{"id":116,"date":"2012-04-17T22:50:46","date_gmt":"2012-04-17T13:50:46","guid":{"rendered":"\/sawamura\/wp\/?p=116"},"modified":"2026-01-10T21:59:53","modified_gmt":"2026-01-10T12:59:53","slug":"meningioma","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/meningioma\/","title":{"rendered":"\u9ac4\u819c\u816b meningioma"},"content":{"rendered":"<div class=\"setumei\">\n<h5><span style=\"color: #000080;\">\u8133\u816b\u760d\u3067\u306f<strong>\u6700\u3082\u591a\u3044\u826f\u6027\u306e\u816b\u760d<\/strong>\u3067\u3059<\/span><\/h5>\n<ul>\n<li>\u982d\u75db\u3084\u305f\u307e\u305f\u307e\u982d\u3092\u3076\u3064\u3051\u305f\u6642\u306a\u3069\u306b\uff0cCT\u3084MRI\u3092\u3068\u3063\u3066\u5076\u7136\u306b\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u5168\u304f\u75c7\u72b6\u304c\u306a\u3044<strong><span style=\"color: #000080;\">\u7121\u75c7\u5019\u6027\u9ac4\u819c\u7a2e<\/span><\/strong>\u306f\u6700\u8fd1\u305f\u304f\u3055\u3093\u767a\u898b\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li>\u4eba\u53e3\u306e0.2-1%\u306b\u898b\u3064\u304b\u308a\u307e\u3059\uff0c200-500\u4eba\u306b\u4e00\u4eba\uff0c\u3059\u3054\u304f\u591a\u3044\u3067\u3059<\/li>\n<li>\u9ad8\u9f62\u8005\u307b\u3069\u591a\u304f\u306a\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u75c7\u72b6\u306e\u306a\u3044\u5927\u90e8\u5206\u306e\u9ac4\u819c\u7a2e\u306f\u6cbb\u7642\u306e\u5fc5\u8981\u306f\u306a\u304f<\/strong><\/span>\u3066\u307b\u3063\u3066\u304a\u3044\u3066\u3044\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u591a\u304f\u306f\uff0c\u307b\u3063\u3068\u3044\u3066\u3082\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3057\u75c7\u72b6\u3082\u51fa\u307e\u305b\u3093<\/li>\n<li>\u8133\u30c9\u30c3\u30af\u3067\u898b\u3064\u304b\u3063\u3066\u8133\u816b\u760d\u3060\u3068\u8a00\u308f\u308c\u3066\u3082\u3073\u3063\u304f\u308a\u3057\u306a\u3044\u3067\u5b89\u6613\u306b\u624b\u8853\u3092\u53d7\u3051\u306a\u3044\u3053\u3068\u306b\u3057\u307e\u3057\u3087\u3046<\/li>\n<li>\u4e0b\u306eMRI\u306f66\u6b73\u306e\u5973\u6027\u306b\u8133\u30c9\u30c3\u30af\u3067\u5076\u7136\u898b\u3064\u304b\u3063\u305f\u9ac4\u819c\u816b\u3067\u3059\uff0e\u5de6\u306e\u5199\u771f\u306f1995\u5e74\uff0c\u53f3\u306f2005\u5e74\u3067\u3059\u300210\u5e74\u9593\u3067\u5168\u304f\u5927\u304d\u304f\u306a\u3063\u3066\u3044\u307e\u305b\u3093<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening14.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7597\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening14-200x200.png\" alt=\"mening14\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening15.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7598\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening15-200x200.png\" alt=\"mening15\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<h4><strong>\u304a\u304a\u307e\u304b\u306a\u3053\u3068<\/strong><\/h4>\n<ul>\n<li>\u9ac4\u819c\u816b\u306f<span style=\"color: #000080;\"><strong>\u8133\u3092\u5305\u3093\u3067\u3044\u308b\u9ac4\u819c\u3068\u3044\u3046\u819c\u304b\u3089\u767a\u751f\u3059\u308b\u826f\u6027\u816b\u760d<\/strong><\/span>\u3067\u8133\u306e\u8868\u9762\u306b\u3067\u304d\u307e\u3059<\/li>\n<li>\u4e2d\u5e74\u4ee5\u964d\u306e\u5973\u6027\u306b\u591a\u3044\u3067\u3059<\/li>\n<li>\u4ed6\u306e\u5834\u6240\u3078\u306f\u8ee2\u79fb\u3057\u306a\u3044\u3057\uff0c\u826f\u6027\u306e\u7d4c\u904e\u3092\u3068\u308a\u307e\u3059<\/li>\n<li>\u6cbb\u7642\u306f\u958b\u982d\u624b\u8853\u6458\u51fa\u3067\uff0c\u53d6\u308c\u308c\u3070\u6cbb\u308a\u307e\u3059<\/li>\n<li>\u60aa\u6027\u304b\u3069\u3046\u304b\u306f\u753b\u50cf\u3092\u898b\u308b\u304b\uff0c\u3061\u3087\u3063\u3068\u7d4c\u904e\u3092\u898b\u308c\u3070\u3060\u3044\u305f\u3044\u5224\u65ad\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u30b0\u30ec\u30fc\u30c9\uff12\u306f\u975e\u5b9a\u578b\uff08\u7570\u578b\u6027\uff09\u9ac4\u819c\u816b atypical meningioma\u00a0<\/strong><span style=\"color: #333333;\">\u3068\u3044\u3044\u307e\u3059<\/span><\/span><\/li>\n<li>\u975e\u5b9a\u578b\u9ac4\u819c\u816b\u306f<span style=\"color: #000080;\"><strong>\u518d\u767a\u3057\u3084\u3059\u3044<\/strong><\/span>\u3082\u306e\u3067\u983b\u5ea6\u3082\u3084\u3084\u9ad8\u3044 (5-8%) \u306e\u3067\u8981\u6ce8\u610f<\/li>\n<li>\u75c5\u7406\u8a3a\u65ad\u3092\u3057\u3063\u304b\u308a\u3057\u306a\u3044\u3067\uff0c\u518d\u767a\u3092\u7e70\u308a\u8fd4\u3057\u547d\u3092\u306a\u304f\u3059\u60a3\u8005\u3055\u3093\u306f\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u60aa\u6027\u306e\u7d4c\u904e\u3092\u305f\u3069\u308b\u306e\u306f\u3068\u3066\u3082\u5c11\u306a\u304f\u30662%\u307b\u3069<\/strong><\/span>\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u30b0\u30ec\u30fc\u30c9\uff13\u9000\u5f62\u6210\u6027\u9ac4\u819c\u816b\u306f\u8089\u816b\uff08\u30ac\u30f3\uff09<\/strong><\/span>\u3067\u3059\u304c\uff0c\u3082\u306e\u3059\u3054\u304f\u7a00 (1%\u4ee5\u4e0b) \u3067\u3059<\/li>\n<li>\u518d\u767a\u3092\u4e88\u6e2c\u3059\u308b\u305f\u3081\u306b\uff0c\u624b\u8853\u5f8c\u306e\u75c5\u7406\u8a3a\u65ad\u304c\u3067\u305f\u3089<span style=\"color: #000080;\"><strong>\u30df\u30d6\u30ef\u30f3<\/strong>\uff08\u5f8c\u8ff0\uff09<\/span>\u306e\u5024\u3092\u805e\u304d\u307e\u3057\u3087\u3046<\/li>\n<li>\u982d\u84cb\u5185\u306e\u3055\u307e\u3056\u307e\u306a\u90e8\u4f4d\u306b\u3067\u304d\u3066\uff0c\u767a\u751f\u3059\u308b\u5834\u6240\u306b\u3088\u3063\u3066\u6cbb\u7642\u306e\u96e3\u3057\u3055\u304c\u9055\u3044\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u3092\u3082\u3063\u3066\u3044\u308b\u5973\u6027\u306f\u4e73\u304c\u3093\u306b\u306a\u308a\u3084\u3059\u3044\u4f53\u8cea\u3067\u3059\uff0c\u4e73\u304c\u3093\u691c\u8a3a\u3092\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046<\/li>\n<\/ul>\n<h4><strong>\u75c7\u72b6\u306f<\/strong><\/h4>\n<ul>\n<li>\u75c7\u72b6\u304c\u306a\u304f\u3066\u767a\u898b\u3055\u308c\u308b\u3082\u306e\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u8133\u306e\u5916\u5074\u306e\u819c\uff08\u9ac4\u819c\uff09\u306b\u767a\u751f\u3057\u3066\u8133\u3084\u795e\u7d4c\u3092\u5727\u8feb\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u304b\u306a\u308a\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3068\u75c7\u72b6\u304c\u3067\u306a\u3044<\/strong><\/span><span style=\"color: #000000;\">\u3082\u306e\u304c\u591a\u3044\u3067\u3059<\/span><\/li>\n<li>\u5927\u304d\u304f\u306a\u308b\u3068\u8133\u3092\u5727\u8feb\u3057\u3066\u3001<span style=\"color: #000080;\"><strong>\u982d\u75db\uff0c\u904b\u52d5\u9ebb\u75fa\uff0c\u6b69\u304f\u6642\u306b\u3075\u3089\u3064\u304f\uff0c\u3051\u3044\u308c\u3093\u767a\u4f5c\uff08\u3066\u3093\u304b\u3093\uff09<\/strong><\/span>\u306a\u3069\u3092\u304a\u3053\u3057\u307e\u3059<\/li>\n<li>\u5c0f\u3055\u304f\u3066\u3082\u8133\u795e\u7d4c\u3092\u5727\u8feb\u3059\u308b\u3068\uff0c<span style=\"color: #000080;\"><strong>\u76ee\u304c\u898b\u3065\u3089\u3044<\/strong><\/span>\uff08\u8996\u529b\u8996\u91ce\u969c\u5bb3\uff09\uff0c<strong><span style=\"color: #000080;\">\u3082\u306e\u304c\u4e8c\u91cd\u306b\u307f\u3048\u308b<\/span><\/strong>\uff08\u8907\u8996\uff09\uff0c<strong><span style=\"color: #000080;\">\u9854\u304c\u3057\u3073\u308c\u3066\u75db\u3044<\/span><\/strong>\uff08\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\uff09\uff0c<strong><span style=\"color: #000080;\">\u7247\u8033\u304c\u805e\u3053\u3048\u306a\u3044<\/span><\/strong>\uff08\u8074\u529b\u969c\u5bb3\uff09\u306a\u3069\u306e\u75c7\u72b6\u304c\u3067\u307e\u3059<\/li>\n<li>\u3059\u3054\u304f\u5927\u304d\u3044\u3082\u306e\u3067\u3082\u8efd\u3044\u75c7\u72b6\uff08\u982d\u75db\uff0c\u7269\u5fd8\u308c\u304c\u591a\u3044\uff09\u3067\u7d4c\u904e\u3059\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306e\u3067\u304d\u308b\u5834\u6240\u3068\u75c7\u72b6\u306b\u306f\u95a2\u9023\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u524d\u982d\u90e8\u306e\u5927\u304d\u306a\u3082\u306e\u3067\u306f\u8a8d\u77e5\u75c7\u304c\u3067\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7a79\u7abf\u90e8\u9ac4\u819c\u816b\u306f\u76f8\u5f53\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3068\u75c7\u72b6\u304c\u51fa\u305a\uff0c\u3066\u3093\u304b\u3093\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u508d\u77e2\u72b6\u6d1e\u9ac4\u819c\u816b\u306f\uff0c\u4e0b\u80a2\u304b\u3089\u306f\u3058\u307e\u308b\u3051\u3044\u308c\u3093\u3084\u8db3\u306e\u9ebb\u75fa\u3092\u751f\u3058\u307e\u3059<\/li>\n<li>\u978d\u7d50\u7bc0\u90e8\u9ac4\u819c\u816b\u306f\uff0c\u8996\u529b\u8996\u91ce\u969c\u5bb3\u3067\u767a\u75c7\u3057\u307e\u3059<\/li>\n<li>\u659c\u53f0\u9310\u4f53\u9aa8\u3084\u6d77\u7dbf\u9759\u8108\u6d1e\u90e8\u9ac4\u819c\u816b\u306f\uff0c\u7269\u304c2\u91cd\u306b\u898b\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\uff08\u773c\u7403\u904b\u52d5\u969c\u5bb3\uff09<\/li>\n<li>\u5c0f\u8133\u6a4b\u89d2\u90e8\uff08\u9310\u4f53\u9aa8\u7e01\uff09\u9ac4\u819c\u816b\u3067\u306f\u8074\u529b\u4f4e\u4e0b\u304c\u3067\u307e\u3059<\/li>\n<li>\u9310\u4f53\u9aa8\u5c16\u90e8\u9ac4\u819c\u816b\u306f\uff0c\u9854\u9762\u306e\u75db\u307f\u3084\u3057\u3073\u308c\u3092\u3060\u3057\u307e\u3059\uff08\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\uff09<\/li>\n<\/ul>\n<h4><strong>\u691c\u67fb\u306f<\/strong><\/h4>\n<ul>\n<li>\u8a3a\u65ad\u306f\uff0cCT\u3084<span style=\"color: #000080;\"><strong>MRI\u3068\u3044\u3046\u7c21\u5358\u306a\u691c\u67fb<\/strong><\/span>\u3067\u304b\u306a\u308a\u6b63\u78ba\u306b\u3067\u304d\u307e\u3059<\/li>\n<li>MRI T1\u5f37\u8abf\u753b\u50cf\u3084T2\u5f37\u8abf\u50cf\u3067\uff0c\u3055\u307e\u3056\u307e\u306a\u4fe1\u53f7\u3092\u5448\u3057\u307e\u3059\uff08\u767d\u3063\u307d\u3044\u3053\u3068\u3082\u7070\u8272\u306b\u307f\u3048\u308b\u3053\u3068\u3082\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\uff09<\/li>\n<li>\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u3067\uff0c\u9ac4\u819c\u816b\u304c\u306f\u3063\u304d\u308a\u307f\u3048\u307e\u3059\uff08\u30b3\u30f3\u30c8\u30e9\u30b9\u30c8\u304c\u3064\u3044\u3066\u767d\u304f\u898b\u3048\u307e\u3059\uff09<\/li>\n<li>T2\u5f37\u8abf\u3084\u30d5\u30ec\u30a2\u753b\u50cf\u3067\u306f\uff0c\u816b\u760d\u5468\u56f2\u306b\u5f37\u3044<span style=\"color: #000080;\"><strong>\u8133\u6d6e\u816b<\/strong><\/span>\uff08\u8133\u304c\u816b\u308c\u308b\uff09\u304c\u3042\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>CT\u3067\u307f\u3048\u308b\u9650\u5c40\u6027\u306e\u9aa8\u80a5\u539a\uff08\u9aa8\u304c\u539a\u304f\u306a\u308b\uff09\u306f\u9ac4\u819c\u816b\u306b\u7279\u5fb4\u7684\u306a\u6240\u898b\u3067\u3059<\/li>\n<li>\u8a3a\u65ad\u306e\u305f\u3081\u306b\uff0c<span style=\"color: #ff0000;\"><strong>\u8133\u8840\u7ba1\u9020\u5f71\uff08DSA\uff0c\u30ab\u30c6\u30fc\u30c6\u30eb\u691c\u67fb\uff09\u306f\u5fc5\u8981\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u624b\u8853\u3092\u524d\u63d0\u306b\u3057\u3066\u3082\uff0c\u307b\u3068\u3093\u3069\u306e\u4f8b\u3067\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u52d5\u8108\u306b\u5165\u308c\u308b\u8840\u7ba1\u64ae\u5f71\u306f\u5fc5\u8981\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u3082\u3057\u958b\u982d\u624b\u8853\u3067\u9ac4\u819c\u816b\u3092\u6458\u51fa\u3059\u308b\u524d\u306b\uff0c\u8840\u6db2\u306e\u6d41\u308c\u3092\u898b\u3066\u585e\u6813\u8853\u3092\u3057\u306a\u3044\u3068\u624b\u8853\u306b\u30ea\u30b9\u30af\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u8a00\u308f\u308c\u3066\u3082\u5b89\u6613\u306b\u53d7\u3051\u306a\u3044\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u7528\u3044\u308b\u8840\u7ba1\u64ae\u5f71\u306f\uff0c\u8133\u6897\u585e\u306a\u3069\u306e\u30ea\u30b9\u30af\u3082\u3042\u308a\u304a\u91d1\uff08\u533b\u7642\u8cbb\uff09\u3082\u304b\u304b\u308a\u307e\u3059<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9544\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema1-1-200x200.jpg\" alt=\"meningiedema1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema1-1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema1-1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9545\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2-200x200.jpg\" alt=\"meningiedema2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2-768x767.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2-550x549.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiedema2.jpg 984w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/div>\n<p>\u5de6\u306f\uff0c\u9020\u5f71\u5264\u3092\u4f7f\u3063\u305f\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37MRI\u3067\u3059\u3002\u816b\u760d\u304c\u767d\u304f\u4e38\u304f\u898b\u3048\u307e\u3059\u3002\u53f3\u306f\u30d5\u30ec\u30a2\u753b\u50cf\u3067\uff0c\u816b\u760d\u306e\u5468\u56f2\u306e<span style=\"color: #ff0000;\"><strong>\u8133\u6d6e\u816b\uff08\u8133\u306e\u306f\u308c\uff09<\/strong><\/span>\u3067\u3059\u3002\u5de6\u524d\u982d\u8449\u304c\uff0c\u304b\u306a\u308a\u5f37\u304f\u306f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u816b\u760d\u306f\u5c0f\u3055\u3044\u306e\u3067\u3059\u304c\uff0c\u8133\u306e\u306f\u308c\u304c\u5f37\u3059\u304e\u308b\u306e\u3067\u624b\u8853\u6458\u51fa\u3057\u305f\u307b\u3046\u304c\u3044\u3044\u3067\u3059\u3002\u6d6e\u816b\u304c\u60aa\u5316\u3059\u308b\u3068\uff0c\u3066\u3093\u304b\u3093\u767a\u4f5c\u3084\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u304c\u3067\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4><span style=\"color: #003366;\"><span style=\"font-size: 17px;\"><strong>\u3069\u3046\u3057\u305f\u3089\u3044\u3044\u306e\u304b\uff0c\u6cbb\u7642\u306f\u3059\u3079\u304d\u304b<\/strong><\/span><\/span><\/h4>\n<ul>\n<li>\u7d4c\u904e\u3092\u898b\u3066\u3044\u308b\u3068\uff0c<span style=\"color: #000080;\"><strong>\u3086\u3063\u304f\u308a\u3068\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u3082\u3042\u308b\u3051\u3069\uff0c\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3053\u3068\u3082\u591a\u3044<\/strong><\/span>\u3067\u3059\uff08\u3053\u306e\u306f\u3063\u304d\u308a\u3057\u305f\u78ba\u7387\u306f\u4e0d\u660e\u3067\u3059\uff09<\/li>\n<li>\u591a\u6570\u4f8b\u306e\u5831\u544a\u3067\u306f\uff0c\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u9ac4\u819c\u816b\u306e\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u308b\u306e\u306f10%\u7a0b\u5ea6\u3068\u3082\u8a00\u308f\u308c\u307e\u3059<\/li>\n<li>\u7279\u306b\uff0c<strong><span style=\"color: #000080;\">\u304a\u5e74\u5bc4\u308a\u306e\u9ac4\u819c\u7a2e\u306f\u5168\u304f\u5927\u304d\u304f\u306a\u3089\u306a\u3044<\/span><\/strong>\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u69d8\u5b50\u3092\u307f\u307e\u3059<\/li>\n<li>\u5c11\u3057\u5927\u304d\u304f\u306a\u3063\u3066\u3082\u307e\u305f\u5897\u5927\u304c\u6b62\u307e\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059 (growth arrest)<\/li>\n<li>\u3067\u3082\uff0c\u82e5\u3044\u4eba\u3067\u306f\u305f\u3068\u3048\u5c0f\u3055\u304f\u3066\u3082\u614e\u91cd\u306b\u5224\u65ad\u3057\u3066\u304b\u3089\uff0c\u7d4c\u904e\u3092\u89b3\u5bdf\u3057\u305f\u65b9\u304c\u3088\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>20\u4ee3\u307e\u3067\u306b\u898b\u3064\u304b\u3063\u305f\u9ac4\u819c\u816b\u306f\u6458\u51fa\u3057\u305f\u65b9\u304c\u3044\u3044\u3067\u3059\uff0c\u305d\u308c\u4ee5\u964d\u306e\u5e74\u4ee3\u306f\u5224\u65ad\u304c\u96e3\u3057\u3044<\/li>\n<li>CT\u3067\u816b\u760d\u306e\u77f3\u7070\u5316\u304c\u3042\u308b\uff0cT2\u5f37\u8abf\u753b\u50cf\u3067\u4f4e\u4fe1\u53f7\uff08\u9ed2\u3063\u307d\u3044\uff09\u3082\u306e\u306f\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u50be\u5411\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5468\u8fba\u306e\u8133\u304c\u816b\u308c\u3066\u3044\u308b<span style=\"color: #000080;\"><strong>\u8133\u6d6e\u816b\u304c\u3081\u3060\u3064\u6642\u306f\uff0c\u75c7\u72b6\u304c\u306a\u304f\u3066\u3082\u624b\u8853\u3067\u6458\u51fa<\/strong><\/span>\u3057\u305f\u65b9\u304c\u3044\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4>\u6cbb\u7642\u306f<\/h4>\n<ul>\n<li>\u75c7\u72b6\u304c\u60aa\u5316\u3057\u305d\u3046\u306a\u816b\u760d\u306f\u958b\u982d\u624b\u8853\u3067\u3068\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\uff0c<span style=\"color: #000080;\"><strong>\u5b8c\u5168\u306b\u3068\u3063\u3066\u3057\u307e\u3048\u3070\u6cbb\u308b<\/strong><\/span>\u75c5\u6c17\u3067\u518d\u767a\u306e\u5fc3\u914d\u306f\u3044\u308a\u307e\u305b\u3093<\/li>\n<li>\u624b\u8853\u304c\u7b2c\u4e00\u9078\u629e\u80a2\u3067\uff0c\u958b\u982d\u624b\u8853\u3067\u5b8c\u5168\u6458\u51fa\u3057\u3066\u3057\u307e\u3048\u3070\u6cbb\u308b\u816b\u760d\u3067\u3059<\/li>\n<li>\u305d\u308c\u305e\u308c\u306e<span style=\"color: #000080;\"><strong>\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306b\u3088\u3063\u3066\u304b\u306a\u308a\u8003\u3048\u65b9\u304c\u9055\u3044\u307e\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #000000;\">\u624b\u8853\u304c\u5fc5\u8981\u3068\u8a00\u308f\u308c\u3066\u3082\u305d\u306e\u307e\u307e\u53d7\u3051\u53d6\u3089\u306a\u3044\u3067\uff0c\u306a\u305c\u5fc5\u8981\u304b\u3092\u3057\u3063\u304b\u308a\u8aac\u660e\u3057\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u5927\u5207\u3067\u3059<\/span><\/li>\n<li>\u4e0d\u5b89\u306a\u3089\u3070\uff0c<span style=\"color: #000080;\"><strong>\u624b\u8853\u3092\u53d7\u3051\u308b\u304b\u3069\u3046\u304b\u306f\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u3092\u805e\u3044\u3066\u304b\u3089<\/strong><\/span>\u6c7a\u3081\u307e\u3057\u3087\u3046<\/li>\n<li>\u9ac4\u819c\u816b\u306f\u8133\u306e\u4e2d\u306b\u3067\u304d\u308b\u816b\u760d\u3068\u9055\u3063\u3066\u8133\u3092\u5207\u3089\u306a\u304f\u3066\u3082\u3068\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u306e\u3067<span style=\"color: #000000;\">\uff0c<\/span>\u614e\u91cd\u306a\u624b\u8853\u3055\u3048\u3059\u308c\u3070<span style=\"color: #000000;\"><span style=\"color: #000080;\"><strong>\u5f8c\u907a\u75c7\u304c\u6b8b\u308b\u3053\u3068\u306f\u5c11\u306a\u3044<\/strong><\/span><\/span>\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8133\u5916\u79d1\u7814\u4fee\u533b\u306e\u5148\u751f\u3067\u3082\u624b\u8853\u3067\u304d\u308b\u7c21\u5358\u306a\u3082\u306e\u304b\u3089\uff0c\u30d9\u30c6\u30e9\u30f3\u304c\u3057\u3066\u3082\u547d\u304c\u61f8\u304b\u308b\u3088\u3046\u306a\u3082\u306e\u307e\u3067\u3042\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li>\u982d\u84cb\u5e95\u306b\u3067\u304d\u305f\u3068\u304d\u3084\uff0c\u5468\u308a\u306e\u795e\u7d4c\u3084\u8840\u7ba1\u3068\u306e\u7652\u7740\u304c\u5f37\u3044\u5834\u5408\u306f\u3001\u5b8c\u5168\u306b\u6458\u308a\u304d\u308c\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3057\uff0c\u305d\u306e\u5834\u5408\u306f\u6570\u5e74\uff5e10\u5e74\u5f8c\u306b\u518d\u624b\u8853\u3068\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u85ac\uff08\u5236\u304c\u3093\u5264\uff09\u306f\u52b9\u304d\u307e\u305b\u3093\u304c\uff0c<span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6709\u52b9<\/strong><\/span>\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642 (SRS \u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306a\u3069\uff09\u3088\u308a\uff0c\u5b9a\u4f4d\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642 (IMRT, 3D-CRT\u306e\u65b9\u304c\u6709\u52b9\u6027\u304c\u9ad8\u3044\u3053\u3068\u306b\u6ce8\u610f\u3067\u3059<\/li>\n<li>\u304b\u306a\u308a\u624b\u8853\u306e\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u4f8b\u3084\u624b\u8853\u5f8c\u306e\u969c\u5bb3\uff08\u5f8c\u907a\u75c7\uff09\u304c\u4e88\u6e2c\u3055\u308c\u308b\u9ac4\u819c\u816b\u306f\uff0c\u624b\u8853\u3067\u7121\u7406\u305b\u305a\u90e8\u5206\u6458\u51fa\u3057\u3066\uff0c\u6b8b\u3063\u305f\u816b\u760d\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3068\u3044\u3046\u8003\u3048\u304c\u4e00\u822c\u7684\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c<span style=\"color: #000080;\"><strong>\u7121\u7406\u306a\u8d85\u6642\u9593\u304b\u304b\u308b\u5371\u967a\u306a\u982d\u84cb\u5e95\u624b\u8853\u306a\u3069\u306f\u3057\u306a\u3044<\/strong><\/span>\u3068\u3044\u3046\u65b9\u5411\u306b\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306b\u8a73\u3057\u3044\u533b\u5e2b\u306b\u65e9\u3081\u306b\u76f8\u8ac7\u3057\u307e\u3057\u3087\u3046<\/li>\n<\/ul>\n<h4><strong>\u7d4c\u904e\u3092\u898b\u305f\u3089\u3069\u3046\u306a\u308b\u304b<\/strong><\/h4>\n<p>Herscovici Z: Natural history of conservatively treated meningiomas. Neurology 63, <span style=\"color: #ff0000;\"><strong>2004<\/strong><\/span><br \/>\n252\u4eba\u306e\u9ac4\u819c\u816b\u306e\u60a3\u8005\u3055\u3093\u30925\u5e74\u7a0b\u5ea6\u89b3\u5bdf\u3059\u308b\u3068\uff0c3\u5206\u306e1\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u3067\u816b\u760d\u304c\u5897\u5927\u3057\u3066\uff0c3\u5206\u306e2\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u816b\u760d\u30b5\u30a4\u30ba\u304c\u5909\u308f\u3089\u306a\u3044\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u5927\u304d\u304f\u306a\u3063\u3066\u3082\u5e74\u306b3mm\u304b\u305d\u308c\u4ee5\u4e0b\u306e\u5897\u6b96\u901f\u5ea6\u3067\uff0c\u307b\u3068\u3093\u3069\u304c\u7121\u75c7\u5019\u6027\u3067\u624b\u8853\u306e\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u305d\u306e\u5f8c\u3082\u5927\u898f\u6a21\u306a\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u304c\u5927\u304d\u306a\u9055\u3044\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u305a\u3057\u3070\u3089\u304f\u7d4c\u904e\u3092\u898b\u3066\u304b\u3089\u6cbb\u7642\u3059\u308b\u304b\u3069\u3046\u304b\u306e\u5224\u65ad\u304c\u52e7\u3081\u3089\u308c\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u9ac4\u819c\u816b\u306e\u3067\u304d\u308b\u5834\u6240\u306b\u3088\u3063\u3066\u306f\u7d4c\u904e\u89b3\u5bdf\u3092\u3057\u306a\u3044\u65b9\u304c\u3044\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u305f\u3068\u3048\u3070\u8996\u795e\u7d4c\u8fd1\u508d\u306e\u9ac4\u819c\u816b\u306a\u3069\u3067\u3059\u3002\u9ad8\u5ea6\u306a\u5c02\u9580\u7684\u306a\u5224\u65ad\u304c\u5fc5\u8981\u3067\u3059\u30021\u5e74\u306b3mm\u5927\u304d\u304f\u306a\u308b\u3068\u3044\u3046\u306e\u306f\u65e9\u3044\u65b9\u3067\u3059\u3002<\/p>\n<\/div>\n<h4><strong>\u7d4c\u904e\u89b3\u5bdf\u306e\u5224\u65ad\u306f<\/strong><\/h4>\n<p class=\"title\">Islim AI:A prognostic model to personalize monitoring regimes for patients with incidental asymptomatic meningiomas. <span class=\"jrnl\" title=\"Neuro-oncology\">Neuro Oncol<\/span>. <span style=\"color: #ff0000;\"><strong>2020<\/strong><\/span><br \/>\n\u82f1\u56fd\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002441\u4eba\u306e\u9ac4\u819c\u816b\u306e\u60a3\u8005\u3055\u3093\u304c55\u30f6\u6708\uff0c\u7d046\u5e74\u307b\u3069\u8ffd\u8de1\u3055\u308c\u307e\u3057\u305f\u300244\u4f8b 10%\u3067\u9032\u884c progression\u304c\u3042\u308a\u307e\u3057\u305f\uff0c\u9006\u306b359\u4eba\u3067\u306f\u306a\u304b\u3063\u305f\u3068\u306e\u7d50\u679c\u3067\u3059\u3002\u624b\u8853\u306a\u3069\u306e\u6cbb\u7642\u3092\u53d7\u3051\u305f\u306e\u306f44\u4eba\u3067\uff0c\u767a\u898b\u66426\u4eba\uff0cprogression\u306e\u305f\u308120\u4eba\uff0cprogression\u306a\u304f\u624b\u885318\u4eba\u3067\u3057\u305f\u300257\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u3053\u306e\u9593\u306b\u4ea1\u304f\u306a\u3063\u305f\u306e\u3067\u3059\u304c\uff0c\u305d\u308c\u306f\u9ad8\u5e74\u9f62\u5c64\u3067\u9ac4\u819c\u816b\u3068\u306f\u95a2\u9023\u306e\u306a\u3044\u75be\u60a3\u3067\u3057\u305f\u3002\u7d4c\u904e\u30925\u5e74\u9593\u307f\u3066\uff0c\u9ac4\u819c\u816b\u3067\u306f\u306a\u3044\u4ed6\u306e\u75be\u60a3\u3067\u60a3\u8005\u3055\u3093\u304c\u6b7b\u4ea1\u3059\u308b\u78ba\u7387\u306f\uff0c\u9ac4\u819c\u816b\u306e\u624b\u8853\u6cbb\u7642\u306a\u3069\u304c\u5fc5\u8981\u306b\u306a\u308b\u78ba\u7387\u306e15\u500d\u3060\u305d\u3046\u3067\u3059\u3002\u9ac4\u819c\u816b\u306e\u30ea\u30b9\u30af\u306f\uff0c\u7d4c\u904e\u3092\u898b\u308b\u3068<span style=\"color: #000080;\"><strong>\u5897\u5927\u3059\u308b<\/strong><\/span>\u3082\u306e\uff0c\u816b\u760d\u304cT2\u9ad8\u4fe1\u53f7\u3068\u306a\u308b\u3082\u306e\uff08<span style=\"color: #000080;\"><strong>\u5897\u5927\u304c\u65e9\u3044<\/strong><\/span>\uff09\uff0c\u5468\u56f2\u8133\u306e\u4fe1\u53f7\u5909\u5316\uff08\u5468\u56f2\u306e<span style=\"color: #000080;\"><strong>\u8133\u6d6e\u816b\u3068\u816b\u760d\u306e\u8133\u6d78\u6f64<\/strong><\/span>\uff09\uff0c<strong><span style=\"color: #000080;\">\u91cd\u8981\u306a\u795e\u7d4c\u8840\u7ba1\u69cb\u9020\u306b\u8fd1\u63a5<\/span><\/strong>\u3059\u308b\u4f4d\u7f6e\u306e4\u3064\u306e\u8981\u7d20\u3067\u6c7a\u3081\u3089\u308c\u308b\u3068\u306e\u7d50\u679c\u3067\u3059\u3002<br \/>\n\u9032\u884c progression\u306e\u5b9a\u7fa9\u306f\uff0c\u9ac4\u819c\u816b\u306e\u6cbb\u7642\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u72b6\u6cc1\u3067\u3059\u3002\u3059\u306a\u308f\u3061\uff0c\u75c7\u72b6\u306e\u60aa\u5316\uff0c\u6b7b\u4ea1\u3059\u308b\u539f\u56e0\u3068\u306a\u308b\u72b6\u6cc1\uff0c\u8133\u6d6e\u816b\u3068\u8133\u6d78\u6f64\u306e\u5897\u60aa\uff0c\u9759\u8108\u6d1e\u5185\u3078\u306e\u6d78\u6f64\u304c\u65b0\u305f\u306b\u751f\u3058\u308b\uff0c\u4f53\u7a4d\u304c10cm3\u3092\u8d85\u3048\u3066\u304f\u308b\u306a\u3069\u306e\u5909\u5316\u3092\u3044\u3044\u307e\u3059\u3002<\/p>\n<h5>\u3053\u306e20\u5e74\u304f\u3089\u3044\u306e\u9593\u306e\u6587\u732e\u3092\u307f\u3066\u3082\u50be\u5411\u306f\u3042\u307e\u308a\u5909\u308f\u3089\u305a\uff0c\u9ac4\u819c\u816b\u306f\u767a\u898b\u3055\u308c\u3066\u3082\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u308b\u78ba\u7387\u306f\u304b\u306a\u308a\u4f4e\u3044\u3068\u8a00\u3048\u307e\u3059<\/h5>\n<hr \/>\n<h4><span style=\"color: #ff0000;\"><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6709\u52b9\u3067\u3059\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3060\u3051\u3067\u306f\u306a\u3044<\/strong><\/span><\/h4>\n<div class=\"setumei\">\n<ul>\n<li><span style=\"color: #000000;\"><span style=\"color: #000080;\"><strong>\u5c0f\u3055\u306a\u3082\u306e\u306b\u5bfe\u3057\u3066\u306f\u6709\u52b9<\/strong><\/span>\u3060\u3068\u8003\u3048\u305f\u307b\u3046\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/span><\/li>\n<li>\u307e\u305a\u7b2c\u4e00\u306b\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3060\u3051\u304c\u6709\u52b9\u3068\u3044\u3046\u308f\u3051\u3067\u306f\u306a\u304f\uff0c<span style=\"color: #000080;\"><strong>\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u65b9\u304c\u4f7f\u7528\u983b\u5ea6\u304c\u9ad8\u3044<\/strong><\/span>\u3053\u3068\u3092\u77e5\u3063\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044<\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #333333;\">\u6458\u51fa\u3067\u304d\u306a\u3044\u5834\u6240\u306b\u3067\u304d\u305f\u3082\u306e\u306b\u306f<\/span><span style=\"color: #ff0000;\"><strong>\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642<\/strong><\/span><\/span>\uff08<strong><span style=\"color: #000080;\">\u30ea\u30cb\u30a2\u30c3\u30af\u3001\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\uff0c\u30ce\u30d0\u30ea\u30b9\uff0c\u30c8\u30e2\u30c6\u30e9\u30d4\u30fc<\/span><\/strong>\uff09\u3092\u7528\u3044\u307e\u3059<\/li>\n<li>\u3069\u306e\u88c5\u7f6e\u3092\u3069\u306e\u3088\u3046\u306b\u7528\u3044\u308b\u306e\u304c\u9069\u5207\u304b\uff0c\u5224\u65ad\u3067\u304d\u308b\u533b\u5e2b\u306b\u76f8\u8ac7\u3057\u307e\u3059<\/li>\n<li>60\uff05\u304f\u3089\u3044\u3057\u304b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u610f\u898b\u3082\uff0c90\uff05\u52b9\u304f\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u30b0\u30ec\u30fc\u30c9\uff13\u3067\u306a\u3051\u308c\u3070\uff0cIMRT\u3082\u3057\u304f\u306f3D-conformal RT\u3092\u7528\u3044\u306654\u30b0\u30ec\u30a430\u5206\u5272\uff081\u56de\u7dda\u91cf1.8Gy\uff09\u306e\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642\u306795%\u307b\u3069\u306e\u5236\u5fa1\u7387\u304c\u671f\u5f85\u3067\u304d\u307e\u3059<\/li>\n<li>\u304b\u306a\u308a\u9650\u5c40\u6027\u3067\u5883\u754c\u304c\u660e\u77ad\uff0c\u5c0f\u3055\u306a\u306a\u3082\u306e\u306b\u306f\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642 SRS (\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5 \uff09\u3092\u7528\u3044\u307e\u3059<\/li>\n<li>\u3067\u3082\u305d\u308c\u306f\u9ac4\u819c\u816b\u306e\u5927\u304d\u3055\u306b\u6bd4\u4f8b\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\uff0c1\u00a0cm\u304f\u3089\u3044\u306e\u5c0f\u3055\u306a\u306e\u3082\u306e\u306a\u3089\u78ba\u5b9f\u6027\u306f\u9ad8\u3044\u3067\u3057\u3087\u3046\uff0c5 cm\u3082\u5e83\u304c\u3063\u3066\u3057\u307e\u3046\u3068\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u96e3\u3057\u3044<\/li>\n<li>\u9ac4\u819c\u816b\u306e\u5834\u6240\u306b\u3088\u3063\u3066\u5fdc\u7528\u3059\u308b\u304b\u3069\u3046\u304b\u304c\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li>\u6d77\u7dbf\u9759\u8108\u6d1e\u9ac4\u819c\u816b\u306f\u6700\u521d\u304b\u3089\u624b\u8853\u3057\u306a\u3044\u3067\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u9078\u629e\u3055\u308c\u307e\u3059<\/li>\n<li>\u8996\u795e\u7d4c\u9798\u9ac4\u819c\u816b\u306f\u8996\u529b\u306e\u826f\u3044\u3046\u3061\u306b\uff0c\u624b\u8853\u306f\u3057\u306a\u3044\u3067\u5b9a\u4f4d\u5206\u5272\u653e\u5c04\u7dda\u6cbb\u7642 50.4Gy\/28fr\u3092\u884c\u3048\u3070\u8996\u529b\u304c\u5b88\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u30b0\u30ec\u30fc\u30c92 \u975e\u5b9a\u578b\u9ac4\u819c\u816b\u306b\u306f\u6709\u52b9\u6027\u306f\u3042\u308b<\/strong><\/span>\u306e\u3067\u3059\u304c\uff0c<span style=\"color: #000080;\"><strong>\u30b0\u30ec\u30fc\u30c93\u306e\u60aa\u6027\u9ac4\u819c\u816b\u3092\u5236\u5fa1\u3059\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3067\u304d\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u30b0\u30ec\u30fc\u30c92\u3067\u624b\u8853\u3067\u5168\u90e8\u53d6\u308c\u306a\u304b\u3063\u305f\u6642\u306b\u306f\uff0c\u624b\u8853\u5f8c\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3059<\/li>\n<li>\u904b\u52d5\u91ce\u306b\u63a5\u3059\u308b\u9ac4\u819c\u816b\u306b\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u3059\u308b\u3068\uff0c\u6cbb\u308a\u306b\u304f\u3044\u3066\u3093\u304b\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>(\u309c\u0414\u309c) ! \u9ac4\u819c\u816b\u5c02\u9580\u5916\u6765\uff1f?<\/h5>\n<p>\u6700\u8fd1\u60a3\u8005\u3055\u3093\u304b\u3089\uff0c\u30cd\u30c3\u30c8\u691c\u7d22\u3067\uff0c\u9ac4\u819c\u816b\u5c02\u9580\u5bb6\u304c\u3044\u308b\u300c\u9ac4\u819c\u816b\u5916\u6765\u300d\u304c\u3042\u308b\uff0c\u3068\u3044\u3046\u8a71\u3092\u805e\u304d\u307e\u3059\u3002\u9ac4\u819c\u816b\u306e\u5c02\u9580\u5bb6\u3068\u3044\u3046\u306e\u306f\u5b58\u5728\u3057\u306a\u3044\u306e\u3067\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u3002\u9ac4\u819c\u816b\u306f\u983b\u5ea6\u306e\u9ad8\u3044\u8133\u816b\u760d\u3067\u624b\u8853\u304c\u5fc5\u8981\u306a\u3053\u3068\u304c\u591a\u3044\u306e\u3067\uff0c\u624b\u8853\u60a3\u8005\u3055\u3093\u3092\u96c6\u3081\u308b\u305f\u3081\u306e\u5ba3\u4f1d\u306e\u9053\u5177\u3068\u3057\u3066\uff0c\u5c02\u9580\u5916\u6765\u304c\u540d\u4e57\u3089\u308c\u3066\u5229\u7528\u3055\u308c\u3066\u3044\u308b\u304d\u3089\u3044\u304c\u3042\u308a\u307e\u3059\u3002\u9ac4\u819c\u816b\u5916\u6765\u3068\u66f8\u3044\u3066\u3042\u308b\u3068\u3053\u308d\u306b\u306f\u9006\u306b\u884c\u304b\u306a\u3044\u65b9\u304c\u3044\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u624b\u8853\u6cbb\u7642\u3092\u307e\u305a\u52e7\u3081\u308b\u8133\u5916\u79d1\u533b\u306e\u5148\u751f\u306f\uff1f\u3067\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\">\u5178\u578b\u7684\u306a\u9ac4\u819c\u816b<\/span><\/h5>\n<p>\u3053\u306e\u9ac4\u819c\u816b\u306f\u4e2d\u7a0b\u5ea6\u306e\u5927\u304d\u3055\u306e\u3082\u306e\u3067\u3059\u3002<span style=\"color: #000080;\"><strong>\u5186\u84cb\u90e8\u9ac4\u819c\u7a2e<\/strong><\/span>\u3068\u3044\u3046\u6700\u3082\u591a\u3044\u6700\u3082\u624b\u8853\u306e\u7c21\u5358\u306a\u30bf\u30a4\u30d7\u3067\u3059\u3002\u9ebb\u75fa\u3084\u5931\u8a9e\u75c7\u3084\u3066\u3093\u304b\u3093\u306a\u3069\u306e\u75c7\u72b6\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3068\u3066\u3082\u7f8e\u3057\u304f\u3066\u82e5\u3044\u5973\u6027\u306e\u9ac4\u819c\u816b\u3067\u3057\u305f\u304c\uff0c\u5b50\u4f9b\u306b\u907a\u4f1d\u306f\u3057\u307e\u305b\u3093\u3057\uff0c\u764c\u306a\u3069\u3068\u9055\u3063\u3066\u30bf\u30d0\u30b3\u306a\u3069\u3053\u308c\u3068\u3044\u3063\u305f\u539f\u56e0\u304c\u306a\u304f\u3066\u767a\u751f\u3059\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening28.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7600\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening28-172x200.png\" alt=\"mening28\" width=\"172\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening29.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7601\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening29-171x200.png\" alt=\"mening29\" width=\"171\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening30.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7602\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening30-175x200.png\" alt=\"mening30\" width=\"175\" height=\"200\" \/><\/a><\/p>\n<p>MRI\u3067\u306e\u9ac4\u819c\u816b\u306e\u898b\u3048\u65b9\u306f\u64ae\u5f71\u306e\u4ed5\u65b9\u306b\u3088\u3063\u3066\u3044\u308d\u3044\u308d\u3067\u3059\u3002\u5de6\u304b\u3089T1\u5f37\u8abf\u753b\u50cf\uff0cT2\u5f37\u8abf\u753b\u50cf\uff0c\u30d5\u30ec\u30a2\u753b\u50cf\u3068\u3044\u3044\u307e\u3059\u3002\u816b\u760d\u306e\u6a2a\u306b\u5c0f\u3055\u304f\u767d\u3044\u9818\u57df\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3053\u308c\u306f\u8133\u306e\u816b\u308c\u305f\u90e8\u5206\u3067\u8133\u6d6e\u816b\u3068\u3044\u3044\u307e\u3059\u3002\u9ac4\u819c\u816b\u304c\u3042\u308b\u3068\u5468\u56f2\u306b\u8133\u6d6e\u816b\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening24.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7603\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening24.png\" alt=\"mening24\" width=\"164\" height=\"197\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening25.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7604\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening25-170x200.png\" alt=\"mening25\" width=\"170\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening26.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7605\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening26.png\" alt=\"mening26\" width=\"168\" height=\"178\" \/><\/a><\/p>\n<p>\u6700\u3082\u898b\u3084\u3059\u3044\u306e\u304c\uff0c<strong><span style=\"color: #000080;\">\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264<\/span><\/strong>\u3092\u6ce8\u5c04\u3057\u3066\u64ae\u5f71\u3059\u308b\u3082\u306e\u3067\u3059\u3002\u4e00\u822c\u7684\u306b\u9ac4\u819c\u816b\u306f\u9020\u5f71\u5264\u3067\u767d\u304f\u6620\u3057\u51fa\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u816b\u760d\u306f\u5de6\u8133\u5074\u306b\u3042\u308a\u307e\u3059\u3002MRI\u306e\u8ef8\u9762\u3068\u3044\u3046\u8f2a\u5207\u308a\u306e\u5199\u771f\u3067\u306f\u5de6\u53f3\u304c\u9006\u306b\u306a\u308a\u307e\u3059\u304b\u3089\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u8133\u3092\u4e0b\u304b\u3089\u898b\u305f\u56f3\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002MRI\u306f\u3044\u308d\u3044\u308d\u306a\u65b9\u5411\u304b\u3089\u816b\u760d\u3092\u898b\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u304c\uff0c\u53f3\u306f\u51a0\u72b6\u65ad\u3068\u3044\u3046\u6b63\u9762\u304b\u3089\u898b\u305f\u56f3\u3067\u3059\u3002\u3088\u304f\u898b\u308b\u3068\u816b\u760d\u306e\u4e0a\u3068\u4e0b\u306e\u306f\u3058\u3063\u3053\u306b\u7dda\u72b6\u306b\u7cf8\u3092\u5f15\u3044\u305f\u3088\u3046\u306b\u9020\u5f71\u3055\u308c\u308b\u90e8\u5206\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3092<strong><span style=\"color: #000080;\">\u30c6\u30fc\u30eb\u30b5\u30a4\u30f3<\/span><\/strong>\uff08\u3057\u3063\u307d\u306e\u30b5\u30a4\u30f3\uff09\u3068\u3044\u3044\u307e\u3059\u3002\u816b\u760d\u304c\u786c\u819c\u306b\u6cbf\u3063\u3066\u5ef6\u3073\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening22.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7606\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening22-200x200.png\" alt=\"mening22\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening23.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7607\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening23-200x200.png\" alt=\"mening23\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u624b\u8853\u5f8c\u306eMRI\u3067\u3059\u3002\u816b\u760d\u306f\u5168\u90e8\u53d6\u308c\u3066\u3044\u3066\u5f8c\u907a\u75c7\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u5727\u8feb\u3055\u308c\u3066\u5909\u5f62\u3057\u3066\u3044\u305f\u8133\u306f\u304d\u308c\u3044\u306b\u5143\u306b\u623b\u3063\u3066\u3044\u307e\u3059\u3057\u8133\u6d6e\u816b\u3082\u6d88\u3048\u307e\u3057\u305f\u3002\u4e00\u822c\u7684\u306b\u82e5\u3044\u4eba\u306e\u8133\u307b\u3069\u304d\u308c\u3044\u306b\u5143\u306b\u623b\u308a\u307e\u3059\u3002\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\uff0c\u5c11\u3057\u3067\u3082\u53d6\u308a\u6b8b\u3057\u305f\u5834\u5408\u306b\u306f\uff0c\u4f55\u5e74\u304b\u5f8c\u306b10%-20%\u304f\u3089\u3044\u3067\u518d\u767a\u304c\u3042\u308b\u3053\u3068\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u5b8c\u5168\u306b\u53d6\u308c\u305f\u6642\u306e\u518d\u767a\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<hr \/>\n<h4><span style=\"color: #000080;\">\u624b\u8853\u5f8c\u306e\u518d\u767a\u306f\uff1f<\/span><\/h4>\n<p>\u624b\u8853\u3067\u3068\u308a\u5207\u308c\u305f\u3068\u601d\u3063\u3066\u3082\u518d\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3057\uff0c\u624b\u8853\u3067\u6b8b\u3063\u305f\u816b\u760d\u304c\u4f55\u5e74\u3082\u5168\u304f\u5927\u304d\u304f\u306a\u3063\u3066\u6765\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u624b\u8853\u3067\u5b8c\u5168\u6458\u51fa\u3057\u305f\u3068\u3044\u308f\u308c\u3066\u3082\uff0c10\u5e74\u304f\u3089\u3044\u898b\u308b\u3068\u6570%\u3067\u518d\u767a\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u601d\u3063\u305f\u65b9\u304c\u3044\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/mening\/meninMIB.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/mening\/meninMIB.png\" alt=\"MIB-1\uff08\u30df\u30d6\uff09\" width=\"425\" height=\"332\" \/><\/a><\/p>\n<p>\u518d\u767a\u3092\u4e88\u60f3\u3059\u308b\u306e\u306b\u306f\uff0c\u75c5\u7406\u306e\u6240\u898b\u3092\u898b\u307e\u3059\u3002 \u4e0a\u306e\u5199\u771f\u304cMIB-1\uff08<span style=\"color: #ff0000;\"><strong>\u30df\u30d6\u30ef\u30f3<\/strong><\/span>\uff09\u3068\u3044\u3046\u306e\u3092\u67d3\u8272\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u7d30\u80de\u306e\u6838\u304c\u9752\u304f\u67d3\u307e\u3063\u3066\u3044\u308b\u306e\u306f\u7d30\u80de\u304c\u5897\u3048\u306a\u3044\u3002\u6fc3\u3044\u8336\u8272\u306b\u67d3\u307e\u3063\u3066\u3044\u308b\u306e\u306f\u7d30\u80de\u304c\u5897\u3048\u3088\u3046\u3068\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u3053\u306e\u30df\u30d6\u304c\u591a\u304f\u67d3\u307e\u3063\u3066\u3044\u308b\u3068\u518d\u767a\u3057\u6613\u3044\u9ac4\u819c\u816b\u3068\u3044\u3048\u307e\u3059\u3002\u3053\u306e\u5199\u771f\u306e\u816b\u760d\u306f5%\u304f\u3089\u3044\u67d3\u307e\u3063\u3066\u3044\u308b\u306e\u3067\uff0c\u518d\u767a\u3059\u308b\u3042\u308b\u3044\u306f\u6b8b\u3063\u3066\u3044\u308b\u9ac4\u819c\u816b\u304c\u5927\u304d\u304f\u306a\u308b\u78ba\u7387\u304c\u9ad8\u3044\uff08\u975e\u5b9a\u578b\u9ac4\u819c\u816b\u30b0\u30ec\u30fc\u30c9\uff12\uff09\u3068\u5224\u65ad\u3057\u307e\u3059\u3002\u6b63\u78ba\u306b\u306f\uff0c\u30b0\u30ec\u30fc\u30c92 \u306f\u5f37\u62e1\u30674\u500b\u4ee5\u4e0a\u306e\u6838\u5206\u88c2\u50cf\u304c\u3042\u308b\u3068\u5b9a\u7fa9\u3055\u308c\u307e\u3059\u3002<\/p>\n<h4>\u60aa\u6027\u306e\u9ac4\u819c\u816b\u306e\u983b\u5ea6\u306f\uff1f 2015\u5e74\u7c73\u56fd\u306e\u7d71\u8a08<\/h4>\n<h5>\u30b0\u30ec\u30fc\u30c91\u300094.6% \u00a0\u3000\u3068\u308c\u308c\u3070\u6cbb\u308b<\/h5>\n<h5><span style=\"color: #ff0000;\">\u30b0\u30ec\u30fc\u30c92 \u00a0 4.2%<\/span>\u3000\u3000 \u518d\u767a\u7387\u304c\u9ad8\u3044<\/h5>\n<h5><span style=\"color: #ff0000;\">\u30b0\u30ec\u30fc\u30c93 \u00a0 1.2%<\/span> \u00a0\u3000 \u00a0\u672c\u5f53\u306e\u60aa\u6027\uff0c\u8089\u816b<\/h5>\n<h4>\u8133\u6d6e\u816b\uff08\u8133\u306e\u306f\u308c\uff09<\/h4>\n<ul>\n<li>\u9ac4\u819c\u816b\u304c\u767a\u898b\u3055\u308c\u308b\u3068\u300c\u307e\u308f\u308a\u306e\u8133\u304c\u816b\u308c\u3066\u3044\u308b\u300d\u3068\u8aac\u660e\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u3092\u816b\u760d\u5468\u8fba\u8133\u6d6e\u816b peritumoral brain edema \u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306e20-30%\u304f\u3089\u3044\u3067\u307f\u3089\u308c\u307e\u3059<\/li>\n<li>\u8133\u6d6e\u816b\u304c\u5f37\u3044\u3068\uff0c\u306f\u308c\u3066\u3044\u308b\u90e8\u5206\u306e\u8133\u306e\u6a5f\u80fd\u304c\u843d\u3061\u307e\u3059<\/li>\n<li>\u8a8d\u77e5\u75c7\uff0c\u611f\u899a\u969c\u5bb3\uff0c\u904b\u52d5\u9ebb\u75fa\uff0c\u5931\u8a9e\u75c7\uff0c\u3066\u3093\u304b\u3093\u767a\u4f5c\u306a\u3069\u306e\u75c7\u72b6\u304c\u51fa\u3084\u3059\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u304c\u5168\u90e8\u3068\u308c\u308b\u3068\uff0c\u3053\u306e\u8133\u306e\u816b\u308c\u3082\u6d88\u3048\u307e\u3059<\/li>\n<li>\u816b\u760d\u8840\u7ba1\u304c\u5897\u3048\u308b\u6642\u306bVEGF\u304c\u7523\u751f\u3055\u308c\u308b\u305f\u3081\u306b\uff0c\u8133\u306e\u7d30\u8840\u7ba1\u306e\u900f\u904e\u6027\u304c\u4ea2\u9032\u3057\u3066\uff0c\u8840\u6db2\u306e\u4e2d\u306e\u8840\u6f3f\u6210\u5206\u304c\u8133\u7d44\u7e54\u306e\u4e2d\u306b\u6f0f\u308c\u51fa\u308b\u3053\u3068\u304c\u539f\u56e0\u3067\u3059<\/li>\n<\/ul>\n<hr \/>\n<p><!--\n\n\n<h3><span style=\"color: #000080;\"><strong>\u6fa4\u6751\u3078\u306e\u3054\u76f8\u8ac7\u306f\u3057\u3070\u3089\u304f\u304a\u4f11\u307f\u3057\u307e\u3059<\/strong><\/span><\/h3>\n\n\n--><br \/>\n<!--\n\n\n<h3><span style=\"color: #000080;\"><strong>\u9ac4\u819c\u816b\u306b\u95a2\u3059\u308b<a style=\"color: #000080;\" href=\"\/sawamura\/home\/returnform\/\">\u6fa4\u6751\u3078\u306e\u3054\u76f8\u8ac7\u306f\u3053\u3061\u3089\u304b\u3089\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/strong><\/span><\/h3>\n\n\n\u5358\u7d14\u306a\u304a\u554f\u3044\u5408\u308f\u305b\u306f\u30e1\u30fc\u30eb\u3067\u3057\u307e\u3059\u3002\u753b\u50cf\u306a\u3069\u3092\u898b\u308b\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u3082\u53d7\u3051\u4ed8\u3051\u3066\u3044\u307e\u3059\u3002\n--><\/p>\n<\/div>\n<h1><a href=\"\/sawamura\/casestudy\/meningcases\/\">\u3044\u308d\u3044\u308d\u306a\u9ac4\u819c\u816b\u3092\u898b\u305f\u3044\u65b9\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/h1>\n<h1><span style=\"color: #000080; font-size: 16.801679611206055px;\">\u3053\u3053\u304b\u3089\u4e0b\u306f\u96e3\u3057\u3044\u3067\u3059<\/span><\/h1>\n<div class=\"setumei\">\n<hr \/>\n<h5 style=\"text-align: left;\"><strong>\u30e1\u30cb\u30f3\u30b8\u30aa\u30fc\u30de\u30fb\u30ae\u30e3\u30e9\u30ea\u30fc<\/strong><\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening11.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7611\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening11-300x281.png\" alt=\"mening1\" width=\"300\" height=\"281\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening11-300x281.png 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening11.png 315w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening21.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7612\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening21-270x300.png\" alt=\"mening2\" width=\"270\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening21-270x300.png 270w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening21.png 283w\" sizes=\"auto, (max-width: 270px) 100vw, 270px\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening6.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7613\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening6.png\" alt=\"mening6\" width=\"283\" height=\"295\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening3.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7614\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening3.png\" alt=\"mening3\" width=\"272\" height=\"290\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening32.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7615\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening32-293x300.png\" alt=\"mening32\" width=\"293\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening32-293x300.png 293w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening32-550x562.png 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening32.png 665w\" sizes=\"auto, (max-width: 293px) 100vw, 293px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening4.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7616\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening4.png\" alt=\"mening4\" width=\"283\" height=\"297\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening5.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7617\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening5-283x300.png\" alt=\"mening5\" width=\"283\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening5-283x300.png 283w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening5.png 295w\" sizes=\"auto, (max-width: 283px) 100vw, 283px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening33.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7618\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening33-297x300.png\" alt=\"mening33\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening33-297x300.png 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening33-550x556.png 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening33.png 607w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening7.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7619\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening7-286x300.png\" alt=\"mening7\" width=\"286\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening7-286x300.png 286w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening7.png 295w\" sizes=\"auto, (max-width: 286px) 100vw, 286px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening111.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7620\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening111-256x300.png\" alt=\"mening11\" width=\"256\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening111-256x300.png 256w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening111.png 283w\" sizes=\"auto, (max-width: 256px) 100vw, 256px\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening10.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7621\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening10.png\" alt=\"mening10\" width=\"283\" height=\"290\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening9.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7622\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening9-280x300.png\" alt=\"mening9\" width=\"280\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening9-280x300.png 280w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening9.png 283w\" sizes=\"auto, (max-width: 280px) 100vw, 280px\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening12.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7623\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening12.png\" alt=\"mening12\" width=\"295\" height=\"291\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening13.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7624\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening13.png\" alt=\"mening13\" width=\"283\" height=\"293\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening8.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7625\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening8-279x300.png\" alt=\"mening8\" width=\"279\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening8-279x300.png 279w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening8.png 318w\" sizes=\"auto, (max-width: 279px) 100vw, 279px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening161.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7627\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening161.png\" alt=\"mening16\" width=\"279\" height=\"298\" \/><\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7628\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening31.png\" alt=\"mening31\" width=\"274\" height=\"303\" \/><\/p>\n<h4>\uff18\u5e74\u9593\u306e\u89b3\u5bdf\u3067\u5927\u304d\u304f\u306a\u3089\u306a\u304b\u3063\u305f\u9ac4\u819c\u7a2e\uff08\u5de61996\u5e74\uff0c\u53f32004\u5e74\uff09<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7631\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening211.png\" alt=\"mening21\" width=\"283\" height=\"297\" \/><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening20.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7632\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/mening20.png\" alt=\"mening20\" width=\"283\" height=\"296\" \/><\/a><\/p>\n<p>\u3073\u3063\u304f\u308a\u3059\u308b\u304f\u3089\u3044\u5927\u304d\u3044\u9ac4\u819c\u816b\u3067\u3082\u7d4c\u904e\u3092\u898b\u3066\u3088\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/p>\n<h4>\u534a\u5e74\u3067\u5927\u304d\u304f\u306a\u3063\u305f\u30b0\u30ec\u30fc\u30c92\u306e\u975e\u5b9a\u578b\u9ac4\u819c\u816b<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13096\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy1-291x300.jpg\" alt=\"\" width=\"291\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy1-291x300.jpg 291w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy1-768x791.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy1-550x566.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy1.jpg 850w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13097\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy2-284x300.jpg\" alt=\"\" width=\"284\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy2-284x300.jpg 284w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy2-768x810.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy2-550x580.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/atypicalmeningiomahy2.jpg 850w\" sizes=\"auto, (max-width: 284px) 100vw, 284px\" \/><\/a><\/p>\n<p>50\u4ee3\u7537\u6027\u306b\u7121\u75c7\u72b6\u306e\u9ac4\u819c\u816b\u304c\u898b\u3064\u304b\u308a\u307e\u3057\u305f\u3002\u53f3\u5074\u306f6\u30f6\u6708\u5f8c\u306eMRI\u3067\uff0c\u534a\u5e74\u306e\u7d4c\u904e\u3067\u304b\u306a\u308a\u65e9\u304f\u5927\u304d\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u3067\u3082\u3053\u306e\u3088\u3046\u306a\u3082\u306e\u306f\u7a00\u3067\uff0c\u307b\u3068\u3093\u3069\u306e\u9ac4\u819c\u816b\u306f\u534a\u5e74\u304f\u3089\u3044\u3067\u306f\u76ee\u7acb\u3063\u3066\u5927\u304d\u304f\u306a\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u60a3\u8005\u3055\u3093\u306eMIB-1\u306f8%\u3067\uff0c\u30b0\u30ec\u30fc\u30c9\uff12\u975e\u5b9a\u578b\u9ac4\u819c\u816b\u3067\u3057\u305f\u3002\u3053\u3093\u306a\u3082\u306e\u3067\u3082\u5168\u90e8\u53d6\u308c\u308c\u3070\u6cbb\u308b\u306e\u3067\u5fc3\u914d\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>15\u5e74\u9593\u3067\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u3063\u305f\u30b0\u30ec\u30fc\u30c9\uff11\u306e\u826f\u6027\u9ac4\u819c\u816b<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13413\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate1-296x300.jpg\" alt=\"\" width=\"296\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate1-296x300.jpg 296w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate1-550x558.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate1.jpg 709w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-13414\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate3-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate3-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate3-550x534.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomate3.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>1998\u5e74\u306b\u30c6\u30f3\u30c8\u306b\u3054\u304f\u5c0f\u3055\u306a\u9ac4\u819c\u816b\u304c\u767a\u898b\u3055\u308c\u307e\u3057\u305f\u3002\u5de6\u306f\uff0c\u305d\u306e7\u5e74\u5f8c\u306eMRI\u3067\u5c11\u3057\u5927\u304d\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u53f3\u306f\uff0c\u305d\u306e\u3055\u3089\u306b8\u5e74\u5f8c\u306eMRI\u3067\u307e\u305f\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u30b0\u30ec\u30fc\u30c91\u306e\u9ac4\u819c\u816b\u306e15\u5e74\u9593\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u7d4c\u904e\u89b3\u5bdf\u3067\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u3063\u3066\u3082\u614c\u3066\u306a\u3044\u3067\uff0c\u3055\u3089\u306b\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3082\u3044\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4><span style=\"color: #000080;\">\u624b\u8853\u5f8c\u306e\u5408\u4f75\u75c7\u3068\u3057\u3066\u306e\u611f\u67d3<\/span><\/h4>\n<ul>\n<li>\u9ac4\u819c\u816b\u306f\uff0c\u8133\u306e\u819c\u3067\u3042\u308b\u786c\u819c\u3084\u982d\u84cb\u9aa8\u306b\u816b\u760d\u304c\u6d78\u6f64\uff08\u7d30\u80de\u304c\u3057\u307f\u8fbc\u3080\uff09\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u816b\u760d\u3068\u4e00\u7dd2\u306b\uff0c\u786c\u819c\u3084\u982d\u84cb\u9aa8\u3092\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u305d\u3046\u3059\u308b\u3068\uff0c\u6b20\u640d\u3057\u305f<strong><span style=\"color: #000080;\">\u786c\u819c\u3084\u982d\u84cb\u9aa8\u3092\u88dc\u586b<\/span><\/strong>\uff08\u4ed6\u306e\u3082\u306e\u306b\u7f6e\u304d\u63db\u3048\u308b\uff09\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u786c\u819c\u306e\u5834\u5408\u306f\uff0c\u4eba\u5de5\u786c\u819c\uff08\u30b4\u30a2\u30c3\u30c6\u30c3\u30af\u30b9\uff0c\u30b7\u30fc\u30e0\u30c7\u30e5\u30e9\uff09\u306a\u3069\u3092\u7528\u3044\u305f\u308a\uff0c\u5927\u817f\u7b4b\u819c\uff0c\u982d\u84cb\u9aa8\u819c\u3092\u4f7f\u3063\u305f\u308a\u3057\u307e\u3059\u3002<\/li>\n<li>\u4eba\u5de5\u786c\u819c\u306f\u7570\u7269\u3067\u3059\u304b\u3089\uff0c\u7d30\u83cc\u611f\u67d3\u306e\u539f\u56e0\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u3053\u306e\u611f\u67d3\u306f\u8853\u5f8c\u6570\u9031\u9593\u3067\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u8853\u5f8c\u6570\u5e74\u3067\u304a\u3053\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000000;\">\u3068\u304f\u306b\u30b4\u30a2\u30c6\u30c3\u30af\u30b9\u306e\u611f\u67d3\u306f\u305f\u304f\u3055\u3093<\/span>\u307f\u307e\u3057\u305f<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u30b4\u30a2\u30c6\u30c3\u30af\u30b9\u306b\u611f\u67d3\u304c\u751f\u3058\u305f\u5834\u5408\u306b\u306f\u305d\u308c\u3092\u9664\u53bb\u3057\u306a\u3044\u3068\u4f55\u5ea6\u3082\u611f\u67d3\u3092\u7e70\u308a\u8fd4\u3057\u307e\u3059<\/strong><\/span><\/li>\n<li>\u982d\u76ae\u3084\u9aa8\u5f01\u306e\u611f\u67d3\u3068\u9593\u9055\u3048\u3066\u30b4\u30a2\u30c3\u30c6\u30c3\u30af\u30b9\u3092\u53d6\u308a\u9664\u304b\u306a\u3044\u3067\u611f\u67d3\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u3082\u3057\u3070\u3057\u3070\u3067\u3059<\/li>\n<li>\u9ac4\u819c\u708e\u304c\u306a\u304f\u3066\u4eba\u5de5\u786c\u819c\u304c\u611f\u67d3\u3057\u305f\u5834\u5408\u306b\u306f\u5358\u306b\u305d\u308c\u3068\u9aa8\u5f01\u3092\u53d6\u308a\u9664\u304f\u3060\u3051\u3067\u3044\u3044\u306e\u3067\u3059\u304c\uff0c\u786c\u819c\u304c\u306a\u3044\u3053\u3068\u3092\u5fc3\u914d\u3057\u3066\u307e\u305f\u65b0\u305f\u306a\u4eba\u5de5\u786c\u819c\u3092\u304a\u3044\u3066\u304f\u308b\u3068\u305d\u308c\u306b\u307e\u305f\u611f\u67d3\u3057\u307e\u3059<\/li>\n<li>\u30b7\u30fc\u30e0\u30c7\u30e5\u30e9\u3082\u7570\u7269\u3067\u3059\u3002<\/li>\n<li>\u79c1\u81ea\u8eab\u306f\u5927\u817f\u7b4b\u819c\u3092\u4f7f\u3063\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3057\uff0c\u5927\u817f\u90e8\u306e\u50b7\u8de1\u304c\u3064\u3089\u3044\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>\u5e38\u306b\uff0c<span style=\"color: #000080;\"><strong>\u958b\u982d\u90e8\u3084\u305d\u306e\u5468\u8fba\u304b\u3089\u63a1\u53d6\u3067\u304d\u308b\u982d\u84cb\u9aa8\u819c pericranium<\/strong><\/span>\uff08\u7570\u7269\u3067\u306f\u306a\u3044\u81ea\u5bb6\u7d44\u7e54\uff09\u3067\u786c\u819c\u306e\u6b20\u640d\u90e8\u3092\u8986\u3063\u3066\u3044\u307e\u3059\uff0c\u76f8\u5f53\u306b\u5927\u304d\u306a\u786c\u819c\u6b20\u640d\u3082\u3053\u308c\u3067\u5bfe\u5fdc\u3067\u304d\u307e\u3059\u3002<\/li>\n<li>\u982d\u84cb\u9aa8\u306e\u88dc\u586b\u306b\u306f\uff0c\u304b\u3064\u3066\u306f\u30a2\u30af\u30ea\u30eb\u30ea\u30b8\u30f3\u304c\u3082\u3063\u3068\u3082\u3088\u304f\u7528\u3044\u3089\u308c\u307e\u3057\u305f\u304c\u611f\u67d3\u304c\u591a\u3044\u3082\u306e\u3067\u3057\u305f<\/li>\n<li>\u3068\u304f\u306b\u9f3b\u8154\uff0c\u8033\u8154\u306e\u8fd1\u304f\u306b\u4eba\u5de5\u9aa8\u3092\u304a\u304f\u3068\u611f\u67d3\u3092\u8a98\u767a\u3057\u307e\u3059<\/li>\n<li>\u30c1\u30bf\u30f3\u30e1\u30c3\u30b7\u30e5\uff0c\u30bb\u30e9\u30df\u30c3\u30af\/\u30cf\u30a4\u30c9\u30ed\u30ad\u30b7\u30a2\u30d1\u30bf\u30a4\u30c8\uff08\u30a2\u30d1\u30bb\u30e9\u30e0\uff0c\u30bb\u30e9\u30bf\u30a4\u30c8\uff09\uff0c\u30dd\u30ea\u30a8\u30c1\u30ec\u30f3\uff08\u30af\u30e9\u30cb\u30aa\u30d5\u30a3\u30c3\u30c8\uff09\u306a\u3069\u3082\uff0c\u4eba\u5de5\u982d\u84cb\u9aa8\u3067\u3059\u304b\u3089\u300c\u7570\u7269\u300d\u3067\u3059<\/li>\n<li>\u5c0f\u3055\u306a\u9aa8\u6b20\u640d\u3067\u306f\u30d0\u30a4\u30aa\u30da\u30c3\u30af\u30b9\u3068\u3044\u3046\u6750\u6599\u304c\u7528\u3044\u3089\u308c\u307e\u3059<\/li>\n<li>\u30c1\u30bf\u30f3\u30e1\u30c3\u30b7\u30e5\u306f\u6570\u5e74\u3067\u76ae\u819a\u306b\u53d6\u308a\u8fbc\u307e\u308c\u3066\u6bdb\u6839\u3092\u4fb5\u3057\uff0c\u76ae\u819a\u304c\u83f2\u8584\u5316\u3059\u308b\u3068\u3044\u3046\u9045\u767a\u6027\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306e\u6d78\u6f64\u3057\u3066\u3044\u308b\u9aa8\u5f01\u3092\u6368\u3066\u306a\u3044\u3067\uff0c\u624b\u8853\u4e2d\u306b\u71b1\u51e6\u7406\u3057\u3066\u9ac4\u819c\u816b\u306e\u7d30\u80de\u3092\u6b7b\u6ec5\u3055\u305b\u3066\uff0c\u5143\u306b\u623b\u3059\u3068\u3044\u3046\u65b9\u6cd5\u304c\u6709\u7528\u3067\u3059<\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\"><strong>\u3068\u306b\u304b\u304f\u7570\u7269\u3092\u6b8b\u3057\u3066\u3053\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u8853\u5f8c\u611f\u67d3\u75c7\u3092\u6e1b\u5c11\u3055\u305b\u308b\u30b3\u30c4\u3067\u3059<\/strong><\/span><\/h5>\n<h4><span style=\"color: #ff0000;\"><strong>\u81ea\u5df1\u8f38\u8840<\/strong><\/span><\/h4>\n<ul>\n<li>\u81ea\u5df1\u8f38\u8840\u306b\u306f\uff0c\u8853\u76f4\u524d\u63a1\u8840\u30fb\u8840\u6db2\u5e0c\u91c8\u6cd5\uff08\u5e0c\u91c8\u6cd5\uff09\u3001\u51fa\u8840\u56de\u53ce\u6cd5\uff08\u56de\u53ce\u6cd5\uff09\u3001\u8caf\u8840\u5f0f\u81ea\u5df1\u8840\u8f38\u8840\u6cd5\uff08\u8caf\u8840\u6cd5\uff09\u306e3\u3064\u306e\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306e\u624b\u8853\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u8caf\u8840\u6cd5<\/strong><\/span>\u3068<strong><span style=\"color: #000080;\">\u5e0c\u91c8\u6cd5<\/span><\/strong>\u304c\u5229\u7528\u3055\u308c\u307e\u3059<\/li>\n<li>\u8caf\u8840\u6cd5\u3068\u3044\u3046\u306e\u306f\uff0c\u624b\u8853\u6570\u9031\u9593\u524d\u304b\u30892\u30f6\u6708\u524d\u304f\u3089\u3044\u306b1\u56de\u304b2\u56de\u63a1\u8840\u3057\u3066\u3001\u5168\u8840\u3092\u51b7\u51cd\u4fdd\u640d\u3058\u3066\u304a\u3044\u3066\u624b\u8853\u51fa\u8840\u6642\u306b\u4f7f\u3046\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u5e0c\u91c8\u6cd5\u3068\u306f\uff0c\u624b\u8853\u5ba4\u3067\u5168\u8eab\u9ebb\u9154\u304c\u958b\u59cb\u3055\u308c\u305f\u3059\u3050\u5f8c\u306b\u3001400 ml -1,000 ml \u306e\u81ea\u5df1\u8840\u3092\u63a1\u8840\u3057\u3066\u540c\u91cf\u306e\u8f38\u6db2\u3057\u3066\u4f53\u5185\u306e\u8840\u6db2\u3092\u8584\u3081\u308b\u65b9\u6cd5\u3067\uff0c\u624b\u8853\u4e2d\u306b\u5fc5\u7528\u306b\u5fdc\u3058\u3066\u3053\u306e\u8840\u6db2\u3092\u3082\u3069\u3057\u8f38\u8840\u3057\u307e\u3059<\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\">\u5b9f\u969b\u306b\u9ac4\u819c\u816b\u306e\u624b\u8853\u3067\u81ea\u5df1\u8f38\u8840\u304c\u5fc5\u7528\u3068\u306a\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\uff0c\u305d\u308c\u304c\u5fc5\u7528\u306a\u306e\u306f\u51fa\u8840\u306e\u591a\u3044\u624b\u8853\u3092\u3057\u3066\u3057\u307e\u3046\u304b\u3089\u3067\u3059\uff08\u5916\u79d1\u533b\u306e\u6280\u8853\u304c\u8db3\u308a\u306a\u3044\uff09<br \/>\n\u3082\u3057\u884c\u3046\u3068\u3057\u3066\u3082\u5e0c\u91c8\u6cd5\u3067\u9ebb\u9154\u5c0e\u5165\u6642\u306e\u63a1\u8840\u3067\u5341\u5206\u3067\u3059\uff0c<\/span><span style=\"color: #000080;\">\u624b\u8853\u5165\u9662\u306e\u524d\u306b\u81ea\u5df1\u8840\u63a1\u8840\u3092\u3059\u308b\u5fc5\u7528\u306f\u3042\u308a\u307e\u305b\u3093<\/span><\/h5>\n<hr \/>\n<h1><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"\/sawamura\/pathocase\/pathologymeningioma\/\">\u9ac4\u819c\u816b\u306e\u75c5\u7406\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/span><\/h1>\n<hr \/>\n<h3><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"\/sawamura\/casestudy\/%e9%ab%84%e8%86%9c%e8%85%ab%e7%97%87-meningiomatosis\/\">\u982d\u306e\u4e2d\u306b\u305f\u304f\u3055\u3093\u306e\u9ac4\u819c\u816b\u304c\u3067\u304d\u308b\u75c5\u6c17<br \/>\n\u9ac4\u819c\u816b\u75c7 meningiomatosis \u306f\u5225\u306e\u30da\u30fc\u30b8\u3067\u3059\u304b\u3089\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/span><\/h3>\n<hr \/>\n<h5>\u3053\u308c\u304b\u3089\u4e0b\u306f\u5c02\u9580\u7684\u8a18\u8ff0\u3067\u3059<\/h5>\n<h4><span style=\"font-size: medium;\"><strong>\u75c5\u56e0\u30fb\u75c5\u7406<\/strong><\/span><\/h4>\n<ul>\n<li>\u9ac4\u819c\u816b\u306f\u9ac4\u819c meninges\u3088\u308a\u767a\u751f\u3057\u305f\u816b\u760d\u3068\u3044\u3046\u610f\u5473\u3067\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u304c\uff0c\u7d44\u7e54\u5b66\u7684\u306b\u306f\uff0c\u304f\u3082\u819c\u7d30\u80de\uff0c\u7dda\u7dad\u82bd\u7d30\u80de\u3042\u308b\u3044\u306f\u9ac4\u819c\u8840\u7ba1\u7d44\u7e54\u3088\u308a\u767a\u751f\u3059\u308b\u3082\u306e\u304c\u542b\u307e\u308c\u308b\u306e\u3067\uff0cWHO\u5206\u985e\u306e\u4e9c\u578b\u306b\u898b\u3089\u308c\u308b\u3088\u3046\u306a\u69d8\u3005\u306a\u7d44\u7e54\u50cf\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306f\uff0cRNA polymerase II\u3092\u30b3\u30fc\u30c9\u3059\u308b<strong><span style=\"color: #000080;\"><i>POLR2A<\/i>\u907a\u4f1d\u5b50\u7570\u5e38\u306a\u3069<\/span><\/strong>\u3088\u3063\u3066\u767a\u751f\u3057\u307e\u3059\u304c\uff0c\u3044\u308d\u3044\u308d\u306a\u907a\u4f1d\u95a2\u4e0e\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u767a\u751f\u983b\u5ea6\u306f\u539f\u767a\u6027\u8133\u816b\u760d\u306e20\uff05\u307b\u3069\u3067\uff0c\u795e\u7d4c\u81a0\u816b\u3068\u5171\u306b\u983b\u5ea6\u306e\u9ad8\u3044\u816b\u760d\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u597d\u767a\u5e74\u9f62\u306f40\u6b73\u4ee3\uff0c50\u6b73\u4ee3\u3067\u5973\u6027\u306b\u591a\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5973\u6027\u30db\u30eb\u30e2\u30f3\uff08\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u88fd\u5264\u306a\u3069\uff09\u306e\u6295\u4e0e\u304c\u767a\u751f\u30ea\u30b9\u30af\u3068\u306a\u308b<\/strong><\/span>\u3053\u3068\u306f\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u8fd1\u5e74\u5897\u52a0\u306e\u50be\u5411\u306b\u3042\u308b\u306e\u306f\uff0cMRI\u306e\u666e\u53ca\u3068\u4f34\u306b\u7121\u75c7\u5019\u6027\u9ac4\u819c\u816b\u306e\u767a\u898b\u983b\u5ea6\u304c\u98db\u8e8d\u7684\u306b\u5897\u52a0\u3057\u305f\u305f\u3081\u3067\u3059<\/li>\n<li>\u767a\u751f\u90e8\u4f4d\u3068\u3057\u3066\u306f\u508d\u77e2\u72b6\u6d1e\u90e8\uff0c\u5186\u84cb\u90e8\uff0c\u5927\u8133\u938c\uff0c\u8776\u5f62\u9aa8\u7e01\uff0c\u978d\u7d50\u7bc0\u90e8\uff0c\u55c5\u7aa9\uff0c\u30c6\u30f3\u30c8\uff0c\u5c0f\u8133\u6a4b\u89d2\u90e8\uff0c\u4e2d\u982d\u84cb\u7aa9\u306a\u3069\u304c\u3042\u308a\uff0c\u305f\u3068\u3048\u3070\u524d\u982d\u5186\u84cb\u90e8\u9ac4\u819c\u816b\u306e\u3054\u3068\u304f\uff0c\u305d\u308c\u305e\u308c\u306e\u90e8\u4f4d\u306b\u9ac4\u819c\u816b\u3068\u3044\u3046\u8a9e\u3092\u3064\u3051\u3066\u8a3a\u65ad\u540d\u3068\u3057\u3066\u7528\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u508d\u77e2\u72b6\u6d1e\u90e8\uff0c\u5186\u84cb\u90e8\uff0c\u5927\u8133\u938c<\/strong><\/span>\u3092\u5408\u308f\u305b\u308b\u3068\u9ac4\u819c\u816b\u306e\u534a\u5206\u4ee5\u4e0a\u3092\u5360\u3081\u307e\u3059<\/li>\n<li>\u75c5\u7406\u8a3a\u65ad\u3067\u6700\u3082\u7279\u5fb4\u7684\u306a\u7d44\u7e54\u5b66\u7684\u69cb\u9020\u7269\u306f\u6e26\u5dfb\u5f62\u6210<span style=\"color: #000080;\"><strong> whole formation<\/strong><\/span>\u3067\uff0c\u77f3\u7070\u6c88\u7740\u3067\u3042\u308b\u7802\u7c92\u4f53 <strong><span style=\"color: #000080;\">psammoma body<\/span><\/strong>\u306e\u5b58\u5728\u3082\u8a3a\u65ad\u306e\u624b\u304c\u304b\u308a\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>1\u3064\u306e\u816b\u760d\u306e\u4e2d\u306b\u5148\u306b\u3042\u3052\u305f\u30bf\u30a4\u30d7\u304c\u6df7\u5728\u3057\u3066\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059<\/li>\n<li>\u307b\u3068\u3093\u3069\u306e\u4f8b\u304c\u826f\u6027\u3067\u5b64\u767a\u6027\u3067\u3059\u304c\uff0c<strong><span style=\"color: #000080;\">\u9ac4\u819c\u816b\u306e2\uff05\u7a0b\u5ea6\u306b\u60aa\u6027\u9ac4\u819c\u816b<\/span><\/strong> malignant meningioma\u3068\u3055\u308c\u308b\u3082\u306e\u304c\u5b58\u5728\u3057\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u795e\u7d4c\u7dda\u7dad\u816b\u75c7\uff12\u578b(NF-2)\u306f\u591a\u767a\u6027\u9ac4\u819c\u816b<\/span><\/strong>\uff08\u9ac4\u819c\u816b\u75c7 meningiomatosis\uff09\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4 class=\"style1\"><strong><span style=\"color: #ff0000;\">WHO\u5206\u985e (2007\u5e74)<\/span><\/strong><\/h4>\n<ul>\n<li><strong><span style=\"color: #ff0000;\">Grade I<\/span><\/strong>\uff1a<strong><span style=\"color: #000080;\">meningothlial, fibrous (fibroblastic), transitional (mixed), psammomatous, \u00a0angiomatous, microcystic, secretory, lymphoplasmacyte-rich, and metaplastic meningiomas<\/span><\/strong><\/li>\n<li><strong><span style=\"color: #ff0000;\">Grade II : <span style=\"color: #000080;\">atypical meningioma<\/span><\/span><\/strong> (mitotic index &gt; 4 in1 high-power fields),<span style=\"color: #000080;\"><strong> clear cell meningioma, chordoid meningioma<\/strong><\/span><\/li>\n<li><strong><span style=\"color: #ff0000;\">Grade III : <span style=\"color: #000080;\">anaplastic (malignant) meningioma <\/span><\/span><\/strong>(mitotic index &gt; 20),<span style=\"color: #000080;\"><strong> rhabdoid meningioma, papillary meningioma<\/strong><\/span><\/li>\n<\/ul>\n<p>\u6539\u6b63\u3055\u308c\u305f\u6ce8\u610f\u70b9\uff1a\u53e4\u304f\u304b\u3089\u3066\u8133\u3078\u306e\u6d78\u6f64\u304c\u3042\u308b\u9ac4\u819c\u816b\u306f\u518d\u767a\u7387\u304c\u9ad8\u3044\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3057\u305f (Perry 1999)\u3002\u65b0\u3057\u3044\u5b9a\u7fa9\u3067\u306f\uff0cBrain invasion by a meningioma is now an independent criterion for WHO grade II. <span style=\"color: #000080;\"><strong>\u7d44\u7e54\u578b\u306b\u95a2\u308f\u3089\u305a\uff0c\u8133\u3078\u306e\u6d78\u6f64\u304c\u3042\u308b\u9ac4\u819c\u816b\u306fgrade II<\/strong><\/span> \u3067\u3059\u3002\u3053\u306e\u5206\u985e\u3067\u306f\u518d\u767a\u7387\u306f\u9ad8\u3044\u3082\u306e\u306e\uff0c\u60a3\u8005\u306e\u6b7b\u4ea1\u5272\u5408\u3068\u95a2\u9023\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3053\u3068\u306b\u6ce8\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u9ad8\u3044\u5897\u6b96\u80fd\u3092\u6709\u3059\u308b\u9ac4\u819c\u816b\u306f mitotic index (MIB-1\u3067\u4ee3\u7528) \u306b\u3088\u3063\u3066grading\u3092\u6c7a\u3081\u307e\u3059\u3002<\/p>\n<\/div>\n<div class=\"setumei\">\n<p>\u9006\u306b\uff0c<span style=\"color: #000080;\"><strong>grade III\u306e\u9ac4\u819c\u816b\u306f\u8089\u816b<\/strong><\/span>\u3068\u8003\u3048\u3089\u308c\u6b7b\u4ea1\u5272\u5408\uff08\u816b\u760d\u6b7b\uff09\u306f\u9ad8\u3044\u3067\u3059\u3002grade III \u9ac4\u819c\u816b\u306f\u8133\u3078\u306e\u6d78\u6f64\u3084\u8133\u8840\u7ba1\u3078\u306e\u7652\u7740\u6d78\u6f64\uff0c\u982d\u84cb\u9aa8\uff0c\u7b4b\u8edf\u90e8\u7d44\u7e54\uff0c\u982d\u76ae\u306b\u6df1\u304f\u6d78\u6f64\u3057\u3066\u518d\u71c3\u3092\u7e70\u308a\u8fd4\u3057\u307e\u3059\u3002\u307e\u305f\u96a3\u63a5\u3059\u308b\u786c\u819c\u306a\u3069\u306e\u539f\u767a\u5de3\u8fd1\u508d\u518d\u71c3\u306e\u307f\u306a\u3089\u305a\uff0c\u5e83\u7bc4\u306b\u786c\u819c\u4e0b\u8154\u3078\u8ee2\u79fb\u3057\u305f\u308a\uff0c\u9ac4\u6db2\u64ad\u7a2e\u3057\u305f\u308a\uff0c\u80ba\u306a\u3069\u3078\u306e\u4ed6\u81d3\u5668\u8ee2\u79fb\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u75c5\u7406\u8a3a\u65ad\u3092\u5f97\u305f\u5834\u5408\u306b\u306f\uff0c\u30ac\u30f3\uff08\u8089\u816b\uff09\u3067\u3042\u308b\u3053\u3068\u3092\u60a3\u8005\u306b\u8aac\u660e\u3057\u3066\uff0c\u53ef\u80fd\u3067\u3042\u308c\u3070\u518d\u624b\u8853\u306b\u3066\u6839\u6cbb\u7684\u90ed\u6e05\u624b\u8853\u3092\u884c\u306a\u3046\u3053\u3068\u3092\u691c\u8a0e\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u5c11\u306a\u304f\u3068\u3082grade II\u3068III\uff08<strong><span style=\"color: #000080;\">\u9000\u5f62\u6210\u6027\u9ac4\u819c\u816b\uff0c\u30e9\u30d6\u30c9\u30a4\u30c9\u9ac4\u819c\u816b\uff0c\u4e73\u982d\u72b6\u9ac4\u819c\u816b<\/span><\/strong>\uff09\u306e\u9ac4\u819c\u816b\u306e\u7d44\u7e54\u578b\u306f\u8a18\u61b6\u306b\u7559\u3081\u3066\u304a\u3044\u305f\u65b9\u304c\u3088\u3044\u3067\u3057\u3087\u3046\u3002\u591a\u767a\u6027\u306e\u982d\u84cb\u810a\u67f1\u7ba1\u5185\u8ee2\u79fb\u518d\u767a\u3092\u304d\u305f\u3057\u305f\u5834\u5408\u306b\u306f\u6cbb\u7642\u65b9\u6cd5\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>2017\u5e74\u6642\u70b9\u3067\u306fDNA methylation-based meningioma classification\u3068\u3044\u3046\u5206\u985e\u306e\u7814\u7a76\u304c\u9032\u884c\u3057\u3066\u3044\u307e\u3059\u304c\uff0c\u81e8\u5e8a\u7684\u306b\u5fdc\u7528\u3055\u308c\u308b\u306e\u306f2023\u5e74\u4ee5\u964d\u3067\u3057\u3087\u3046\u3002<\/p>\n<h4>\u30b0\u30ec\u30fc\u30c9\uff12\u304b\u3089\uff13\u3078\u3068\u60aa\u6027\u5316\u3059\u308b<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19966\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19968\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk6-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19965\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u3082\u3068\u3082\u3068\u5de8\u5927\u306a\u508d\u77e2\u72b6\u6d1e \u975e\u5b9a\u578b\u9ac4\u819c\u816b WHO grade 2\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u5de6\u5074\u306f8\u5e74\u5f8c\u306e\u518d\u767a\u3067\u6458\u51fa\u3002\u4e2d\u592e\u306f9\u5e74\u5f8c\u306e\u518d\u767a\u3067\u6458\u51fa\u3002\u53f3\u5074\u306f11\u5e74\u5ea6\u306e\u518d\u767a\u3067\u5074\u982d\u7a79\u7abf\u90e8\u306b\u3082\u8ee2\u79fb\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19973\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk5-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19963\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk1-550x549.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk1.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19964\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u5de6\u306f13\u5e74\u5f8c\u306e\u524d\u982d\u5148\u7aef\u90e8\u518d\u767a\u3002\u4e2d\u592e\u306f15\u5e74\u5f8c\u306e\u8776\u5f62\u9aa8\u7e01\u518d\u767a\u3002\u53f3\u306f17\u5e74\u5f8c\u306e\u524d\u982d\u84cb\u5e95\u3068\u8776\u5f62\u9aa8\u7e01\u518d\u767a\u3067\u3059\u3002\u305d\u306e\u90fd\u5ea6\uff0c\u6458\u51fa\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-19969\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk7-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk7-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk7-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk7-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningnk7.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n18\u5e74\u5f8c\u306b\u306f\u4e2d\u982d\u84cb\u5e95\u304b\u3089\u8776\u5f62\u9aa8\u6d1e\u65b9\u5411\u3078\u3068\u6d78\u6f64\u3057\u3066\u5927\u304d\u306a\u518d\u767a\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u60aa\u6027\u5ea6\u304c\u9ad8\u304f\u306a\u308b\u3068\u982d\u84cb\u5185\u306e\u81f3\u308b\u6240\u3078\u8ee2\u79fb\u518d\u767a\u3057\u307e\u3059\u3002<br \/>\n\u3053\u306e\u3088\u3046\u306a\u9ac4\u819c\u816b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u3082\u62b5\u6297\u6027\u3067\uff0c\u6458\u51fa\u3068\u653e\u5c04\u7dda\u5916\u79d1\u6cbb\u7642\u3092\u4f55\u5ea6\u3082\u306a\u3093\u3069\u3082\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\u5185\u306b\u5236\u5fa1\u304c\u304d\u304b\u306a\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n<\/div>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-19970\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk1-300x294.jpg\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk1-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk1-550x538.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk1-768x752.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u3000<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-19971\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk2-300x290.jpg\" alt=\"\" width=\"300\" height=\"290\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk2-300x290.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk2-550x533.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk2-768x744.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/meningiomaatypicalnk2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u75c5\u7406\u50cf\u3067\u3059\u3002\u5de6\u5074\u306f\u521d\u767a\u6642\u306e\u30b0\u30ec\u30fc\u30c9\uff12\u306e\u9ac4\u819c\u816b\u3002\u53f3\u5074\u306f\u9060\u9694\u8ee2\u79fb\u3092\u3059\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u9803\u306e\u3082\u306e\u3067\u3059\u3002\u30b0\u30ec\u30fc\u30c92\u3068\u3044\u3046\u75c5\u7406\u8a3a\u65ad\u3067\u3057\u305f\u304c\uff0c\u307b\u307c\u30b0\u30ec\u30fc\u30c93\u3067\u3059\u3002\u6838\u7570\u578b\u6027\u304c\u9ad8\u304f\uff0c\u5206\u88c2\u50cf\u304c\u6563\u898b\u3055\u308c\u58ca\u6b7b\u3092\u4f34\u3044\u307e\u3059\u3002MIB-1\u6a19\u8b58\u7387\u306f25%\u306b\u9054\u3057\u307e\u3057\u305f\u3002\u8089\u816b\u3068\u3082\u3044\u3048\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<h4><span style=\"color: #333333;\">\u9ac4\u819c\u816b\u306e\u767a\u751f\u539f\u56e0<\/span><\/h4>\n<p>Clark VE, et al.: Recurrent somatic mutations in <em>POLR2A<\/em> define a distinct subset of meningiomas. <em>Nature Genetics<\/em> 48, 2016<br \/>\nYale\u5927\u5b66\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002RNA polymerase II\u3068\u3044\u3046\u3068\u3066\u3082\u91cd\u8981\u306a\u907a\u4f1d\u5b50\u306b\u7570\u5e38\u304c\u3042\u3063\u3066\u9ac4\u819c\u816b\u304c\u767a\u751f\u3059\u308b\u3068\u3044\u3046\uff0c\u3042\u308b\u610f\u5473\u885d\u6483\u7684\u306a\u767a\u8868\u3067\u3059\u3002775\u4f8b\u306e\u9ac4\u819c\u816b\u3092\u8abf\u3079\u3066\uff0cRNA polymerase II\u3092\u30b3\u30fc\u30c9\u3059\u308b<strong><span style=\"color: #000080;\"><i>POLR2A<\/i><\/span><\/strong>\u306b<i>\uff0c<\/i>recurrent somatic p.Gln403Lys or p.Leu438_His439del mutations\u3092\u767a\u898b\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u907a\u4f1d\u5b50\u304c\u30cf\u30a4\u30b8\u30e3\u30c3\u30af\u3055\u308c\u308b\u3053\u3068\u3067\uff0c\u9ac4\u819c\u306e\u767a\u751f\u306b\u95a2\u308f\u308b<i>WNT6\u00a0<\/i>and\u00a0<i>ZIC1<\/i>\/<i>ZIC4<\/i>\u306e\u5236\u5fa1\u7570\u5e38\u304c\u751f\u3058\u307e\u3059\u3002\u65e2\u77e5\u306e<span style=\"color: #000080;\"><strong><i>NF2<\/i>,\u00a0<i>SMARCB1, TRAF7<\/i>,\u00a0<i>KLF4<\/i>,\u00a0<i>AKT1<\/i>,\u00a0<i>PIK3CA<\/i>, <i>SMO<\/i><\/strong><\/span>\u306b\u52a0\u3048\u3066\uff0c<span style=\"color: #000080;\"><strong><i>AKT3<\/i>,\u00a0<i>PIK3R1<\/i>,\u00a0<i>PRKAR1A<\/i>, <i>SUFU<\/i><\/strong><\/span>\u306b\u3082\u5909\u7570\u304c\u8a8d\u3081\u3089\u308c\u308b\u3068\u306e\u5831\u544a\u3067\u3059\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u3068\u9593\u9055\u3048\u3084\u3059\u3044\u00a0<a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/solitaryfibroustumor\/\"><strong><span style=\"color: #000080;\">SFT (\u3078\u30de\u30f3\u30b8\u30aa\u30da\u30ea\u30b5\u30a4\u30c8\u30fc\u30de\uff0c\u5b64\u5728\u7dda\u7dad\u6027\u816b\u760d\uff09<\/span><\/strong><\/a><\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/sftif1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-10933 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/sftif1-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/sftif1-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/sftif1-768x747.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/sftif1-550x535.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/sftif1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u9ac4\u819c\u816b\u3068\u9593\u9055\u3048\u3084\u3059\u3044\u816b\u760d\u306f\u305f\u304f\u3055\u3093\u3042\u308a\u307e\u3059\u3002\u3067\u3082\u6642\u3005\u672c\u5f53\u306b\u624b\u8853\u524d\u753b\u50cf\u8a3a\u65ad\u3067\u9593\u9055\u3046\u306e\u304c\uff0cSFT\u3067\u3059\u3002SFT\u306f\u786c\u819c\u304b\u3089\u767a\u751f\u3057\u3066\u4e0d\u6574\u5f62\u306e\u5f62\u3092\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\uff0c\u30b0\u30ec\u30fc\u30c9\uff12\u306e\u975e\u5b9a\u578b\u9ac4\u819c\u816b\u3068\u9593\u9055\u3046\u306e\u3067\u3059\u304c\u3002\u60aa\u6027\u5ea6\u304c\u3042\u308b\u306e\u3067\u8981\u6ce8\u610f\u3067\u3059\u3002<\/p>\n<hr \/>\n<h5>\u6587\u732e\u60c5\u5831<\/h5>\n<h4>\u9ac4\u819c\u816b\u304c\u3042\u308b\u5973\u6027\u306f\uff0c\u4e73\u304c\u3093\u306b10\u500d\u306a\u308a\u3084\u3059\u3044<\/h4>\n<p class=\"heading-title\"><span class=\"authors-list-item \">Degeneffe A:\u00a0<\/span>The Association Between Meningioma and Breast Cancer: A Systematic Review and Meta-analysis. JAMA Netw Open 2023<br \/>\n\u4e73\u304c\u3093\u3068\u9ac4\u819c\u816b\u306e\u4e21\u65b9\u3092\u6709\u3059\u308b2238\u4eba\u306e\u5973\u6027\u306e\u30e1\u30bf\u89e3\u6790\u304b\u3089\u306e\u7d50\u679c\u3067\u3059\u3002\u9ac4\u819c\u816b\u3092\u6709\u3059\u308b\u5973\u6027\u306f\u4e73\u304c\u3093\u306b\u306a\u308a\u3084\u3059\u3044\u306e\u306f\u53e4\u304f\u304b\u3089\u77e5\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u306e\u983b\u5ea6\u304c10\u500d\u3060\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u306e\u8853\u5f8c\u4e88\u5f8c<\/h4>\n<p class=\"heading-title\">Rogers CL: Low-risk meningioma: Initial outcomes from NRG Oncology\/RTOG 0539. Neuro Oncol 2023<br \/>\n\u30b0\u30ec\u30fc\u30c91\u306e\u9ac4\u819c\u816b\u3067\u5168\u6458\u51fa\u3042\u308b\u3044\u306f\u4e9c\u5168\u6458\u51fa\u3092\u53d7\u3051\u305f60\u4f8b\u306e\u60a3\u8005\u3055\u3093\u304c\u7d4c\u904e\u89b3\u5bdf\uff08\u4e2d\u592e\u50249.1\u5e74\uff09\u3055\u308c\u307e\u3057\u305f\u3002\u7121\u5897\u60aa\u751f\u5b58\u5272\u5408\u306f\uff0c3\u5e74\u306791%\uff0c5\u5e74\u306789\uff05\uff0c10\u5e74\u306785%\u3067\u3057\u305f\u30024\u4f8b\u304c\u518d\u767a\u6642\u306b\u30b0\u30ec\u30fc\u30c92\u3068\u306a\u308a1\u4f8b\u304c\u30b0\u30ec\u30fc\u30c93\u3068\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u304b\u306a\u308a\u5927\u96d1\u628a\u306b\u8003\u3048\u3066\uff0c\u8853\u5f8c\u518d\u767a\u3042\u308b\u3044\u306f\u518d\u71c3\u306f10\uff05\u7a0b\u5ea6\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4 class=\"article-citation\">\u30b0\u30ec\u30fc\u30c92\u30683\u306e\u9ac4\u819c\u816b\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642<\/h4>\n<p class=\"heading-title\"><span style=\"color: #333333;\"><span class=\"authors-list-item \" style=\"color: #333333;\">Vagnoni L:\u00a0<\/span><\/span><span style=\"color: #333333;\">Radiation therapy for atypical and anaplastic meningiomas: an overview of current results and controversial issues. Neurusurg Rev 2022<br \/>\n\u73fe\u6642\u70b9\u3067\u306e\u7591\u554f\u70b9\u306f\uff0c\u5168\u6458\u51fa\u3067\u304d\u305f\u30b0\u30ec\u30fc\u30c92 \u975e\u5b9a\u578b\u9ac4\u819c\u816b\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3079\u304d\u304b\u305d\u308c\u3068\u3082\u307e\u305a\u7d4c\u904e\u89b3\u5bdf\u3059\u308b\u3079\u304d\u304b\u3068\u3044\u3046\u3053\u3068\u3060\u305d\u3046\u3067\u3059\u3002\u3053\u308c\u307e\u3067\u306f\uff0c\u5168\u6458\u51fa\u3067\u304d\u308c\u3070\uff0c\u7d4c\u904e\u89b3\u5bdf\u3068\u3044\u3046\u306e\u304c\u6a19\u6e96\u7684\u306a\u8003\u3048\u65b9\u3067\u3059\u3002\u30b0\u30ec\u30fc\u30c9\uff12\u3078\u306e\u8853\u5f8c\u7167\u5c04\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u3064\u3044\u3066\u306e\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u306f\u306a\u3044\u3068\u3044\u3046\u306e\u304c\u7d50\u8ad6\u3067\u3059\u3002<\/span><\/p>\n<h4>\u9ac4\u819c\u816b\u306e\u60a3\u8005\u3055\u3093\u306b\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3092\u884c\u3046\u3053\u3068\u306b\u6ce8\u610f\u52e7\u544a<\/h4>\n<p>\u30e8\u30fc\u30ed\u30c3\u30d1\u306ePRAC\u304b\u3089\u306e\u8b66\u544a\u3067\u3059\u3002\u30ce\u30e1\u30b2\u30b9\u30c8\u30ed\u30fc\u30eb (nomegestrol\uff1a\u7d4c\u53e3\u907f\u598a\u85ac\u3001\u66f4\u5e74\u671f\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3001\u304a\u3088\u3073\u5a66\u4eba\u79d1\u75be\u60a3\u306e\u6cbb\u7642\u306b\u4f7f\u7528\u3055\u308c\u308b\u30d7\u30ed\u30b2\u30b9\u30c1\u30f3\u85ac\uff09\uff0c\u30af\u30ed\u30eb\u30de\u30b8\u30ce\u30f3(chlormadinone\uff1a\u7121\u6708\u7d4c\uff0c\u6708\u7d4c\u5468\u671f\u7570\u5e38\u306b\u4f7f\u7528\u3055\u308c\u308b\u7537\u6027\u30db\u30eb\u30e2\u30f3\u3092\u6291\u5236\u3059\u308b\u85ac\u5264\uff09\u306a\u3069\u306e\u4f7f\u7528\u91cf\u3092\u591a\u304f\u3059\u308b\u3068\u9ac4\u819c\u816b\u306e\u9032\u884c\u304c\u751f\u3058\u308b\u305d\u3046\u3067\u3059\u3002\u3053\u308c\u3089\u306f\u7279\u6b8a\u306a\u85ac\u5264\u3067\u3059\u3057\uff0c\u4f4e\u7528\u91cf\u306e\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306f\u554f\u984c\u3068\u306a\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u30da\u30e0\u30d6\u30ed\u30ea\u30ba\u30de\u30d6\u00a0pembrolizumab\u304c\u60aa\u6027\u5ea6\u306e\u3042\u308b\u9ac4\u819c\u816b\u306e\u6210\u9577\u3092\u9045\u3089\u305b\u308b\u304b\u3082\u3057\u308c\u306a\u3044<\/h4>\n<p>Brastianos PK: \u00a0Phase 2 study of pembrolizumab in patients with recurrent and residual high-grade meningiomas, Nature Communications,\u00a02022<br \/>\n\u30da\u30e0\u30d6\u30ed\u30ea\u30ba\u30de\u30d6\u306f\u514d\u75ab\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8\u963b\u5bb3\u5264\u3067\u3059\u3002\u81e8\u5e8a\u7b2c2\u76f8\u8a66\u9a13\u3067\uff0c25\u4f8b\u306e\u60a3\u8005\u3055\u3093\u306b\u6295\u4e0e\u3055\u308c\u307e\u3057\u305f\u30026\u30f6\u6708\u6642\u70b9\u3067\u534a\u6570\u306e\u60a3\u8005\u3055\u3093\u3067\u816b\u760d\u5897\u5927\u304c\u751f\u3058\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3067\u3082\uff0c\u5c11\u6570\u4f8b\u306a\u306e\u3067\u4eca\u5f8c\u306e\u3088\u308a\u5927\u304d\u306a\u81e8\u5e8a\u7814\u7a76\u3092\u5f85\u305f\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u306e\u4e88\u5f8c\u3092\u3057\u3081\u3059\u65b0\u305f\u306a\u5206\u5b50\u5206\u985e<\/h4>\n<p class=\"c-article-title\" data-test=\"article-title\">Nassiri F: A clinically applicable integrative molecular classification of meningiomas. Nature 2021<br \/>\n\u5206\u5b50\u30ec\u30d9\u30eb\u3067\u5206\u985e\u3059\u308b\u30684\u30b0\u30eb\u30fc\u30d7\u3068\u306a\u308a\uff0c<span style=\"color: #000080;\"><strong>immunogenic, benign\u00a0<i>NF2<\/i> wild-type, hypermetabolic, proliferative<\/strong><\/span>\u3068\u547d\u540d\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u8a9e\u306b\u8a33\u3059\u3068\u8aa4\u89e3\u304c\u751f\u307e\u308c\u308b\u306e\u3067\u8a33\u3057\u307e\u305b\u3093\u3002immunogenic group MG1 \u304c\u60aa\u6027\u5ea6\u304c\u6700\u3082\u9ad8\u3044\u3082\u306e\u3067\uff0canaplastic meningioma\u306e\u81e8\u5e8a\u50cf\u306b\u8fd1\u3044\u3088\u3046\u3067\u3059\u3002\u3057\u304b\u3057\uff0cimmunogenic\u306a\u3069\u3053\u306e\u547d\u540d\u306e\u7406\u7531\u3065\u3051\u306b\u95a2\u3057\u3066\u306f\u81e8\u5e8a\u533b\u306f\u7406\u89e3\u3057\u3065\u3089\u3044\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u5b9f\u969b\u306e\u81e8\u5e8a\u306e\u5834\u3067\u5fdc\u7528\u3055\u308c\u308b\u306e\u306b\u306f\uff0c\u514d\u75ab\u7d44\u7e54\u67d3\u8272\u30ec\u30d9\u30eb\u3067\u3053\u308c\u3089\u306e4\u30b0\u30eb\u30fc\u30d7\u304c\u7c21\u5358\u306b\u9451\u5225\u8a3a\u65ad\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3089\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u3067\u307e\u3060\u5148\u306e\u8a71\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<h4>\u610f\u5916\u306b\u591a\u3044\u8853\u5f8c\u611f\u67d3<\/h4>\n<p>Analysis of meningioma patient data from the US-based The Nationwide Readmissions Database (NRD)\u306b\u3088\u308b2020\u5e74\u306e\u5831\u544a\u3067\u3059\u30022010\u5e74\u304b\u308914\u5e74\u307e\u3067\u306b26,034\u4eba\u304c\u9ac4\u819c\u816b\u306e\u624b\u8853\u3092\u53d7\u3051\uff0c\u8853\u5f8c90\u65e5\u6642\u70b9\u3067\u518d\u5165\u9662\u306b\u306a\u3063\u305f\u60a3\u8005\u3055\u3093\u306f3,436\u540d\u3067\u3057\u305f\u3002\u8853\u5f8c\u611f\u67d3\u304c\u6700\u3082\u591a\u3044\u539f\u56e0\u3067\u3057\u305f\u30026\u4eba\u306b\u4e00\u4eba\u304c\u8853\u5f8c3\u30f6\u6708\u4ee5\u5185\u306b\u77ed\u671f\u9593\u3068\u3044\u3048\u3069\u518d\u5165\u9662\u306b\u306a\u308b\u3068\u3044\u3046\u306e\u306f\u9a5a\u304d\u3067\u3059\u3002\u65e5\u672c\u306f\u8853\u5f8c\u306e\u5165\u9662\u671f\u9593\u304c\u7c73\u56fd\u3088\u308a\u304b\u306a\u308a\u9577\u304f\uff0c\u6297\u751f\u7269\u8cea\u306e\u4f7f\u7528\u983b\u5ea6\u304c\u9ad8\u3044\u306e\u3067\uff0c\u3053\u3093\u306a\u6570\u5b57\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u304c\uff0c\u611f\u67d3\u75c7\u304c\u610f\u5916\u306b\u591a\u3044\u3068\u3044\u3046\u3053\u3068\u306f\u77e5\u3063\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n<h4>\u7537\u6027\u30db\u30eb\u30e2\u30f3\u3092\u6291\u5236\u3059\u308b\u3068\u9ac4\u819c\u816b\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b<\/h4>\n<p>2019\u5e74 The European Medicines Agency (EMA)\u304b\u3089\u306e\u30ec\u30dd\u30fc\u30c8\u3067\u3059\u3002\u6297\u30a2\u30f3\u30c9\u30ed\u30b2\u30f3\uff08\u7537\u6027\u30db\u30eb\u30e2\u30f3\uff09\u85ac\u306e\u30b7\u30d7\u30ed\u30c6\u30ed\u30f3\u9162\u9178\u5869\u3092\u4f7f\u7528\u3059\u308b\u3068\u9ac4\u819c\u816b\u306e\u767a\u751f\uff0f\u518d\u767a\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u305d\u3046\u3067\u3059\u3002\u30b7\u30d7\u30ed\u30c6\u30ed\u30f3\u00a0cyproterone\u306f\u524d\u7acb\u817a\u764c\u3084\u30cb\u30ad\u30d3\u306e\u6cbb\u7642\u306b\u4f7f\u7528\u3055\u308c\u305f\u7537\u6027\u30db\u30eb\u30e2\u30f3\u3092\u6291\u5236\u3059\u308b\u85ac\u5264\u3067\u3059\u3002\u65e5\u672c\u3067\u306f\u8ca9\u58f2\u304c\u4e2d\u6b62\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u6295\u4e0e\u3067\u9ac4\u819c\u816b\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3068\u3044\u3046\u3053\u3068\u306a\u3069\u8003\u3048\u3042\u308f\u305b\u308c\u3070\uff0c\u30b0\u30ec\u30fc\u30c92\u306e\u9ac4\u819c\u816b\u3084\u624b\u8853\u5f8c\u306b\u6b8b\u3063\u3066\u3044\u308b\u9ac4\u819c\u816b\u3092\u6301\u3063\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306b\u306f\uff0c\u5973\u6027\u30db\u30eb\u30e2\u30f3\u3092\u6295\u4e0e\u3057\u305f\u308a\u7537\u6027\u30db\u30eb\u30e2\u30f3\u3092\u6291\u5236\u3059\u308b\u30db\u30eb\u30e2\u30f3\u6cbb\u7642\u306f\u3057\u306a\u3044\u65b9\u304c\u3044\u3044\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n<h4>\u00a0\u518d\u767a\u3057\u305f\u9ac4\u819c\u816b\u306e\u624b\u8853\u6210\u7e3e<\/h4>\n<p><span class=\"person-group\"><span class=\"string-name\"><span class=\"surname\"><span class=\"text-node\">Magill\u00a0<\/span><\/span><span class=\"given-names\"><span class=\"text-node\">ST<\/span><\/span><\/span><\/span><span class=\"x\"><span class=\"text-node\">: <\/span><\/span><span class=\"articleTitle\">Surgical outcomes after reoperation for recurrent skull base meningiomas<\/span><span class=\"x\"><span class=\"text-node\">. <\/span><\/span><span class=\"source\"><span class=\"text-node\">J Neurosurg\u00a0<\/span><\/span><span class=\"year\"><span class=\"text-node\">2019<br \/>\n\u30b5\u30f3\u30d5\u30e9\u30f3\u30b7\u30b9\u30b3 UCSF\u304b\u3089\u306e\u518d\u767a\u9ac4\u819c\u816b\u306e\u624b\u8853\u6210\u7e3e\u3068\u5408\u4f75\u75c7\u306e\u5831\u544a\u3067\u3059\u3002\u982d\u84cb\u5e95\u3068\u30c6\u30f3\u30c8\u4e0b\u306e\u96e3\u3057\u3044\u9ac4\u819c\u816b\u306f\u9664\u5916\u3057\u3066\u3042\u308a\uff0c\u518d\u624b\u8853\u3068\u3057\u3066\u306f\u7c21\u5358\u306a\u90e8\u985e\u306e\u9ac4\u819c\u816b\u306e\u6210\u7e3e\u3067\u3059\u3002<br \/>\n<\/span><\/span><span class=\"year\"><span class=\"text-node\">67\u4eba\u306e\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\u30b0\u30ec\u30fc\u30c91\u304c22%\uff0c\u30b0\u30ec\u30fc\u30c92\u304c51%\uff0c\u30b0\u30ec\u30fc\u30c93\u304c27\uff05 (18\u4eba)\u3067\u3057\u305f\u3002\u624b\u8853\u3092\u91cd\u306d\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u816b\u760d\u306e\u30b0\u30ec\u30fc\u30c9\u304c\u4e0a\u6607\u3057\u305f\u4f8b\u306f22%\u3067\u3057\u305f\u3002<span style=\"color: #000080;\"><strong>32\u4eba (48%)\u306e\u60a3\u8005\u3055\u3093\u3067\u624b\u8853\u5408\u4f75\u75c7\u304c\u751f\u3058\u307e\u3057\u305f<\/strong><\/span>\u3002\u3055\u3089\u306b\uff0c\u7d04\u534a\u6570 (54%)\u3067\uff0c\u624b\u8853\u5408\u4f75\u75c7\u306b\u5bfe\u3059\u308b\u5916\u79d1\u51e6\u7f6e\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u5408\u4f75\u75c7\u306f\uff0c\u795e\u7d4c\u8131\u843d\u75c7\u72b6 14%\uff0c\u611f\u67d3\u3068\u5275\u90e8\u96e2\u958b\u306a\u3069 14%\uff0c\u9ac4\u6db2\u6f0f 9%\u306a\u3069\u3067\u3059\u3002\u518d\u624b\u8853\u304b\u3089\u306e\u751f\u5b58\u5272\u5408\u306f\uff0c2\u5e74\u306791%\uff0c5\u5e74\u306769%\uff0c10\u5e74\u306750%\u3067\u3057\u305f\u3002\u624b\u8853\u524d\u306b\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u3068\u982d\u90e8\u306e\u4e2d\u592e\u6b63\u4e2d\u306b\u9ac4\u819c\u816b\u304c\u3042\u308b\u5834\u5408\u3067\uff0c\u5408\u4f75\u75c7\u767a\u751f\u7387\u304c\u9ad8\u304b\u3063\u305f\u305d\u3046\u3067\u3059\u3002\u9ac4\u819c\u816b\u306e\u518d\u624b\u8853\u306f\uff0c\u9ad8\u3044\u7387\u3067\u5408\u4f75\u75c7\u304c\u751f\u3058\u308b\u3068\u7d50\u8ad6\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/span><\/p>\n<h4>\u5168\u6458\u51fa\u3057\u305f\u30b0\u30ec\u30fc\u30c92\u306e\u9ac4\u819c\u816b\uff0c\u518d\u5897\u5927\u3057\u305f\u30b0\u30ec\u30fc\u30c91\u306e\u9ac4\u819c\u816b\u306f54\u30b0\u30ec\u30a4\u306e\u5206\u5272\u7167\u5c04\u3067\u307b\u3068\u3093\u3069\u5236\u5fa1\u3067\u304d\u308b<\/h4>\n<p>Rogers L: Intermediate-risk meningioma: initial outcomes from NRG Oncology RTOG 0539. <span role=\"menubar\">J Neurosurg.<\/span> 2018<br \/>\n\u30b0\u30ec\u30fc\u30c92 \u975e\u5b9a\u578b\u9ac4\u819c\u816b\u3067\u5168\u6458\u51fa\u3067\u304d\u305f\u3082\u306e\uff0c\u30b0\u30ec\u30fc\u30c91\u306e\u9ac4\u819c\u816b\u3067\u8853\u5f8c\u518d\u767a\u3057\u305f48\u4f8b\u306e\u9ac4\u819c\u816b\u304c\u5bfe\u8c61\u306e\u8a66\u9a13\u3067\u3059\u3002IMRT\u3082\u3057\u304f\u306f3D-conformal RT\u3092\u7528\u3044\u306654\u30b0\u30ec\u30a430\u5206\u5272\uff081\u56de\u7dda\u91cf1.8Gy\uff09\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u3055\u308c\u307e\u3057\u305f\u3002\u5168\u6458\u5f8c\u306e\u30b0\u30ec\u30fc\u30c9\uff11\u3067\u306ftumor bed\u304cGTV\u3067\uff0c\u7167\u5c04\u91ce\u306emargin\u306f8-15mm\u3067\u3059\u30023\u5e74\u7121\u5897\u60aa\u662f\u4f9d\u5b58\u5272\u5408 PFS\u306f\uff0c93.8%\u3067\u3057\u305f\u30023\u5e74\u6642\u70b9\u3067\u5c40\u6240\u5236\u5fa1\u3067\u304d\u306a\u304b\u3063\u305f\u3082\u306e\u306f\uff0c4%\u3067\u3057\u305f\u300296%\u3067\u5c40\u6240\u5236\u5fa1\u3067\u304d\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u518d\u767a\u3057\u305f\u9ac4\u819c\u816b\u3078\u306e\u967d\u5b50\u7dda\u3068\u91cd\u7c92\u5b50\u7dda\u6cbb\u7642<\/h4>\n<p>El Shafie RA, et al.: Evaluation of particle radiotherapy for the re-irradiation of recurrent intracranial\u00a0meningioma.Radiat Oncol\u00a02018<br \/>\n\u901a\u5e38\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u518d\u767a\u9ac4\u819c\u816b\uff08\u30b0\u30ec\u30fc\u30c91\u304c11\u4f8b\uff0c\u30b0\u30ec\u30fc\u30c92\u304c25\u4f8b\uff0c\u30b0\u30ec\u30fc\u30c93\u304c\uff15\u4f8b\uff09\u306b\u5bfe\u3057\u3066\uff0c\u967d\u5b50\u7dda8\u4f8b\uff0c\u70ad\u7d20\u7dda34\u4f8b\u306e\u6cbb\u7642\u304c\u3055\u308c\u307e\u3057\u305f\u300224\u30f6\u6708\u5f8c\u306b\u816b\u760d\u5897\u5927\u304c\u306a\u304b\u3063\u305f\u4f8b PFS \u304c56%\u3067\u3057\u305f\u30026\u5272\u7a0b\u5ea6\u306e\u60a3\u8005\u3055\u3093\u306b\u5229\u76ca\u304c\u3042\u308a\u305d\u3046\u3067\u3059\u3002<\/p>\n<h4>\u975e\u5b9a\u578b\u9ac4\u819c\u816b\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642<\/h4>\n<p>Wang C, et al.: Overall\u00a0survival\u00a0benefit associated with adjuvant radiotherapy in\u00a0WHO\u00a0grade\u00a0II\u00a0meningioma. Neuro Oncol.\u00a02017<br \/>\n\u30b0\u30ec\u30fc\u30c92\u9ac4\u819c\u816b\u3068\u8a3a\u65ad\u3055\u308c\u305f2,515\u4f8b\u306e\u89e3\u6790\u3067\u3059\u3002\u5f53\u305f\u308a\u524d\u306e\u3088\u3046\u306a\u7d50\u679c\u3067\u3059\u304c\uff0c\u5168\u6458\u51fa gross total removal\u3067\u304d\u305f\u60a3\u8005\u3055\u3093\u306b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u3066\u3082\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u304c\uff0c<span style=\"color: #000080;\"><strong>\u4e9c\u5168\u6458\u51fa subtotal removal \u3067\u306f\u8853\u5f8c\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u305f\u307b\u3046\u304c\u751f\u5b58\u671f\u9593\u304c\u6709\u610f\u306b\u9577\u304b\u3063\u305f<\/strong><\/span>\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<\/p>\n<h4>\u5c0f\u5150\u3068\u82e5\u5e74\u8005\u306e\u9ac4\u819c\u816b\u306e4\u5272\u304f\u3089\u3044\u306b\u7d20\u56e0\u304c\u3042\u308b<\/h4>\n<p>Pathmanaban ON, et al.: Association of Genetic Predisposition With Solitary Schwannoma or Meningioma in Children and Young Adults. JAMA Neurol.\u00a02017<br \/>\n25\u6b73\u672a\u6e80\uff08\u5e74\u9f62\u4e2d\u592e\u502411\u6b73\uff09\u3067\u9ac4\u819c\u816b\u304c\u767a\u898b\u3055\u308c\u305f\u60a3\u8005\u3055\u309342\u4eba\u306e\u30ea\u30f3\u30d1\u7403\u3092\u3057\u3089\u3079\u3066\uff0c\u9ac4\u819c\u816b\u306b\u306a\u308b\u7d20\u56e0\u3092\u3082\u3068\u3082\u3068\u6301\u3063\u3066\u3044\u305f\u306e\u304c16\u4eba (38%) \u3067\u3057\u305f\u3002NF-2\u907a\u4f1d\u5b50\u5909\u7570\u304c40%\uff0cSMERCE1\u5909\u7570\u304c14%\u3067\u3042\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u5c0f\u5150\u306e\u9ac4\u819c\u816b\u306e4\u5272\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u306f\uff0c\u5f8c\u3005\u307e\u305f\u9ac4\u819c\u816b\u3084\u795e\u7d4c\u9798\u816b\u3092\u767a\u751f\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u306e\u767a\u751f\u539f\u56e0<\/h4>\n<p>Clark VE, et al.: Recurrent somatic mutations in <em>POLR2A<\/em> define a distinct subset of meningiomas. <em>Nature Genetics<\/em> 48, 2016<br \/>\nYale\u5927\u5b66\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002RNA polymerase II\u3068\u3044\u3046\u3068\u3066\u3082\u91cd\u8981\u306a\u907a\u4f1d\u5b50\u306b\u7570\u5e38\u304c\u3042\u3063\u3066\u9ac4\u819c\u816b\u304c\u767a\u751f\u3059\u308b\u3068\u3044\u3046\u767a\u8868\u3067\u3059\u3002775\u4f8b\u306e\u9ac4\u819c\u816b\u3092\u8abf\u3079\u3066\uff0cRNA polymerase II\u3092\u30b3\u30fc\u30c9\u3059\u308b<strong>\u00a0<span style=\"color: #000080;\"><i>POLR2A<\/i><\/span><\/strong>\u306b<i>\uff0c<\/i>recurrent somatic p.Gln403Lys or p.Leu438_His439del mutations\u3092\u767a\u898b\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u907a\u4f1d\u5b50\u304c\u30cf\u30a4\u30b8\u30e3\u30c3\u30af\u3055\u308c\u308b\u3053\u3068\u3067\uff0c\u9ac4\u819c\u306e\u767a\u751f\u306b\u95a2\u308f\u308b<i>WNT6\u00a0<\/i>and\u00a0<i>ZIC1<\/i>\/<i>ZIC4<\/i>\u306e\u5236\u5fa1\u7570\u5e38\u304c\u751f\u3058\u307e\u3059\u3002\u65e2\u77e5\u306e<span style=\"color: #000080;\"><strong><i>NF2<\/i>,\u00a0<i>SMARCB1, TRAF7<\/i>,\u00a0<i>KLF4<\/i>,\u00a0<i>AKT1<\/i>,\u00a0<i>PIK3CA<\/i>, <i>SMO<\/i><\/strong><\/span>\u306b\u52a0\u3048\u3066\uff0c<span style=\"color: #000080;\"><strong><i>AKT3<\/i>,\u00a0<i>PIK3R1<\/i>,\u00a0<i>PRKAR1A<\/i>, <i>SUFU<\/i><\/strong><\/span>\u306b\u3082\u5909\u7570\u304c\u8a8d\u3081\u3089\u308c\u308b\u3068\u306e\u5831\u544a\u3067\u3059\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u304c\u67d4\u3089\u304b\u304f\u3066\u6458\u51fa\u3057\u3084\u3059\u3044\u304b\u4e88\u60f3\u3059\u308b<\/h4>\n<p>Yao A, et al.: Can MRI predict meningioma consistency?: a correlation with tumor pathology and systematic review. Neurosurg Rev 2016<br \/>\n\u8133\u5916\u79d1\u533b\u306b\u3068\u3063\u3066\u306f\u53e4\u304f\u3066\u5927\u5207\u306a\u554f\u984c\u3067\u3059\u3002\u624b\u8853\u524d\u306bMRI\u3067\u9ac4\u819c\u816b\u304c\u67d4\u3089\u304b\u304f\u3066\u6458\u51fa\u3057\u3084\u3059\u3044\u304b\u3069\u3046\u304b\u3068\u3044\u3046\u8ab2\u984c\u3092\u8ad6\u3058\u305f\u5831\u544a\u3067\u3059\u3002\u7d50\u8ad6\u7684\u306b\u306f\u5358\u7d14\u3067\uff0cT2\u5f37\u8abf\u753b\u50cf\u3067\u9ad8\u4fe1\u53f7\uff08\u767d\u304f\uff09\u898b\u3048\u308b\u3082\u306e\u306f\u67d4\u3089\u304b\u305d\u3046\u3060\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u73fe\u884c\u306eMRI sequence\u3092\u99c6\u4f7f\u3057\u3066\u3082\u3053\u308c\u4ee5\u4e0a\u306e\u3053\u3068\u306f\u308f\u304b\u3089\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u306e\u60aa\u6027\u5ea6\u3092\u5ba2\u89b3\u7684\u306b\u6c7a\u3081\u308b\u65b9\u6cd5<\/h4>\n<p align=\"left\">Duregon E, et al.: Better see to better agree: phosphohistone H3 increases interobserver agreement in mitotic count for meningioma grading and imposes new specific thresholds. Neuro Oncol 17: 663-963, 2015<br \/>\n\u9ac4\u819c\u816b\u306e\u60aa\u6027\u5ea6\u306f\u6838\u5206\u88c2\u306e\u6570 mitotic index \u3067\u6c7a\u3081\u3089\u308c\u307e\u3059\u3002\u3067\u3082HE\u67d3\u8272\u3067\u5206\u88c2\u50cf\u304c\u3044\u304f\u3064\u3042\u308b\u304b\u306f\u75c5\u7406\u533b\u306e\u60a9\u307f\u306e\u7a2e\u3067\u6570\u3048\u65b9\u3067\u5927\u304d\u304f\u9055\u3044\u304c\u3067\u307e\u3057\u305f\u3002\u307e\u305fMIB-1\u67d3\u8272\u306f\u6b63\u78ba\u306b\u306f\u5206\u88c2\u50cf\u3092\u898b\u3066\u3044\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<span style=\"color: #000080;\"><strong>Phosphohistone H3 (PHH3) serine-10<\/strong><\/span>\u306f\u6838\u5206\u88c2\u3092\u6570\u3048\u308b\u305f\u3081\u306e\u7279\u7570\u6297\u4f53\u3067\u3059\u3002\u3053\u308c\u3092\u7528\u3044\u308b\u3068\u30b0\u30ec\u30fc\u30c91\u30012\u3001\uff13\u306e\u9ac4\u819c\u816b\u304c\u6b63\u78ba\u306b\u5206\u985e\u3067\u304d\u308b\u3068\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u9ac4\u819c\u816b\u306e\u5316\u5b66\u7642\u6cd5<\/h4>\n<p>Preusser M, Marosi C: Antiangiogenic treatment of meningiomas. Curr Treat Options Neurol 17:359, 2015<br \/>\n\u7dcf\u8ad6\u3067\u3059\u3002hydroxyurea,\u00a0<span class=\"highlight\">temozolomide<\/span>,\u00a0<span class=\"highlight\">irinotecan<\/span>, interferon-alpha, mifepristone, octreotide analogues, megestrol acetate, bevacizumab, sunitinib, vatalinib, imatinib, erlotinib, gefitinib\u3068\u3044\u3046<span style=\"color: #000080;\"><strong>\u69d8\u3005\u306a\u6297\u304c\u3093\u5264\u304c\u8a66\u3055\u308c\u307e\u3057\u305f\u304c\u6709\u52b9\u6027\u306f\u78ba\u304b\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f<\/strong><\/span>\u3002\u00a0\u816b\u760d\u8840\u7ba1\u65b0\u751f\u3092\u6291\u5236\u3059\u308b\u529b\u306e\u3042\u308b\u6297\u4f53\uff0cbevacizumab, sunitinib, vatalinib\u306f\u3042\u308b\u7a0b\u5ea6\u816b\u760d\u306e\u5897\u6b96\u6291\u5236\u52b9\u679c\u304c\u3042\u308b\u306e\u3067\u78ba\u304b\u3081\u3089\u308c\u308b\u3079\u304d\u3067\u3059\u3002\u30e8\u30fc\u30ed\u30c3\u30d1\u306eEORTC\u3067tetra-hydroisoquinoline alkaloid trabectedin\u304c\u8a66\u9a13\u6bb5\u968e\u3067\u3059\u3002AKT inhibitors\u3082\u5206\u5b50\u8a3a\u65ad\u3067\u9078\u629e\u3055\u308c\u305f\u4f8b\u3067\u306e\u8a66\u9a13\u304c\u3042\u308b\u3088\u3046\u3067\u3059\u30022015\u5e74\u6642\u70b9\u3067\u307e\u3060\u3053\u308c\u3092\u4f7f\u7528\u3059\u308c\u3070\u60aa\u6027\u9ac4\u819c\u816b\u304c\u6cbb\u308b\u3068\u3044\u3046\u85ac\u5264\u306f\u77e5\u3089\u308c\u3066\u3044\u306a\u3044\u3088\u3046\u3067\u3059\u3002<\/p>\n<h4>sunitinib\u5316\u5b66\u7642\u6cd5<\/h4>\n<div class=\"setumei\">\n<p>Kaley TJ, et al.: Phase II trial of sunitinib for recurrent and progressive atypical and anaplastic meningioma. Neuro Oncol 17:116-121, 2015<br \/>\n\u653e\u5c04\u7dda\u6cbb\u7642\u3082\u52b9\u304b\u306a\u304b\u3063\u305f30\u4eba\u306e\u30b0\u30ec\u30fc\u30c92\u9ac4\u819c\u816b\u30686\u4eba\u306e\u30b0\u30ec\u30fc\u30c93\u9ac4\u819c\u816b\u306e\u60a3\u8005\u3055\u3093\u304c\u30b9\u30cb\u30c1\u30cb\u30d6\u3067\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u300242\u65e5\u5468\u671f\u3067\u4e00\u65e5\u3042\u305f\u308a50mg\u309228\u65e5\u9593\u9023\u7d9a\u6295\u4e0e\u3059\u308b\u65b9\u6cd5\u3067\u3059\u30026\u30f6\u6708\u7121\u5897\u60aa\u751f\u5b58\u5272\u5408\u306f42%\uff0c\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u4e2d\u592e\u5024\u306f5.2\u30f6\u6708\uff0c\u5168\u751f\u5b58\u671f\u9593\u4e2d\u592e\u5024\u306f24\u30f6\u6708\u3067\u3057\u305f\u3002\u30b9\u30cb\u30c1\u30cb\u30d6\u306f\uff0ca small-molecule tyrosine kinase inhibitor that targets vascular endothelial growth factor receptor and platelet-derived growth factor receptor\u3067\u3059\u304b\u3089\uff0c\u3053\u308c\u3089\u306e\u816b\u760d\u3092\u6cbb\u3059\u529b\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u767a\u751f\u306e\u539f\u56e0\u306f<\/h4>\n<p align=\"left\">Andersen L, et al.: Hormone replacement therapy increases the risk of cranial meningioma. Eur J Cancer 2013 Jun 2<br \/>\n\u9ac4\u819c\u816b\u306f\u6210\u4eba\u5973\u6027\u306b\u591a\u3044\u816b\u760d\u3067\u3059\u304b\u3089\uff0c\u4ee5\u524d\u304b\u3089<span style=\"color: #000080;\"><strong>\u5973\u6027\u30db\u30eb\u30e2\u30f3\u3068\u9ac4\u819c\u816b\u306e\u767a\u751f\u306e\u95a2\u9023<\/strong><\/span>\u304c\u7591\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u30c7\u30f3\u30de\u30fc\u30af\u3067\uff0c\u9ac4\u819c\u816b\u306b\u306a\u3063\u305f55\u6b73\u304b\u308984\u6b73\u306e\u5973\u6027\u306b\u5bfe\u3059\u308b\uff0c\u767a\u75c7\u524d\u306e\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u6295\u4e0e\u306e\u6709\u7121\u304c\u8abf\u67fb\u3055\u308c\u307e\u3057\u305f\u3002924\u4eba\u304c\u9ac4\u819c\u816b\u3092\u6709\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u6295\u4e0e\u3092\u53d7\u3051\u3066\u3044\u308b\u3068\uff0c\u9ac4\u819c\u816b\u306e\u767a\u751f\u7387\u306f1.3\u500d\u306b\u5897\u52a0\u3057\u3066\u3044\u307e\u3057\u305f\uff0c10\u5e74\u4ee5\u4e0a\u6295\u4e0e\u3055\u308c\u3066\u3044\u308b\u30681.7\u500d\u306b\u306a\u3063\u305f\u305d\u3046\u3067\u3059\u3002\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3068\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u306e\u7d44\u307f\u5408\u308f\u305b\u306e\u6295\u4e0e\u3067\u3088\u308a\u591a\u3044\u50be\u5411\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3067\u3082\u3060\u304b\u3089\u3068\u3044\u3063\u3066\uff0c\u5168\u3066\u306e\u66f4\u5e74\u671f\u306e\u5973\u6027\u3078\u306e\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u304c\u6b62\u3081\u3089\u308c\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u3042\u305d\u3046\u3044\u3046\u3053\u3068\u304b\u306a\u3068\u3044\u3046\u304f\u3089\u3044\u3067\u3059\u3002<\/p>\n<h4 align=\"left\">\u767a\u751f\u983b\u5ea6\u306f\u4eba\u53e3\u306e1%\u306b\u8fd1\u3044<\/h4>\n<p><span class=\"highlight\">Vernooij MW:\u00a0<\/span>Incidental findings on brain MRI in the general population. <span role=\"menubar\">N Engl J Med.<\/span> 2007<br \/>\n<span role=\"menubar\"><span style=\"color: #ff0000;\"><strong>N Engl J Med<\/strong><\/span>\u3068\u3044\u3046\u6a29\u5a01\u306e\u3042\u308b\u96d1\u8a8c\u306e\u5831\u544a\u3067\u3059\u3002Rotterdam Study\u30672,000\u4eba\u306eMRI\u304c\u691c\u7d22\u3055\u308c\u307e\u3057\u305f\u3002\u6bcd\u96c6\u56e3\u306e\u5e73\u5747\u5e74\u9f62\u306f63\u6b73\u3068\u3084\u3084\u9ad8\u9f62\u3067\u3059\u3002\u8133\u52d5\u8108\u7624\u306f1.8%\uff0c\u826f\u6027\u8133\u816b\u760d\u306f1.6%\u306b\u767a\u898b\u3055\u308c\u307e\u3057\u305f\u3002\u307b\u3068\u3093\u3069\u304c<span style=\"color: #ff0000;\"><strong>\u9ac4\u819c\u816b\u3067\u4eba\u53e3\u306e1%<\/strong><\/span>\u306b\u3042\u308b\u3068\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\n<\/div>\n<div class=\"setumei\">\n<h4 align=\"left\">\u9ac4\u819c\u816b\u306e\u6cbb\u7642\u5b66\u306f\u5b66\u554f\u304b<\/h4>\n<div class=\"setumei\">\n<p>Aghi M, Barker IF: Benign adult brain tumors: an evidence-based medicine review. Prog Neurol Surg 19: 80-96, 2006<br \/>\n\u307b\u3068\u3093\u3069\u5168\u3066\u306e\u6210\u4eba\u826f\u6027\u8133\u816b\u760d\u306e\u7814\u7a76\u306f\uff0c\u8cea\u304c\u4f4e\u304f\u3066 (\u30ec\u30d9\u30eb 3 \u304b\u3082\u3063\u3068\u4f4e\u3044)\uff0c\u63a8\u5968\u5ea6\u3068\u3057\u3066\u306f\u30b0\u30ec\u30fc\u30c9 C \u3060\u305d\u3046\u3067\u3059\u3002Randomized clinical trials are unlikely to occur\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f2006\u5e74\u306e\u305f\u3044\u3057\u305f\u3053\u3068\u306a\u3044\u8ad6\u6587\u3067\u3059\u304c\uff0c\u305d\u306e\u3068\u304a\u308a\u3067\uff0c\u4eca\u5f8c\u3082\uff0c\u7d4c\u9a13\u5b66\u3068\u591a\u5c11\u306e\u6570\u3092\u96c6\u3081\u305f\u7814\u7a76\u6210\u7e3e\u3092\u8aad\u307f\u53d6\u3063\u3066\u6307\u6a19\u3068\u3057\u3066\u3044\u304f\u3057\u304b\u3042\u308a\u307e\u305b\u3093\u3002\u5b66\u4f1a\u3067\u306e\u3059\u3070\u3089\u3057\u3044\u6210\u7e3e\u767a\u8868\u3082\u3088\u304f\u3088\u304f\u8003\u3048\u3066\u53d7\u3051\u53d6\u3089\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002<\/p>\n<\/div>\n<\/div>\n<div class=\"setumei\">\n<h4><span style=\"color: #000080;\"><span class=\"style1\">\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u304b\u5206\u5272\u7167\u5c04\u6cbb\u7642\u304b<\/span><\/span><\/h4>\n<p>Matellus P, et al.: Evaluation of fractionated radiotherapy and gamma knife radiosurgery in cavernous sinus meningiomas: treatment strategy. Neurosurgery 57: 873-886, 2005<br \/>\n\u30d5\u30e9\u30f3\u30b9\u306e\u30de\u30eb\u30bb\u30a4\u30e6\u306e\u540c\u4e00\u65bd\u8a2d\u3067\u5206\u5272\u7167\u5c04\u3068\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u306e\u7d50\u679c\u304c\u691c\u8a0e\u3055\u308c\u305f\u5831\u544a\u3067\u3042\u308b\u3002\u521d\u767a\u3042\u308b\u3044\u306f\u8853\u5f8c\u6b8b\u5b58\u3057\u305f\u6d77\u7dbf\u9759\u8108\u6d1e\u9ac4\u819c\u816b\u306e38\u4f8b\u3092\u5206\u5272\u7167\u5c04\u3067\uff0c36\u4f8b\u3092\u653e\u5c04\u7dda\u5916\u79d1\uff08\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff09\u3067\u6cbb\u7642\u3057\u305f\u3002 \u8ffd\u8de1\u671f\u9593\u306f\u524d\u8005\u306789\u30f6\u6708\uff0c\u5f8c\u8005\u306764\u30f6\u6708\u3067\u3042\u3063\u305f\u3002\u5e83\u7bc4\u306a\u4f38\u5c55\u7bc4\u56f2\u3092\u6709\u3059\u308b\u3082\u306e\u3042\u308b\u3044\u306fSekhar\u5206\u985e\u3067\u306egrade III and IV\u306f\u5206\u5272\u7167\u5c04\u306e\u7fa4\u306b\u591a\u304f\uff0c\u5e73\u5747\u816b\u760d\u4f53\u7a4d\u306f\u5206\u5272\u7167\u5c04\u7fa4\u306713.5 ml\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u7fa4\u30675.2 ml \u3067\u3042\u3063\u305f\u3002actuarial progression-free suvival (PFS)\u306f\uff0c\u5206\u5272\u7167\u5c04\u7fa4\u306794.7%\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u7fa4\u306794.4%\u3067\u3042\u3063\u305f\u3002\u75c7\u72b6\u306e\u6539\u5584\u7387\u306f\u307b\u307c\u540c\u7b49\u3067\u3042\u308a\uff0c\u816b\u760d\u7e2e\u5c0f\u7387\u306f\u5206\u5272\u7167\u5c04\u7fa4\u306729%\u306b\u5bfe\u3057\u3066\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u7fa4\u306753%\u3067\u3042\u3063\u305f\u3002\u6709\u5bb3\u4e8b\u8c61\u306f\u5206\u5272\u7167\u5c04\u7fa4\u306e\u65b9\u304c\u9ad8\u7387\u3068\u306a\u3063\u3066\u3044\u308b\u304c\u3053\u308c\u306f\u7167\u5c04\u5bb9\u7a4d\u306e\u9055\u3044\u306b\u3088\u308b\u3082\u306e\u304c\u5927\u304d\u3044\u3002\u8457\u8005\u3089\u306f\u7d50\u8ad6\u3068\u3057\u3066\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u306f\u3088\u308a\u7c21\u4fbf\u3067\u3042\u308a\u816b\u760d\u7e2e\u5c0f\u7387\u3082\u9ad8\u3044\u306e\u3067\u512a\u5148\u7684\u306b\u691c\u8a0e\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308a\uff0c\u5206\u5272\u7167\u5c04\u306f\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u304c\u9069\u3055\u306a\u3044\u75c7\u4f8b\u3067\u884c\u306a\u3046\u3079\u304d\u3067\u3042\u308b\u3068\u3057\u3066\u3044\u308b\u3002<\/p>\n<h4><span style=\"color: #000080;\"><span class=\"style1\">\u5b9a\u4f4d\u5206\u5272\u7167\u5c04\u6cbb\u7642\u306e\u6709\u52b9\u6027<\/span><\/span><\/h4>\n<p>Milker-Zabel S, et al.: Fractionated stereotactic radiotherapy in patients with benign or atypical intracranial meningioma: long-term experience and prognostic factors. Int J Radiat Oncol Biol Phys 61: 809-816,, 2005<br \/>\n1985-2001\u5e74\u306b\u5e74\u9f62\u4e2d\u592e\u502455.7\u6b73\uff0c317\u4eba\u306e\u9ac4\u819c\u816b\u60a3\u8005\u3092\u5b9a\u4f4d\u5206\u5272\u7167\u5c04\u3067\u6cbb\u7642\u3057\u305f\u3002target volume\u4e2d\u592e\u5024\u306f33.5ml\u3067\u3042\u308a\uff0ctotal dose\u4e2d\u592e\u5024\u306f57.6Gy (1.8Gy\/day, 5 times\/week)\u3067\u3042\u3063\u305f\u30025.7\u5e74\u306e\u8ffd\u8de1\u6a5f\u611f\u4e2d\u592e\u5024\u3067\u306e\u816b\u760d\u5c40\u6240\u5236\u5fa1\u5272\u5408\u306f93.1% (295\/317)\u3067\u3042\u3063\u305f\u300222\u4eba(6.9%)\u3067\u816b\u760d\u5897\u5927\u304c\u751f\u3058\u305f\u304cgrade II\u306e\u75c7\u4f8b\u306b\u591a\u304b\u3063\u305f\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002\u307e\u305f\uff0c60ml\u4ee5\u4e0a\u306e\u4f53\u7a4d\u306e\u9ac4\u819c\u816b\u306e\u518d\u71c3\u5272\u5408\u306f15.5%\u3067\u3042\u3063\u305f\u3002 \u6709\u5bb3\u4e8b\u8c61\u3068\u3057\u3066\u306e\u795e\u7d4c\u75c7\u72b6\u306e\u60aa\u5316\u306f8.2%\u306b\u307f\u3089\u308c\uff0c\u8996\u529b\u306e\u4f4e\u4e0b\uff0c\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\uff0c\u8033\u9cf4\u306a\u3069\u3067\u3042\u3063\u305f\u3002<\/p>\n<h4>\u60aa\u6027\u9ac4\u819c\u816b\u3078\u306e\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642<\/h4>\n<p>Mattozo CA, et al.: Stereotactic radiation treatment for recurrent nonbenign meningiomas. J Neurusurg 106: 846-854, 2007<br \/>\n\u81e8\u5e8a\u7684\u306b\u3082\u75c5\u7406\u5b66\u7684\u306b\u3082\u826f\u6027\u3068\u306f\u3044\u3048\u306a\u3044\u9ac4\u819c\u816b\u306b\u5bfe\u3059\u308b\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6210\u7e3e\u3067\u3059\u3002SRS\uff08\uff11\u56de\u7167\u5c04\uff09\u3068SRT\uff08\u5206\u5272\u7167\u5c04\uff09\u304c\u4f7f\u308f\u308c\u307e\u3057\u305f\u300225\u4eba\u306e\u60a3\u8005\u3055\u3093\u306752\u500b\u306e\u9ac4\u819c\u816b\u304c\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u3002\u6cbb\u7642\u4e2d\u306b8\u4f8b(32%)\u3067\u3055\u3089\u306b\u60aa\u6027\u5316\u304c\u751f\u3058\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u306b\u3088\u3063\u3066\uff13\u5e74\u9593\u5897\u60aa\u304c\u306a\u304b\u3063\u305f\u306e\u306f\u30b0\u30ec\u30fc\u30c9\uff11\u3067100%\u3068\u30b0\u30ec\u30fc\u30c9\uff12\u306e11\u4f8b\u306783%\uff0c\u30b0\u30ec\u30fc\u30c9\uff13\u306e\uff11\u4f8b\u3067\u306f\u7121\u52b9\u3067\u3057\u305f\u3002SRS\u306e\u307b\u3046\u304cSRT\u3088\u308a\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u304c\u9577\u304b\u3063\u305f\u50be\u5411\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n<\/div>\n<h4>\u30cf\u30a4\u30c9\u30ec\u30a2\u5316\u5b66\u7642\u6cd5<\/h4>\n<div class=\"setumei\">\n<p>Neuton HB: Hydroxyurea chemotherapy in the treatment of meningiomas. Neurosurg Focus 23: 2007<br \/>\n\u5358\u306a\u308b\u7dcf\u8ad6\u306a\u306e\u3067\u3059\u304c\uff0c2007\u5e74\u306e\u6bb5\u968e\u3067\u30cf\u30a4\u30c9\u30ed\u30ad\u30b7\u30a6\u30ec\u30a2\uff08\u30cf\u30a4\u30c9\u30ec\u30a2\uff09\u306e\u52b9\u679c\u3092\u8ad6\u8a55\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u3053\u306e\u8ad6\u8a55\u3067\u3082\u60aa\u6027\u306e\u9ac4\u819c\u816b\u306b\u306f\u30cf\u30a4\u30c9\u30ec\u30a2\u304c\u6700\u3082\u671f\u5f85\u3067\u304d\u308b\u5316\u5b66\u7642\u6cd5\u5264\u3067\u3042\u308d\u3046\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u3068\u3044\u3046\u3053\u3068\u306f\uff0c\u4ed6\u306b\u306f\u6709\u52b9\u305d\u3046\u306a\u85ac\u5264\u304c\u306a\u3044\u3068\u3082\u3068\u308c\u307e\u3059\u3002\u30cf\u30a4\u30c9\u30ec\u30a2\u306b\u3088\u308b\u5316\u5b66\u7642\u6cd5\u306f1900\u5e74\u4ee3\u306e\u534a\u3070\u306b\u6ce8\u76ee\u3055\u308c\u307e\u3057\u305f\u304c\uff0c\u305d\u308c\u4ee5\u6765\u3053\u308c\u3068\u3044\u3063\u305f\u9032\u6b69\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u4e2d\u306b\u306f\u52b9\u304f\u4f8b\u3082\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u3044\u3046\u3068\u3053\u308d\u304c\uff0c\u30cf\u30a4\u30c9\u30ec\u30a2\u306e\u60aa\u6027\u9ac4\u819c\u816b\u306b\u5bfe\u3059\u308b\u52b9\u679c\u3068\u3044\u3048\u307e\u3057\u3087\u3046\u3002\u591a\u6570\u4f8b\u3067\u306e\u8a3c\u660e\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<\/div>\n<div class=\"setumei\">\n<h5><strong>\u6587\u732e<\/strong><\/h5>\n<ul>\n<li>Andersen L, et al.: Hormone replacement therapy increases the risk of cranial meningioma. Eur J Cancer 2013 Jun 2<\/li>\n<li>Duregon E, et al.: Better see to better agree: phosphohistone H3 increases interobserver agreement in mitotic count for meningioma grading and imposes new specific thresholds. Neuro Oncol 17: 663-963, 2015<\/li>\n<li>Kaley TJ, et al.: Phase II trial of sunitinib for recurrent and progressive atypical and anaplastic meningioma. Neuro Oncol 17:116-121, 2015<\/li>\n<li>Kshettry VR, et al.: Descriptive epidemiology of World Health Organization grades II and III intracranial meningiomas in the United States. Neuro Oncol 17:1166-1173, 2015<\/li>\n<li>Matellus P, et al.: Evaluation of fractionated radiotherapy and gamma knife radiosurgery in cavernous sinus meningiomas: treatment strategy. Neurosurgery 57: 873-886, 2005<\/li>\n<li>Mattozo CA, et al.: Stereotactic radiation treatment for recurrent nonbenign meningiomas. J Neurusurg 106: 846-854, 2007<\/li>\n<li>Milker-Zabel S, et al.: Fractionated stereotactic radiotherapy in patients with benign or atypical intracranial meningioma: long-term experience and prognostic factors. Int J Radiat Oncol Biol Phys 61: 809-816,, 2005<\/li>\n<li>Preusser M, Marosi C: Antiangiogenic treatment of meningiomas. Curr Treat Options Neurol 17:359, 2015<\/li>\n<li>Neuton HB: Hydroxyurea chemotherapy in the treatment of meningiomas. Neurosurg Focus 23: 2007<\/li>\n<li>Perry A, et al.: Malignancy in meningiomas: a clinicopathologic study of 116 patients, with grading implications. Cancer 85: 2046-2056, 1999<\/li>\n<li><span class=\"highlight\">Vernooij MW:\u00a0<\/span>Incidental findings on brain MRI in the general population. <span role=\"menubar\">N Engl J Med.<\/span> 2007<\/li>\n<li>Wang C, et al.: Overall\u00a0survival\u00a0benefit associated with adjuvant radiotherapy in\u00a0WHO\u00a0grade\u00a0II\u00a0meningioma. Neuro Oncol.\u00a02017<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/08\/minitomato.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1208\" title=\"minitomato\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/08\/minitomato.jpg\" alt=\"\u3042\u306a\u305f\u306e\u7b11\u9854\u304c\u79c1\u306e\u5e78\u305b\" width=\"420\" height=\"622\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u8133\u816b\u760d\u3067\u306f\u6700\u3082\u591a\u3044\u826f\u6027\u306e\u816b\u760d\u3067\u3059 \u982d\u75db\u3084\u305f\u307e\u305f\u307e\u982d\u3092\u3076\u3064\u3051\u305f\u6642\u306a\u3069\u306b\uff0cCT\u3084MRI\u3092\u3068\u3063\u3066\u5076\u7136\u306b\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059 \u5168\u304f\u75c7\u72b6\u304c\u306a\u3044\u7121\u75c7\u5019\u6027\u9ac4\u819c\u7a2e\u306f\u6700\u8fd1\u305f\u304f\u3055\u3093\u767a\u898b\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f \u4eba\u53e3\u306e0.2-1%\u306b\u898b\u3064\u304b [&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-116","post","type-post","status-publish","format-standard","hentry","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=116"}],"version-history":[{"count":197,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/116\/revisions"}],"predecessor-version":[{"id":23925,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/116\/revisions\/23925"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}