{"id":3531,"date":"2013-08-01T08:11:47","date_gmt":"2013-07-31T23:11:47","guid":{"rendered":"\/sawamura\/blog\/?p=3531"},"modified":"2024-08-27T11:32:50","modified_gmt":"2024-08-27T02:32:50","slug":"ccs","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/pediattumor\/ccs\/","title":{"rendered":"\u6cbb\u7642\u5f8c\u306b\u751f\u3058\u308b\u3053\u3068"},"content":{"rendered":"<h1><span style=\"color: #000080;\">\u751f\u5b58\u8005\u3092\uff0c<br \/>\n<\/span><span style=\"color: #000080;\">\u5c0f\u5150\u304c\u3093\u7d4c\u9a13\u8005 CCS childhood cancer survivor\u3068\u3044\u3044\u307e\u3059<\/span><\/h1>\n<p>\u751f\u304d\u3066\u3044\u3066\u56f0\u3063\u305f\u3053\u3068\u304c\u3042\u3063\u3066\uff0c\u3069\u3046\u3057\u305f\u3089\u56f0\u3063\u305f\u3053\u3068\u3092\u5c11\u306a\u304f\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3060\u308d\u3046\u304b\u3068\u3044\u3046\u3053\u3068\u3092\u8003\u3048\u308b\u30da\u30fc\u30b8\u3067\u3059<\/p>\n<h5>\u6cbb\u7642\u3092\u53d7\u3051\u3066\u304b\u308910\u5e74\u5f8c\uff0c20\u5e74\u5f8c\u306b\u751f\u3058\u308b\u6669\u671f\u969c\u5bb3\u304c\u3042\u308a\u307e\u3059<br \/>\n\u5316\u5b66\u7642\u6cd5\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u305f\u3061\u306f20\u5e74\u4ee5\u4e0a\u306b\u308f\u305f\u308b\u7d4c\u904e\u89b3\u5bdf\u304c\u5fc5\u8981\u3067\u3059<\/h5>\n<hr \/>\n<h3><span style=\"color: #000080;\"><strong>\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u30fb\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\u30fb\u5b66\u7fd2\u969c\u5bb3\u30fb\u7cbe\u795e\u767a\u9054\u9045\u6ede<\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"color: #ff0000;\"><strong>\u8133\u816b\u760d\u306e\u6cbb\u7642\u5f8c\u306b\u77e5\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304b<\/strong><span style=\"color: #000000;\">\u3069\u3046\u304b\u306e\u5224\u65ad\u306f\u3068\u3066\u3082\u96e3\u3057\u3044\u3067\u3059<\/span><\/span><\/li>\n<li><span style=\"color: #ff0000;\"><span style=\"color: #000000;\">\u305d\u308c\u3092<\/span><strong>\u6cbb\u7642\u524d\u3068\u6cbb\u7642\u5f8c\u306b\uff0c\u62c5\u5f53\u306e\u5148\u751f\u306b\u3057\u3063\u304b\u308a\u805e\u3044\u3066\u304a\u304d\u307e\u3057\u3087\u3046<\/strong><\/span><\/li>\n<li>\u539f\u56e0\u306f\uff0c<span style=\"color: #ff0000;\"><strong>\u8133\u816b\u760d\u305d\u306e\u3082\u306e\u306b\u3088\u308b\u8133\u7d44\u7e54\u7834\u58ca\uff0c\u624b\u8853\u306b\u3088\u308b\u8133\u969c\u5bb3\uff0c\u6c34\u982d\u75c7\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\uff0c\u30e1\u30bd\u30c8\u30ec\u30ad\u30bb\u30fc\u30c8\u5316\u5b66\u7642\u6cd5<\/strong><\/span>\u306a\u3069\u3067\u3059<\/li>\n<li>\u305d\u308c\u3092\u907f\u3051\u308b\u306b\u306f\uff0c\u8133\u816b\u760d\u3092\u306a\u308b\u3079\u304f\u65e9\u304f\u6cbb\u7642\u3059\u308b\uff0c\u624b\u8853\u3067\u8133\u3092\u50b7\u3064\u3051\u306a\u3044\uff0c\u6c34\u982d\u75c7\u306f\u306a\u308b\u3079\u304f\u65e9\u304f\u6539\u5584\u3059\u308b\uff0c\u30e1\u30bd\u30c8\u30ec\u30ad\u30bb\u30fc\u30c8\u3092\u4f7f\u308f\u306a\u3044\u3053\u3068\u3067\u3059<\/li>\n<li>\u30e1\u30bd\u30c8\u30ec\u30ad\u30bb\u30fc\u30c8\u9ac4\u6ce8\u306b\u3088\u308b\u308f\u305a\u304b\u306a\u767d\u8cea\u640d\u50b7\u3068\u8133\u840e\u7e2e\u306f\u76ee\u7acb\u305f\u306a\u3044\u3067\u3059\uff0c\u3057\u304b\u3057\uff0c\u6349\u3048\u3069\u3053\u308d\u306e\u306a\u3044\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\u304c\u751f\u3058\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u6cbb\u7642\u5f8c\uff0c\u4f55\u5e74\u306b\u3082\u308f\u305f\u3063\u3066\u5f90\u3005\u306b\u60aa\u5316\u3059\u308b\u306e\u306f\u307b\u3068\u3093\u3069\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u305f\u3081\u3067\u3059<\/li>\n<li>\u4e73\u5e7c\u5150\u306e\u8133\u306f\uff0c\u9ac4\u9798\u5f62\u6210\u304c\u672a\u719f\u3067\u795e\u7d4c\u7d30\u80de\u3082\u5897\u3048\u3066\u3044\u308b\u9014\u4e2d\u306a\u306e\u3067\uff0c\u7279\u306b\u653e\u5c04\u7dda\u306b\u5bfe\u3057\u3066\u5f31\u3044\u3067\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7733\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/07\/medullonm12-291x300.jpg\" alt=\"medullonm12\" width=\"291\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/07\/medullonm12-291x300.jpg 291w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/07\/medullonm12-550x566.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/07\/medullonm12.jpg 850w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><strong><span style=\"color: #000080;\"><br \/>\n<\/span><\/strong><span style=\"color: #333333;\">3\u6b73\u6642\u306b28.8\u30b0\u30ec\u30a4\u306e\u982d\u84cb\u7167\u5c04\u3092\u53d7\u3051\u305f\u5b50\u306e\u5927\u8133\u5168\u822c\u306e\u840e\u7e2e\u6027\u5909\u5316\u3067\u3059\u3002\u64ad\u7a2e\u304c\u3042\u3063\u305f\u4f8b\u306a\u306e\u3067\u3053\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6551\u547d\u306e\u305f\u3081\u306b\u306f\u5fc5\u8981\u306a\u3082\u306e\u3067\u3057\u305f\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5e74\u9f62\uff0c\u7167\u5c04\u306e\u7bc4\u56f2\uff0c\u7167\u5c04\u7dcf\u7dda\u91cf\uff0c\u4e00\u65e5\u7dda\u91cf\uff0c\u88ab\u7167\u5c04\u90e8\u4f4d<\/strong><\/span>\u3067\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u6570\u5e74\u4ee5\u4e0a\uff0c\u6642\u306b\u306f10\u5e74\u4ee5\u4e0a\u304b\u304b\u3063\u3066\u5f90\u3005\u306b\u8a8d\u77e5\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u884c\u304d\u307e\u3059<\/li>\n<li>\u5c0f\u5b66\u751f\u3067\u6cbb\u7642\u3092\u53d7\u3051\u3066\uff0c\u9752\u5e74\u671f\u306b\u306a\u3063\u3066\u304b\u3089\u6ce8\u610f\u6b20\u9665\u969c\u5bb3\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u5b66\u7ae5\u671f\u306b\u540c\u305840\u30b0\u30ec\u30a4\u306e\u7167\u5c04\u3092\u53d7\u3051\u3066\u3082\uff0c\u816b\u760d\u304c\u7b2c\uff13\u8133\u5ba4\u306b\u3042\u308a\u8996\u5e8a\u4e0b\u90e8\u3068\u4e73\u982d\u4f53\u304c\u88ab\u7206\u3057\u305f\u5834\u5408\u3068\uff0c\u5c0f\u8133\u534a\u7403\u306b\u816b\u760d\u3042\u3063\u305f\u5834\u5408\u3067\u306f\uff0c\u77e5\u80fd\u4e88\u5f8c\u306f\u5168\u304f\u7570\u306a\u308a\u307e\u3059<\/li>\n<li>\u524d\u8005\u306e\u65b9\u304c\u91cd\u304f\uff0c\u5f8c\u8005\u306f\u307b\u3068\u3093\u3069\u4f55\u3082\u8d77\u3053\u308a\u307e\u305b\u3093<\/li>\n<li>3\u6b73\u306e\u5b50\u3069\u3082\u3067\uff0c\u5c0f\u8133\u816b\u760d\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u306f\u5b66\u7fd2\u969c\u5bb3\u3067\u56f0\u308b\u3053\u3068\u306f\u5c11\u306a\u3044\u3067\u3059\uff0c\u3067\u3082\uff0c\u5927\u8133\u57fa\u5e95\u6838\u816b\u760d\u3060\u3068\u666e\u901a\u306e\u30af\u30e9\u30b9\u3067\u52c9\u5f37\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>7\u6b73\u3067\u3082\u5168\u8133\u7167\u5c04\u309230\u30b0\u30ec\u30a4\u304f\u3089\u3044\u53d7\u3051\u308b\u3068\uff0c\u5b66\u6821\u3067\u306e\u5b66\u7fd2\u304c\u304b\u306a\u308a\u96e3\u3057\u304f\u306a\u308b\u3067\u3057\u3087\u3046<\/li>\n<li>\u3067\u308215\u6b73\u3060\u3068\u5168\u8133\u7167\u5c0430\u30b0\u30ec\u30a4\u3067\u3082\u793e\u4f1a\u7684\u306b\u81ea\u7acb\u3067\u304d\u308b\u3053\u3068\u304c\u671f\u5f85\u3067\u304d\u307e\u3059<\/li>\n<li>\u5c0f\u5b66\u6821\u9ad8\u5b66\u5e74\u3067\u6cbb\u7642\u3092\u53d7\u3051\u3066\uff0c\u4e2d\u5b66\u9ad8\u6821\u3092\u666e\u901a\u306b\u5352\u696d\u3057\u3066\u8077\u306b\u5c31\u3044\u3066\u3082\uff0c20\u6b73\u304f\u3089\u3044\u306b\u306a\u308b\u3068\u50cd\u3051\u306a\u304f\u306a\u308b\u3088\u3046\u306a\u9032\u884c\u6027\u306e\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u305d\u3046\u3044\u3046\u6642\u306b\u306f\uff0c20\u6b73\u3092\u8d8a\u3048\u3066\u304b\u3089\u969c\u5bb3\u8005\u5e74\u91d1\u3092\u53d7\u3051\u53d6\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<\/ul>\n<h4><span style=\"color: #000080;\"><strong>\u305d\u308c\u3067\u3082\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u9078\u629e\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u306f<a title=\"\u30bd\u30d5\u30a3\u30fc\u306e\u9078\u629e\" href=\"\/sawamura\/blog\/pediattumor\/sophie\/\">\u30bd\u30d5\u30a3\u30fc\u306e\u9078\u629e<\/a>\u306b\u306a\u308a\u307e\u3059<\/strong><\/span><\/h4>\n<h4><span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" title=\"\u969c\u5bb3\u8005\u5e74\u91d1\u306e\u53d7\u3051\u53d6\u308a\u65b9\" href=\"\/sawamura\/blog\/pediattumor\/basicpension\/\">\u6210\u4eba\u306b\u306a\u3063\u3066\u304b\u3089\u306e\u969c\u5bb3\u8005\u5e74\u91d1\u306e\u53d7\u3051\u53d6\u308a\u65b9\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/strong><\/span><\/h4>\n<hr \/>\n<h3><span style=\"color: #000080;\"><strong>\u5185\u5206\u6ccc\u306e\u969c\u5bb3\u30fb\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3\u30fb\u4ee3\u8b1d\u306e\u969c\u5bb3<\/strong><\/span><\/h3>\n<ul>\n<li>\u591a\u304f\u306e\u8133\u816b\u760d\u306e\u5b50\u3069\u3082\u305f\u3061\u3067\uff0c<strong style=\"color: #ff0000;\">\u816b\u760d\u306e\u6cbb\u7642\u5f8c\u65e9\u671f\u306b\u5185\u5206\u6ccc\u691c\u67fb\u306e\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/strong><\/li>\n<li>\u76f4\u63a5\u539f\u56e0\u306e\u4e00\u756a\u306f\uff0c<span style=\"color: #ff0000;\"><strong>\u8133\u816b\u760d\u304c\u9593\u8133\u4e0b\u5782\u4f53\u306b\u767a\u751f\u3059\u308b<\/strong><\/span>\u305f\u3081\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><a style=\"color: #000080;\" title=\"\u982d\u84cb\u54bd\u982d\u816b\" href=\"\/sawamura\/blog\/braintumors\/cranio\/\">\u982d\u84cb\u54bd\u982d\u816b<\/a><\/span>\u3084<span style=\"color: #000080;\"><a style=\"color: #000080;\" title=\"\u80da\u7d30\u80de\u816b\u760d germ cell tumors\" href=\"\/sawamura\/blog\/pediattumor\/germ\/\">\u80da\u7d30\u80de\u816b\u760d<\/a>\u304c<\/span>\u591a\u3044\u3067\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">2\u756a\u76ee\u306e\u539f\u56e0\u306f\uff0c\u653e\u5c04\u7dda\u6cbb\u7642<\/span><\/strong>\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5168\u8133\u7167\u5c04\uff0c\u5168\u8133\u5ba4\u7167\u5c04\uff0c\u8133\u810a\u9ac4\u7167\u5c04\u3067\u306f\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u4f4e\u4e0b\u3059\u308b<\/strong><\/span>\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u6210\u9577\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3<\/strong><\/span>\u306b\u3082\u3063\u3068\u3082\u6c17\u3092\u3064\u3051\u307e\u3059<\/li>\n<li>\u8133\u810a\u9ac4\u7167\u5c04\u3092\u53d7\u3051\u308b\u3068\u6210\u9577\u30db\u30eb\u30e2\u30f3\u304c\u51fa\u306a\u304f\u3066\uff0c\u4f4e\u8eab\u9577\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u53ef\u80fd\u6027\u306f\u304b\u306a\u308a\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u306b\uff0c30\u30b0\u30ec\u30a4\u4ee5\u4e0a\u306e\u7167\u5c04\u304c\u5165\u308b\u3068\uff0c\u307b\u3068\u3093\u3069\u306e\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u304c\u4f4e\u4e0b\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>18\u30b0\u30ec\u30a4\u304b\u308930\u30b0\u30ec\u30a4\u304f\u3089\u3044\u3067\u3059\u3068\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\u3068\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u305d\u308c\u4ee5\u4e0b\u306e\u7dda\u91cf\u3067\u306f\u3042\u307e\u308a\u56f0\u3063\u305f\u3053\u3068\u306b\u306f\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u4f4e\u5e74\u9f62\u3067\u306f12\u30b0\u30ec\u30a4\u304f\u3089\u3044\u3067\u3082\u6210\u9577\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u601d\u6625\u671f\u3067\u3059\u306825\u30b0\u30ec\u30a4\u304f\u3089\u3044\u307e\u3067\u306e\u7167\u5c04\u3067\u306f\u6210\u9577\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\u304c\u3067\u308b\u3053\u3068\u306f\u7a00\u3067\u3059<\/li>\n<li>\u3053\u308c\u306f\u3060\u3044\u305f\u30442\u5e74\u304f\u3089\u3044\u306e\u9593\u306b\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u810a\u9ac4\u7167\u5c04\u3067\u7532\u72b6\u817a\u304c\u88ab\u7206\u3059\u308b\u3068\uff0c\u7532\u72b6\u817a\u6a5f\u80fd\u4e0d\u5168\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u6cbb\u7642\u5f8c\u306b\u6b63\u5e38\u3067\u3082\uff0c\u6570\u5e74\u9593\u304b\u304b\u3063\u3066\u3086\u3063\u304f\u308a\u4f4e\u4e0b\u3057\u3066\u3044\u304d\u307e\u3059\u304b\u3089\uff0c\u30db\u30eb\u30e2\u30f3\u306e\u691c\u67fb\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\uff15\u5e74\u4ee5\u4e0a\u306f\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u306e\u88ab\u7206\u3067\u3082\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u4e0d\u5168\u306f\u751f\u3058\u307e\u3059<\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u306e\u88ab\u7206\u3067\u306f\uff0c\u80a5\u6e80\u3068\u9ad8\u8102\u8840\u75c7\uff0c\u7cd6\u4ee3\u8b1d\u7570\u5e38\uff08\u7cd6\u5c3f\u75c5\uff09\u306a\u3069\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u306e\u4f4e\u7dda\u91cf\u88ab\u7206\u3067\u306f\uff0c\u9006\u306b\u6027\u65e9\u719f\uff08\u601d\u6625\u671f\u65e9\u767a\u75c7\uff09\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\uff13\u756a\u76ee\u306e\u539f\u56e0\u306f\u5316\u5b66\u7642\u6cd5\u3067\u3059<\/li>\n<li>\u30a2\u30eb\u30ad\u30eb\u5316\u5264\uff08\u30b7\u30af\u30ed\u30d5\u30a9\u30b9\u30d5\u30a1\u30df\u30c9\u3084\u30a4\u30d5\u30a9\u30b9\u30d5\u30a1\u30df\u30c9\uff09\u3068\u3044\u3046\u5236\u304c\u3093\u5264\u306f\uff0c\u539f\u767a\u6027\u6027\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u30b9\u30c6\u30ed\u30a4\u30c9\u3084\u30b7\u30b9\u30d7\u30e9\u30c1\u30f3\u3084\u30ab\u30eb\u30dc\u30d7\u30e9\u30c1\u30f3\u3067\uff0c\u80a5\u6e80\u3084\u9ad8\u8102\u8840\u75c7\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u3042\u308b<\/strong><\/h4>\n<ul>\n<li>\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306e\u521d\u671f\u306e\u6bb5\u968e\u3067\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u5834\u5408\u3067\u3059<\/li>\n<li>\u5316\u5b66\u7642\u6cd5\u3068\u4f4e\u7dda\u91cf\u7167\u5c04\uff08\u4e0b\u5782\u4f53\u306b25\u30b0\u30ec\u30a4\/14\u5206\u5272\u3068\u304b24\u30b0\u30ec\u30a4\/12\u5206\u5272\uff09\u3092\u3059\u308b\u3068\uff0c\u305d\u306e\u5f8c\u306b\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u304c\u6b63\u5e38\u5316\u3059\u308b\u5b50\u3069\u3082\u304c\u3044\u307e\u3059<\/li>\n<li>\u5c3f\u5d29\u75c7\u3082\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u5c3f\u5d29\u75c7\u3067\u767a\u75c7\u3057\u305f\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306e\u6cbb\u7642\u306f\u6025\u304e\u307e\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u5b88\u308b\u305f\u3081\u3067\u3059<\/li>\n<\/ul>\n<h4><strong>\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u4f7f\u3063\u305f\u3089\u8133\u816b\u760d\u304c\u518d\u767a\u3059\u308b\u3068\u3044\u3046\u6839\u62e0\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/h4>\n<ul>\n<li>\u5b9f\u9a13\u7814\u7a76\u3067\u6210\u9577\u30db\u30eb\u30e2\u30f3(GH)\u306f\u7d30\u80de\u5206\u88c2\u3092\u4fc3\u3057\u305f\u308a\uff0c\u907a\u4f1d\u5b50\u306b\u969c\u5bb3\u3092\u53d7\u3051\u305f\u7d30\u80de\u304c\u3053\u308f\u308c\u308b(\u30a2\u30dd\u30c8\u30fc\u30b7\u30b9)\u306e\u3092\u59a8\u3052\u307e\u3059<\/li>\n<li>\u305d\u306e\u3053\u3068\u304b\u3089\uff0c\u8133\u816b\u760d\u3092\u6cbb\u7642\u3057\u305f\u3042\u3068\u306b\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u6295\u4e0e\u3059\u308b\u3068\u518d\u767a\u304c\u5897\u3048\u305f\u308a\uff0c\u65b0\u305f\u306a\u816b\u760d\u304c\u767a\u751f\u3059\u308b\u3068\u3044\u3046\u5371\u60e7\u304c\u3042\u308a\u307e\u3057\u305f<\/li>\n<li>\u3067\u3082\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u6295\u4e0e\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u8133\u816b\u760d\u304c\u518d\u767a\u3057\u305f\u308a\u65b0\u305f\u306a\u816b\u760d\u304c\u3067\u304d\u305f\u308a\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u3068\u304f\u306b\u982d\u84cb\u54bd\u982d\u816b\u3084\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3067\u306f\uff0c\u518d\u767a\u30ea\u30b9\u30af\u3068\u6210\u9577\u30db\u30eb\u30e2\u30f3\u6295\u4e0e\u306e\u95a2\u4fc2\u304c\u5168\u304f\u8a3c\u660e\u3055\u308c\u3066\u3044\u306a\u3044\u306e\u306b\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u306e\u6295\u4e0e\u3092\u9577\u671f\u306b\u308f\u305f\u3063\u3066\u6b62\u3081\u3089\u308c\u3066\u3057\u307e\u3046\u5b50\u3069\u3082\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u8133\u816b\u760d\u7d4c\u9a13\u8005\u306f\u305f\u304f\u3055\u3093\u306e\u5f8c\u907a\u75c7\u3092\u62b1\u3048\u3066\u751f\u304d\u3066\u3044\u304f\u5b50\u3069\u3082\u304c\u591a\u3044\u306e\u306b\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u4f7f\u308f\u306a\u3044\u3068\u3055\u3089\u306b\u4f4e\u8eab\u9577\u3084\u80a5\u6e80\u3068\u3044\u3046\u969c\u5bb3\u304c\u52a0\u308f\u3063\u3066\u3057\u307e\u3044\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3\u304c\u8db3\u308a\u306a\u3044\u5b50\u4f9b\u305f\u3061\u306b\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3092\u4f7f\u3046\u3053\u3068\u306b\u5fc3\u914d\u306f\u3044\u308a\u307e\u305b\u3093\u3057\uff0c\u65e9\u304f\u4f7f\u7528\u3059\u308b\u3079\u304d\u3067\u3059<\/li>\n<\/ul>\n<h4><span style=\"color: #000080;\">\u8133\u8840\u7ba1\u969c\u5bb3<\/span><\/h4>\n<div>\n<ul>\n<li>\u653e\u5c04\u7dda\u88ab\u7206\u3067\u8133\u8840\u7ba1\u306e\u5185\u819c\u304c\u80a5\u539a\u3057\u3066\uff0c\u52d5\u8108\u304c\u72ed\u304f\u306a\u308b\uff08\u72ed\u7a84\uff09\u3053\u3068\u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059<\/li>\n<li>\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u3068\u3044\u3046\u3068\u3053\u308d\u304c\u7167\u5c04\u7bc4\u56f2\u306b\u542b\u307e\u308c\u305f\u6642\u306b\u751f\u3058\u307e\u3059<\/li>\n<li>\u982d\u84cb\u54bd\u982d\u816b\uff0c\u80da\u7d30\u80de\u816b\u760d\uff0c\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306a\u3069\u978d\u4e0a\u90e8\u306b\u767a\u751f\u3059\u308b\u816b\u760d\u3078\u306e\u7167\u5c04\u5f8c\u306b\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u308c\u306f\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u304c\u88ab\u66dd\u3059\u308b\u304b\u3089\u3067\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u8133\u6897\u585e<\/span><\/strong><span style=\"color: #333333;\">\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/span><\/li>\n<li><strong><span style=\"color: #ff0000;\">\u3082\u3084\u3082\u3084\u75c5<\/span><\/strong>\u3068\u3044\u3046\u75c5\u6c17\u306b\u4f3c\u305f\u3088\u3046\u306a\u5185\u981a\u52d5\u8108\u72ed\u7a84\u75c7\u304c\u591a\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u4f4e\u5e74\u9f62\u3067\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u7a00\u306a\u3082\u306e\u3068\u3057\u3066\uff0c\u624b\u8853\u3067\u5185\u981a\u52d5\u8108\u3084\u4e2d\u5927\u8133\u52d5\u8108\u3092\u5f15\u3063\u5f35\u308b\u3068\uff0c<span style=\"color: #ff0000;\"><strong>\u89e3\u96e2\u6027\u52d5\u8108\u7624<\/strong><\/span>\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff0c\u3053\u308c\u306f\u5c0f\u5150\u3067\u306f\u591a\u3044\u3053\u3068\u3067\u3059\u304c\uff0c\u307b\u3068\u3093\u3069\u306e\u8133\u5916\u79d1\u533b\u306e\u5148\u751f\u306f\u77e5\u3089\u306a\u3044\u3067\u3059<\/li>\n<li>10\u6b73\u4ee5\u4e0b\u3067\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u306e\u306b40\u30b0\u30ec\u30a4\u304f\u3089\u3044\u306e\u7167\u5c04\u304c\u5165\u308b\u3068\u983b\u5ea6\u304c\u9ad8\u304f\u306a\u308b\u3067\u3057\u3087\u3046<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c10\u5e74\u4ee5\u5185\u304f\u3089\u3044\u306b\u751f\u3058\u307e\u3059\uff0c\u3067\u3082\u8133\u6897\u585e\u3068\u306a\u308a\u767a\u75c7\u3059\u308b\u306e\u306f\u307e\u308c\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u8133\u816b\u760d\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c10\u5e74\u304f\u3089\u3044\u307e\u3067\u306f\uff0cMRA\u3068\u3044\u3046\u691c\u67fb\u3067\u52d5\u8108\u304c\u72ed\u304f\u306a\u3063\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u307f\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\u5b9f\u969b\u306b\u306f\u304a\u3088\u305d5\u5e74\u4ee5\u5185\u3067\uff0c\u52d5\u8108\u72ed\u7a84\u304c\u751f\u3058\u308b\u304b\u3069\u3046\u304b\u306f\u308f\u304b\u308a\u307e\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13285\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath-300x290.jpg\" alt=\"\" width=\"300\" height=\"290\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath-300x290.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath-768x742.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath-550x531.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath.jpg 945w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13286\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath1-294x300.jpg\" alt=\"\" width=\"294\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath1-294x300.jpg 294w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath1-550x562.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/hemimoyath1.jpg 709w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><\/a><\/p>\n<p>\u751f\u5f8c7\u30f6\u6708\u3067\u9ac4\u82bd\u816b\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u624b\u8853\u5168\u6458\u51fa\u3057\u3066\uff0c\u5316\u5b66\u7642\u6cd5\u3057\u3066\uff0c3\u6b73\u306b\u306a\u308b\u9803\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3057\u305f\u3002\u5927\u8133\u306b\u306f18\u30b0\u30ec\u30a4\u304c\u5165\u3063\u3066\u3044\u307e\u3059\u30026\u6b73\u306e\u6642\u306b\u524d\u982d\u90e8\u306b\u653e\u5c04\u7dda\u8a98\u767a\u9ac4\u819c\u816b\u3092\u751f\u3058\u307e\u3057\u305f\u3002\u305d\u306e\u5f8c\u306b\uff0c\u5de6\u5185\u981a\u52d5\u8108\u304c\u72ed\u7a84\u3057\u3066\u7247\u5074\u306e\u30e2\u30e4\u30e2\u30e4\u75c5\uff08\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u9589\u585e\u75c7\uff09\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u8133\u8840\u6d41\u306f\u4fdd\u305f\u308c\u3066\u3044\u306620\u5e74\u4ee5\u4e0a\u898b\u3066\u3044\u307e\u3059\u304c\u8133\u6897\u585e\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u7167\u5c04\u6642\u306e\u5e74\u9f62\u304c\u5e7c\u3044\u3068\u304b\u306a\u308a\u306e\u4f4e\u7dda\u91cf\u3067\u3082\u8133\u52d5\u8108\u9589\u585e\u306f\u751f\u3058\u307e\u3059\u3002<\/p>\n<\/div>\n<h4><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u8a98\u767a\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\uff0c\u5fae\u5c0f\u9759\u8108\u9589\u585e\uff0c\u8840\u6db2\u6f0f\u51fa<\/span><\/h4>\n<div>\n<ul>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5c0f\u5150\u60a3\u8005\u306e4\u5272\u4ee5\u4e0a\u306b\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u304c\u767a\u751f\u3057\u305f\u3068\u306e\u5831\u544a\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9577\u671f\u89b3\u5bdf\u3092\u3057\u3066\u3044\u308b\u3068\u5b9f\u969b\u306b\u975e\u5e38\u306b\u9ad8\u983b\u5ea6\u306b\u307f\u307e\u3059<\/li>\n<li>MTX \u30e1\u30bd\u30c8\u30ec\u30ad\u30bb\u30fc\u30c8\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u3068\u767a\u751f\u983b\u5ea6\u304c\u5897\u3048\u307e\u3059<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u306f\uff0c\u653e\u5c04\u7dda\u8a98\u767a2\u6b21\u816b\u760d\u3068\u3044\u3046\u3088\u308a\u3082\uff0c\u653e\u5c04\u7dda\u306b\u3088\u308b\u8133\u5185\u5c0f\u8840\u7ba1\u640d\u50b7\u306b\u3088\u308b\u8840\u7ba1\u969c\u5bb3\u3068\u3057\u3066\u6349\u3048\u305f\u65b9\u304c\u3088\u3044\u3067\u3059<\/li>\n<li>T2\u30b9\u30bf\u30fc\u3068\u3044\u3046MRI\u753b\u50cf\u3067\u767a\u898b\u3067\u304d\u307e\u3059<\/li>\n<li>\u4f4e\u4fe1\u53f7\uff08\u9ed2\u3044\u30b7\u30df\u307f\u305f\u3044\u306a\u3082\u306e\uff09\u3068\u3057\u3066\u8133\u5185\u305f\u304f\u3055\u3093\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u306f\u8840\u6db2\u306e\u4e2d\u306e\u9244\u5206\u304c\u8133\u306b\u6ef2\u307f\u8fbc\u3093\u3060\u5f62\u8de1\u3092\u307f\u3066\u3044\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u3060\u304b\u3089\uff0c\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3068\u306f\u8a00\u308f\u306a\u3044\u3067\uff0cblood leak\uff08\u8840\u6db2\u304c\u6f0f\u308c\u305f\u75d5\u8de1\uff09\u3068\u8aad\u3093\u3060\u65b9\u304c\u3044\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3068\u3044\u3046\u3068\u816b\u760d\u307f\u305f\u3044\u3060\u304b\u3089\u3067\u3059<\/li>\n<li>\u5e74\u6708\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u6570\u304c\u5897\u52a0\u3057\u307e\u3059<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u306f\u767a\u751f\u3057\u3066\u3082\u4f55\u3089\u75c7\u72b6\u3092\u5448\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u6cbb\u7642\u3092\u305b\u305a\u306b\u653e\u7f6e\u3057\u307e\u3059<\/li>\n<li>\u307e\u308c\u306b\u5c0f\u3055\u306a\u8133\u51fa\u8840\u3092\u751f\u3058\u307e\u3059\u304c\uff0c\u7d4c\u904e\u3092\u898b\u308c\u3070\u8840\u816b\u306f\u81ea\u7136\u306b\u5438\u53ce\u3055\u308c\u307e\u3059<\/li>\n<li>\u307e\u305f\u30b5\u30a4\u30ba\u304c\u5927\u304d\u306a\u76ae\u8cea\u3092\u4fb5\u3059\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u306f\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3068\u3066\u3082\u5927\u304d\u306a\u3082\u306e2\u304b\u30893cm\u4ee5\u4e0a\u304f\u3089\u3044\u306b\u306a\u308b\u3068\u6458\u51fa\u3092\u8003\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\u307b\u3068\u3093\u3069\u624b\u8853\u306a\u3069\u3057\u306a\u3044\u3067\u307b\u3063\u3066\u304a\u304d\u307e\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-12883\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma1-292x300.jpg\" alt=\"\" width=\"292\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma1-292x300.jpg 292w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma1-550x566.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma1.jpg 709w\" sizes=\"auto, (max-width: 292px) 100vw, 292px\" \/><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-12884\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma2-300x296.jpg\" alt=\"\" width=\"300\" height=\"296\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma2-300x296.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma2-550x542.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullosrcavernoma2.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u9ac4\u82bd\u816b\u306b\u5bfe\u3059\u308b\u8133\u810a\u9ac4\u7167\u5c0436\u30b0\u30ec\u30a4\uff0c8\u5e74\u5f8c\u306eMRI\u753b\u50cf\u3067\u3059\u3002\u53f3\u524d\u982d\u8449\u306b\u3054\u304f\u5c0f\u3055\u306a\u51fa\u8840\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u305d\u306e\u5468\u56f2\u306b\u9ed2\u304f\u306b\u3058\u3080\u3088\u3046\u306a\u30d8\u30e2\u30b8\u30c7\u30ea\u30f3\uff08\u9244\uff09\u306e\u6c88\u7740\u304c\u3042\u308a\u307e\u3059\u3002\u3088\u304f\u898b\u308b\u3068\u5927\u8133\u306e\u6570\u30ab\u6240\u306b\u540c\u3058\u3088\u3046\u306a\u6240\u898b\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u8133\u7167\u5c04\u5f8c\u306e\u5fae\u5c0f\u306a\u9759\u8108\u306e\u9589\u585e\u306b\u8d77\u56e0\u3059\u308b\u8840\u7ba1\u304b\u3089\u306e\u5fae\u5c0f\u306a\u8840\u6db2\u6f0f\u51fa blood cell leakage\u3067\u3059\u3002\u75c7\u72b6\u3092\u51fa\u3059\u3053\u3068\u3082\u306a\u304f\u5fc3\u914d\u3042\u308a\u307e\u305b\u3093\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u591a\u767a\u6027\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3068\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<\/div>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma33yo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-20480\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma33yo-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma33yo-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma33yo-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma33yo-550x546.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma33yo.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma35yo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-20481\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma35yo-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma39y.o.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-20482\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/cavernoma39y.o-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u5de6\u304b\u3089\uff0c33\u6b73\u6642\uff0c35\u6b73\u6642\uff0c39\u6b73\u6642\u306e\u5ef6\u9ac4\u51fa\u8840\u3067\u3059\u300211\u6b73\u306e\u6642\u306b\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3067\u5168\u8133\u5ba4\u7167\u5c04\u309240\u30b0\u30ec\u30a4\u53d7\u3051\u307e\u3057\u305f\u3002\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306f\u6cbb\u3063\u305f\u306e\u3067\u3059\u304c\uff0c\u5ef6\u9ac4\u5de6\u5074\u306b\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u304c22\u5e74\u5f8c\u306b\u767a\u751f\u3057\u3066\uff0c\u5ef6\u9ac4\u51fa\u8840\u3092\u7e70\u308a\u8fd4\u3057\u307e\u3057\u305f\u3002\u3082\u3061\u308d\u3093\u624b\u8853\u306a\u3069\u306f\u3057\u307e\u305b\u3093\u3002\u81ea\u7136\u306b\u5438\u53ce\u3055\u308c\u3066\u307e\u305f\u843d\u3061\u7740\u304d\u307e\u3059\u3002<\/p>\n<h4><span style=\"color: #000080;\">2\u6b21\u816b\u760d\uff08\u4e8c\u6b21\u304c\u3093\uff09\u3000<span style=\"color: #ff0000;\">\u3068\u3066\u3082\u7a00\u3060\u304b\u3089\u3042\u307e\u308a\u6c17\u306b\u3057\u306a\u3044<\/span><\/span><\/h4>\n<ul>\n<li>\u653e\u5c04\u7dda\u8a98\u767a\u816b\u760d\u3068\u5316\u5b66\u7642\u6cd5\u8a98\u767a\u816b\u760d\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u3082\u306e\u304c\u591a\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u591a\u304f\u306f\u9ac4\u819c\u816b\u306a\u3069\u306e\u826f\u6027\u816b\u760d<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u307e\u305f\u624b\u8853\u6458\u51fa\u3059\u308c\u3070\u6cbb\u308a\u307e\u3059<\/li>\n<li>\u3067\u3082\uff0c\u653e\u5c04\u7dda\u8a98\u767a\u9ac4\u819c\u816b\u306f\u30b0\u30ec\u30fc\u30c92\u306e\u78ba\u7387\u304c\u9ad8\u3044\u306e\u3067\uff0c\u767a\u898b\u3057\u305f\u3089\u65e9\u3081\u306b\u6458\u51fa\u3057\u307e\u3059<\/li>\n<li>\u307e\u308c\u306b\uff0c<strong><span style=\"color: #000080;\">\u81a0\u82bd\u816b\u306a\u3069\u306e\u60aa\u6027\u816b\u760d<\/span><\/strong>\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3084\u306f\u308a\u4f4e\u5e74\u9f62\u3067\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u5e83\u7bc4\u56f2\u7167\u5c04\uff08\u5168\u8133\u7167\u5c04\uff09\u4f8b\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u3082\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0c0.01%\u4ee5\u4e0b\u3067\u3057\u3087\u3046<\/li>\n<li>40\u30b0\u30ec\u30a4\u4ee5\u4e0a\u306e\u7167\u5c04\u3067\u751f\u3058\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u6cbb\u7642\u5f8c2\u5e74\u3067\u65b0\u305f\u306a\u816b\u760d\u304c\u3067\u304d\u305f\u3068\u304b\uff0c\u6cbb\u7642\u5f8c20\u5e74\u5f8c\u306b\u60aa\u6027\u816b\u760d\u304c\u3067\u304d\u305f\u3068\u304b\uff0c\u6642\u671f\u306f\u69d8\u3005\u3067\u3059<\/li>\n<li>\u3060\u3044\u305f\u30445\u5e74\u304b\u308910\u5e74\u5f8c\u304f\u3089\u3044\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u5927\u91cf\u306e\u5316\u5b66\u7642\u6cd5\u3084\u9577\u671f\u306b\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u3092\u4f7f\u7528\u3059\u308b\u3068<strong><span style=\"color: #000080;\">\u767d\u8840\u75c5<\/span><\/strong>\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff0c\u53ef\u80fd\u6027\u306f\u3082\u306e\u3059\u3054\u304f\u4f4e\u3044\u3067\u3059<\/li>\n<\/ul>\n<h3><span style=\"color: #000080;\"><strong>2\u6b736\u30f6\u6708\uff0c18\u30b0\u30ec\u30a4\u306e\u5168\u8133\u7167\u5c04\u306e\u5f71\u97ff<\/strong><\/span><\/h3>\n<div><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4260\" title=\"medullotm1\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm11-294x300.jpg\" alt=\"\" width=\"294\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm11-294x300.jpg 294w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm11-550x560.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm11.jpg 916w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4261\" title=\"medullotm2\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm21-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm21-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm21-550x558.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/medullotm21.jpg 704w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><\/div>\n<div><\/div>\n<p>2001\u5e74\uff0c2\u6b731\u30f6\u6708\u3067\u767a\u75c7\u3057\u305f\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b\u306e\u7537\u306e\u5b50\u3067\u3057\u305f\u3002\u816b\u760d\u306f\u7b2c\uff14\u8133\u5ba4\u304b\u3089\u5de6\u5c0f\u8133\u6a4b\u89d2\u69fd\u306b\u4f38\u5c55\u3057\u3066\u3044\u307e\u3057\u305f\u304c\uff0c\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u8853\u5f8c\u306b\u306f\u5c0f\u8133\u5931\u8abf\u3082\u7121\u8a00\u75c7\u3082\u8133\u795e\u7d4c\u9ebb\u75fa\u3082\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u5f53\u6642\uff0c\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b\u306b\u306f\u8133\u810a\u9ac4\u7167\u5c04\u304c\u6a19\u6e96\u7684\u6cbb\u7642\u3067\u3057\u305f\u3002\u8853\u5f8c\u306f\u4f55\u3068\u304bICE\u5316\u5b66\u7642\u6cd5\u3067\u3064\u306a\u3044\u3067\uff0c2\u6b73\uff16\u30f6\u6708\u306e\u6642\u306b\uff0c\uff11\u65e5\u7dda\u91cf1.8\u30b0\u30ec\u30a4\u3067\uff0c\u8133\u810a\u9ac4\u7167\u5c0418\u30b0\u30ec\u30a4\uff0c\u5f8c\u982d\u7aa923.4\u30b0\u30ec\u30a4\uff0c\u816b\u760d\u5e8a12.6\u30b0\u30ec\u30a4\uff0c\u816b\u760d\u5e8a\u7dcf\u7dda\u91cf54\u30b0\u30ec\u30a4\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u306a\u3044\u307e\u3057\u305f\u3002\u5927\u8133\u3068\u4e0b\u5782\u4f53\u306e\u88ab\u7206\u306f18\u30b0\u30ec\u30a4\/10\u5206\u5272\u3068\u306a\u308a\u307e\u3059\u3002<br \/>\n\u3053\u306e\u753b\u50cf\u306f14\u6b73\u306e\u6642\u306e\u3082\u306e\u3067\u3059\u3002\u5927\u8133\u306e\u840e\u7e2e\u306f\u5168\u304f\u306a\u304f\uff0c\u5c0f\u8133\u306e\u30c0\u30e1\u30fc\u30b8\u306f\u6700\u5c0f\u9650\u3067\u3059\u3002\u5185\u5206\u6ccc\u969c\u5bb3\u3082\u7121\u304f\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3\u3082\u88dc\u5145\u3057\u3066\u3044\u307e\u305b\u3093\u304c\uff0c\u80cc\u9aa8\u306e\u4f38\u3073\u304c\u60aa\u3044\u3067\u3059\u3002<\/p>\n<p>\uff15\u6b73\u6642 \u00a0FIQ 79, VIQ 79, PIQ 85<br \/>\n14\u6b73\u6642\u00a0\u00a0FIQ 75, VIQ 86, PIQ 68<\/p>\n<p>\u795e\u7d4c\u5fc3\u7406\u5b66\u7684\u691c\u67fb\u304b\u3089\u306f\uff0c\u77e5\u80fd\u4f4e\u4e0b\uff0c\u8a18\u61b6\u969c\u5bb3\uff0c\u6ce8\u610f\u969c\u5bb3\u304c\u3042\u308b\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u8a00\u8a9e\u7406\u89e3IQ 86\uff0c\u77e5\u899a\u7d71\u5408IQ 71\uff0c\u6ce8\u610f\u8a18\u61b6IQ 76\uff0c\u51e6\u7406\u901f\u5ea6IQ 72\u3067\u3059\u3002\u5168\u8133\u7167\u5c04\u306e18\u30b0\u30ec\u30a4\u3070\u304b\u308a\u3067\u306f\u306a\u304f\uff0c\u767a\u75c7\u6642\u306e\u6c34\u982d\u75c7\u3084\u5c0f\u8133\u306e\u30c0\u30e1\u30fc\u30b8\u306b\u3088\u308b\u5b66\u7fd2\u969c\u5bb3\u3082\u52a0\u308f\u3063\u3066\u3044\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u554f\u984c\u3068\u306a\u3063\u3066\u304f\u308b\u306e\u306f\u5c0f\u5b66\u6821\u9ad8\u5b66\u5e74\u304b\u3089\u3067\u3059\u304b\u3089\uff0c\u304b\u306a\u308a\u9577\u671f\u7684\u306a\u89b3\u5bdf\u304c\u5fc5\u8981\u3067\u3059\u3002\u591a\u304f\u306e\u304a\u533b\u8005\u3055\u3093\u306f\u305b\u3044\u305c\u3044\u6cbb\u7642\u304c\u7d42\u308f\u3063\u3066\u304b\u3089\u81ea\u5206\u3067\u306f\u6570\u5e74\u306e\u89b3\u5bdf\u3057\u304b\u3057\u306a\u3044\u306e\u3067\uff0c\u6cbb\u7642\u3092\u62c5\u5f53\u3059\u308b\u5148\u751f\u304c\u3053\u306e\u3088\u3046\u306a\u3053\u3068\u3092\u77e5\u3089\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>2001\u5e74\u30672\u6b73\u767a\u75c7\u306e\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b\u306e\u751f\u5b58\u8005\u306f\u307b\u3068\u3093\u3069\u3044\u306a\u3044\u3068\u8a00\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u3044\u304f\u3089\u3044\u3067\u3059\u3002\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b\u3092\u6cbb\u7642\u3059\u308b\u305f\u3081\u306b\u306f\uff0c\u3053\u306e\u653e\u5c04\u7dda\u91cf\u306f\u5f53\u6642\u3068\u3057\u3066\u306f\u4e16\u754c\u3067\u3082\u6700\u4f4e\u7dda\u91cf\u3067\u3057\u305f\u3067\u3057\u3087\u3046\u3002<\/p>\n<h3><a title=\"\u5c0f\u5150\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u751f\u3058\u305f\u969c\u5bb3\u4f8b\" href=\"\/sawamura\/blog\/pediattumor\/radiationlateeffect\/\"><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u751f\u3058\u305f\u7a00\u306a\u5b9f\u4f8b\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u898b\u308c\u307e\u3059<\/span><\/a><\/h3>\n<p style=\"text-align: center;\"><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/seishirou.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4411\" title=\"seishirou\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/seishirou.jpg\" alt=\"\" width=\"500\" height=\"736\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/seishirou.jpg 500w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/seishirou-203x300.jpg 203w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2013\/08\/seishirou-407x600.jpg 407w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n<hr \/>\n<h4 align=\"left\">\u9ac4\u82bd\u816b\u306e\u60a3\u5150\u306e\u77e5\u80fd\u4e88\u5f8c 1980\u5e74\u4ee3<\/h4>\n<p align=\"left\">Hoppe-Hirsch E, et al.: Medulloblastoma in childhood: progressive intellectual deterioration. Childs Nerv Syst 6: 60-65, 1990<br \/>\n1990\u5e74\u306e\u6709\u540d\u306a\u8ad6\u6587\u3067\u3059\u30021987\u5e74\u307e\u3067\u306bH\u00f4pital des Enfants-Malades\u3067\u6cbb\u7642\u3055\u308c\u305f120\u4f8b\u306e\u9ac4\u82bd\u816b\u306e\u9577\u671f\u89b3\u5bdf\u7d50\u679c\u3067\u3059\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u304d\u3061\u3093\u3068\u53d7\u3051\u305f\u60a3\u5150\u306e10\u5e74\u6642\u70b9\u3067\u306e\u751f\u5b58\u5272\u5408\u306f64%\u3067\u3057\u305f\u3002\u9ac4\u82bd\u816b\u6cbb\u76425\u5e74\u5f8c\u306b\u306f\uff0c42%\u306e\u60a3\u5150\u3067IQ\u306f80%\u3092\u4e0b\u56de\u308b\uff0c10\u5e74\u5f8c\u306b\u306f85%\u306e\u60a3\u5150\u3067IQ\u306f80\u3092\u4e0b\u56de\u308b\u3068\u8a18\u8f09\u3055\u308c\u307e\u3057\u305f\u3002\u6cbb\u764210\u5e74\u5f8c\u3067\uff0c\u308f\u305a\u304b15%\u306e\u60a3\u8005\u3055\u3093\u3067\u3057\u304b IQ 80\u3092\u4fdd\u3066\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306f\uff0c\u5927\u90e8\u5206\u306e\u9ac4\u82bd\u816b\u7d4c\u9a13\u8005\u304c\u793e\u4f1a\u7684\u306a\u81ea\u7acb\u304c\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u4e8b\u5b9f\u3092\u793a\u5506\u3057\u3066\u3044\u3066\uff0c\u885d\u6483\u7684\u306a\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n<h4 align=\"left\">\u9ac4\u82bd\u816b\u306e\u60a3\u5150\u306e\u77e5\u80fd\u4e88\u5f8c 1990\u5e74\u4ee3<\/h4>\n<p align=\"left\">Ris MD, et al.: Intellectual outcome after reduced-dose radiation therapy plus adjuvant chemotherapy for medulloblastoma: a Children&#8217;s Cancer Group study. J Clin Oncol 19:3470-3476, 2001<br \/>\n\u5168\u8133\u7167\u5c04\u306e\u6cbb\u7642\u7dda\u91cf\u3092\u4e0b\u3052\u308b\u52aa\u529b\u304c\u306a\u3055\u308c\u3066\u304b\u3089\u306e\u8ad6\u6587\u3067\u3059\u3002\u6bd4\u8f03\u7684\u4f4e\u7dda\u91cf\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b23.4\u30b0\u30ec\u30a4\u306e\u8133\u810a\u9ac4\u7167\u5c04\u3068\u5f8c\u982d\u7aa9\u7167\u5c04 posterior fossa boost 32.4Gy\u3092\u53d7\u3051\u305f\u9ac4\u82bd\u816b (PNET\u542b\u3080\uff09\u306e\u5b50\u3069\u3082\u305f\u306143\u4eba\u306e\u77e5\u80fd\u4e88\u5f8c\u304c\u8ffd\u8de1\u3055\u308c\u307e\u3057\u305f\u30021\u5e74\u3042\u305f\u308a FSIQ -4.3\u306e\u77e5\u80fd\u4f4e\u4e0b\u304c\u3042\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002VIQ\u3067-4.2 VIQ points\/year, -4.0 NVIQ points\/year\u3067\u3059\u30027\u624d\u4ee5\u4e0b\u306e\u5b50\u3069\u3082\u3067\u3053\u306e\u77e5\u80fd\u6307\u6570 IQ\u306e\u4f4e\u4e0b\u306f\u3088\u308a\u8457\u3057\u304b\u3063\u305f\u305d\u3046\u3067\u3059\u3002\u3053\u306e\u7dda\u91cf\u3067\u3042\u3063\u3066\u3082\u8133\u810a\u9ac4\u7167\u5c04\u306f\u304b\u306a\u308a\u306e\u77e5\u80fd\u4f4e\u4e0b\u3092\u62db\u304f\u3068\u7d50\u8ad6\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u8ad6\u6587\u4e2d\u306e\u30b0\u30e9\u30d5\u3092\u898b\u308b\u3068\u3053\u306e\u77e5\u80fd\u4f4e\u4e0b\u306f\u4f55\u5e74\u3082\u7d99\u7d9a\u3057\u3066\u60aa\u5316\u3057\u3066\u884c\u304d\u307e\u3059\u3002\u3082\u30571\u5e74\u9593\u306bIQ 4.0\u4f4e\u4e0b\u3059\u308b\u3068\u3059\u308c\u3070\uff0c10\u5e74\u306740\u3067\u3059\u3002100\u306eIQ\u306f\uff0c60\u307e\u3067\u4f4e\u4e0b\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u5f8c\uff0c7\u624d\u4ee5\u4e0b\u306e\u5c0f\u5150\u306b\u306f\u8133\u810a\u9ac4\u7167\u5c04\u7dda\u91cf\u309218\u30b0\u30ec\u30a4\u307e\u3067\u4e0b\u3052\u308b\u52aa\u529b\u304c\u306a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\uff0c\u5f8c\u982d\u7aa9\u7167\u5c04\u3068\u3044\u3046\u65b9\u6cd5\u3067\u306f\u306a\u304f\u816b\u760d\u5e8a\u7167\u5c04\u306b\u6539\u5584\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5 align=\"left\">\u6587\u732e<\/h5>\n<h4 class=\"cit\">\u967d\u5b50\u7dda\u6cbb\u7642\u5f8c\u306e\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u4f4e\u4e0b<\/h4>\n<p><span class=\"highlight\">Vatner RE, et al.: Endocrine<\/span> <span class=\"highlight\">Deficiency<\/span> as a <span class=\"highlight\">Function<\/span> of <span class=\"highlight\">Radiation<\/span> <span class=\"highlight\">Dose<\/span> to the <span class=\"highlight\">Hypothalamus<\/span> and <span class=\"highlight\">Pituitary<\/span> in <span class=\"highlight\">Pediatric<\/span> and <span class=\"highlight\">Young<\/span> Adult Patients With Brain Tumors.\u00a0<span role=\"menubar\">J Clin Oncol.<\/span> 2018<br \/>\n2003\u5e74\u304b\u30892016\u5e74\u306b\u967d\u5b50\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5c0f\u5150\u3068\u82e5\u5e74\u6210\u4eba189\u4eba\u306e\u8ffd\u8de1\u7d50\u679c\u3067\u3059\u3002130\u4eba\u304c\u9ac4\u82bd\u816b\u3067\u8133\u810a\u9ac4\u7167\u5c04\u3092\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u3002\u4ed6\u306b\u306f\u4e0a\u8863\u816b\uff0c\u4f4e\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de\u306a\u3069\u3078\u306e\u5c40\u6240\u7167\u5c04\u3067\u3059\u3002\u7167\u5c04\u5f8c\uff14\u5e74\u3067\u306e\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u306f\uff0c\u6210\u9577\u30db\u30eb\u30e2\u30f3 37%\uff0c\u7532\u72b6\u817a\u30db\u30eb\u30e2\u30f3 21%\uff0c\u526f\u814e\u76ae\u8cea\u30db\u30eb\u30e2\u30f3 7%\uff0c\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3 4%\u3067\u3057\u305f\u3002\u4f55\u3089\u304b\u306e\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u304c\u3042\u3063\u305f\u306e\u306f49%\u3067\u3059\u3002\u4f4e\u5e74\u9f62\u6642\u307b\u3069\uff0c\u8996\u5e8a\u4e0b\u90e8\u4e0b\u5782\u4f53\u3078\u306e\u7dda\u91cf\u304c\u591a\u3044\u307b\u3069\u30db\u30eb\u30e2\u30f3\u4e0d\u8db3\u304c\u751f\u3058\u3084\u3059\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u6cbb\u7642\u5f8c\u306e\u6642\u9593\u7d4c\u904e\u304c\u9577\u304f\u306a\u308b\u307b\u3069\u9593\u8133\u4e0b\u5782\u4f53\u6a5f\u80fd\u4e0d\u5168\u306e\u7387\u304c\u9ad8\u304f\u306a\u3063\u3066\u884c\u304d\u307e\u3059\u3002<\/p>\n<h4>\u5c0f\u5150\u671f\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3068\u9ad8\u7387\u306b\u9ac4\u819c\u816b\u304c\u767a\u751f\u3059\u308b<\/h4>\n<p>Bowers DC, et al.: Morbidity and Mortality Associated With Meningioma After Cranial Radiotherapy: A Report From the Childhood Cancer Survivor Study. J Clin Oncol 2017<br \/>\n\u5c0f\u5150\u304c\u3093\u60a3\u8005\u3067\u982d\u84cb\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u3053\u3068\u304c\u3042\u308b4,221\u4eba\u304c\u8abf\u67fb\u3055\u308c\u307e\u3057\u305f\u3002169\u4eba\u306b199\u500b\u306e\u9ac4\u819c\u816b\u304c\u767a\u751f\u3057\u3066\u3044\u307e\u3057\u305f\u3002<span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u3066\u304b\u3089\u4e2d\u592e\u502422\u5e74\u5f8c\u306b\u9ac4\u819c\u816b\u304c\u767a\u898b<\/strong><\/span>\u3055\u308c\u3066\u3044\u307e\u3059\u3002<strong><span style=\"color: #000080;\">40\u6b73\u307e\u3067\u306b\u9ac4\u819c\u816b\u304c\u767a\u751f\u3059\u308b\u78ba\u7387\u306f5.6%<\/span><\/strong>\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u5973\u6027\u306b\u591a\u304f\u3066\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5e74\u9f62\u304c\u4f4e\u3044\u307b\u3069\uff0c20\u30b0\u30ec\u30a4\u4ee5\u4e0a\u3067\u7dda\u91cf\u304c\u591a\u3044\u307b\u3069\u9ac4\u819c\u816b\u304c\u767a\u751f\u3059\u308b\u53ef\u80fd\u6027\u304c\u5897\u3057\u307e\u3059\u3002\u9ac4\u819c\u816b\u304c\u767a\u751f\u3059\u308b\u306820%\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u3067\uff0c\u3066\u3093\u304b\u3093\u767a\u4f5c\u306a\u3069\u4f55\u3089\u304b\u306e\u75c7\u72b6\u3092\u6b8b\u3057\u307e\u3059\u3002\u9ac4\u819c\u816b\u306f\u307b\u3068\u3093\u3069\u304c\u826f\u6027\u3067\u3059\u304c\uff0c5\u5e74\u751f\u5b58\u5272\u5408\u306f91%\u3067\uff0c\u901a\u5e38\u306e\u9ac4\u819c\u816b\u3088\u308a\u306f\u4f4e\u3044\u3082\u306e\u3067\u3057\u305f\u3002<\/p>\n<h4>CT\u691c\u67fb\u306e\u88ab\u66dd\u3067\uff0c\u4e8c\u6b21\u764c\u3068\u3057\u3066\u306e\u767d\u8840\u75c5\u3084\u8133\u816b\u760d\u304c\u767a\u751f\u3059\u308b<\/h4>\n<p class=\"heading-title\"><span class=\"authors-list-item \">Pearce MS:\u00a0<\/span>Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet 2012<br \/>\n\u8a3a\u65ad\u3067\u4f7f\u3046CT\u306f\u653e\u5c04\u7dda\u306a\u306e\u3067\uff11\u56de\u306e\u691c\u67fb\u30675-30mSv\u88ab\u66dd\u3057\u307e\u3059\u3002\u7d30\u304b\u3044CD-CTA\u306a\u3069\u3092\u64ae\u5f71\u3059\u308b\u3068\u88ab\u66dd\u91cf\u306f\u5927\u304d\u304f\u306a\u308a\u307e\u3059\u3002\u5c0f\u5150\u3067\u306f\uff0c50mGy\u4ee5\u4e0a\u3067\u5f8c\u3005\u306e\u767d\u8840\u75c5\u3084\u8133\u816b\u760d\u306e\u767a\u751f\u7387\u304c3\u500d\u9ad8\u307e\u308b\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u4e73\u5e7c\u5150\u3067\u306f\u8a8d\u77e5\u6a5f\u80fd\u306e\u767a\u9054\u3082\u9045\u308c\u307e\u3059\u3002\u305d\u308c\u3092\u77e5\u3089\u306a\u3044\u3067\uff0cCT\u691c\u67fb\u309210\u56de\u4ee5\u4e0a\u7e70\u308a\u8fd4\u3055\u308c\u305f\u5c0f\u5150\u8133\u816b\u760d\u60a3\u8005\u3092\u4f55\u4eba\u3082\u898b\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u533b\u5e2b\u306f\uff0c\u305d\u3093\u306a\u4f55\u5e74\u3082\u5f8c\u306e\u3053\u3068\u306a\u3069\u6c17\u306b\u3057\u306a\u3044\u306e\u3067\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u751f\u5b58\u8005\u3092\uff0c \u5c0f\u5150\u304c\u3093\u7d4c\u9a13\u8005 CCS childhood cancer survivor\u3068\u3044\u3044\u307e\u3059 \u751f\u304d\u3066\u3044\u3066\u56f0\u3063\u305f\u3053\u3068\u304c\u3042\u3063\u3066\uff0c\u3069\u3046\u3057\u305f\u3089\u56f0\u3063\u305f\u3053\u3068\u3092\u5c11\u306a\u304f\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3060\u308d\u3046\u304b\u3068\u3044\u3046\u3053\u3068\u3092\u8003\u3048\u308b\u30da\u30fc\u30b8\u3067\u3059 \u6cbb\u7642\u3092\u53d7\u3051 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-3531","post","type-post","status-publish","format-standard","hentry","category-pediattumor"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/3531","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\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/comments?post=3531"}],"version-history":[{"count":59,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/3531\/revisions"}],"predecessor-version":[{"id":22830,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/3531\/revisions\/22830"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/media?parent=3531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/categories?post=3531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/tags?post=3531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}