6\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3<\/strong><\/span>\uff0c\u9ec4\u4f53\u5f62\u6210\u30db\u30eb\u30e2\u30f3\uff0c\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff0c\u6297\u5229\u5c3f\u30db\u30eb\u30e2\u30f3\u306a\u3069\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u4e2d\u3067<strong><span style=\"color: #ff0000;\">\u4e0b\u5782\u4f53\u817a\u816b\u3068\u306a\u3063\u3066\u904e\u5270\u306b\u7523\u751f\u3055\u308c\u308b\u30db\u30eb\u30e2\u30f3\u306f\u524d\u306e\uff13\u3064<\/span><\/strong>\u304c\u4e3b\u306a\u3082\u306e\u3067\u3059<\/li>\n<li>\u3067\u3082\uff0c\u30db\u30eb\u30e2\u30f3\u3092\u7523\u751f\u3057\u306a\u3044<strong><span style=\"color: #000080;\">\u975e\u6a5f\u80fd\u6027\u817a\u816b<\/span><\/strong>\u3068\u3044\u3046\u306e\u304c\u6700\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u305d\u308c\u305e\u308c\u306e\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u304c\u904e\u5270\u306b\u5206\u6ccc\u3055\u308c\u305f\u6642\u306e\u75c7\u72b6\u306f\u3055\u307e\u3056\u307e\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<h4>\u4e0b\u5782\u4f53\u817a\u816b\u306e\u75c7\u72b6\u306f\uff1f<\/h4>\n<h5><span style=\"color: #000080;\"><strong>\u975e\u6a5f\u80fd\u6027\u817a\u816b<\/strong><\/span><\/h5>\n<p>\u30db\u30eb\u30e2\u30f3\u3092\u7523\u751f\u3057\u306a\u3044\u7d30\u80de\u304c\u5897\u3048\u308b\u816b\u760d\u306f\u975e\u6a5f\u80fd\u6027\u817a\u816b\u3068\u3044\u3044\u307e\u3059\u3002\u3053\u306e\u5834\u5408\u306b\u306f\uff0c\u3042\u308b\u7a0b\u5ea6\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u3063\u3066\uff0c\u4e0b\u5782\u4f53\u306e\u4e0a\u306b\u3042\u308b\u8996\u795e\u7d4c\u4ea4\u53c9\u3092\u5727\u8feb\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u8996\u91ce\u72ed\u7a84\u3068\u3044\u3046\u75c7\u72b6\u3092\u3060\u3057\u307e\u3059\u3002<strong><span style=\"color: #ff0000;\">\u76ee\u304c\u307f\u3065\u3089\u3044<\/span><\/strong>\u306e\u304c\u75c7\u72b6\u3067\u3059\u3002\u5de6\u76ee\u3067\u306f\u5de6\u534a\u5206\u306e\u5916\u5074\u3060\u3051\uff0c\u53f3\u76ee\u3067\u306f\u53f3\u534a\u5206\u306e\u5916\u5074\u3060\u3051\u898b\u3048\u305a\u3089\u304f\u306a\u308a\u307e\u3059\u3002\u4e0b\u306e\u56f3\u306f\u5178\u578b\u7684\u306a\u75c7\u72b6\u3067<strong><span style=\"color: #000080;\">\u4e21\u8033\u5074\u534a\u76f2<\/span><\/strong>\u3068\u3044\u3044\u307e\u3059\u3002\u53f3\u5074\u306e\u306f\u624b\u8853\u5f8c\uff14\u65e5\u76ee\u3067\u3059\u3002\u8996\u91ce\u304c\u307b\u3068\u3093\u3069\u6b63\u5e38\u5316\u3057\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u305f\u307e\u306b\u982d\u75db\u3082\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u7b4b\u7dca\u5f35\u6027\u982d\u75db\u3068\u306e\u533a\u5225\u304c\u3064\u304d\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpre.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11602 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpre-300x162.png\" alt=\"\" width=\"300\" height=\"162\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpre-300x162.png 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpre-768x414.png 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpre-550x296.png 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpre.png 1181w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpost.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-11603\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpost-300x152.png\" alt=\"\" width=\"300\" height=\"152\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpost-300x152.png 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpost-768x390.png 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpost-550x279.png 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/visionpost.png 1181w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u521d\u671f\u3060\u3068\u8996\u91ce\u304c\u6b20\u3051\u3066\u3082\u81ea\u5206\u3067\u6c17\u3065\u304d\u307e\u305b\u3093\u3002\u76f8\u5f53\u306f\u3063\u304d\u308a\u3057\u305f\u8996\u91ce\u6b20\u640d\u306b\u306a\u3089\u306a\u3044\u3068\u81ea\u899a\u75c7\u72b6\u3068\u3057\u3066\u73fe\u308c\u306a\u3044\u306e\u3067\u3059\u3002\u898b\u3065\u3089\u3044\u3068\u81ea\u899a\u3057\u305f\u6642\u306b\u306f\u304b\u306a\u308a\u306e\u8996\u91ce\u6b20\u640d\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\"><strong>\u30d7\u30ed\u30e9\u30af\u30c1\u30f3 (PRL) \u3092\u4f5c\u308b\u816b\u760d\uff08\u30d7\u30ed\u30e9\u30af\u30c1\u30ce\u30fc\u30de\uff09<\/strong><\/span><\/h5>\n<p>\u5973\u6027\u3067\u306f\uff0c\u6708\u7d4c\u304c\u4e0d\u9806\u306b\u306a\u3063\u305f\u308a\uff0c\u7121\u304f\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u308a\u3057\u3066\uff08<span style=\"color: #ff0000;\"><strong>\u7121\u6708\u7d4c<\/strong><\/span>\uff09\uff0c\u598a\u5a20\u3082\u3057\u3066\u3044\u306a\u3044\u306e\u306b\u4e73\u6c41\u304c\u51fa\u307e\u3059\uff08\u4e73\u6c41\u5206\u6ccc\uff09\u3002\u598a\u5a20\u304c\u3067\u304d\u306a\u3044\u75c5\u6c17\u306e\u3072\u3068\u3064\u3068\u3057\u3066\u3082\u6709\u540d\u3067\u3059\uff08<span style=\"color: #000080;\"><strong>\u4e0d\u598a\u75c7<\/strong><\/span>\uff09\u3002\u7537\u6027\u3067\u306f\u7121\u75c7\u72b6\u306e\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\uff0c\u816b\u760d\u304c\u5de8\u5927\u306b\u306a\u3063\u305f\u308a\uff0c\u307e\u308c\u306b\u4e73\u6c41\u5206\u6ccc\u3068\u5973\u6027\u5316\u4e73\u623f\uff0c\u5236\u6b32\u6e1b\u9000\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\"><strong>\u6210\u9577\u30db\u30eb\u30e2\u30f3 (GH) \u3092\u4f5c\u308b\u816b\u760d<\/strong><\/span><\/h5>\n<p>\u6210\u4eba\u3067\u306f\u5148\u7aef\u5de8\u5927\u75c7 (acromegaly\uff0c\u30a2\u30af\u30ed\u30e1\u30ac\u30ea\u30fc\uff09 \u3068\u3044\u3063\u3066\uff0c\u4f53\u5168\u4f53\u304c\u3044\u3064\u306e\u9593\u306b\u304b\u3054\u3064\u304f\u306a\u308a\u307e\u3059\u3002<span style=\"color: #ff0000;\"><strong>\u9f3b\u3084\u5507\uff0c\u820c\uff0c\u624b\u8db3\u304c\u592a\u304f\u5927\u304d\u304f\u306a\u308a\uff0c\u6307\u8f2a\u3084\u9774\u304c\u5165\u3089\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3046<\/strong><\/span>\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<span style=\"color: #000080;\"><strong>\u820c\u304c\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u3067\u3044\u3073\u304d<\/strong><\/span>\u3092\u304b\u3044\u305f\u308a<span style=\"color: #000080;\"><strong>\u7761\u7720\u6642\u7121\u547c\u5438<\/strong><\/span>\u306b\u306a\u3063\u305f\u308a\uff0c<span style=\"color: #000080;\"><strong>\u624b\u306e\u3072\u3089\u306b\u6c57<\/strong><\/span>\u3092\u304b\u3044\u305f\u308a\uff0c<span style=\"color: #000080;\"><strong>\u624b\u304c\u3057\u3073\u308c\u305f\u308a\uff0c<span style=\"color: #ff0000;\">\u9ad8\u8840\u5727\uff0c\u7cd6\u5c3f\u75c5<\/span>\uff0c\u9ad8\u8102\u8840\u75c7\uff0c\u5fc3\u75be\u60a3\uff0c\u5909\u5f62\u6027\u95a2\u7bc0\u75c7<\/strong><\/span>\u306b\u306a\u3063\u305f\u308a\u3082\u3057\u307e\u3059\u3002\u3068\u3066\u3082\u3086\u3063\u304f\u308a\u9032\u884c\u3059\u308b\u306e\u3067\uff0c\u9577\u3044\u9593\uff0c\u5834\u5408\u306b\u3088\u3063\u3066\u306f10\u5e74\u4ee5\u4e0a\u3082\u3053\u306e\u75c5\u6c17\u306b\u6c17\u3065\u304b\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306f\u666e\u901a\u306b\u3042\u308a\u307e\u3059\u3002\u5b50\u4f9b\u3067\u306f\u3081\u305a\u3089\u3057\u3044\u306e\u3067\u3059\u304c\uff0c\u7570\u5e38\u306b\u80cc\u304c\u4f38\u3073\u308b<span style=\"color: #000080;\"><strong>\u5de8\u4eba\u75c7<\/strong><\/span>\u306b\u306a\u308a\u307e\u3059\u3002\u582a\u3048\u96e3\u3044\u3072\u3069\u3044\u982d\u75db\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\"><strong>\u526f\u814e\u76ae\u8cea\u523a\u6fc0\u30db\u30eb\u30e2\u30f3 (ACTH) \u3092\u4f5c\u308b\u816b\u760d<\/strong><\/span><\/h5>\n<p><strong><span style=\"color: #ff0000;\">\u30af\u30c3\u30b7\u30f3\u30b0\u75c5<\/span><\/strong>\u3068\u547c\u3070\u308c\u308b\u3053\u306e\u816b\u760d\u306f\u307e\u308c\u3067\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002<span style=\"color: #000080;\"><strong><span style=\"color: #ff0000;\">\u9854\u304c\u4e38\u304f\u306a\u3063\u3066\uff0c\u4f53\u5e79\u90e8\u3060\u3051\u304c\u7570\u5e38\u306b\u592a\u3063\u3066\u304d\u3066<\/span>\uff0c\u306b\u304d\u3073\u304c\u3067\u304d\u305f\u308a\uff0c\u76ae\u819a\u306e\u5272\u308c\u76ee\u3068\u8272\u7d20\u6c88\u7740\uff0c\u9ad8\u8840\u5727\uff0c\u7cd6\u5c3f\u75c5\uff0c\u9aa8\u7c97\u9b06\u75c7<\/strong><\/span>\uff0c\u6d6e\u816b\uff0c\u6708\u7d4c\u7570\u5e38\uff0c\u591a\u6bdb\uff0c\u4e0d\u6574\u8108\uff0c\u5fc3\u6a5f\u80fd\u4f4e\u4e0b\u306b\u306a\u3063\u305f\u308a\u3057\u307e\u3059\u3002\u3046\u3064\u72b6\u614b\u306a\u3069\u306e\u7cbe\u795e\u75c7\u72b6\u3092\u51fa\u3059\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u6cbb\u7642\u304c\u6700\u3082\u3080\u305a\u304b\u3057\u3044\u4e0b\u5782\u4f53\u817a\u816b\u3067\u3059\u3002<\/p>\n<hr \/>\n<h4>\u8a3a\u65ad\u306f<\/h4>\n<ul>\n<li>\u773c\u304c\u898b\u3065\u3089\u3044\u6642\u306b\u306f\u773c\u79d1\u3067<strong><span style=\"color: #000080;\">\u8996\u91ce\u691c\u67fb<\/span><\/strong>\u3092\u3057\u307e\u3057\u3087\u3046<\/li>\n<li>\u8840\u6db2\u691c\u67fb\u3068\u30db\u30eb\u30e2\u30f3\u306e<span style=\"color: #000080;\"><strong>\u7cbe\u5bc6\u691c\u67fb\uff08\u8ca0\u8377\u8a66\u9a13\uff09\u306f\u5185\u5206\u6ccc\u5185\u79d1\u306e\u5148\u751f\u306b\u304a\u307e\u304b\u305b<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u30db\u30eb\u30e2\u30f3\u304c\u95a2\u4fc2\u3059\u308b\u75c5\u6c17\u3067\u3059\u304b\u3089\u624b\u8853\u306e\u524d\u3068\u5f8c\u306b\u306f\u30db\u30eb\u30e2\u30f3\u3092\u8abf\u3079\u308b\u5c02\u9580\u306e\u5185\u5206\u6ccc\u5185\u79d1\u306b\u3082\u8a3a\u3066\u3082\u3089\u3044\uff0c\u624b\u8853\u524d\u306b\u306f<span style=\"color: #000080;\"><strong>\u85ac\u3067\u6cbb\u7642\u3067\u304d\u308b\u816b\u760d\u304b\u3069\u3046\u304b<\/strong><\/span>\u3092\u5224\u65ad\u3057\u3066\u3082\u3089\u3046\u306e\u3082\u5927\u5207\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u753b\u50cf\u8a3a\u65ad\u306fMRI<\/strong><\/span>\u3067\u3059<\/li>\n<li>MRI\u3067\u306f\u6570mm\u306e\u3082\u306e\uff08\u5fae\u5c0f\u817a\u816b\uff09\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<\/ul>\n<h5>\u5178\u578b\u7684\u306aMRI\u306e\u753b\u50cf\u3067\u3059<\/h5>\n<p>\u4e0b\u5782\u4f53\u817a\u816b\u306eMRI\u3067\u3059\u3002\u4e21\u5074\u306e\u8996\u91ce\u969c\u5bb3\uff08\u4e21\u8033\u5074\u534a\u76f2\uff09\u306e\u305f\u3081\u306b\u624b\u8853\u3092\u53d7\u3051\u305f\u60a3\u8005\u3055\u3093\u306e\u3082\u306e\u3067\u3059\u3002\u3053\u306e\u816b\u760d\u306f\u975e\u6a5f\u80fd\u6027\u817a\u816b\u3068\u3044\u3063\u3066\u30db\u30eb\u30e2\u30f3\u3092\u51fa\u3055\u306a\u3044\u816b\u760d\u3067\u3057\u305f\u3002\u5c11\u3057\u5927\u304d\u3081\u3067\u3057\u305f\u304c\u5168\u90e8\u53d6\u308c\u3066\u8996\u91ce\u306e\u969c\u5bb3\u306f\u3088\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui1-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11610\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui1-1-200x200.png\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui1-1-200x200.png 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui1-1-144x144.png 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui2-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11611\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui2-1-200x200.png\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui2-1-200x200.png 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui2-1-144x144.png 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11612\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui4-1-200x200.png\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui4-1-200x200.png 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitui4-1-144x144.png 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/p>\n<p>\u5de6\u306e\uff12\u679a\u306f\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u3092\u4f7f\u3063\u3066\u5199\u3057\u305f\u3082\u306e\u3067\u816b\u760d\u306e\u5f62\u304c\u3088\u304f\u308f\u304b\u308a\u307e\u3059\u3002\u53f3\u306e\uff11\u679a\u306fT2\u5f37\u8abf\u753b\u50cf\u3068\u8a00\u3044\u307e\u3059\u3002MRI\u3067\u306f\u64ae\u5f71\u306e\u4ed5\u65b9\u306b\u3088\u3063\u3066\u898b\u3048\u65b9\u304c\u9055\u3044\u307e\u3059\u3002<\/p>\n<h5>\u3068\u3066\u3082\u5c0f\u3055\u306a\u816b\u760d\uff08\u5fae\u5c0f\u817a\u816b\uff09 microadenoma<\/h5>\n<p>1cm\u4ee5\u4e0b\u306e\u5c0f\u3055\u306a\u3082\u306e\u3092\u5fae\u5c0f\u817a\u816b\u3068\u3044\u3044\u307e\u3059\u3002\u30db\u30eb\u30e2\u30f3\u3092\u7570\u5e38\u306b\u5206\u6ccc\u3059\u308b\u816b\u760d\u306f\u6458\u51fa\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u305d\u3046\u3067\u306a\u3044\u3082\u306e\u306f\u6cbb\u7642\u306e\u5fc5\u8981\u304c\u3042\u308a\u307e\u305b\u3093\u3002\u5fae\u5c0f\u817a\u816b\u3092\u6570\u5e74\u89b3\u5bdf\u3057\u3066\u3082\u5897\u5927\u3059\u308b\u78ba\u7387\u306f10%\u304f\u3089\u3044\u3067\u3059\u3002\u9006\u306b\uff0c\u305d\u308c\u4ee5\u4e0a\u306b\u5927\u304d\u306a\u3082\u306e\u3060\u3068\uff0c50%\u304f\u3089\u3044\u306e\u78ba\u7387\u3067\u5897\u5927\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8273 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2-200x200.jpg\" alt=\"piumicro2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2-550x547.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro2.jpg 567w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8274 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro3-200x200.jpg\" alt=\"piumicro3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/piumicro3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8275 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1-200x200.jpg\" alt=\"pitmicro1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1-550x547.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pitmicro1.jpg 567w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u65e5\u672c\u3067\u6c4e\u7528\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u306f\u6700\u3082\u89e3\u50cf\u529b\u304c\u9ad8\u30443\u30c6\u30b9\u30e9MRI\u3067\u64ae\u5f71\u3055\u308c\u305f\uff0c\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u50cf\u3067\u3059\u3002\u5de6\u5074\u306e\u753b\u50cf\u3067\u306f\u4e0b\u5782\u4f53\u306e\u5927\u304d\u3055\u3068\u5f62\u306f\u6b63\u5e38\u306b\u898b\u3048\u307e\u3059\u3002\u753b\u50cf\u3092\u8abf\u6574\u3059\u308b\u3068\uff0c\u4e0b\u5782\u4f53\u306e\u5185\u90e8\uff0c\u53f3\u7aef\uff08\u9ec4\u8272\u306e\u77e2\u5370\u306e\u5148\uff09\u306b6mm\u304f\u3089\u3044\u306e\u5c0f\u3055\u306a\u817a\u816b\u304c\u307f\u3064\u304b\u308a\u307e\u3057\u305f\u3002MRI\u306e\u6027\u80fd\u304c\u3088\u304f\u306a\u3063\u305f\u3053\u3068\u306b\u3088\u3063\u3066\u6570mm\u306e\u5c0f\u3055\u306a\u3082\u306e\u3082\u8a3a\u65ad\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<h4>\u6cbb\u7642\u306e\u3053\u3068\uff1a<strong><span style=\"color: #000080;\">\u85ac\u7269\u6cbb\u7642\u304b<\/span>\u8133\u5916\u79d1\u306e\u624b\u8853<span style=\"color: #000080;\">\u3067\u6cbb\u3057\u307e\u3059<\/span><\/strong><\/h4>\n<ul>\n<li>\u591a\u304f\u306e\u5834\u5408\u306f\uff0c\u7d4c\u9f3b\u7684\u306a\u624b\u8853\u3067\u6458\u51fa\u3057\u307e\u3059<\/li>\n<li>\u8996\u91ce\u969c\u5bb3\u3092\u51fa\u3057\u3066\u3044\u308b\u975e\u6a5f\u80fd\u6027\u817a\u816b\uff08\u3053\u308c\u304c\u4e00\u756a\u591a\u3044\uff09\u306f\u624b\u8853\u3067\u6458\u51fa\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u3067\u306f\u30ab\u30d9\u30eb\u30b4\u30ea\u30f3\uff08\u30ab\u30d0\u30b5\u30fc\u30eb\uff09\uff0c<\/strong>\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u4f5c\u308b\u816b\u760d\u3067\u306f\u30aa\u30af\u30c8\u30ec\u30aa\u30c1\u30c9\uff08\u30b5\u30f3\u30c9\u30b9\u30bf\u30c1\u30f3\uff09\u306a\u3069\u306e<\/span><span style=\"color: #000080;\"><strong>\u85ac\u3067\u6cbb\u7642<\/strong><\/span>\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u307e\u3059<\/li>\n<li>\u3069\u3061\u3089\u304c\u826f\u3044\u306e\u304b\u306f\u4e3b\u6cbb\u533b\u306e\u5148\u751f\u3068\u76f8\u8ac7\u3057\u307e\u3057\u3087\u3046<\/li>\n<li><span style=\"color: #000080;\"><strong>\u6a5f\u80fd\u6027\u817a\u816b\u306e\u6cbb\u7642<\/strong><\/span>\u65b9\u6cd5\u306b\u95a2\u3057\u3066\u306f\uff0c\u8133\u5916\u79d1\u533b\u306e\u610f\u898b\u3070\u304b\u308a\u3067\u306a\u304f<span style=\"color: #000080;\"><strong>\u5185\u5206\u6ccc\u5c02\u9580\u533b\u306e\u610f\u898b\u3082\u805e\u304f\u3079\u304d<\/strong><\/span>\u3060\u3068\u601d\u3044\u307e\u3059<\/li>\n<li>\u9593\u9055\u3044\u306a\u304f\u624b\u8853\u3092\u3057\u305f\u65b9\u304c\u3044\u3044\u306e\u306f\uff0c\u8996\u91ce\u969c\u5bb3\u304c\u9ad8\u5ea6\u306a\u5927\u304d\u306a\u816b\u760d\uff0c\u5148\u7aef\u5de8\u5927\u75c7\uff08\u6210\u9577\u30db\u30eb\u30e2\u30f3\u5024\u304c\u9ad8\u3044\uff09\uff0c\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\uff08ACTH\u5024\u304c\u9ad8\u3044\uff09\u3067\u3059<\/li>\n<li>\u305d\u306e\u4ed6\u306e\u3082\u306e\u3067\u306f\u624b\u8853\u304c\u7d76\u5bfe\u306b\u5fc5\u8981\u304b\u3069\u3046\u304b\u3092\u3088\u304f\u8003\u3048\u308b<\/li>\n<li>\u7c21\u5358\u306a\u624b\u8853\u3067\u6cbb\u3063\u3066\u3057\u307e\u3046\u5c0f\u3055\u306a\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u816b\u760d\u306b\uff0c\u5185\u79d1\u7684\u306a\u85ac\u7269\u6cbb\u7642\u3092\u4f55\u5e74\u3082\u3057\u3066\u304b\u3089\u624b\u8853\u3092\u53d7\u3051\u308b\u4eba\u304c\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u7121\u99c4\u306a\u3053\u3068\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u3081\u3063\u305f\u306a\u3053\u3068\u3067\u306f\u3057\u307e\u305b\u3093\uff0c\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3057\u307e\u3046\u304b\u3089\u3067\u3059<\/li>\n<li>\u3068\u3066\u3082\u307e\u308c\u306b\u3067\u3059\u304c\uff0c\u817a\u816b\u306e\u5927\u304d\u3055\u3084\u305d\u306e\u5e83\u304c\u308a\u304b\u3089\u3069\u3046\u3057\u3066\u3082\u5341\u5206\u306b\u6458\u51fa\u3067\u304d\u306a\u3044\u3068\u304d\u3084\u85ac\u3082\u52b9\u304b\u306a\u3044\u6a5f\u80fd\u6027\u306e\u816b\u760d\uff0c\u518d\u767a\u3067\u624b\u8853\u56f0\u96e3\u306a\u4f8b\u306b\u306f\uff0c\u8853\u5f8c\u306b<strong><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u6cbb\u7642<\/span><\/strong>\u3092\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306a\u3069\u3082\u542b\u3081\u3066\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u526f\u4f5c\u7528\u3082\u591a\u3044\u306e\u3067\u3068\u3066\u3082\u614e\u91cd\u306b\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u6d77\u5916\u306b\u306f\u65e5\u672c\u3067\u307e\u3060\u4f7f\u3048\u306a\u3044\u85ac\uff08\u672a\u627f\u8a8d\u85ac\uff09\u304c\u3044\u308d\u3044\u308d\u3042\u308a\u307e\u3059\u304b\u3089\uff0c\u4eca\u5f8c\u306b\u306f\u65e5\u672c\u3067\u3082\u4f7f\u3048\u308b\u85ac\u306f\u5897\u3048\u308b\u3068\u671f\u5f85\u3057\u3066\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u624b\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u3042\u3068\u3067\uff0c\u5185\u5206\u6ccc\u306e\u691c\u67fb\uff08\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u8ca0\u8377\u8a66\u9a13\uff09<\/strong><\/span>\u3092\u3057\u3066\uff0c\u6cbb\u7642\u306e\u305b\u3044\u3067\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u306a\u3044\u304b\u3069\u3046\u304b\u3092\u78ba\u304b\u3081\u308b\u306e\u306f\u3068\u3066\u3082\u91cd\u8981\u3067\u3059<\/li>\n<li>\u3082\u306e\u3059\u3054\u304f\u307e\u308c\u306b\uff0c\u60aa\u6027\u306e\u4e0b\u5782\u4f53\u817a\u816b\uff08\u764c\uff09\u306b\u306f<span style=\"color: #000080;\"><strong>\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9<\/strong><\/span>\u3068\u3044\u3046\u5236\u304c\u3093\u5264\u3092\u4f7f\u7528\u3057\u307e\u3059<\/li>\n<\/ul>\n<h4>\u624b\u8853\u306b\u3064\u3044\u3066<\/h4>\n<ul>\n<li>\u5de8\u5927\u306a\u3082\u306e\u3092\u9664\u3051\u3070\uff0c<span style=\"color: #000080;\"><strong>\u624b\u8853\u306f\u6bd4\u8f03\u7684\u7c21\u5358\u306a\u3082\u306e<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u3042\u3048\u3066\uff0c\u60a3\u8005\u3055\u3093\u306e\u8aa4\u89e3\u3092\u3055\u3051\u308b\u305f\u3081\u306b\uff0c\u719f\u7df4\u3057\u305f\u8133\u5916\u79d1\u533b\u306b\u3068\u3063\u3066\u306f\u7c21\u5358\u306a\u624b\u8853\u3068\u3044\u3046\u3053\u3068\u3067\u3059<\/li>\n<li>\u9f3b\u306e\u5965\u306e\u307b\u3046\u306b\u4e0b\u5782\u4f53\u304c\u3042\u308b\u306e\u3067\uff0c<span style=\"color: #000080;\"><strong>\u9f3b\u306e\u5b54\u306e\u4e2d\u304b\u3089\u306e\u305e\u3044\u3066\u4e0b\u5782\u4f53\u817a\u816b\u3092\u3068\u308b<\/strong><\/span>\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u9855\u5fae\u93e1\u3084\u5185\u8996\u93e1\u3067\u307f\u306a\u304c\u3089\u306e\u624b\u8853\u3067\u3059\u304c\u5b89\u5168\u6027\u306f\u9ad8\u3044\u3082\u306e\u3068\u306a\u308a\u307e\u3057\u305f<\/li>\n<li>\u826f\u6027\u816b\u760d\u3067\u3059\u304b\u3089<span style=\"color: #000080;\"><strong>\u5168\u90e8\u53d6\u308c\u308c\u3070\u75c5\u6c17\u306f\u5b8c\u5168\u306b\u6cbb\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li>\u7c21\u5358\u306a\u624b\u8853\u306e\u5834\u5408\u306e\u5165\u9662\u306f10\u65e5\u524d\u5f8c\u304f\u3089\u3044\u3067\u3059<\/li>\n<li>\u624b\u8853\u3067\u53d6\u308a\u5207\u308c\u308b\u304b\u3069\u3046\u304b\u306f\uff0c<span style=\"color: #000080;\"><strong>\u6d77\u7dbf\u9759\u8108\u6d1e<\/strong><\/span>\u3068\u3044\u3046\u3068\u3053\u308d\u306b\u816b\u760d\u304c\u5165\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3067\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5de8\u5927\u306a\u3082\u306e\u3067\u306f\u958b\u982d\u8853<\/strong><\/span>\u3092\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u305d\u306e\u983b\u5ea6\u306f\u3068\u3066\u3082\u4f4e\u3044\u3067\u3059\u3057\uff0c\u958b\u982d\u624b\u8853\u306e\u30ea\u30b9\u30af\u306f\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u624b\u8853\u306e\u5f8c\u3067\u306f\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u306e\u8a73\u3057\u3044\u691c\u67fb\u3092\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u3092\u5fd8\u308c\u305a\u306b<\/li>\n<\/ul>\n<h5>\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3068\u306f<\/h5>\n<p class=\"imgCenter\"><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/pituit\/tss.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/pituit\/tss.png\" alt=\"\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\" width=\"279\" height=\"251\" \/><\/a><\/p>\n<p>\u4e0b\u5782\u4f53\u3078\u5230\u9054\u3059\u308b\u306b\u306f\uff0c\u9ed2\u3044\u77e2\u5370\u306e\u3088\u3046\u306b\u9f3b\u306e\u5b54\u304b\u3089\u306e\u305e\u3044\u3066\u9f3b\u8154\u3092\u901a\u3063\u3066\uff0c\u7a7a\u8272\u306b\u5857\u3063\u305f\u8776\u5f62\u9aa8\u6d1e\u3068\u3044\u3046\u3068\u3053\u308d\u3092\u901a\u3063\u3066\u3044\u304f\u306e\u3067\uff0c\u3053\u308c\u3092<span style=\"color: #000080;\"><strong>\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853 transsphenoidal surgery TSS<\/strong><\/span>\u3068\u8a00\u3044\u307e\u3059\u3002\u4e0b\u5782\u4f53\u817a\u816b\u306b\u3082\u3063\u3068\u3082\u3088\u304f\u7528\u3044\u3089\u308c\u308b\u624b\u8853\u6cd5\u3067\u3059\u3002<span style=\"color: #000080;\"><strong>\u6c17\u3092\u3064\u3051\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\uff0c\u6d77\u7dbf\u72b6\u8108\u6d1e\u306b\u4f38\u3073\u3066\u3044\u308b\u816b\u760d<\/strong><\/span>\u3092\u624b\u8853\u3067\u6458\u51fa\u3057\u3088\u3046\u3068\u8a00\u308f\u308c\u305f\u3068\u304d\u3067\u3059\u3002\u6d77\u7dbf\u9759\u8108\u6d1e\u5185\u90e8\u306e\u624b\u8853\u306f\u958b\u982d\u624b\u8853\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u5371\u967a\u6027\u306f\u9ad8\u3044\u3068\u3044\u3048\u307e\u3059\u3002\u6642\u306b\u306f\u6b7b\u4ea1\u4f8b\u3082\u3042\u308b\u306e\u3067\u624b\u8853\u306e\u5185\u5bb9\u306f\u3057\u3063\u304b\u308a\u805e\u3044\u3066\u4e0b\u3055\u3044\u3002<\/p>\n<h4><strong>\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u306e\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\uff08\u305f\u304f\u3055\u3093\u3042\u308a\u307e\u3059\u304b\u3089\u4e3b\u306a\u3082\u306e\u3060\u3051\uff09<\/strong><\/h4>\n<ul>\n<li><strong><span style=\"color: #ff0000;\">\u5c3f\u5d29\u75c7<\/span><\/strong>\uff1a\u624b\u8853\u3067<strong><span style=\"color: #000080;\">\u4e0b\u5782\u4f53\u5f8c\u8449<\/span><\/strong>\u3092\u50b7\u3081\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u304a\u304d\u307e\u3059\u3002\u8853\u5f8c\u306b\u304a\u3057\u3063\u3053\u306e\u91cf\u304c\u5897\u3048\u3066\uff0c\u5589\u304c\u6e07\u3044\u3066\u6c34\u3092\u5927\u91cf\u306b\u98f2\u3080\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002ADH\uff08\u6297\u5229\u5c3f\u30db\u30eb\u30e2\u30f3\uff09\u304c\u51fa\u306a\u3044\u3053\u3068\u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059\u3002\u6cbb\u7642\u306fADH\u306e\u88dc\u5145\u3067\u3059\u304b\u3089\uff0c\u6c34\u6eb6\u6027\u30d4\u30c8\u30ec\u30c3\u30b7\u30f3\u306e\u6295\u4e0e\u3084<span style=\"color: #000080;\"><strong>\u30c7\u30b9\u30e2\u30d7\u30ec\u30c3\u30b7\u30f3<\/strong><\/span>\u3068\u3044\u3046\u85ac\u3092\u9f3b\u304b\u3089\u5165\u308c\u308b\u3053\u3068\u3067\u53ce\u307e\u308a\u307e\u3059\u3002\u3067\u3082<strong><span style=\"color: #000080;\">\u305f\u3044\u3066\u3044\u306f\u4e00\u6642\u7684<\/span>\u3067<\/strong>\u6570\u9031\u9593\u304b\u3089\uff13\u30f6\u6708\u304f\u3089\u3044\u3067\u6cbb\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u518d\u767a\u816b\u760d\u3084\u5927\u304d\u306a\u817a\u816b\u3067\u306f\u6cbb\u3089\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u3053\u308c\u306f\u60a3\u8005\u3055\u3093\u5074\u304b\u3089\u306f\u53d7\u3051\u5165\u308c\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u5408\u4f75\u75c7\u306b\u5165\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u9577\u671f\u7684\u306b\u306a\u308b\u3068\u304d\u306b\u306f\uff0c<strong><span style=\"color: #000080;\">\u30df\u30cb\u30ea\u30f3\u30e1\u30eb\u30c8<\/span><\/strong>\u3092\u5185\u670d\u3057\u307e\u3059\u3002<\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #ff0000;\"><strong>\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u4e0d\u5168<\/strong><\/span>\uff1a<strong>\u4e0b\u5782\u4f53\u306e\u6b63\u5e38\u7d44\u7e54\u3092\u816b\u760d\u6458\u51fa\u306b\u3088\u3063\u3066\u640d\u50b7\u3059\u308b<\/strong><\/span>\u3053\u3068\u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059\u3002\u4e0b\u5782\u4f53\u524d\u8449\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u60aa\u304f\u306a\u308b\u306e\u3067\uff0c\u624b\u8853\u5f8c\u306b\u6bce\u65e5\u30db\u30eb\u30e2\u30f3\u306e\u88dc\u5145\u3092\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3053\u308c\u3092\u5fd8\u308c\u308b\u3068\u3068\u3066\u3082\u4f53\u8abf\u304c\u60aa\u3044\u306a\u3069\u306e\u75c7\u72b6\u304c\u624b\u8853\u5f8c\u306b\u305a\u30fc\u3063\u3068\u7d9a\u304d\u307e\u3059\u3002\u8db3\u308a\u306a\u304f\u306a\u308b\u30db\u30eb\u30e2\u30f3\u306f\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\uff0c\u526f\u814e\u76ae\u8cea\u30db\u30eb\u30e2\u30f3\uff0c\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\uff0c\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\u3067\u3059\u304c\uff0c\u75c7\u72b6\u306f\u69d8\u3005\u3067\u3059\u3002\u983b\u5ea6\u7684\u306b\u306f\u3068\u3066\u3082\u4f4e\u3044\u5408\u4f75\u75c7\u3067\u3059\u304c\uff0c\u9855\u5fae\u93e1\u624b\u8853\u306b\u3057\u3066\u3082\u5185\u8996\u93e1\u624b\u8853\u306b\u3057\u3066\u3082\u4e0d\u6163\u308c\u306a\u57f7\u5200\u533b\u3067\u306f\uff0c\u3053\u306e\u5408\u4f75\u75c7\u306e\u983b\u5ea6\u306f\u3068\u3066\u3082\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<span style=\"color: #000080;\"><strong>\u57f7\u5200\u533b\u306b\u3088\u3063\u3066\u304b\u306a\u308a\u5dee\u304c\u51fa\u308b<\/strong><\/span>\u3068\u3053\u308d\u3067\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u9ac4\u6db2\u9f3b\u6f0f<\/span><\/strong>\uff1a\u4e0b\u5782\u4f53\u306f\u4e00\u756a\u6700\u521d\u306e\u56f3\u306e\u3088\u3046\u306b\u8133\u306e\u5e95\u9762\u306b\u3076\u3089\u4e0b\u304c\u308b\u3088\u3046\u306b\u3064\u3044\u3066\u3044\u308b\u306e\u3067\uff0c\u9f3b\u304b\u3089\u624b\u8853\u3057\u3066\u4e0b\u5782\u4f53\u3092\u3044\u3058\u3063\u3066\u3044\u308b\u3068\uff0c\u982d\u306e\u4e2d\uff08\u304f\u3082\u819c\u4e0b\u8154\uff09\u306b\u629c\u3051\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u304f\u3082\u819c\u4e0b\u8154\u306f\u9ac4\u6db2\uff08\u8133\u306e\u6c34\uff09\u3092\u8caf\u3081\u3066\u3044\u308b\u306e\u3067\uff0c\u305d\u306e\u6c34\u304c\u9f3b\u306e\u4e2d\u306b\u6f0f\u308c\u3066\u51fa\u3066\u304f\u308b\u3053\u3068\u3092\u9ac4\u6db2\u9f3b\u6f0f\u3068\u8a00\u3044\u307e\u3059\u3002\u624b\u8853\u4e2d\u306b\u304d\u3061\u3093\u3068\u6f0f\u308c\u3066\u3044\u308b\u90e8\u5206\u3092\u9589\u9396\u3059\u308c\u3070\u9ac4\u6db2\u6f0f\u3092\u6b62\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u307e\u305f\u624b\u8853\u5f8c\u306b\uff0c\u8170\u304b\u3089\u7d30\u3044\u30c1\u30e5\u30fc\u30d6\u3092\u5165\u308c\u3066\uff08\u8170\u90e8\u30c9\u30ec\u30ca\u30fc\u30b8\uff09\uff0c\uff11\u9031\u9593\u304f\u3089\u3044\u9ac4\u6db2\u3092\u629c\u3044\u3066\u3044\u308b\u3068\u9f3b\u304b\u3089\u306e\u6c34\u6f0f\u308c\u304c\u6b62\u307e\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u9ac4\u6db2\u6f0f\u304c\u304a\u3053\u3089\u306a\u3044\u3088\u3046\u306a\u4e01\u5be7\u306a\u624b\u8853\u3092\u3057\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u8996\u795e\u7d4c\u640d\u50b7<\/span><\/strong>\uff1a\u4e0b\u5782\u4f53\u817a\u816b\u306f\u8996\u795e\u7d4c\u4ea4\u53c9\u306b\u304f\u3063\u3064\u3044\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u306b\u816b\u760d\u3092\u3068\u3063\u3066\u3044\u308b\u6642\u306b\u8996\u795e\u7d4c\u3084\u8996\u4ea4\u53c9\u3092\u640d\u50b7\u3057\u3066<span style=\"color: #000080;\"><strong>\u8996\u529b\u304c\u4f4e\u4e0b<\/strong><\/span>\u3057\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\uff0c\u8996\u795e\u7d4c\u7ba1\u3068\u3044\u3046\u306e\u304c\u30c8\u30eb\u30b3\u978d\u306e\u4e0a\u306e\u6a2a\u306e\u65b9\u306b\u3042\u308b\u306e\u3067\uff0c\u30c8\u30eb\u30b3\u978d\u306e\u9aa8\u3092\u958b\u3051\u308b\u6642\u306b\u3053\u3053\u3067\u8996\u795e\u7d4c\u3092\u640d\u50b7\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u5185\u981a\u52d5\u8108\u3084\u4ed6\u306e\u982d\u84cb\u5185\u52d5\u8108\u306e\u640d\u50b7<\/strong><\/span>\uff1a\u3053\u308c\u306f\u3042\u3063\u3066\u306f\u306a\u3089\u306a\u3044\u3053\u3068\u3067\u3059\u304c\uff0c\u3082\u3063\u3068\u3082\u91cd\u75c7\u306e\u5408\u4f75\u75c7\u3067\u3059\u3002\u624b\u8853\u4e2d\u306b\u8133\u306e\u52d5\u8108\uff08\u5185\u981a\u52d5\u8108\u3084\u524d\u5927\u8133\u52d5\u8108\uff09\u3092\u7834\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3067\u3059\u3002\u304f\u3082\u819c\u4e0b\u51fa\u8840\u306b\u306a\u3063\u3066\uff0c<span style=\"color: #000080;\"><strong>\u6642\u306b\u306f\u6b7b\u4ea1\u3059\u308b<\/strong><\/span>\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u30022010\u5e74\u4ee5\u964d\u306e\u5185\u8996\u93e1\u624b\u8853\u3067\uff0c0.3 &#8211; 1%\u304f\u3089\u3044\u306e\u983b\u5ea6\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8288 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih3-200x200.jpg\" alt=\"pituiih3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8289 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih2-200x200.jpg\" alt=\"pituiih2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8290 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih1-200x200.jpg\" alt=\"pituiih1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiih1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u5de6\u306f\u4e0b\u5782\u4f53\u817a\u816b\uff08\u7dd1\u306e\u816b\u760d\uff09\u304c\u5185\u981a\u52d5\u8108\u306b\u631f\u307e\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u4e2d\u592e\u306f\u624b\u8853\u524d\u306e\u4e0b\u5782\u4f53\u817a\u816b\u3067\uff0c\u8996\u795e\u7d4c\u3082\u6b63\u5e38\u4e0b\u5782\u4f53\u3082\u4f4d\u7f6e\u306f\u308f\u304b\u308a\u307e\u305b\u3093\u3002<br \/>\n\u53f3\u306f\u624b\u8853\u7fcc\u65e5\u306e\u753b\u50cf\u3067\u3059\u3002\u9ec4\u8272\u306e\u77e2\u5370\u306e\u5148\u304c\u6b8b\u3057\u305f\u6b63\u5e38\u4e0b\u5782\u4f53\u7d44\u7e54\u3067\u3059\u3002\u6843\u8272\u306e\u77e2\u5370\u306e\u5148\u306b\u8996\u795e\u7d4c\uff08\u8996\u4ea4\u53c9\uff09\u304c\u306f\u3063\u304d\u308a\u898b\u3048\u3066\u3044\u307e\u3059\u3002\u8853\u5f8c\u306e\u4e00\u6642\u7684\u306a\u5c3f\u5d29\u75c7\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u30af\u30e2\u819c\u304c\u6b8b\u3063\u3066\u3044\u308b\u306e\u3067\u9ac4\u6db2\u6f0f\u306f\u751f\u3058\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3067\u3082\u6b63\u5e38\u4e0b\u5782\u4f53\u7d44\u7e54\uff08\u9ec4\u8272\u77e2\u5370\uff09\u3082\u8996\u4ea4\u53c9\u3082\u816b\u760d\u306b\u5727\u8feb\u3055\u308c\u3066\u30da\u30e9\u30da\u30e9\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u304b\u3089\uff0c\u3044\u3064\u3082\u3046\u307e\u304f\u884c\u304f\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/p>\n<div class=\"setumei\">\n<ul>\n<li><strong><span style=\"color: #ff0000;\">\u51fa\u8840<\/span><\/strong>\uff1a\u9f3b\u306e\u5b54\u304b\u3089\u624b\u8853\u3059\u308b\u306e\u3067\u9f3b\u8840\u304c\u3067\u307e\u3059\u3002\u305f\u3044\u3066\u3044\u306f\u4f55\u3082\u3057\u306a\u3044\u3067\u6b62\u307e\u308a\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u8853\u5f8c\u306e\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7<\/span><\/strong>\uff1a\u5c3f\u5d29\u75c7\u306b\u3068\u3082\u306a\u3046\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u8840\u6db2\u306e\u4e2d\u306e\u30ca\u30c8\u30ea\u30a6\u30e0\u306e\u6fc3\u5ea6\u304c\u4f4e\u304f\u306a\u308a\u307e\u3059\u3002\u91cd\u75c7\u306a\u3082\u306e\u3067\u306f\u3051\u3044\u308c\u3093\u767a\u4f5c\u3084\u610f\u8b58\u969c\u5bb3\u3092\u751f\u3058\u307e\u3059\u3002\u3067\u3082\u304d\u3061\u3093\u3068\u8840\u6db2\u691c\u67fb\u3092\u3057\u3066\u5c3f\u5d29\u75c7\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3066\u304a\u3051\u3070\u4e00\u6b21\u7684\u306a\u8efd\u3044\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7\u3067\u3059\u307f\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u9ac4\u819c\u708e<\/span><\/strong>\uff1a\u591a\u304f\u306e\u5834\u5408\u306f\u9ac4\u6db2\u9f3b\u6f0f\u304c\u3046\u307e\u304f\u6b62\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u6642\u306b\uff0c\u9f3b\u8154\u306e\u7d30\u83cc\u304c\u8133\u306b\u5165\u308b\u305f\u3081\u306b\u304a\u304d\u307e\u3059\u3002\u982d\u84cb\u5185\u306e\u611f\u67d3\u3067\u3059\u304b\u3089\uff0c\u982d\u75db\u3084\u767a\u71b1\u3084\u5614\u5410\u304c\u751f\u3058\u307e\u3059\u3002\u6297\u751f\u7269\u8cea\u306e\u6295\u4e0e\u3067\u6cbb\u308a\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u8853\u5f8c\u306e\u816b\u760d\u5185\u51fa\u8840<\/span><\/strong>\uff1a\u3068\u3066\u3082\u5927\u304d\u306a\u4e0b\u5782\u4f53\u817a\u816b\u3092\u6458\u51fa\u3057\u305f\u6642\u306b\u306e\u307f\u306b\u751f\u3058\u307e\u3059\u3002\u816b\u760d\u3092\u3068\u308a\u7d42\u3048\u305f\u3042\u3068\u306e\u6b62\u8840\u304c\u4e0d\u5341\u5206\u306a\u3053\u3068\u306b\u3082\u3088\u308a\u307e\u3059\u304c\uff0c\u305f\u3044\u3066\u3044\u306e\u5834\u5408\u306f\uff0c\u5927\u304d\u3059\u304e\u3066\u816b\u760d\u3092\u5168\u90e8\u53d6\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u5834\u5408\u3067\u3059\u3002\u6b8b\u3063\u305f\u816b\u760d\u304b\u3089\u51fa\u8840\u3057\u3066\u8840\u816b\u304c\u305f\u307e\u308a\u307e\u3059\u3002\u3042\u308b\u7a0b\u5ea6\u306e\u51fa\u8840\u91cf\u306a\u3089\uff0c\u69d8\u5b50\u3092\u898b\u308b\u3060\u3051\u3067\u3053\u306e\u8840\u816b\u306f\u5438\u53ce\u3055\u308c\u3066\u7121\u304f\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u5fc3\u914d\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u7a00\u306b\uff0c\u8840\u816b\u304c\u3068\u3066\u3082\u5927\u304d\u304f\u306a\u3063\u3066\u8996\u529b\u304c\u60aa\u304f\u306a\u3063\u3066\u304f\u308b\uff08\u76ee\u306e\u524d\u304c\u6697\u3044\uff09\u3068\u304b\uff0cCT\u3067\u69d8\u5b50\u3092\u307f\u3066\u3044\u3066\u3082\u51fa\u8840\u304c\u6b62\u307e\u3089\u306a\u304f\u3066\u3069\u3093\u3069\u3093\u5927\u304d\u304f\u306a\u308b\u6642\u306b\u306f\uff0c\u81e8\u6642\u624b\u8853\u3092\u3057\u3066\u51fa\u8840\u3092\u6b62\u3081\u306a\u3044\u3068\u306a\u308a\u307e\u305b\u3093\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u55c5\u899a\u8131\u5931<\/span><\/strong>\uff1a\u9f3b\u306e\u4e2d\u306b\u306f\u81ed\u3044\u306e\u795e\u7d4c\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u9f3b\u306e\u4e0a\u306e\u524d\u306e\u65b9\u306b\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u90e8\u5206\u3092\u640d\u50b7\u3059\u308b\u3068\u81ed\u3044\u304c\u308f\u304b\u3089\u306a\u304f\u306a\u308a\u307e\u3059\u3002\u4e00\u6642\u7684\u3067\u6539\u5584\u3059\u308b\u3053\u3068\u3082\u305a\u3063\u3068\u826f\u304f\u306a\u3089\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u9f3b\u4e2d\u9694\u7a7f\u5b54\u3068\u9f3b\u8154\u72ed\u7a84<\/span><\/strong>\uff1a\u9f3b\u306e\u5b54\u304b\u3089\u624b\u8853\u3059\u308b\u5834\u5408\u306b\u306f\u307b\u3068\u3093\u3069\u304a\u304d\u307e\u305b\u3093\u3002\u5507\u306e\u3057\u305f\u3092\u5207\u3063\u3066\u624b\u8853\u3059\u308b\u6642\u306b\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u9f3b\u306e\u4e2d\u3092\u5de6\u53f3\u306b\u5206\u3051\u308b\u9f3b\u4e2d\u9694\u3068\u3044\u3046\u3068\u3053\u308d\u306b\u5b54\u304c\u7a7a\u3044\u305f\u308a\uff0c\u9f3b\u7532\u4ecb\u3068\u304f\u3063\u3064\u3044\u305f\u308a\u3057\u3066\uff0c\u9f3b\u3092\u304b\u307f\u306b\u304f\u3044\u3068\u304b\u9f3b\u304c\u3064\u307e\u308b\u3068\u3044\u3046\u75c7\u72b6\u304c\u51fa\u307e\u3059\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u773c\u7403\u904b\u52d5\u969c\u5bb3<\/span><\/strong>\uff1a\u6d77\u7dbf\u9759\u8108\u6d1e\u306b\u5165\u3063\u3066\u3044\u308b\u816b\u760d\u3092\u6458\u51fa\u3057\u3088\u3046\u3068\u3057\u305f\u6642\u306b\u751f\u3058\u307e\u3059\u3002\u52d5\u773c\u795e\u7d4c\u3084\u5916\u8ee2\u795e\u7d4c\u3084\u6ed1\u8eca\u795e\u7d4c\u3092\u640d\u50b7\u3059\u308b\u305f\u3081\u306b\uff0c\u76ee\u306e\u52d5\u304d\u304c\u60aa\u304f\u306a\u3063\u3066\u7269\u304c\u4e8c\u91cd\u306b\u898b\u3048\u307e\u3059\u3002\u591a\u304f\u306e\u5834\u5408\u306f\u7d4c\u904e\u3092\u898b\u3066\u3044\u308c\u3070\u6539\u5584\u3059\u308b\u3067\u3057\u3087\u3046\u3002<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u6c17\u9053\u9589\u585e<\/span><\/strong>\uff1a\u3053\u308c\u306f\u624b\u8853\u524d\u304b\u3089\u7761\u7720\u6642\u7121\u547c\u5438\u306a\u3069\u304c\u3042\u308b\u5148\u7aef\u5de8\u5927\u75c7\u306e\u60a3\u8005\u3055\u3093\u306e\u307f\u306b\u751f\u3058\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u3082\u306e\u3067\u3059\u3002\u820c\u304c\u5927\u304d\u304f\u3066\u5589\u982d\u3082\u72ed\u3044\u306e\u3067\uff0c\u6c17\u9053\u72ed\u7a84\u304c\u751f\u3058\u3066\u547c\u5438\u304c\u3046\u307e\u304f\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u72b6\u614b\u3067\u3059\u3002\u3067\u3082\u624b\u8853\u524d\u306b\u5341\u5206\u4e88\u6e2c\u3067\u304d\u308b\u306e\u3067\u5bfe\u5fdc\u3067\u304d\u307e\u3059\u3002<\/li>\n<li>\u4e0a\u8a18\u306e\u5408\u4f75\u75c7\u306f\u624b\u8853\u3059\u308b<span style=\"color: #000080;\"><strong>\u57f7\u5200\u533b\u306e\u7d4c\u9a13\u5024\u3067\u983b\u5ea6\u304c\u6c7a\u307e\u308a<\/strong><\/span>\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>\u5185\u8996\u93e1\u624b\u8853\u304b\u9855\u5fae\u93e1\u624b\u8853\u304b<\/strong><\/h4>\n<ul>\n<li>\u6700\u8fd1\u306f<span style=\"color: #ff0000;\"><strong>\u5185\u8996\u93e1\u624b\u8853\u306e\u65b9\u304c\u5727\u5012\u7684\u306b\u591a\u3044\u3067\u3059<\/strong><\/span><\/li>\n<li>\u7d50\u8ad6\u7684\u306b\u306f\u3069\u3061\u3089\u3067\u3082\u3044\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>2019\u5e74\u306e\u7c73\u56fd\u306e\u5927\u304d\u306a\u591a\u65bd\u8a2d\u5171\u540c\u7814\u7a76\u3067\u306f\uff0c\u5185\u8996\u93e1\u3067\u3082\u9855\u5fae\u93e1\u3067\u3082\u816b\u760d\u306e\u6458\u51fa\u5272\u5408\u306b\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f<\/li>\n<li>\u8981\u3059\u308b\u306b\uff0c\u57f7\u5200\u533b\u306e\u7d4c\u9a13\u304c\u3069\u308c\u304f\u3089\u3044\u8c4a\u5bcc\u304b\u3068\u3044\u3046\u3053\u3068\u3067\u624b\u8853\u6210\u7e3e\u304c\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li>\u3069\u3061\u3089\u306b\u3082\u5229\u70b9\u3068\u6b20\u70b9\u304c\u3042\u308a\uff0c\u3082\u306e\u3059\u3054\u304f\u305f\u304f\u3055\u3093\u4e0b\u5782\u4f53\u817a\u816b\u306e\u624b\u8853\u3092\u3057\u3066\u6765\u305f\u8133\u5916\u79d1\u533b\u304c\uff0c\u5185\u8996\u93e1\u304b\u3089\u9855\u5fae\u93e1\u624b\u8853\u306b\u3082\u3069\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u5185\u8996\u93e1\u624b\u8853\u306f\u30ab\u30e1\u30e9\u3067\u8997\u304d\u306a\u304c\u3089\u624b\u8853\u3059\u308b\u306e\u3067\u4f4e\u4fb5\u8972\u3067\u3042\u308b\u3068\u8aa4\u89e3\u3055\u308c\u3066\u3044\u307e\u3059\u304c\uff0c\u9855\u5fae\u93e1\u624b\u8853\u306e\u307b\u3046\u304c\u4fb5\u8972\u306f\u5c11\u306a\u3044\u3067\u3059<\/li>\n<li>\u5185\u8996\u93e1\u3088\u308a\uff0c\u9855\u5fae\u93e1\u624b\u8853\u306e\u307b\u3046\u304c\u305f\u304f\u3055\u3093\u306e\u7d4c\u9a13\u3068\u6280\u8853\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u9006\u306b\uff0c\u5185\u8996\u93e1\u624b\u8853\u306f\u8996\u91ce\u304c\u5e83\u304f\u3088\u304f\u898b\u3048\u308b\u306e\u3067\u5834\u6240\u3092\u9593\u9055\u308f\u305a\uff0c\u521d\u5fc3\u8005\u3067\u3082\u3067\u304d\u307e\u3059<\/li>\n<li>\u5185\u8996\u93e1\u306e\u6700\u5927\u306e\u5229\u70b9\u306f\uff0c\u9855\u5fae\u93e1\u3067\u898b\u3048\u306a\u3044\u90e8\u5206\u3092\u307f\u308b\u3053\u3068\u304c\u3067\u304d\u3066\uff0c\u816b\u760d\u306e\u53d6\u308a\u6b8b\u3057\u304c\u5c11\u306a\u304f\u306a\u308b\u3053\u3068\u3067\u3059<\/li>\n<li>\u9006\u306b\uff0c\u5185\u8996\u93e1\u624b\u8853\u3057\u304b\u3067\u304d\u306a\u3044\u4e0d\u6163\u308c\u306a\u57f7\u5200\u533b\u304c\u624b\u8853\u3092\u3057\u3066\uff0c\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3\uff0c\u5c3f\u5d29\u75c7\u3001\u8996\u529b\u969c\u5bb3\u306a\u3069\u306e\u91cd\u5927\u306a\u5408\u4f75\u75c7\u3092\u751f\u3058\u308b\u305f\u3044\u3046\u3053\u3068\u3082\u305f\u304f\u3055\u3093\u805e\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5b89\u5168\u306b\u624b\u8853\u3092\u3059\u308b\u305f\u3081\u306b\u306f\uff0c\u5185\u8996\u93e1\u3082\u9855\u5fae\u93e1\u3082\u3069\u3061\u3089\u3082\u4f7f\u3048\u3066\uff0c\u305d\u308c\u3088\u308a\u3082\u591a\u304f\u306e\u624b\u8853\u7d4c\u9a13\u3092\u3082\u3064\u3068\u3044\u3046\u3053\u3068<\/strong><\/span>\u304c\u6700\u3082\u5927\u5207\u3067\u3059<\/li>\n<li>\u6fa4\u6751\u306f\u3069\u3061\u3089\u3082\u4f7f\u7528\u3057\u307e\u3059\u304c\uff0c\u591a\u304f\u306e\u4e0b\u5782\u4f53\u817a\u816b\u3067\u306f\u9855\u5fae\u93e1\u624b\u8853\u306e\u65b9\u304c\u7cbe\u5bc6\u3067\u77ed\u6642\u9593\u306e\u624b\u8853\u304c\u53ef\u80fd\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059<\/li>\n<li>\u8907\u96d1\u306a\u4f38\u5c55\u3092\u3059\u308b\u3082\u306e\u3067\u306f\uff0c\u9855\u5fae\u93e1\u624b\u8853\u3068\u5185\u8996\u93e1\u624b\u8853\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3082\u6709\u7528\u3067\u3059<\/li>\n<\/ul>\n<h4>\u75c5\u7406\u306f\u826f\u6027\u3067\u3059<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiadenomapatho.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8120 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiadenomapatho-300x271.jpg\" alt=\"pituiadenomapatho\" width=\"300\" height=\"271\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiadenomapatho-300x271.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiadenomapatho-550x497.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituiadenomapatho.jpg 886w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><strong><span style=\"color: #000080;\"><br \/>\nWHO \u30b0\u30ec\u30fc\u30c9\uff11<\/span><\/strong>\u306e\u826f\u6027\u816b\u760d\u3067\u3059\u3002\u304a\u3068\u306a\u3057\u3044\u6027\u683c\u3067\u3059\u3002\u5de6\u306f\u3082\u3063\u3068\u3082\u591a\u3044\u3073\u307e\u3093\u6027\u30bf\u30a4\u30d7 diffuse type\u3067\u3059\u3002\u5186\u5f62\u3067\u5c0f\u578b\u3067\u5747\u4e00\u306a\u6838\u304c\u7279\u5fb4\u3067\u3059\u3002\u7d30\u8840\u7ba1\u7db2\u306e\u306a\u304b\u306b\u816b\u760d\u304c\u30b7\u30fc\u30c8\u72b6\u306b\u5e83\u304c\u308a\u307e\u3059\u3002<br \/>\n<strong><span style=\"color: #000080;\">MIB-1\u67d3\u8272\u7387\u306f3%\u4ee5\u4e0b<\/span><\/strong>\u3067\u3059\u3002\u305d\u308c\u4ee5\u4e0a\u306e\u3082\u306e\u306f\u3061\u3087\u3063\u3068\u518d\u767a\u5897\u5927\u901f\u5ea6\u304c\u901f\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<br \/>\n\u771f\u306e\u60aa\u6027\u4e0b\u5782\u4f53\u817a\u816b\u306f\uff0c0.2%\uff081000\u4f8b\u306b2\u4f8b\uff09\u304f\u3089\u3044\u3067\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitHE.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7689\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitHE.png\" alt=\"pituitHE\" width=\"269\" height=\"215\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitGH-PRL.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7690 size-full\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitGH-PRL.png\" alt=\"pituitGH-PRL\" width=\"283\" height=\"219\" \/><\/a><\/p>\n<p>\u6210\u9577\u30db\u30eb\u30e2\u30f3\u306e\u9ad8\u3044\u5148\u7aef\u80a5\u5927\u75c7\u306e\u60a3\u8005\u3055\u3093\u304b\u3089\u3068\u3063\u305f\u4e0b\u5782\u4f53\u817a\u816b\u306e\u514d\u75ab\u7d44\u7e54\u67d3\u8272\u3067\u3059\u3002\u5de6\u306fHE\u67d3\u8272\u3068\u3044\u3046\u666e\u901a\u306e\u3082\u306e\u3002\u53f3\u56f3\u3067\u306f\u30d4\u30f3\u30af\u3067\u30d7\u30ed\u30e9\u30af\u30c1\u30f3(PRL)\u3092\uff0c\u8336\u8272\u3067\u6210\u9577\u30db\u30eb\u30e2\u30f3(GH)\u3092\u67d3\u8272\u3057\u3066\u3044\u307e\u3059\u304c\uff0c\uff12\u7a2e\u985e\u306e\u30db\u30eb\u30e2\u30f3\u3092\u4f5c\u308b\u816b\u760d\u306f\u3081\u305a\u3089\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u8853\u5f8c\u306e\u518d\u767a\u306f\uff1f<\/h4>\n<ul>\n<li>\u30db\u30eb\u30e2\u30f3\u3092\u7570\u5e38\u5206\u6ccc\u3059\u308b\u4e0b\u5782\u4f53\u817a\u816b\u306f\u5fb9\u5e95\u7684\u306b\u6458\u51fa\u3057\u307e\u3059\uff0c\u8853\u5f8c\u306e\u6b8b\u5b58\u306b\u306f\u85ac\u7269\u6cbb\u7642\u3092\u3057\u307e\u3059\u306e\u3067\uff0c\u624b\u8853\u3060\u3051\u3067\u306e\u6b63\u78ba\u306a\u518d\u767a\u7387\u306f\u308f\u304b\u308a\u307e\u305b\u3093<\/li>\n<li>\u305f\u3068\u3048\u3070\uff0c2008\u5e74\u306e\u8ad6\u6587 (Losa M et al. 2008)\u306b\uff0c\u975e\u6a5f\u80fd\u6027\u4e0b\u5782\u4f53\u817a\u816b\u306e\u8853\u5f8c\u306e\u518d\u767a\u7387\u304c\u66f8\u3044\u3066\u3042\u308a\u307e\u3057\u305f\u3002436\u4eba\u306e\u60a3\u8005\u3055\u3093\u3092\u624b\u8853\u3057\u3066\uff15\u5e74\u304f\u3089\u3044\u7d4c\u904e\u3092\u898b\u308b\u306883\u4eba (19%)\u3067\u518d\u71c3\uff08\u518d\u767a\u3084\u6b8b\u5b58\u816b\u760d\u306e\u5897\u5927\uff09\u304c\u751f\u3058\u305f\u305d\u3046\u3067\u3059\uff0c\u8853\u5f8c\u306b\u6b8b\u3063\u305f\u816b\u760d\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3068\u3053\u306e\u518d\u71c3\u304c\u9ad8\u7387\u306b\u9632\u3052\u308b\u3068\u66f8\u3044\u3066\u3042\u308a\u307e\u3057\u305f\u304c\u666e\u901a\u306f\u3057\u307e\u305b\u3093<\/li>\n<li>\u3067\u3082\u6b8b\u5b58\u816b\u760d\u304c\u5897\u5927\u3057\u3066\u3082\u5fc5\u305a\u3057\u3082\u624b\u8853\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3068\u306f\u8a00\u3048\u307e\u305b\u3093\u3057\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u306a\u308b\u3079\u304f\u3057\u306a\u3044\u30672\u56de\u76ee\u306e\u6458\u51fa\u8853\u3092\u3057\u305f\u307b\u3046\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u304a\u305d\u3089\u304f\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6700\u5f8c\u307e\u3067\u3068\u3063\u3066\u304a\u304f\u3068\u3044\u3046\u8003\u3048\u65b9\u306e\u65b9\u304c\u3044\u3044\u3067\u3059<\/li>\n<li>\u719f\u7df4\u3057\u305f\u57f7\u5200\u533b\u306e\u3082\u3068\u3067\u306f<span style=\"color: #333399;\"><strong>\u6cbb\u7642\u304c\u5fc5\u7528\u306a\u518d\u767a\u5272\u5408\u306f5%\u3092\u4e0b\u56de\u308b<\/strong><\/span>\u3068\u8003\u3048\u3089\u308c\u307e\u3059<\/li>\n<li>MIB-1\u306e\u67d3\u8272\u7387\u304c5%\u3092\u8d8a\u3048\u308b\u3068\u518d\u767a\u901f\u5ea6\u304c\u65e9\u3044\u3068\u3044\u3048\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<h4>\u4e0b\u5782\u4f53\u817a\u816b\u3068\u9593\u9055\u3048\u3084\u3059\u3044\u75be\u60a3<\/h4>\n<p>\u3044\u308d\u3044\u308d\u306a\u75c5\u6c17\u3067\u4e0b\u5782\u4f53\u304c\u5927\u304d\u304f\u898b\u3048\u307e\u3059\u3002\u6b63\u78ba\u306a\u75c5\u540d\u3092\u65e9\u3081\u306b\u3064\u3051\u306a\u3044\u3068\u6cbb\u7642\u65b9\u6cd5\u3092\u8aa4\u308a\u307e\u3059\u3002\u3067\u3082\u8a3a\u65ad\u306f\uff0c\u4e0b\u5782\u4f53\u3092\u5c02\u9580\u306b\u3057\u3066\u3044\u308b\u5185\u5206\u6ccc\u5185\u79d1\u306e\u5148\u751f\u304b\u8133\u5916\u79d1\u306e\u5148\u751f\u3067\u306a\u3044\u3068\u306a\u304b\u306a\u304b\u96e3\u3057\u3044\u3067\u3059\u3002 \u4f8b\u3048\u3070\uff0c\u4e0b\u5782\u4f53\u306e\u708e\u75c7\uff08\u30ea\u30f3\u30d1\u7403\u6027\u4e0b\u5782\u4f53\u708e\u306a\u3069\uff09\uff0c<a href=\"rathoke\/\" target=\"_self\" rel=\"noopener noreferrer\">\u30e9\u30c8\u30b1\u306e\u3046\u80de<\/a>\uff0c<a href=\"cranio\/\" target=\"_self\" rel=\"noopener noreferrer\">\u982d\u84cb\u54bd\u982d\u816b<\/a>\uff0c<a href=\"..\/pediattumor\/germ\/\" target=\"_self\" rel=\"noopener noreferrer\">\u80da\u7d30\u80de\u816b\u760d<\/a>\uff0c\u4e0b\u5782\u4f53\u306e\u80a5\u5927\u306a\u3069\u3067\u3059\u304c\uff0c\u305d\u308c\u305e\u308c\u6cbb\u7642\u304c\u9055\u3044\u307e\u3059\u3002\u708e\u75c7\u3084\u80a5\u5927\u3067\u306f\u624b\u8853\u306f\u5fc5\u8981\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10920\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10921\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/hyperthyroid2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/p>\n<p>\u58ee\u5e74\u306e\u7537\u6027\u304c\uff0c\u4f53\u304c\u3060\u308b\u3044\uff0c\u820c\u304c\u3082\u3064\u308c\u308b\u3068\u3044\u3046\u75c7\u72b6\u3067\u4e0b\u5782\u4f53\u306e\u816b\u760d\u304c\u898b\u3064\u304b\u308a\u307e\u3057\u305f\u3002\u3067\u3082\u3053\u308c\u306f\u7532\u72b6\u817a\u306e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u304c\u5c11\u306a\u3044\u305f\u3081\u306b\uff0c<strong><span style=\"color: #000080;\">\u4e0b\u5782\u4f53\u304c\u80a5\u5927<\/span><\/strong>\uff08\u5de6\u5074\u306eMRI\uff0c\u5927\u304d\u304f\u3075\u304f\u308c\u305f\u3060\u3051\uff09\u306b\u306a\u3063\u305f\u3060\u3051\u306a\u306e\u3067\u3059\u3002\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u3092\u98f2\u3080\u3053\u3068\u3067\u4e0b\u5782\u4f53\u3082\u81ea\u7136\u306b\u5c0f\u3055\u304f\u306a\u308a\u307e\u3059\uff08\u53f3\u5074\u306eMRI\uff09\u3002<\/p>\n<h4><strong>\u3081\u305a\u3089\u3057\u3044\u521d\u671f\u75c7\u72b6\uff08\u901a\u5e38\u306e\u4e0b\u5782\u4f53\u817a\u816b\u3067\u306f\u307e\u308c\u3067\u3059\u304b\u3089\u4ed6\u306e\u75c5\u6c17\u304b\u3082\uff1f\uff09<\/strong><\/h4>\n<p><strong><span style=\"color: #ff0000;\">\u4e0b\u5782\u4f53\u5352\u4e2d<\/span><\/strong>\u3000\u7a81\u7136\u982d\u75db\u304c\u3057\u3066\uff0c\u8996\u529b\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u3044\u3046\u75c7\u72b6\u3067\u3059\u3002\u8133\u5352\u4e2d\u307f\u305f\u3044\u3067\u3059\u304b\u3089\u3053\u3093\u306a\u540d\u524d\u304c\u3064\u304d\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u817a\u816b\u306e\u4e2d\u3067\u816b\u760d\u5185\u51fa\u8840\u304c\u8d77\u3053\u3063\u3066\uff0c\u8996\u795e\u7d4c\u4ea4\u53c9\u3092\u5727\u8feb\u3059\u308b\u304b\u3089\u8996\u91ce\u304c\u60aa\u304f\u306a\u308b\u306e\u3067\u3059\u3002\u6cbb\u7642\u306f\u8996\u529b\u304c\u3072\u3069\u304f\u60aa\u3044\u6642\u306b\u306f\u6025\u304e\u307e\u3059\u304c\uff0c\u305d\u3046\u3067\u306a\u3044\u6642\u306b\u306f\u3042\u305b\u3063\u3066\u624b\u8853\u3092\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u9f3b\u306e\u5b54\u304b\u3089\u306e\u7c21\u5358\u306a\u624b\u8853\u3067\u8996\u529b\u306f\u6539\u5584\u3057\u307e\u3059\u3002\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308b\u306e\u3067\uff0c\u30db\u30eb\u30e2\u30f3\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306f\u63a1\u8840\u691c\u67fb\u3057\u3066\u304a\u304d\u307e\u3059\u3002<\/p>\n<p><strong><span style=\"color: #ff0000;\">\u8907\u8996<\/span><\/strong>\u3000\u3082\u306e\u304c\u4e8c\u3064\uff08\u4e8c\u91cd\uff09\u306b\u898b\u3048\u308b\u3068\u3044\u3046\u75c7\u72b6\u306f\uff0c\u6d77\u7dbf\u9759\u8108\u6d1e\u306e\u4e2d\u3067\u3067\u5916\u8ee2\u795e\u7d4c\u3068\u52d5\u773c\u795e\u7d4c\u304c\u4e0b\u5782\u4f53\u817a\u816b\u306b\u5727\u8feb\u3055\u308c\u305f\u6642\u306b\u51fa\u307e\u3059\u3002\u958b\u982d\u624b\u8853\u306a\u3069\u3057\u306a\u304f\u3066\u3082\u9f3b\u306e\u65b9\u304b\u3089\u816b\u760d\u3092\u90e8\u5206\u6458\u51fa\u3059\u308b\u3053\u3068\u3067\u3082\u826f\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><strong><span style=\"color: #ff0000;\">\u6c34\u982d\u75c7<\/span><\/strong>\u3000\u3000\u982d\u75db\u3084\u5410\u304d\u6c17\u3084\u77e5\u7684\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3092\u304a\u3053\u3059\u6c34\u982d\u75c7\u306e\u5408\u4f75\u306f\u975e\u5e38\u306b\u5927\u304d\u306a\u4e0b\u5782\u4f53\u817a\u816b\u304c\u7b2c\uff13\u8133\u5ba4\u3092\u9589\u585e\u3057\u3066\u3057\u307e\u3046\u6642\u306b\u3082\u8d77\u3053\u308a\u307e\u3059\u304c\uff0c\u4e2d\u304f\u3089\u3044\u306e\u4e0b\u5782\u4f53\u817a\u816b\u3067\u9ac4\u6db2\u5438\u53ce\u969c\u5bb3\u304c\u3042\u308b\u6642\u306b\u3082\u751f\u3058\u307e\u3059\u3002\u524d\u8005\u306f\u816b\u760d\u306e\u6458\u51fa\uff0c\u5f8c\u8005\u306f\u30b7\u30e3\u30f3\u30c8\u624b\u8853\u3067\u826f\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><strong><span style=\"color: #ff0000;\">\u6027\u6a5f\u80fd\u306e\u4f4e\u4e0b<\/span><\/strong>\u3000\u3000\u7279\u306b\u7537\u6027\u3067\uff0c\u52c3\u8d77\u304c\u3067\u304d\u306a\u3044\uff0c\u6027\u6b32\u304c\u308f\u304b\u306a\u3044\uff0c\u5143\u6c17\u304c\u306a\u304f\u3066\u3060\u308b\u3044\u3068\u3044\u3046\u75c7\u72b6\u304c\u3067\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u5c11\u306a\u304f\u306a\u3063\u3066\u3044\u308b\u304b\u3089\u3067\u3059\u3002\u6027\u30db\u30eb\u30e2\u30f3\u3092\u88dc\u5145\u3059\u308b\u3053\u3068\u3067\u826f\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><strong><span style=\"color: #ff0000;\">\u5c3f\u5d29\u75c7<\/span><\/strong>\u3000\u3000\u304a\u3057\u3063\u3053\u304c\u3082\u306e\u3059\u3054\u304f\u305f\u304f\u3055\u3093\u51fa\u308b\uff0c\u306e\u3069\u304c\u6e07\u3044\u3066\u6c34\u3092\u305f\u304f\u3055\u3093\u98f2\u3080\u3068\u3044\u3046\u75c7\u72b6\u3067\u3059\u3002\u591c\u9593\u306b\u4f55\u56de\u3082\u304a\u3057\u3063\u3053\u306b\u304a\u304d\u305f\u308a\u3057\u307e\u3059\u3002\u3053\u308c\u306f\u30c7\u30b9\u30e2\u30d7\u30ec\u30c3\u30b7\u30f3\u3068\u3044\u3046\u85ac\u3092\u9f3b\u306e\u4e2d\u306b\u5165\u308c\u308b\u304b\uff0c\u30df\u30cb\u30ea\u30f3\u30e1\u30eb\u30c8\u3092\u670d\u7528\u3059\u308b\u3068\u826f\u304f\u306a\u308a\u307e\u3059\u3002\u6bce\u65e52\u56de\u304f\u3089\u3044\u85ac\u3092\u4f7f\u308f\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u672c\u6765\u3053\u306e\u75c7\u72b6\u306f\u4e0b\u5782\u4f53\u817a\u816b\u4ee5\u5916\u306e\u4e0b\u5782\u4f53\u816b\u760d\u306e\u521d\u767a\u75c7\u72b6\u3067\u3059\u3002<\/p>\n<p><strong><span style=\"color: #ff0000;\">\u6210\u4eba\u6210\u9577\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\u3000AGHD\u3000<\/span><\/strong>\u3000\u65e5\u5e38\u751f\u6d3b\u306b\u5143\u6c17\u304c\u51fa\u306a\u3044\uff0c\u8102\u80aa\u304c\u3064\u304d\u3084\u3059\u304f\u3066\u80a5\u6e80\u50be\u5411\u306b\u306a\u308b\uff0c\u6c17\u6301\u3061\u304c\u524d\u5411\u304d\u306b\u306a\u3089\u306a\u3044\u306a\u3069\u306e\u3064\u304b\u307f\u306b\u304f\u3044\u75c7\u72b6\u3067\u3059\u3002\u6210\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067\u4e0b\u5782\u4f53\u304b\u3089\u306e\u6210\u9577\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u6642\u306b\u8d77\u3053\u308a\u307e\u3059\u3002\u6cbb\u7642\u306f\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u6bce\u65e5\u6ce8\u5c04\u3067\u88dc\u5145\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u304c\u533b\u7642\u8cbb\u304c\u9ad8\u3044\u3067\u3059\u3002\u307e\u305f\u8a3a\u65ad\u306f\u3068\u3066\u3082\u96e3\u3057\u304f\u3066\uff0c\u75c7\u72b6\u304c\u672c\u5f53\u306b\u6210\u9577\u30db\u30eb\u30e2\u30f3\u304c\u8db3\u308a\u306a\u3044\u3053\u3068\u306b\u3088\u3063\u3066\u8d77\u3053\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u78ba\u304b\u3081\u308b\u306e\u306f\uff0c\u8133\u5916\u79d1\u3067\u306f\u3067\u304d\u307e\u305b\u3093\u304b\u3089\u5185\u5206\u6ccc\u5185\u79d1\u306e\u5c02\u9580\u533b\u306b\u304b\u304b\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u901a\u5e38\u306f\u624b\u8853\u5f8c\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u5408\u4f75\u75c7\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n<\/div>\n<h5>\u533b\u7642\u8cbb\u306e\u88dc\u52a9\uff08\u3082\u3088\u308a\u306e\u5f79\u6240\u304b\u4fdd\u5065\u6240\u306b\u805e\u3044\u3066\u4e0b\u3055\u3044\uff09<\/h5>\n<p>\u4e0b\u8a18\u306e\u75c5\u540d\u3067\u4fdd\u5065\u6240\u306b\u5c4a\u3051\u51fa\u308b\u3068\u53d7\u7d66\u8005\u8a3c\u3068\u3044\u3046\u306e\u304c\u767a\u884c\u3055\u308c\u3066<span style=\"color: #000080;\"><strong>\u6307\u5b9a\u96e3\u75c5\u533b\u7642\u8cbb\u52a9\u6210\u5236\u5ea6<\/strong><\/span>\u304c\u53d7\u3051\u3089\u308c\u307e\u3059\u3002\u3067\u3082\uff0c\u96e3\u75c5\u306e\u75c5\u72b6\u304c\u4e00\u5b9a\u7a0b\u5ea6\u3067\u3042\u308b\u3053\u3068\u3092\u91cd\u75c7\u5ea6\u5206\u985e\u3067\u5be9\u67fb\u3055\u308c\u307e\u3059\u306e\u3067\uff0c\u75c5\u72b6\u304c\u8efd\u3044\u3042\u308b\u3044\u306f\u533b\u7642\u8cbb\u304c\u3042\u307e\u308a\u304b\u304b\u3089\u306a\u3044\u3088\u3046\u306a\u72b6\u614b\u3067\u306f\uff0c\u52a9\u6210\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u30021\u5e74\u6bce\u306e\u66f4\u65b0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<ul style=\"list-style-type: disc;\">\n<li><strong><span style=\"color: #000080;\">\u4e0b\u5782\u4f53\u6027ADH\u5206\u6ccc\u7570\u5e38\u75c7<\/span><\/strong>\uff08\u5c3f\u5d29\u75c7\u306e\u60a3\u8005\u3055\u3093\u3067\u3059\uff09<\/li>\n<li>\u4e0b\u5782\u4f53\u6027\u30b4\u30ca\u30c9\u30c8\u30ed\u30d4\u30f3\u5206\u6ccc\u4ea2\u9032\u75c7\uff08\u3081\u3063\u305f\u306b\u306a\u3044\u3082\u306e\u3067\u3059\uff09<\/li>\n<li><strong><span style=\"color: #000080;\">\u4e0b\u5782\u4f53\u6027\u6210\u9577\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u4ea2\u9032\u75c7<\/span><\/strong>\uff08\u5148\u7aef\u5de8\u5927\u75c7\u3068\u5de8\u4eba\u75c7\u306e\u60a3\u8005\u3055\u3093\uff09<\/li>\n<li>\u4e0b\u5782\u4f53\u6027TSH\u5206\u6ccc\u4ea2\u9032\u75c7\uff08\u3053\u308c\u3082\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\uff09<\/li>\n<li>\u4e0b\u5782\u4f53\u6027PRL\u5206\u6ccc\u4ea2\u9032\u75c7\uff08\u88dc\u52a9\u304c\u3067\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\uff09<\/li>\n<li><strong><span style=\"color: #000080;\">\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u4f4e\u4e0b\u75c7<\/span><\/strong>\uff08\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u5168\u822c\u304c\u4e0d\u8db3\u3059\u308b\u60a3\u8005\u3055\u3093\u3067\u3059\uff09<\/li>\n<li><span style=\"color: #000080;\"><strong>\u6210\u4eba\u6210\u9577\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u4e0d\u5168\u75c7 AGHD<\/strong><span style=\"color: #333333;\">\uff08\u6210\u9577\u30db\u30eb\u30e2\u30f3\u304c\u5206\u6ccc\u3055\u308c\u306a\u3044\u60a3\u8005\u3055\u3093\u3067\u3059\uff09<\/span><\/span><\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<h5>\u3053\u3053\u304b\u3089\u4e0b\u306f\u30aa\u30bf\u30af\u306e\u77e5\u8b58<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/owlpit.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-11614\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/owlpit-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/owlpit-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/owlpit-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/owlpit.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<div class=\"setumei\">\n<h5>\u6cbb\u7642\u6cd5\u9078\u629e\u306e\u5c02\u9580\u7684\u77e5\u8b58<\/h5>\n<h4>\u975e\u6a5f\u80fd\u6027\u817a\u816b<\/h4>\n<ul>\n<li>\u6cbb\u7642\u6cd5\u306f\u624b\u8853\u306b\u9650\u3089\u308c\u307e\u3059\u304c\uff0c\u9069\u5fdc\u3092\u614e\u91cd\u306b\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u7121\u75c7\u5019\u6027\u306e\u3082\u306e\u3067\u306f\u624b\u8853\u306e\u5fc5\u8981\u6027\u304c\u306a\u3044\u3082\u306e\u304c\u975e\u5e38\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u7121\u75c7\u5019\u817a\u816b\u3067\u306f\u307e\u305a\u534a\u5e74\u304a\u304d\u304f\u3089\u3044\u3067MRI\u7d4c\u904e\u89b3\u5bdf\u3092\u3057\u3066\uff0c\u660e\u3089\u304b\u306a\u5897\u5927\u50be\u5411\u3092\u8a8d\u3081\u308c\u3070\u624b\u8853\u6458\u51fa\u3092\u9078\u629e\u3057\u307e\u3059<\/li>\n<li>\u82e5\u5e74\u8005\uff0830\u6b73\u672a\u6e80\uff09\u3067\u30b5\u30a4\u30ba\u304c\u6bd4\u8f03\u7684\u5927\u304d\u306a\u978d\u4e0a\u90e8\u4f38\u5c55\u3092\u4f34\u3046\u3082\u306e\u306f\u624b\u8853\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e00\u65b9\u9ad8\u9f62\u8005\u3067\u306f\uff0c\u978d\u4e0a\u90e8\u4f38\u5c55\u304c\u3042\u308a\u305f\u3068\u3048\u591a\u5c11\u306e\u8996\u91ce\u6b20\u640d\u304c\u3042\u3063\u3066\u3082\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3088\u3044\u3067\u3059<\/li>\n<li>\u5b9f\u969b\u306b\u308f\u305a\u304b\u306a\u8996\u91ce\u6b20\u640d\u306f\u751f\u6d3b\u306e\u652f\u969c\u306b\u306a\u3089\u306a\u3044\u304b\u3089\u3067\u3042\u308a\uff0c\u9ad8\u9f62\u8005\u306b\u304a\u3044\u3066\u306f\u4e0b\u5782\u4f53\u817a\u816b\u304c\u5897\u5927\u3057\u306a\u3044\u78ba\u7387\u304c\u9ad8\u3044\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u5927\u304d\u306a\u3082\u306e\u3067\u306f\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u843d\u3061\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308b\u306e\u3067\uff0c\u5185\u5206\u6ccc\u691c\u67fb\u304c\u5fc5\u8981\u3067\u3059\u3002<\/li>\n<li>\u6027\u7dda\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306e\u5408\u4f75\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<li>\u9006\u306b\u7d4c\u904e\u3092\u898b\u308b\u3068\u81ea\u7136\u9000\u7e2e\u3067\u5c0f\u3055\u304f\u306a\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>Knosp\u5206\u985e\uff1a\u624b\u8853\u3067\u5168\u6458\u51fa\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u3092MRI\u3067\u307f\u308b<\/h5>\n<p>\u6d77\u7dbf\u9759\u8108\u6d1e\u5185\u3078\u306e\u6d78\u6f64\u304c\u3042\u308b\u304b\u306a\u3044\u304b\u3067\uff0c\u4e0b\u5782\u4f53\u817a\u816b\u304c\u624b\u8853\u3067\u5168\u90e8\u53d6\u308c\u308b\u304b\u3069\u3046\u304b\u304c\u6c7a\u307e\u308a\u307e\u3059\u3002\u6d77\u7dbf\u9759\u8108\u6d1e\u5185\u6d78\u6f64\u3092\u4e88\u6e2c\u3059\u308b\u305f\u3081\u306e\u5206\u985e\u3067\u3059\u3002MRI\u51a0\u72b6\u65ad\u3067\uff0c\u978d\u4e0a\u90e8ICA\u3068\u6d77\u7dbf\u9759\u8108\u6d1e\u5185ICA\u3092\u7d50\u3076\uff0c\u5185\u5074\u7dda\u3092medial tangent\uff0c\u4e2d\u5fc3\u7dda\u3092intercarotid tangent\uff0c\u5916\u5074\u7dda\u3092lateral tangent\u3068\u8a00\u3044\u307e\u3059\u3002\u30b0\u30ec\u30fc\u30c9\uff14\u3068\u306a\u3063\u3066\u521d\u3081\u3066\u7d76\u5bfe\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b definitive invasion\u3068\u3055\u308c\u307e\u3059\u3002<br \/>\n\u30b0\u30ec\u30fc\u30c9\uff10\uff1amedial to medial tangent<br \/>\n\u30b0\u30ec\u30fc\u30c9\uff11\uff1atumor extends to space between the medial tangent and the intercarotid line<br \/>\n\u30b0\u30ec\u30fc\u30c9\uff12\uff1atumor extends to space between the intercarotid line and the lateral tangent<br \/>\n\u30b0\u30ec\u30fc\u30c9\uff13\uff1atumor extends lateral to the lateral tangent,\u00a03A = above the intracavernous ICA into the superior cavernous sinus compartment,\u00a03B =\u00a0below the intracavernous ICA into the inferior cavernous sinus compartment<br \/>\n\u30b0\u30ec\u30fc\u30c9\uff14\uff1acomplete encasement of intracavernous ICA<\/p>\n<h4>\u5148\u7aef\u5de8\u5927\u75c7<\/h4>\n<ul>\n<li>\u7d4c\u8776\u5f62\u9aa8\u6d1e\u4e0b\u5782\u4f53\u817a\u816b\u6458\u51fa\u8853 TSS \u304c\u7b2c\u4e00\u9078\u629e\u3067\u3059<\/li>\n<li>\u306a\u3093\u3068\u304b\u3057\u3066\u5b8c\u5168\u6458\u51fa\u3057\u307e\u3059<\/li>\n<li>GH\u57fa\u790e\u5024 1\u03bc\u672a\u6e80\uff0cIGF-1\u57fa\u6e96\u5024\u4ee5\u5185\uff0c\u982d\u75db\u3084\u624b\u638c\u767a\u6c57\u306a\u3069\u304c\u306a\u304f\u306a\u308b\u3053\u3068\u304c\u76ee\u6a19\u3067\u3059<\/li>\n<li>\u305f\u3068\u3048\u90e8\u5206\u6458\u51fa\u306b\u7d42\u3063\u3066\u3082\u624b\u8853\u306b\u3088\u308b\u816b\u760d\u6e1b\u91cf\uff08bulk-reduction surgery)\u306b\u306f\u610f\u7fa9\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u304c\u56f0\u96e3\u306a\u75c7\u4f8b\u3042\u308b\u3044\u306f\u624b\u8853\u5f8c\u6b8b\u5b58\u816b\u760d\uff08GH, IGF-1\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u4e0d\u826f\u4f8b\uff09\u306b\u5bfe\u3057\u3066\u306f\u85ac\u7269\u6cbb\u7642\u3092\u3057\u307e\u3059<\/li>\n<li>\u3067\u3082\uff0c\u85ac\u7269\u6cbb\u7642\u306f\u9577\u671f\u306b\u306a\u308a\uff0c\u901a\u9662\u306e\u8ca0\u62c5\u3082\u591a\u304f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3082\u96e3\u3057\u3044\u3053\u3068\u304c\u3042\u3063\u3066\uff0c\u306a\u304b\u306a\u304b\u305f\u3044\u3078\u3093\u3067\u3059<\/li>\n<li>\u85ac\u7269\u6cbb\u7642\u306f\uff0c<span style=\"color: #000080;\"><strong>\u5185\u5206\u6ccc\u5185\u79d1\u306e\u5916\u6765\u901a\u9662<\/strong><\/span>\u3067\u884c\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u30bd\u30de\u30c8\u30b9\u30bf\u30c1\u30f3\u8a98\u5c0e\u4f53\uff08\u9664\u6cd5\u6027\u88fd\u5264\uff09\u306e\u30aa\u30af\u30c8\u30ec\u30aa\u30c1\u30c9\uff0c\u30e9\u30f3\u30ec\u30aa\u30c1\u30c9\uff0c\u30d1\u30b7\u30ec\u30aa\u30c1\u30c9\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u5264\uff08\u9664\u6cd5\u6027\u88fd\u5264\uff09\u306e\u30da\u30b0\u30d3\u30bd\u30de\u30f3\u30c8\uff0c\u30c9\u30d1\u30df\u30f3\u62ee\u6297\u5264\u306e\u30d7\u30ed\u30e2\u30af\u30ea\u30d7\u30c1\u30f3<\/strong><\/span>\u306a\u3069\u304c\u4ee3\u8868\u7684\u306a\u6cbb\u7642\u85ac\u3067\u3059\uff0c<\/li>\n<li>\u5927\u304d\u306a\u816b\u760d\u3067\u306f\uff0c\u8853\u524d\u306b\u30aa\u30af\u30c8\u30ec\u30aa\u30c1\u30c9\u3092\u6295\u4e0e\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u816b\u760d\u304c\u7e2e\u5c0f\u3057\u3066\uff0c\u624b\u8853\u30ea\u30b9\u30af\u304c\u5c11\u306a\u304f\u306a\u3063\u305f\u308a\u6458\u51fa\u7387\u304c\u4e0a\u304c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u3068\u85ac\u7269\u6cbb\u7642\u62b5\u6297\u6027\u306e\u3082\u306e\u306b\u5bfe\u3057\u3066\u306e\u307f\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\uff08\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306a\u3069\uff09\u3092\u884c\u3044\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3092\u62db\u304d\u307e\u3059<\/li>\n<li>\u307e\u305f<span style=\"color: #000080;\"><strong>\u7167\u5c04\u52b9\u679c\u304c\u5f97\u3089\u308c\u308b\u306e\u306b\u306f\u6570\u5e74\u4f59\u308a\u306e\u6642\u9593<\/strong><\/span>\u304c\u5fc5\u7528\u3067\u3059<\/li>\n<\/ul>\n<h4>\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u816b\u760d\uff1a\u30d7\u30ed\u30e9\u30af\u30c1\u30ce\u30fc\u30de<\/h4>\n<\/div>\n<h5>\u8a3a\u65ad<\/h5>\n<div class=\"setumei\">\n<ul>\n<li>\u307e\u305a\uff0c\u85ac\u5264\u306b\u3088\u308a\u8a98\u767a\u3055\u308c\u305f\u85ac\u5264\u6027\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u3068\u9593\u9055\u3048\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3059<\/li>\n<li>\u975e\u6a5f\u80fd\u6027\u4e0b\u5782\u4f53\u817a\u816b\u3068\u85ac\u5264\u6027\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u306e\u5408\u4f75\u3082\u5b9f\u969b\u306b\u306f\u591a\u3044\u3067\u3059<\/li>\n<li>\u539f\u767a\u6027\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3084\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u3067\u306e\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u3082\u8003\u3048\u307e\u3059<\/li>\n<li>\u7279\u306b\u978d\u4e0a\u90e8\u4f38\u5c55\u3092\u793a\u3059\u4e0b\u5782\u4f53\u816b\u760d\u3067\u306f\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u816b\u760d\u3067\u306a\u304f\u3068\u3082\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u5024\u304c\u4e0a\u6607\u3059\u308b\u3053\u3068\u304c\u591a\u3067\u3059<\/li>\n<\/ul>\n<h5>\u30d7\u30ed\u30e9\u30af\u30c1\u30ce\u30fc\u30de\u306e\u6cbb\u7642\u9078\u629e<\/h5>\n<ul>\n<li>\u8a3a\u65ad\u304c\u78ba\u5b9f\u306b\u306a\u308c\u3070\uff0c\u5168\u6458\u51fa\u53ef\u80fd\u304b\u3069\u3046\u304b\u306e\u5224\u65ad\u3092\u4e0b\u5782\u4f53\u817a\u816b\u306e\u624b\u8853\u306b\u7cbe\u901a\u3057\u305f\u8133\u5916\u79d1\u533b\u304c\u884c\u3044\u307e\u3059<\/li>\n<li>\u7279\u306b\uff0c\u5fae\u5c0f\u817a\u816b \u00a0(microadenoma\uff09\u3042\u308b\u3044\u306f\u5883\u754c\u660e\u77ad\u306a\u817a\u816b\u00a0well-demarkated macroadenoma (enclosed type) \u3067 \u624b\u8853\u6cbb\u7652\u7387\u304c\u9ad8\u3044\u3068\u5224\u65ad\u3055\u308c\u305f\u5834\u5408\u306b\u306f\uff0c\u60a3\u8005\u3055\u3093\u306b\u624b\u8853\u6cbb\u7642\u3068\u85ac\u7269\u6cbb\u7642\u306e\u5229\u70b9\u3068\u6b20\u70b9\u3092\u5341\u5206\u306b\u8aac\u660e\u3057\u307e\u3059<\/li>\n<li>\u3053\u308c\u3089\u306e\u5834\u5408\u306f\uff0c\u624b\u8853\u306b\u3088\u308b\u5b8c\u6cbb\u304c\u671f\u5f85\u3067\u304d\u308b\u3057\uff0c\u816b\u760d\u306e\u4e9c\u5168\u6458\u306b\u7d42\u3063\u3066\u3082\u85ac\u7269\u6cbb\u7642\u306e\u8ca0\u8377\u304c\u304b\u306a\u308a\u8efd\u6e1b\u3055\u308c\u308b\u306e\u3067\u624b\u8853\u306e\u610f\u7fa9\u306f\u9ad8\u3044\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u305d\u306e\u4ed6\u306e\u5834\u5408\u306f\u85ac\u7269\u6cbb\u7642\u304c\u7b2c\u4e00\u9078\u629e\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u73fe\u5728\u3067\u306f\uff0c\u7d4c\u9f3b\u5b54\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3067\u9f3b\u8154\u5185\u30bf\u30f3\u30dd\u30f3\u3092\u4f7f\u7528\u3057\u306a\u3051\u308c\u3070\uff0c\u5165\u9662\u671f\u9593\u306f\u6570\u65e5\u3067\u793e\u4f1a\u5fa9\u5e30\u3059\u308b\u3053\u3068\u3082\u53ef\u80fd\u3067\u3059<\/li>\n<li>\u5c0f\u578b\u306e\u817a\u816b\u3067\u3042\u3063\u3066\u3082\u6d78\u6f64\u6027 invasive type\u306e\u3082\u306e\u306f\u85ac\u7269\u6cbb\u7642\u306e\u9069\u5fdc\u3067\u3059\u304c\uff0c\u3053\u308c\u3092\u8853\u524d\u306eMRI\u3067\u78ba\u5b9f\u306b\u8a3a\u65ad\u3059\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u3067\u3059<\/li>\n<li>\u982d\u84cb\u5e95\u3092\u7834\u58ca\u3059\u308b\u3088\u3046\u306a\uff0c\u3042\u308b\u3044\u306f\u7b2c3\u8133\u5ba4\u4f38\u5c55\u3092\u3059\u308b\u5de8\u5927\u817a\u816b\u306b\u306f\u85ac\u7269\u6cbb\u7642\u3057\u307e\u3059<\/li>\n<li>\u5de8\u5927\u816b\u760d\u306b\u5bfe\u3059\u308b\u624b\u8853\uff08\u90e8\u5206\u6458\u51fa\uff09\u306b\u306f\u610f\u7fa9\u304c\u3042\u308a\u307e\u305b\u3093\u306e\u3067\uff0c\u6700\u521d\u304b\u3089\u85ac\u7269\u6cbb\u7642\u3092\u3057\u307e\u3059<\/li>\n<li>\u85ac\u7269\u7642\u6cd5\u306f\u30ab\u30d9\u30eb\u30b4\u30ea\u30f3\uff08\u30ab\u30d0\u30b5\u30fc\u30eb\uff09\uff0c\u30d6\u30ed\u30e2\u30af\u30ea\u30d7\u30c1\u30f3\uff0c\u30c6\u30eb\u30b0\u30ea\u30c9\u306e\u9078\u629e\u306b\u306a\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u30ab\u30d0\u30b5\u30fc\u30eb<\/span><\/strong>\u306f\u5c11\u91cf\u3067\u826f\u3044\u3067\u3059\u3057\uff0c\u526f\u4f5c\u7528\u3082\u306a\u304f\u3066\u3068\u3066\u306e\u98f2\u307f\u3084\u3059\u3044\u85ac\u3067\u3059<\/li>\n<li>\u5c0f\u3055\u3044\u3082\u306e\u3067\u306f\uff0c\u9031\u306b\u4e00\u56de\uff0c\u65e5\u66dc\u306e\u591c\u3060\u3051\u306b\u30ab\u30d0\u30b5\u30fc\u30eb 0.25mg\u3092\uff11\u9320\u3060\u3051\u98f2\u3081\u3070\u3044\u3044\u3068\u304b\u3067\u3059<\/li>\n<li>\u85ac\u7269\u6cbb\u7642\u304c\u6709\u52b9\u3067\u3042\u3063\u3066\u3082\u816b\u760d\u30b5\u30a4\u30ba\u304c\u5c0f\u3055\u304f\u306a\u3089\u306a\u3044\u817a\u816b\u3067\u306f\uff0c\u624b\u8853\u6e1b\u5727\u3092\u3057\u3066\u304b\u3089\u518d\u5ea6\u85ac\u7269\u6cbb\u7642\u3092\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u7a00\u3067\u3059<\/li>\n<li>\u9577\u671f\u9593\u306e\u85ac\u7269\u6cbb\u7642\u306e\u5f8c\u306e\u624b\u8853\u3067\u306f\uff0c\u817a\u816b\u306b\u7dda\u7dad\u5316\u304c\u751f\u3058\u3066\u6458\u51fa\u304c\u56f0\u96e3\u3068\u306a\u308b\u5834\u5408\u304c\u3042\u308b\u306e\u3067\uff0c\u624b\u8853\u3092\u524d\u63d0\u3068\u3057\u3066\u306e\u85ac\u7269\u6cbb\u7642\u306f\u77ed\u671f\u9593\u306b\u3057\u305f\u65b9\u304c\u826f\u3044\u3067\u3059<\/li>\n<li>\u598a\u5a20\u3092\u306e\u305e\u3080\u5a66\u4eba\u3067\u7684\u5927\u304d\u306a\u817a\u816b\u3092\u6709\u3059\u308b\u5834\u5408\u306f\u624b\u8853\u6e1b\u5727\u3057\u3066\u304a\u3044\u305f\u65b9\u304c\u5b89\u5168\u306a\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u51fa\u7523\u524d\u5f8c\u306e\u817a\u816b\u5185\u51fa\u8840\u306a\u3069\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3067\u3059<\/li>\n<li>\u3044\u305a\u308c\u306b\u305b\u3088\u624b\u8853\u306f\uff0c\u3055\u307e\u3056\u307e\u306a\u5916\u79d1\u30ea\u30b9\u30af\u3068\u8cbb\u7528\u3092\u4f34\u3044\uff0c\u85ac\u7269\u6cbb\u7642\u306f\u9577\u671f\u306e\u901a\u9662\u3068\u7d4c\u6e08\u7684\u306a\u8ca0\u62c5\u304c\u3042\u308b\u3053\u3068\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u3066\u9078\u629e\u3057\u3066\u3082\u3089\u3044\u307e\u3059<\/li>\n<li>\u4f11\u6687\u3092\u3068\u308b\u3053\u3068\u304c\u96e3\u3057\u3044\u8077\u696d\u3092\u6709\u3059\u308b\u60a3\u8005\u3055\u3093\u306b\u306f\uff0c\u85ac\u7269\u6cbb\u7642\u3068\u624b\u8853\u6cbb\u7642\u306b\u304a\u3051\u308b\u901a\u7b97\u306e\u901a\u9662\u3042\u308b\u3044\u306f\u5165\u9662\u306b\u3088\u308b\u5ef6\u3079\u4f11\u8077\u65e5\u6570\u306e\u8003\u616e\u3082\u5fc5\u8981\u3067\u3059<\/li>\n<\/ul>\n<h4>\u982d\u84cb\u5e95\u306b\u6d78\u6f64\u3059\u308b\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u817a\u816b<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpost.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-10923 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpost-292x300.png\" alt=\"\" width=\"292\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpost-292x300.png 292w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpost.png 321w\" sizes=\"auto, (max-width: 292px) 100vw, 292px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpre.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-10924 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpre-298x300.png\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpre-298x300.png 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpre-200x200.png 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpre-144x144.png 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/prolacpre.png 305w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><\/p>\n<p>\u6d78\u6f64\u6027\u30d7\u30ed\u30e9\u30af\u30c1\u30ce\u30fc\u30de\uff08\u5de6\uff09\u306e\u85ac\u7269\u6295\u4e0e\u524d\u3068\u30ab\u30d9\u30eb\u30b4\u30ea\u30f3\u6295\u4e0e\u5f8c10\u30f6\u6708\u5f8c\uff08\u53f3\uff09\u306eMRI\u3002\u53cd\u5fdc\u306e\u826f\u3044\u3082\u306e\u3067\uff0c\u982d\u84cb\u5e95\u306e\u9aa8\u306b\u6d78\u6f64\u3057\u3066\u3044\u305f\u817a\u816b\u306f\uff0c\u6570\u30f6\u6708\u3067\u9855\u8457\u306a\u7e2e\u5c0f\u3092\u793a\u3057\u307e\u3057\u305f\u300220,000ng\/ml\u3092\u8d85\u3048\u3066\u3044\u305f\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u5024\u3082\u4f4e\u4e0b\u3057\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u85ac\u7269\u6295\u4e0e\u3092\u4e2d\u65ad\u3059\u308b\u3068\u518d\u71c3\u3059\u308b\u306e\u3067\u9577\u671f\u6295\u4e0e\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u5408\u4f75\u3059\u308b\u6c34\u982d\u75c7\u306e\u6539\u5584\u3082\u898b\u3089\u308c\u307e\u3057\u305f\u3002\u3053\u306e\u816b\u760d\u3092\u624b\u8853\u3092\u3059\u308b\u5fc5\u8981\u306f\u5168\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-15709\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm1-300x296.jpg\" alt=\"\" width=\"300\" height=\"296\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm1-300x296.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm1-550x543.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-15710\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm2-300x290.jpg\" alt=\"\" width=\"300\" height=\"290\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm2-300x290.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm2-550x531.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitarykm2.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u3053\u306e\u30d7\u30ed\u30e9\u30af\u30c1\u30ce\u30fc\u30de\u540c\u69d8\u3067\uff0c\u4e21\u5074\u306e\u6d77\u7dbf\u9759\u8108\u6d1e\u3068\u659c\u53f0\u306e\u9aa8\u3092\u4fb5\u3057\u3066\u5897\u5927\u3057\u3066\u3044\u307e\u3059\u304c\uff0c\u978d\u4e0a\u90e8\u4f38\u5c55\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u5024\u306f30,000ng\/ml\u3092\u8d85\u3048\u3066\u3044\u307e\u3057\u305f\u304c\uff0c\u30ab\u30d9\u30eb\u30b4\u30ea\u30f3\u3067\u6cbb\u7642\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n<h4>\u30af\u30c3\u30b7\u30f3\u30b0\u75c5<\/h4>\n<ul>\n<li>ACHT\u304c\u6b63\u5e38\u5316\u3057\u306a\u3044\u3068\u4e88\u5f8c\u304c\u60aa\u3044\u96e3\u6cbb\u6027\u75be\u60a3\uff0c\u96e3\u75c5\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>ACTH\u3068\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\u306e\u5024\u3092\u5b8c\u5168\u306b\u6b63\u5e38\u5316\u3055\u305b\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u7d4c\u8776\u5f62\u9aa8\u6d1e\u4e0b\u5782\u4f53\u817a\u816b\u6458\u51fa\u8853\u304c\u7b2c\uff11\u9078\u629e\u3067\u3059<\/li>\n<li>\u5b8c\u5168\u6458\u51fa\u3057\u3066\u6cbb\u7652\u3092\u3082\u305f\u3089\u3059\u3053\u3068\u304c\u5f37\u304f\u6c42\u3081\u3089\u308c\u308b\u816b\u760d\u3067\u3059<\/li>\n<li>\u305f\u3068\u3048\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306b\u306a\u3063\u3066\u3082\u816b\u760d\u5168\u6458\u3092\u3081\u3056\u3057\u307e\u3059<\/li>\n<li>\u624b\u8853\u306b\u306f\u7fd2\u719f\u3057\u305f\u8133\u5916\u79d1\u533b\u304c\u5f53\u305f\u3089\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u5fae\u5c0f\u817a\u816b\u3067\u3042\u3063\u3066\u3082\u6d78\u6f64\u6027\u816b\u760d\u304c\u591a\u3044\u306e\u3067\u624b\u8853\u306f\u96e3\u3057\u3044\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u6d77\u7dbf\u9759\u8108\u6d1e\u306b\u6d78\u6f64\u3059\u308b\u3082\u306e\u3067\u306f\u624b\u8853\u52b9\u679c\u306e\u671f\u5f85\u306f\u4f4e\u3044\u3057\uff0c\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u306f\u304b\u306a\u308a\u5927\u304d\u3044\u3068\u6349\u3048\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u3057\u304b\u3057\uff0c\u305f\u3068\u3048\u90e8\u5206\u6458\u51fa\u306b\u7d42\u3063\u3066\u3082\u624b\u8853\u306b\u3088\u308b\u816b\u760d\u6e1b\u91cf\uff08bulk-reduction surgery)\u306b\u306f\u610f\u7fa9\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7b2c\uff12\u9078\u629e\u306b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u3042\u3052\u3089\u308c\u307e\u3059<\/li>\n<li>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306a\u3069\u306b\u3088\u308b\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u9069\u5207\u3067\u3059<\/li>\n<li>\u6cbb\u7642\u52b9\u679c\u304c\u5f97\u3089\u308c\u308b\u307e\u3067\u306b\u306f\u5e74\u4f59\u306e\u6642\u9593\u304c\u5fc5\u8981\u3067\u3042\u308b\u306e\u3067\uff0c\u3055\u307e\u3056\u307e\u306a\u85ac\u7269\u6cbb\u7642\u3092\u5e73\u884c\u3057\u3066\u884c\u3044\u307e\u3059<\/li>\n<li>\u30e1\u30c1\u30e9\u30dd\u30f3\uff0c\u30df\u30c8\u30bf\u30f3\uff0c\u30c8\u30ea\u30ed\u30b9\u30bf\u30f3\uff0c\u30ab\u30d9\u30eb\u30b4\u30ea\u30f3\uff0c\u30d7\u30ed\u30e2\u30af\u30ea\u30d7\u30c1\u30f3\uff0c\u30d0\u30b7\u30ec\u30aa\u30c1\u30c9\uff0c\u30aa\u30af\u30c8\u30ec\u30aa\u30c1\u30c9\u306a\u3069\u306e\u85ac\u5264\u306b\u62b5\u6297\u3059\u308b\u5834\u5408\u306b\u306f\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u4e0d\u5168\u3092\u3075\u307e\u3048\u305f\u4e0a\u3067\u306e\u518d\u5ea6\u306eradical removal\u3042\u308b\u3044\u306f\u526f\u814e\u6458\u51fa\u3082\u8003\u616e\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u30d1\u30b7\u30ec\u30aa\u30c1\u30c9\uff08\u30b7\u30b0\u30cb\u30d5\u30a9\u30fc\uff09\u306f\uff0c\u4e0b\u5782\u4f53\u817a\u816b\u304c\u767a\u8a00\u3057\u3066\u3044\u308b\u30bd\u30de\u30c8\u30b9\u30bf\u30c1\u30f3\u53d7\u5bb9\u4f53\u306b\u7d50\u5408\u3057\u3066\uff0cGH\u3060\u3051\u3067\u306f\u306a\u304fACTH\u306e\u5206\u6ccc\u3082\u6291\u5236\u3057\u307e\u3059\u3002\u6709\u52b9\u6027\u306f40%\u307b\u3069\u3068\u3055\u308c\u307e\u3059\u3002<\/li>\n<li>\u3069\u3093\u306a\u624b\u6bb5\u3092\u7528\u3044\u3066\u3082ACTH\/\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\u3092\u6b63\u5e38\u5316\u3055\u305b\u308b\u3068\u3044\u3046\u76ee\u6a19\u3092\u7acb\u3066\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<h4><strong>\u4e0b\u5782\u4f53\u817a\u816b\u304b\u3089\u306e\u51fa\u8840<\/strong><\/h4>\n<ul>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u304b\u3089\u306e\u51fa\u8840\u306f\u3068\u3066\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u51fa\u8840\u304c\u3042\u308b\u304b\u3089\u3068\u8a00\u3063\u3066\uff0c\u624b\u8853\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u51fa\u8840\u306f\u81ea\u7136\u306b\u6eb6\u3051\u3066\u5438\u53ce\u3055\u308c\u308b\u306e\u3067\uff0c\u307b\u3063\u3066\u304a\u304f\u3068\u5c0f\u3055\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u51fa\u8840\u306e\u7a0b\u5ea6\u304c\u3072\u3069\u304f\u3066\uff0c\u4e0b\u5782\u4f53\u5352\u4e2d\u3068\u8a00\u308f\u308c\u308b\u306a\u304b\u3067\u3082\u5f37\u3044\u75c7\u72b6\u304c\u3042\u308b\u3068\u304d\u3060\u3051\u306f\u624b\u8853\u3092\u3057\u307e\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-10929 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn1-300x287.jpg\" alt=\"\" width=\"300\" height=\"287\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn1-300x287.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn1-550x526.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn1.jpg 567w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-10930 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn2-300x293.jpg\" alt=\"\" width=\"300\" height=\"293\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn2-300x293.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn2-550x536.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryapomn2.jpg 567w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u982d\u75db\u3067\u767a\u75c7\u3057\u3066\uff0c\u5de6\u5074\u306e\u753b\u50cf\u306e\u3088\u3046\u306a\u5c0f\u3055\u306a\u817a\u816b\u304c\u898b\u3064\u304b\u308a\u307e\u3057\u305f\u3002\u771f\u3063\u767d\u306b\u898b\u3048\u308b\u90e8\u5206\u306f\u816b\u760d\u306e\u5185\u90e8\u3067\u306e\u51fa\u8840\u3067\u3059\uff08\u5185\u51fa\u8840\uff09\u3002\u308f\u305a\u304b\u306a\u51fa\u8840\u306a\u306e\u3067\u81ea\u7136\u306b\u5438\u53ce\u3055\u308c\u307e\u3059\u304b\u3089\uff0c\u306a\u306b\u3082\u3057\u306a\u3044\u3067\u307b\u3063\u3066\u304a\u304d\u307e\u3057\u305f\u3002\uff11\u5e74\u5f8c\u306b\u518d\u51fa\u8840\uff08\u53f3\u5074\u306e\u753b\u50cf\uff09\u3057\u3066\uff0c\u8efd\u5ea6\u306e\u8996\u91ce\u6b20\u640d\u304c\u3067\u307e\u3057\u305f\u3002\u4ed5\u65b9\u304c\u306a\u3044\u306e\u3067\u624b\u8853\u3067\u817a\u816b\u3068\u51fa\u8840\u3092\u6458\u51fa\u3057\u307e\u3057\u305f\u3002<\/p>\n<div class=\"setumei\">\n<h4><span style=\"color: #000080;\">\u5de8\u5927\u817a\u816b<\/span><\/h4>\n<ul>\n<li>\u85ac\u7269\u6cbb\u7642\u304c\u3067\u304d\u308b\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u817a\u816b\uff08\u30d7\u30ed\u30e9\u30af\u30c1\u30ce\u30fc\u30de\uff09\u306f\u85ac\u7269\u6cbb\u7642\uff08\u30ab\u30d9\u30eb\u30b4\u30ea\u30f3\uff09\u3092\u7b2c\uff11\u9078\u629e\u3068\u3057\u307e\u3059<\/li>\n<li>\u307b\u3093\u3068\u306b\u5de8\u5927\u306a\u3082\u306e\u3067\u306f\uff0c\u7d4c\u9f3b\u624b\u8853\u3088\u308a\u958b\u982d\u624b\u8853\u306e\u307b\u3046\u304c\u5b89\u5168\u3067\u3059<\/li>\n<li>\u534a\u6570\u4ee5\u4e0a\u306f\u958b\u982d\u624b\u8853\u3067\u5168\u6458\u51fa\u3067\u304d\u308b\u3057\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u6e29\u5b58\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u5de8\u5927\u817a\u816b\u3067\u306f\u5b8c\u5168\u6458\u51fa\u304c\u4e0d\u53ef\u80fd\u306a\u3082\u306e\u3067\u306f\uff0c\u624b\u8853\u306f\u5408\u4f75\u75c7\u3092\u751f\u3058\u306a\u3044\u5b89\u5168\u306a\u7bc4\u56f2\u3067\uff0c\u304b\u3064\u3067\u304d\u308b\u9650\u308a\u306e\u816b\u760d\u6e1b\u91cf\u8853\uff08bulk-reduction surgery)\u3092\u884c\u3044\u307e\u3059<\/li>\n<li>\u5185\u8996\u93e1\u7684\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3068\u958b\u982d\u8853\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\uff0c\u540c\u6642\u3042\u308b\u3044\u306f\uff12\u671f\u7684\u306a\u624b\u8853\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u5de8\u5927\u817a\u816b\u306e\u90e8\u5206\u6458\u51fa\u76f4\u5f8c\u306e\u816b\u760d\u5185\u51fa\u8840\u306b\u3088\u308b\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u306e\u983b\u5ea6\u304c\u5c11\u306a\u304f\u306a\u3044\u305f\u3081\u306b\uff0c\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u6cbb\u7642\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3082\u53ef\u80fd\u3067\u3059\u304c\uff0c\u816b\u760d\u5bb9\u7a4d\u304c\u304b\u306a\u308a\u5927\u304d\u3044\u3068\u7167\u5c04\u306b\u3088\u308b\u6669\u671f\u969c\u5bb3\u3082\u770b\u904e\u3067\u304d\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u306e\u3067\uff0c\u3067\u304d\u3046\u308b\u306a\u3089\u3070\u624b\u8853\u3067\u816b\u760d\u4f53\u7a4d\u3092\u6e1b\u3058\u3066\u304b\u3089\u7167\u5c04\u3057\u305f\u65b9\u304c\u826f\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u982d\u84cb\u5e95\u624b\u8853\u306e\u624b\u6cd5\u3092\u7528\u3044\u3066\uff0c\u6d77\u7dbf\u9759\u8108\u6d1e\u3078\u6d78\u6f64\u3059\u308b\u816b\u760d\u3092\u542b\u3081\u3066\u4e00\u671f\u7684\u306b\u5927\u90e8\u5206\u306e\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u3053\u3068\u3082\u53ef\u80fd\u3067\u3059\u304c\uff0c\u9ac4\u6db2\u6f0f\u3084\u9ac4\u819c\u8133\u708e\u306a\u3069\u306e\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u306f\u5c11\u306a\u304f\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8193\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc1-200x200.jpg\" alt=\"pituigiantsc1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8194\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc2-200x200.jpg\" alt=\"pituigiantsc2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc2-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc2-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc2.jpg 850w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8195\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc3-200x200.jpg\" alt=\"pituigiantsc3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituigiantsc3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/p>\n<p>30\u4ee3\u534a\u3070\u3067\u6c34\u982d\u75c7\u3067\u767a\u75c7\u3057\u305f\u60a3\u8005\u3055\u3093\u306e\u5de8\u5927\u4e0b\u5782\u4f53\u817a\u816b\u3067\u3059\u3002\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3092\u8a08\u308a\u307e\u3057\u305f\u304c\u6fc0\u3057\u3044\u51fa\u8840\u3068\u7dda\u7dad\u6027\u786c\u5316\u3067\u6458\u51fa\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306a\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u591a\u304f\u306e\u5de8\u5927\u817a\u816b\u306f\u8edf\u3089\u304b\u304f\u5438\u5f15\u5668\u3067\u5438\u3044\u53d6\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u554f\u984c\u306f\u6b62\u8840\u3092\u3044\u304b\u306b\u78ba\u5b9f\u306b\u884c\u3046\u304b\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<h4>\u4e0b\u5782\u4f53\u817a\u816b\u306f\u306a\u306b\u3082\u3057\u306a\u3044\u3067\u3082\u5c0f\u3055\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308b<\/h4>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/pituit\/pitinvol1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/pituit\/pitinvol1.png\" alt=\"\" width=\"226\" height=\"223\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/pituit\/pitinvol2.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/pituit\/pitinvol2.png\" alt=\"\" width=\"215\" height=\"220\" \/><\/a><\/p>\n<p>\u5de6\u304c2000\u5e74\uff0c\u53f3\u304c2007\u5e74\u3067\u3059\u3002\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u4e0b\u5782\u4f53\u817a\u816b\u3067\uff0c\u75c7\u72b6\u3082\u306a\u3044\u306e\u3067\uff0c\u4f55\u3082\u3057\u306a\u3044\u3067\u307b\u3063\u3066\u304a\u304d\u307e\u3057\u305f\u3002\uff17\u5e74\u9593\u306e\u89b3\u5bdf\u3067\u3086\u3063\u304f\u308a\u5c0f\u3055\u304f\u306a\u3063\u3066\u304d\u3066\u3044\u307e\u3059\u3002\u4ed6\u306e\u826f\u6027\u8133\u816b\u760d\u3067\u3082\u307f\u3089\u308c\u308b\u306e\u3067\u3059\u304c\uff0c\u81ea\u7136\u306b\u5c0f\u3055\u304f\u306a\u308b\u306e\u3067\u81ea\u7136\u9000\u7e2e\u3068\u8a00\u3044\u307e\u3059\u3002<strong><span style=\"color: #ff0000;\">\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u3044\u4e0b\u5782\u4f53\u817a\u816b\u3082\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u306b\u6ce8\u610f<\/span><\/strong>\u3057\u3066\u4e0b\u3055\u3044\u3002<\/p>\n<h4><strong><span style=\"color: #ff0000;\">\u5148\u7aef\u5de8\u5927\u75c7\u306e\u5408\u4f75\u75c7<\/span><\/strong><\/h4>\n<ul>\n<li>\u5148\u7aef\u5de8\u5927\u75c7\uff08\u30a2\u30af\u30ed\u30e1\u30ac\u30ea\u30fc\uff09\u306f\uff0c\u9854\u8c8c\u306e\u5909\u5316\u3084\u624b\u8db3\u3084\u820c\u304c\u5927\u304d\u304f\u306a\u308b\u3068\u3044\u3046\u5de8\u5927\u75c7\u306e\u4ed6\u306b\u3055\u307e\u3056\u307e\u306a\u5408\u4f75\u75c7\u3092\u751f\u3058\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u7cd6\u5c3f\u75c5\u304c\u6700\u3082\u591a\u304f\u306630%<\/span><\/strong>\u304f\u3089\u3044\uff0c\u6b21\u3044\u3067<strong><span style=\"color: #000080;\">\u9ad8\u8840\u5727\u304c25%<\/span><\/strong>\u304f\u3089\u3044\u3067\u3059<\/li>\n<li>\u6b8b\u308a\u306f10%\u4ee5\u4e0b\u3067\u3059\u304c\uff0c\u8102\u8cea\u7570\u5e38\u75c7\uff08\u9ad8\u8102\u8840\u75c7\uff09\uff0c\u809d\u969c\u5bb3\uff0c\u8133\u6897\u585e\uff0c\u72ed\u5fc3\u75c7\uff0c\u814e\u969c\u5bb3\uff0c\u7761\u7720\u6642\u7121\u547c\u5438\uff0c\u624b\u6839\u7ba1\u75c7\u5019\u7fa4\u306a\u3069\u3067\u3059<\/li>\n<\/ul>\n<h4>\u60aa\u6027\u5ea6\u306e\u3042\u308b\u4e0b\u5782\u4f53\u817a\u816b\u306e\u5316\u5b66\u7642\u6cd5<\/h4>\n<ul>\n<li>1,000\u4f8b\u306b1-2\u4f8b\u304f\u3089\u3044\uff080.1-0.2%\uff09\u3067\u3059<\/li>\n<li>\u624b\u8853\u5f8c\u518d\u767a\uff08\u518d\u71c3\uff09\u30921\u5e74\u304f\u3089\u3044\u3067\u7e70\u308a\u8fd4\u3059\u817a\u816b (aggressive pituitary adenoma)\u3084\u4e0b\u5782\u4f53\u304c\u3093 (pituitary carcinoma)\u3067\u3059<\/li>\n<li>\u30e8\u30fc\u30ed\u30c3\u30d1\u306e\u5185\u5206\u6ccc\u5b66\u4f1a\u3067\u306f<a href=\"\/sawamura\/blog\/glioma\/temozolo\/\"><span style=\"color: #000080;\"><strong>\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\uff08\u30c6\u30e2\u30be\u30ed\u30df\u30c9\uff09<\/strong><\/span><\/a>\u3068\u3044\u3046\u5236\u30ac\u30f3\u5264\u306e\u4f7f\u7528\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<h1>\u3053\u3053\u304b\u3089\u4e0b\u306f\u3082\u3063\u3068\u30aa\u30bf\u30af\u306e\u5c02\u9580\u77e5\u8b58\u3067\u3059<\/h1>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/nanten.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-9184\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/nanten-300x201.jpg\" alt=\"nanten\" width=\"300\" height=\"201\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/nanten-300x201.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/nanten-768x515.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/nanten-550x369.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/nanten.jpg 797w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h5>\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u306e\u539f\u56e0<\/h5>\n<ul>\n<li><span style=\"color: #000000;\">\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7<\/span>\u306f<span style=\"color: #000080;\"><strong>\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u816b\u760d<\/strong><\/span>\u3068<strong><span style=\"color: #000080;\">\u85ac\u5264\u6027\uff08\u30c9\u30d1\u30df\u30f3\u906e\u65ad\u85ac<\/span><\/strong>\uff1a\u30c9\u30d1\u30df\u30f3\u3092\u6291\u5236\u3059\u308b\u4f5c\u7528\u3092\u3082\u3063\u3066\u3044\u308b\u85ac\uff09\u304c\u6709\u540d\u3067\u3059<\/li>\n<li>\u85ac\u5264\u6027\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u3092\u751f\u3058\u308b\u85ac\u306f\uff0c<strong><span style=\"color: #000080;\">H2\u53d7\u5bb9\u4f53\u906e\u65ad\u85ac<\/span><\/strong>\uff08\u30ac\u30b9\u30bf\u30fc\uff0c\u30bf\u30ac\u30e1\u30c3\u30c8\uff0c\u30a2\u30b7\u30ce\u30f3\uff0c\u30a2\u30eb\u30bf\u30c3\u30c8\uff09\uff0c<span style=\"color: #000080;\"><strong>\u6297\u7cbe\u795e\u75c5\u85ac<\/strong><\/span>\uff08\u30b3\u30f3\u30c8\u30df\u30f3\uff0c\u30bb\u30ec\u30cd\u30fc\u30b9\uff0c\u30c9\u30b0\u30de\u30c1\u30fc\u30eb\uff0c\u30a8\u30d4\u30ea\u30d5\u30a1\u30a4\uff0c\u30ea\u30b9\u30d1\u30c0\u30fc\u30eb\uff0c\u30b8\u30d6\u30ec\u30ad\u30b5\uff09\uff0c<span style=\"color: #000080;\"><strong>\u6297\u3046\u3064\u85ac<\/strong><\/span>\uff08\u30a2\u30ca\u30d5\u30e9\u30cb\u30fc\u30eb\uff0c\u30c8\u30d5\u30e9\u30cb\u30fc\u30eb\uff0c\u30d1\u30ad\u30b7\u30eb\uff0c\u30ec\u30b9\u30ea\u30f3\uff0c\u30b8\u30a7\u30a4\u30be\u30ed\u30d5\u30c8\uff09\uff0c<span style=\"color: #000080;\"><strong>\u5236\u5410\u5264<\/strong><\/span>\uff08\u30ca\u30a6\u30bc\u30ea\u30f3\uff0c\u30d7\u30ea\u30f3\u30da\u30e9\u30f3\uff09\u306a\u3069\u3068\u3066\u3082\u305f\u304f\u3055\u3093\u3042\u308a\u307e\u3059<\/li>\n<li>\u3082\u3046\u4e8c\u3064\u4e3b\u306a\u539f\u56e0\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7<\/strong><\/span>\u3067TRH\u304c\u4e0a\u6607\u3059\u308b\u3068\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u306e\u5206\u6ccc\u304c\u4ea2\u9032\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8996\u5e8a\u4e0b\u90e8\u306e\u969c\u5bb3<\/strong><\/span>\uff08\u816b\u760d\u3084\u708e\u75c7\uff09\u3067<span style=\"color: #000080;\"><strong>PIF\u306e\u5206\u6ccc\u304c\u4f4e\u4e0b<\/strong><\/span>\u3059\u308b\u3068\uff0c\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u306e\u5206\u6ccc\u304c\u66f4\u65b0\u3057\u307e\u3059<\/li>\n<li>PIF\u3068\u3044\u3046\u306e\u306f\u30c9\u30d1\u30df\u30f3\u306e\u4f5c\u7528\u3092\u53d7\u3051\u3066\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u306e\u5206\u6ccc\u3092\u6291\u5236\u3057\u3066\u3044\u308b\u7269\u8cea\u306a\u306e\u3067\uff0cPIF\u304c\u4e0b\u304c\u308b\u3068\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u753b\u50cf\u8a3a\u65ad\u3067\u8003\u616e\u306b\u5165\u308c\u308b\u3053\u3068\u306f\uff0c\u8996\u5e8a\u4e0b\u90e8\u816b\u760d\uff0c\u982d\u84cb\u54bd\u982d\u816b\uff0c\u5927\u304d\u3081\u306e\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u3067\u306f\u306a\u3044\u4e0b\u5782\u4f53\u817a\u816b\uff0c\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3067\u3082PIF\u304c\u4e0b\u304c\u3063\u3066\u8efd\u5ea6 (100ng\/ml\u304f\u3089\u3044\uff09\u306e\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\u306b\u306a\u308b\u3053\u3068\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<h5>\u983b\u5ea6<\/h5>\n<ul>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u306f\uff0c\u539f\u767a\u6027\u8133\u816b\u760d\u306e10-15\uff05\u306b\u3042\u305f\u308b\u983b\u5ea6\u306e\u9ad8\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u5256\u691c\u4f8b\u3067\u306f10%\u304f\u3089\u3044\u3067\u4e0b\u5782\u4f53\u5185\u90e8\u306b\u817a\u816b\u5f62\u6210\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059<\/li>\n<li>\u4e3b\u3068\u3057\u3066\u6210\u4eba\u306b\u307f\u3089\u308c\uff0c\u5c0f\u5150\u3067\u306f\u7a00\u3067\uff0c\u5973\u6027\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u7121\u75c7\u5019\u6027\u306e\u3082\u306e\u306f\uff0c\u307b\u3068\u3093\u3069\u5168\u3066\u304c\u826f\u6027\u306e\u5206\u5316\u578b\u306e\u817a\u816b\u3067\uff0c\u30db\u30eb\u30e2\u30f3\u7523\u751f\u80fd\u306e\u306a\u3044\u975e\u6a5f\u80fd\u6027\u817a\u816b non-functioning adenoma\u3067\u3059<\/li>\n<li>\u30db\u30eb\u30e2\u30f3\u7523\u751f\u817a\u816b (\u6a5f\u80fd\u6027\u817a\u816b functioning adenoma)\u3068\u3057\u3066\uff0c\u30d7\u30ed\u30e9\u30af\u30c1\u30f3(PRL) \u7523\u751f\u817a\u816b prolactinoma\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3(GH)\u7523\u751f\u817a\u816b\uff0c\u526f\u814e\u76ae\u8cea\u523a\u6fc0\u30db\u30eb\u30e2\u30f3(ACTH)\u7523\u751f\u817a\u816b\uff0c\u7532\u72b6\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3(TSH)\u7523\u751f\u817a\u816b\u306e\u9806\u306b\u983b\u5ea6\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<\/ul>\n<h5>\u975e\u5b9a\u578b\u4e0b\u5782\u4f53\u817a\u816b atypical pituitary adenoma<\/h5>\n<ul>\n<li>\u5b9a\u7fa9\u304c\u306f\u3063\u304d\u308a\u5b9a\u307e\u3063\u3066\u3044\u307e\u305b\u3093<\/li>\n<li><strong><span style=\"color: #000080;\">MIB-1 index\u00a0&gt;3% (mean 7%, range 3-20%)<\/span><\/strong>, excessive p53 immunoreactivity, and increased mitotic activity\u304c\u3042\u308b\u306e\u3082\u3068\u3055\u308c\u307e\u3059<\/li>\n<li>\u5927\u304d\u306a\u4e0b\u5782\u4f53\u817a\u816b\u3067\u3001\u6d77\u7dbf\u9759\u8108\u6d1e\u3084\u982d\u84cb\u5e95\u9aa8\u306a\u3069\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u5168\u6458\u51fa\u3057\u3066\u3082\u518d\u767a\u7387\u304c\u9ad8\u3044\u817a\u816b\u3067\u3059<\/li>\n<\/ul>\n<h5>\u4e0b\u5782\u4f53\u764c pituitary carcinoma<\/h5>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u9ac4\u6db2\u64ad\u7a2e\u3084\u5168\u8eab\u8ee2\u79fb\u3092\u3057\u305f\u3082\u306e\u3092pituitary carcinoma\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u307e\u3059<\/strong><\/span><\/li>\n<li>\u8ee2\u79fb\u3057\u3066\u521d\u3081\u3066\u4ed8\u304f\u81e8\u5e8a\u75c5\u540d\u3067\uff0c\u75c5\u7406\u8a3a\u65ad\u540d\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>adenohypophyseal tumor\u306e0.2%\uff08500\u4f8b\u306b1\u4f8b\uff09\u3068\u3055\u308c\u307e\u3059<\/li>\n<li>MIB-1\u304c\u9ad8\u304f\u3066\u3082\u3001\u5206\u88c2\u50cf\u304c\u591a\u304f\u3066\u3082\u3001\u6838\u7570\u578b\u6027\u304c\u5f37\u304f\u3066\u3082\u3001\u6838\u5c0f\u4f53\u304c\u76ee\u7acb\u3063\u3066\u3082\uff0cp53\u5909\u7570\u304c\u3042\u3063\u3066\u3082\uff0cpituitary carcinoma\u3068\u306f\u8a00\u3048\u307e\u305b\u3093<\/li>\n<li>\u75c5\u7406\u6240\u898b\u3060\u3051\u3067\u306f\u4e0b\u5782\u4f53\u764c\u3068\u8a3a\u65ad\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u5927\u90e8\u5206\u306e\u3082\u306e\u304cACTH\u3082\u3057\u304f\u306fPRL\u3092\u7523\u751f\u3057\u307e\u3059<\/li>\n<li>\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u6709\u52b9\u306a\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u8ee2\u79fb\u3057\u3066\u3044\u308b\u306e\u3067\uff0c\u6b8b\u5ff5\u306a\u304c\u3089\u78ba\u5b9f\u306b\u6cbb\u308b\u3068\u3044\u3046\u6cbb\u7642\u6cd5\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h5>MEN-1\u75c7\u5019\u7fa4\u3000multiple endocrine neoplasia type-1<\/h5>\n<ul>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\uff0c\u526f\u7532\u72b6\u817a\u816b\uff0c\u81b5\u81d3\uff08\u81b5\u5cf6\u7d30\u80de\u816b\uff09\u3092\u751f\u3058\u308b\u907a\u4f1d\u6027\u306e\u75be\u60a3\u3067\u3059<\/li>\n<li>\u539f\u56e0\u907a\u4f1d\u5b50\u306fMEN-1 gene\u3067\u3059<\/li>\n<li>MEN-1\u60a3\u8005\u3055\u3093\u306e25%\u304f\u3089\u3044\u306b\uff0cGH\uff0fPRL\u7523\u751f\u817a\u816b\u304c\u767a\u751f\u3057\u307e\u3059<\/li>\n<\/ul>\n<h5>FSH\u7523\u751f\u816b\u760d<\/h5>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9503\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh1-200x200.jpg\" alt=\"pituitaryfsh1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9504\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh2-200x200.jpg\" alt=\"pituitaryfsh2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9505\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh4-200x200.jpg\" alt=\"pituitaryfsh4\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/pituitaryfsh4-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>FSH\u7523\u751f\u816b\u760d\u306b\u3088\u308b\u5375\u5de3\u904e\u5270\u523a\u6fc0\u75c7\u5019\u7fa4\u3067\u3059\u300230\u4ee3\u5973\u6027\uff0c\u6570\u5e74\u9593\u306e\u6708\u7d4c\u4e0d\u9806\u306e\u5f8c\u3067\uff0c\u4e21\u5074\u306e\u5375\u5de3\u306e\u591a\u623f\u6027\u816b\u5927 follicular cysts \u3092\u304d\u305f\u3057\u307e\u3057\u305f\u3002\u4e00\u5ea6\u306e\u3046\u80de\u6458\u51fa\u3092\u53d7\u3051\u305f\u306e\u3067\u3059\u304c\uff0c\u306e\u3046\u80de\u6027\u816b\u5927\u304c\u518d\u71c3\u3057\u3066\uff0cFSH\u306e\u8efd\u5ea6\u306e\u4e0a\u6607\u304c\u7591\u308f\u308c\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u817a\u816b\u3092\u5168\u6458\u51fa\u3057\u305f\u3089\u5375\u5de3\u306e\u3046\u80de\u306f\u7e2e\u5c0f\u3057\u3066\u6cbb\u308a\u307e\u3057\u305f\u3002\u75c5\u7406\u3067FSH\u304c\u3073\u307e\u3093\u6027\u306b\u967d\u6027\u306aFSH\u7523\u751f\u817a\u816b\u306e\u8a3a\u65ad\u3067\u3059\u3002<\/p>\n<h5>\u30af\u30c3\u30b7\u30f3\u30b0\u75c7\u5019<\/h5>\n<p>\u6e80\u6708\u69d8\u9854\u8c8c moon face\uff0c\u4e2d\u5fc3\u6027\u80a5\u6e80 central obesity\uff0c\u6c34\u725b\u69d8\u8102\u80aa\u6c88\u7740 buffalo hump\uff0c\u5e45\u5e83\u3044\u76ae\u819a\u7dda\u6761\uff0c\u76ae\u819a\u306e\u83f2\u8584\u5316\uff0c\u8fd1\u4f4d\u7b4b\u529b\u4f4e\u4e0b\uff0c\u591a\u6bdb\uff0c\u8272\u7d20\u6c88\u7740\uff0c\u9aa8\u7c97\u9b06\u75c7\uff0c\u9b31\u50be\u5411\u306a\u3069\u306e\u7cbe\u795e\u75c7\u72b6\uff0c\u4e0b\u80a2\u306e\u6d6e\u816b\u306a\u3069\u304c\u3042\u308a\u307e\u3059<br \/>\n<span style=\"color: #000080;\"><strong>moon face\u3068central obesity<\/strong><\/span>\u304c\u6700\u3082\u7279\u5fb4\u7684\u3067\u91cd\u8981\u3067\u3059<\/p>\n<h5>\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u8a3a\u65ad<\/h5>\n<ul>\n<li>ACTH\u304c\u9ad8\u304f\u30af\u30c3\u30b7\u30f3\u30b0\u75c7\u5019\u3092\u5448\u3059\u308b\u3060\u3051\u3067\u306f\uff0c\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u3068\u8a00\u3044\u307e\u305b\u3093<\/li>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u304b\u3089ACTH\u306e\u904e\u5270\u7523\u751f\u304c\u3042\u308b\u3082\u306e\u3060\u3051\u3092\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u7570\u6240\u6027\u306bACTH\u3092\u7523\u751f\u3057\u3066\u30af\u30c3\u30b7\u30f3\u30b0\u75c7\u5019\u7fa4 Cushing syndrome\u3092\u751f\u3058\u308b\u3082\u306e\u306b\uff0c\u6c17\u7ba1\u652f\u30ab\u30eb\u30c1\u30ce\u30a4\u30c9\u816b\u760d\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u80ba\u5c0f\u7d30\u80de\u764c\uff0c\u60aa\u6027\u4e0a\u76ae\u80f8\u817a\u816b\uff0c\u81b5\u81d3\u30e9\u30f3\u30b2\u30eb\u30cf\u30f3\u30b9\u5cf6\u764c\uff0c\u7532\u72b6\u817a\u9ac4\u69d8\u764c\u3082ACTH\u3092\u7523\u751f\u3057\u307e\u3059\u304c\uff0c\u9032\u884c\u304c\u65e9\u3044\u306e\u3067\u5916\u898b\u7684\u306a\u30af\u30c3\u30b7\u30f3\u30b0\u75c7\u5019\u304c\u51fa\u307e\u305b\u3093<\/li>\n<li>\u307e\u305f\u3053\u308c\u3089\u306e\u30ac\u30f3\u306f\uff0cFDG-PET\u3067\u967d\u6027\u3068\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u7570\u6240\u6027ACTH\u7523\u751f\u3068\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u533a\u5225\u306f\u5b9f\u969b\u306f\u305d\u308c\u307b\u3069\u96e3\u3057\u304f\u306a\u3044\u306e\u3067\u3059<\/li>\n<li>\u9762\u5012\u306a\u306e\u306f\uff0c\u4e0b\u5782\u4f53\u817a\u816b\u304c\u5c0f\u3055\u3059\u304e\u308b\u3042\u308b\u3044\u306f\u6d78\u6f64\u6027\u3067\uff0cMRI\u3067\u306f\u3063\u304d\u308a\u3057\u305fACTH\u7523\u751f\u4e0b\u5782\u4f53\u817a\u816b\u304c\u307f\u3048\u306a\u3044\u3053\u3068\u3067\u3059<\/li>\n<li>\u5927\u91cf\u30c7\u30ad\u30b5\u30e1\u30b5\u30be\u30f3\u6291\u5236\u8a66\u9a13 8mg\u3067\u6291\u5236\u3055\u308c\u308b\u3068\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li>CRH\u8a66\u9a13\u3067\u5e02\u5834\u304b\u3089\u904e\u5270\u53cd\u5fdc\u3092\u793a\u3059\u3068\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u304f\uff0c\u7570\u6240\u6027\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u4e0b\u5782\u4f53\u9759\u8108\u30b5\u30f3\u30d7\u30ea\u30f3\u30b0\u306f\uff0c\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u4e0b\u9310\u4f53\u9759\u8108\u307e\u3067\u5165\u308c\u3066\uff0cCRH\u3092\u6295\u4e0e\u3057\u3066\uff0c\u305d\u306e\u524d\u5f8c\u3067\u4e2d\u67a2\u3068\u672b\u68a2\u3067\u63a1\u8840\u3059\u308b\u3082\u306e\u3067\u3059\uff0c\u9762\u5012\u306a\u306e\u3067\u3059\u304c\u4e0b\u5782\u4f53\u304b\u3089\u306eACTH\u5206\u6ccc\u304c\u672b\u68a2\u3088\u308a\u9ad8\u3044\u3068\u8a3a\u65ad\u304c\u78ba\u5b9a\u3057\u307e\u3059<\/li>\n<li>\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306f\u4e21\u5074\u306e\u526f\u814e\u304b\u3089\u306e\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\u7523\u751f\u304c\u3042\u308b\u306e\u3067\uff0c\u30a2\u30c9\u30b9\u30c6\u30ed\u30fc\u30eb\u30b7\u30f3\u30c1\u3067\u4e21\u5074\u306e\u53d6\u308a\u8fbc\u307f\u304c\u307f\u3089\u308c\u307e\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11618 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/adosterolcinti-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/adosterolcinti-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/adosterolcinti-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n\u30a2\u30c9\u30b9\u30c6\u30ed\u30fc\u30eb\u30b7\u30f3\u30c1\u3067\uff0c\u4e21\u5074\u306e\u526f\u814e\u304c\u8d64\u304f\u63cf\u51fa\u3055\u308c\u307e\u3059<\/p>\n<p><span style=\"color: #000080;\"><strong>\u4e0b\u5782\u4f53\u817a\u816b\u304c\u5224\u7136\u3068\u3057\u306a\u304f\u3066\u3082\uff0c\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u304c\u5f37\u304f\u7591\u308f\u308c\u308b\u3068\u304d\u306b\u306f\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853 TSS \u3092\u3057\u307e\u3059\u3002\u96a0\u308c\u305f\u817a\u816b\u304c\u307f\u3064\u304b\u308b\u3082\u306e\u3067\u3059\u3002<\/strong><\/span><\/p>\n<\/div>\n<div class=\"setumei\">\n<h5>\u6587\u732e\u60c5\u5831<\/h5>\n<\/div>\n<h4>\u975e\u6a5f\u80fd\u817a\u816b\u3092\u3069\u306e\u7a0b\u5ea6\u6458\u51fa\u3059\u308b\u304b\u306e\u8853\u524d\u8a08\u753b\u306f\u9054\u6210\u3067\u304d\u308b\u304b\uff1f\u5185\u8996\u93e1\u304b\u9855\u5fae\u93e1\u304b\uff1f<\/h4>\n<p class=\"wi-article-title article-title-main\"><span class=\"al-author-name js-flyout-wrap\">Little AS:\u00a0<\/span>Evaluation of Surgical Resection Goal and Its Relationship to Extent of Resection and Patient Outcomes in a Multicenter Prospective Study of Patients With Surgically Treated, Nonfunctioning Pituitary Adenomas: A Case Series. Operative Neurosurg 2019<br \/>\n\u7c73\u56fd\u3067\u306e\u591a\u65bd\u8a2d\u5171\u540c\u7814\u7a76\u3067\u3059\u3002GTR\uff08\u5168\u6458\u51fa\uff09\u304c\u8a08\u753b\u3055\u308c\u305f171\u4eba\u306e\u3046\u3061148\u4eba(86.5%)\u3067\uff0cGTR\u304c\u3067\u304d\u307e\u3057\u305f\u3002STR\uff08\u90e8\u5206\u6458\u51fa\uff09\u304c\u8a08\u753b\u3055\u308c\u305f30\u4eba\u306e\u3046\u306132\u4eba(64%)\u3067\uff0c\u7d50\u679c\u3068\u3057\u3066GTR\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u308c\u306b\u306f\u6709\u610f\u5dee\u304c\u306a\u304f\uff0c\u8853\u524d\u306e\u8a08\u753b\u3069\u304a\u308a\u306b\u306f\u7d50\u679c\u304c\u51fa\u306a\u3044\u3082\u306e\u3067\u3042\u308b\u3068\u7d50\u8ad6\u3065\u3051\u3066\u3044\u307e\u3059\u3002GTR\u3067\u304d\u308b\u306e\u306fKnosp grade 0-2\uff0c\u521d\u56de\u624b\u8853\uff0c\u8853\u8005\u306e\u9ad8\u3044\u7d4c\u9a13\u5024\u3067\u3057\u305f\u3002\u307e\u305f\uff0c\u5185\u8996\u93e1\u624b\u8853\u3068\u9855\u5fae\u93e1\u624b\u8853\u3067\u306fGTR\u5272\u5408\u306b\u5909\u308f\u308a\u306f\u306a\u304f\uff0c\u3069\u3061\u3089\u3067\u3082\u7d50\u679c\u306f\u5909\u308f\u3089\u306a\u3044\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4>\u60aa\u6027\u5ea6\u306e\u3042\u308b\u4e0b\u5782\u4f53\u817a\u816b\u306e\u6cbb\u7642<\/h4>\n<p>Raverot G, et al:\u00a0European\u00a0Society\u00a0of\u00a0Endocrinology\u00a0Clinical\u00a0Practice\u00a0Guidelines\u00a0for the\u00a0management\u00a0of\u00a0aggressive\u00a0pituitary\u00a0tumours\u00a0and carcinomas. Eur J Endocrinol.\u00a02018<br \/>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u5185\u5206\u6ccc\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3059\u3002aggressive pituitary tumor\u3068carcinoma\u306b\u5bfe\u3057\u3066\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u3092\u4f7f\u7528\u3059\u308b\u306847%\u304f\u3089\u3044\u306b\u6709\u52b9\u6027\u304c\u8a8d\u3081\u3089\u308c\u305f\u305d\u3046\u3067\u3059\u3002\u624b\u8853\u3068\u901a\u5e38\u306e\u85ac\u7269\u6cbb\u7642\u306b\u62b5\u6297\u6027\u306e\u3082\u306e\u306b\u306f\uff0c\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u304cthe first-line chemotherapy\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5c11\u306a\u304f\u3068\u30823\u30b3\u30fc\u30b9\u6295\u4e0e\u3057\u3066\u6709\u52b9\u6027\u3092\u5224\u65ad\u3057\u3066\uff0c6\u30b3\u30fc\u30b9\u7d99\u7d9a\u3057\u307e\u3059\u3002<\/p>\n<h4>\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3067\u306e\u8996\u6a5f\u80fd\u6e29\u5b58<\/h4>\n<\/div>\n<p class=\"wi-article-title article-title-main\"><span class=\"al-author-name-more js-flyout-wrap\">Yamamoto M:\u00a0<\/span>Postsurgical Salvage Radiosurgery for Nonfunctioning Pituitary Adenomas Touching\/Compressing the Optic Chiasm: Median 13-Year Postirradiation Imaging Follow-up Results. Neurosurgery 2018<br \/>\n\u975e\u6a5f\u80fd\u6027\u817a\u816b27\u540d\u306e\u60a3\u8005\u3055\u3093\u3092SRS\uff08\u653e\u5c04\u7dda\u5916\u79d1\uff09\u3067\u6cbb\u7642\u3057\u3066\uff0c2\u4f8b\u3067\u817a\u816b\u5897\u5927\uff0c\uff15\u4f8b\u3067\u816b\u760d\u30b5\u30a4\u30ba\u306b\u5909\u5316\u306a\u3057\uff0c20\u4f8b\u3067\u816b\u760d\u7e2e\u5c0f\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002\u7167\u5c04\u306e\u6642\u306b\u816b\u760d\u5468\u8fba \/ optic apparatus\uff08\u8996\u795e\u7d4c\uff0c\u8996\u4ea4\u53c9\uff0c\u8996\u7d22)\u3078\u306e\u7dda\u91cf\u4e2d\u592e\u5024\u306f\uff0c7.6\/11Gy\u306b\u6291\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u8996\u529b\u969c\u5bb3\u3092\u5448\u3057\u305f\u60a3\u8005\u3055\u3093\u306f\u4e00\u4eba\u3082\u3044\u306a\u304b\u3063\u305f\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4>\u4e0b\u5782\u4f53\u817a\u816b\uff08\u817a\u764c\uff09\u306b\u5bfe\u3057\u3066\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u3092\u7528\u3044\u305f\u5316\u5b66\u7642\u6cd5<\/h4>\n<p>Syro LV et al. Treatment of pituitary neoplasms with temozolomide: a review. Cancer 117: 454-462, 2011<br \/>\n13\u4f8b\u306e\u4e0b\u5782\u4f53\u817a\u816b\u30686\u4f8b\u306e\u4e0b\u5782\u4f53\u817a\u764c\u306e\u5831\u544a\u304c\u3042\u308a\uff0c\u817a\u816b\u3067\u306f10\u4f8b\u304c\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u5316\u5b66\u7642\u6cd5\u306b\u53cd\u5fdc\u3057\u305f\u305d\u3046\u3067\u3059\u3002\u4e0b\u5782\u4f53\u817a\u764c\u3067\u306f6\u4f8b\u5168\u4f8b\u304c\u53cd\u5fdc\u3057\u305f\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u6ce8\u610f\u3057\u3066\u8aad\u307e\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u304c\uff0c\u3053\u306e\u8ad6\u6587\u306freview\u3067\u3059\u304b\u3089\uff0c\u904e\u53bb\u306e\u75c7\u4f8b\u5831\u544a\u3092\u96c6\u3081\u3066\u3044\u308b\u3053\u3068\u3067\u3059\u3002\u75c7\u4f8b\u5831\u544a\u3068\u3044\u3046\u306e\u306f\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u304c\u6709\u52b9\u3067\u3042\u3063\u305f\u6642\u306b\u3057\u304b\u66f8\u304b\u308c\u306a\u3044\u3082\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u7121\u52b9\u4f8b\u306f\u7701\u304b\u308c\u6709\u52b9\u6027\u304c\u9ad8\u3044\u3068\u306e\u52d8\u9055\u3044\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u5f97\u307e\u3059\u3002\u307e\u305f\uff0c\u3053\u3053\u3067\u6cbb\u7642\u3055\u308c\u305f\u306e\u306f\u4e0b\u5782\u4f53\u817a\u816b\u3068\u8a00\u3063\u3066\u3082aggressive adenoma\u3067\u3059\u304b\u3089\uff0c\u5c0b\u5e38\u306a\u5897\u5927\u901f\u5ea6\u3067\u306f\u306a\u304f\u3066\u304b\u306a\u308a\u65e9\u304f\u5897\u5927\u3057\u305f\u308a\u5468\u56f2\u3078\u6d78\u6f64\u3059\u308b\u817a\u816b\u306e\u3053\u3068\u3067\u3059\u3002\u3069\u3046\u3057\u3066\u3082\u6cbb\u7642\u306b\u56f0\u3063\u305f\u6642\u306b\u306f\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u5316\u5b66\u7642\u6cd5\u3068\u3044\u3046\u624b\u6bb5\u3082\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<h4>\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u6587\u732e<\/h4>\n<p>Hofmann BM et al. Long-term results after microsurgery for Cushing disease: experience with 426 primary operations over 35 years. J Neurosurg 108: 9-18, 2008<br \/>\nHofmann\u5148\u751f\u3068\u3044\u3046\u30c9\u30a4\u30c4\u306e\u8133\u5916\u79d1\u533b\u306e426\u4f8b\u306b\u3082\u53ca\u3076\u624b\u8853\u6cbb\u7642\u306e\u7d4c\u9a13\u3092\u8a18\u8ff0\u3057\u305f\u8ad6\u6587\u3067\u3059\u3002\u624b\u8853\u3067\u817a\u816b\uff08\u816b\u760d\uff09\u304c\u767a\u898b\u3067\u304d\u305f\u306e\u306f 87%\uff0c\u817a\u816b\u3092\u6458\u51fa\u3059\u308b\u3053\u3068\u3067\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u304c\u5bdb\u89e3\uff08\u75c7\u72b6\u304c\u3088\u304f\u306a\u308b\uff09\u3057\u305f\u306e\u306f 76%\u3067\uff0c\u3053\u306e\u6210\u529f\u7387\u306f\u624b\u8853\u7d4c\u9a13\u3092\u7a4d\u3093\u3067\u3082\u3042\u307e\u308a\u5909\u308f\u3089\u306a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u624b\u8853\u524d\u306eMRI\u3067\u5fae\u5c0f\u817a\u816b\u304c\u306f\u3063\u304d\u308a\u898b\u3048\u3066\u3044\u305f\u4f8b\u3067\u6700\u3082\u6cbb\u7642\u7d50\u679c\u304c\u826f\u304f\uff0c\u518d\u767a\u306f15%\u3067\u3057\u305f\u3002\u624b\u8853\u5408\u4f75\u75c7\u306e\u983b\u5ea6\u306f\u7d046%\u3067\uff0c\u3053\u308c\u306f\u624b\u8853\u7d4c\u9a13\u3092\u7a4d\u3080\u306b\u5f93\u3063\u3066\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002 \u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u3067\u306f\u5c0f\u3055\u306a\u4e0b\u5782\u4f53\u817a\u816b\u304c\u624b\u8853\u4e2d\u306b\u7c21\u5358\u306b\u898b\u3064\u304b\u3089\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u30c8\u30eb\u30b3\u978d\u5185\u306e\u4e0b\u5782\u4f53\u3092\u5207\u308a\u88c2\u3044\u305f\u308a\u3057\u3066\u63a2\u3057\u305f\u4f8b\u306f46%\u3082\u3042\u308a\uff0c\u3053\u306e\u5185\u3067\u4e0b\u5782\u4f53\u3092\u534a\u5206\u5207\u9664\u3057\u305f\u4f8b\u306f51%\uff0c\u5168\u90e8\u4e0b\u5782\u4f53\u3092\u5207\u9664\u3057\u3066\u3057\u307e\u3063\u305f\u4f8b\u306f3.5%\u3042\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u3088\u3046\u306b\u3057\u306638%\u306e\u4f8b\u3067\u5bdb\u89e3\u304c\u5f97\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u521d\u56de\u6cbb\u7642\u3067\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u6539\u5584\u304c\u306a\u304b\u3063\u305f\u4f8b\u3067\u306f\uff0c\u518d\u624b\u8853\uff0c\u526f\u814e\u6458\u51fa\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3084\u85ac\u7269\u6cbb\u7642\u3092\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u304c\uff0c\u9078\u629e\u80a2\u306f\u3068\u3066\u3082\u8907\u96d1\u3067\u3059\u3002 \u89e3\u8aac\uff1a\u8ad6\u6587\u3092\u8aad\u3093\u3067\u307f\u308b\u3068\uff0c\u518d\u767a\u306a\u3069\u8003\u616e\u3059\u308c\u3070\uff0c\u521d\u56de\u624b\u8853\u3067\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u304c\u6cbb\u308b\u3068\u3044\u3046\u78ba\u7387\u306f\uff16\u5272\u7a0b\u5ea6\u3067\u3057\u3087\u3046\u304c\uff0c\u3053\u308c\u306f\u3068\u3066\u3082\u826f\u3044\u6210\u7e3e\u3067\u3059\u3002\u4e00\u822c\u7684\u306a\u8133\u5916\u79d1\u533b\u306e\u6cbb\u7642\u6210\u7e3e\u306f\u3082\u3063\u3068\u4f4e\u304f\u306a\u308a\u307e\u3059\u3002\u3060\u304b\u3089\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306e\u624b\u8853\u6cbb\u7642\u306f\u3068\u3066\u3082\u96e3\u3057\u3044\u3067\u3059\u3002\u304a\u305d\u3089\u304f\u7406\u7531\u306f\uff0c\u30af\u30c3\u30b7\u30f3\u30b0\u75c5\u306eACTH\u3092\u7523\u751f\u3059\u308b\u7d30\u80de\u304c\u6b63\u5e38\u4e0b\u5782\u4f53\u306e\u4e2d\u306b\u6d78\u6f64\u3059\u308b\uff08\u3057\u307f\u8fbc\u3080\u3088\u3046\u306b\u5e83\u304c\u308b\uff09\u6027\u683c\u3092\u3082\u3063\u3066\u3044\u308b\u304b\u3089\u306a\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u304b\u306a\u308a\u306e\u4f8b\u3067\u3042\u308b\u7a0b\u5ea6\u306e\u6b63\u5e38\u4e0b\u5782\u4f53\u5207\u9664\u3092\u52a0\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<div class=\"setumei\">\n<h5>\u6587\u732e<\/h5>\n<ul>\n<li>Losa M, et al: Early results of surgery in patients with nonfunctioning pituitary adenoma and analysis of the risk of tumor recurrence. J Neurusurg 108: 525-532<\/li>\n<li style=\"background: white;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt;\">Zada G, et al.: Atypical pituitary adenomas: incidence, clinical characteristics, and implications. J Nerurosurg 2010<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u3068\u3066\u3082\u5927\u5207\u306a\u3053\u3068 \u4e0b\u5782\u4f53\u816b\u760d\u3068\u3044\u308f\u308c\u308b\u3068\u307b\u3068\u3093\u3069\u304c\u4e0b\u5782\u4f53\u817a\u816b\uff08\u304b\u3059\u3044\u305f\u3044\u305b\u3093\u3057\u3085\uff09\u3067\u3059 \u6700\u8fd1\uff0c\u7121\u75c7\u72b6\u306e\u4e0b\u5782\u4f53\u817a\u816b\u304c\u8133\u30c9\u30c3\u30af\u306a\u3069\u3067\u5076\u7136\u898b\u3064\u304b\u308b\u3053\u3068\u3082\u591a\u3044\u306e\u3067\u3059 \u826f\u6027\u816b\u760d\u3067\u304a\u3068\u306a\u3057\u3044\u3082\u306e\u3067\u3059 \u305d\u306e\u591a\u304f\u306f\u6cbb\u7642\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u305b [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-142","post","type-post","status-publish","format-standard","hentry","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/comments?post=142"}],"version-history":[{"count":90,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/142\/revisions"}],"predecessor-version":[{"id":23033,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/142\/revisions\/23033"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/media?parent=142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/categories?post=142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/tags?post=142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}