{"id":2888,"date":"2013-05-20T11:26:57","date_gmt":"2013-05-20T02:26:57","guid":{"rendered":"\/sawamura\/?p=2888"},"modified":"2016-03-28T15:04:26","modified_gmt":"2016-03-28T06:04:26","slug":"epidermoidgerminoma","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pediattumor\/germcelltumors\/epidermoidgerminoma\/","title":{"rendered":"\u308b\u3044\u8868\u76ae\u306e\u3046\u80de\u306b\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3092\u6df7\u3058\u308b\u80da\u7d30\u80de\u816b\u760d"},"content":{"rendered":"<p>10\u6b73\u7537\u5150\u3067\uff0c\u3082\u306e\u304c2\u91cd\u306b\u898b\u3048\u308b\uff08\u8907\u8996\uff09\u3068\u3044\u3046\u4e2d\u8133\u8996\u84cb\u306e\u5727\u8feb\u75c7\u72b6\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u8840\u6e05\u306eAFP\u306f1.3 ng\/ml, HCG-beta &lt; 0.1mIU\uff0c\u9ac4\u6db2 HCG-beta &lt; 0.1mIU\u3068\u30de\u30fc\u30ab\u30fc\u306f\u691c\u51fa\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<h4>CT\u3067\u3059<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3689\" title=\"mixedgctnh1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh1.jpg 547w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3690\" title=\"mixedgctnh2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh2-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh2-550x550.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnh2.jpg 560w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5de6\u306eCT\u3067\u306f\u4f4e\u5bc6\u5ea6\u306e\u677e\u679c\u4f53\u816b\u760d\u3068\u307e\u3070\u3089\u306a\u77f3\u7070\u5316\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u53f3\u306e\u9020\u5f71CT\u3067\u306f\uff0c\u816b\u760d\u306e\u3054\u304f\u4e00\u90e8\u304c\u5897\u5f37\u3055\u308c\u307e\u3059\u3002 \u3053\u306e\u6642\u70b9\u3067\uff0c\u4f4e\u5438\u53ce\u3067\u77f3\u7070\u5316\u304c\u3042\u308b\u306e\u3067\u985e\u76ae\u306e\u3046\u80de dermoid cyst\u3092\u5f37\u304f\u7591\u3044\u307e\u3059\u3002dermoid cyst\u3092\u4e3b\u4f53\u3068\u3059\u308b\u6df7\u5408\u6027\u80da\u7d30\u80de\u816b\u760d mixed germ cell tumor\u3082\u5019\u88dc\u3067\u3059\u3002\u3042\u308b\u3068\u3059\u308c\u3070\uff0cgerminoma\u304bteratoma\u3067\u3059\u3002<\/p>\n<h4>MRI\u3067\u3059<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhdwi.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3923\" title=\"mixedgctnhdwi\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhdwi-296x300.jpg\" alt=\"\" width=\"296\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhdwi-296x300.jpg 296w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhdwi.jpg 492w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnht2ax.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3922\" title=\"mixedgctnht2ax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnht2ax-300x289.jpg\" alt=\"\" width=\"300\" height=\"289\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnht2ax-300x289.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnht2ax-550x530.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnht2ax.jpg 574w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5de6\u306e\u62e1\u6563\u5f37\u8abf\u753b\u50cf\u3067\u9ad8\u4fe1\u53f7\u3068\u306a\u308a\u985e\u8868\u76ae\u306e\u3046\u80de epidermoid cyst \u3042\u308b\u3044\u306f\u985e\u76ae\u306e\u3046\u80de dermoid cyst \u306e\u8a3a\u65ad\u3067\u3059\u3002\u3057\u304b\u3057\u53f3\u306eT2\u5f37\u8abf\u753b\u50cf\u3067\u306f\u5de6\u5f8c\u65b9\u306b\u9055\u3046\u4fe1\u53f7\u306e\u816b\u760d\u584a\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhsag.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3924\" title=\"mixedgctnhsag\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhsag-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhsag-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhsag-550x542.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhsag.jpg 745w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhax.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3925\" title=\"mixedgctnhax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhax-300x294.jpg\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhax-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhax.jpg 529w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u50cf\u3067\u3059\u3002\u985e\u76ae\u306e\u3046\u80de\uff08\u6210\u719f\u5947\u5f62\u816b mature teratoma\uff09\u3068\u306e\u6df7\u5408\u6027\u80da\u7d30\u80de\u816b\u760d\u3092\u5f37\u304f\u7591\u3046\u6240\u898b\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhciss.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3926\" title=\"mixedgctnhciss\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhciss-300x291.jpg\" alt=\"\" width=\"300\" height=\"291\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhciss-300x291.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhciss-550x534.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhciss.jpg 683w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>CISS\u753b\u50cf\u3067\u3059\u3002\u4e2d\u8133\u6c34\u9053\u306e\u53f3\u5074\u306b\u816b\u760d\u304c\u98df\u3044\u8fbc\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<h4>\u624b\u8853\u6cbb\u7642\u65b9\u91dd<\/h4>\n<p>\u307e\u305a\u985e\u76ae\u306e\u3046\u80de\uff08\u6210\u719f\u5947\u5f62\u816b\uff09\u306b\u306f\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3082\u5316\u5b66\u7642\u6cd5\u3082\u52b9\u304d\u307e\u305b\u3093\u304b\u3089\uff0c\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u306a\u3044\u3068\u6cbb\u3089\u306a\u3044\u306e\u3067\uff0c\u985e\u76ae\u306e\u3046\u80de\u306e\u90e8\u5206\u306f\u5168\u6458\u51fa\u3067\u304d\u306a\u3044\u3068\uff0c\u6b8b\u5b58\u816b\u760d\u306f\u5897\u5927\u3057\u3066\uff0c\u624b\u8853\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u306b\u3082\u306a\u308a\uff0c\u7d50\u679c\u7684\u306b\u3053\u306e\u5b50\u306f\u547d\u3092\u5931\u3046\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhctsinus.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3913\" title=\"mixedgctnhctsinus\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhctsinus-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhctsinus-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhctsinus-550x540.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhctsinus.jpg 843w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u4e21\u5074\u5f8c\u982d\u958b\u982d\u3092\u3057\u3066\uff0c\u9759\u8108\u6d1e\u4ea4\u4f1a\u3092\u9732\u51fa\u3057\uff0c\u786c\u819c\u3092\u5f8c\u982d\u6975\u304c\u5145\u5206\u307f\u3048\u308b\u307e\u3067\u958b\u3044\u3066\uff0c\u53f3\u5f8c\u982d\u8449\u3092\u727d\u5f15\u3057\u3066\u30c6\u30f3\u30c8\u306b\u81f3\u308a\uff0c\u30c6\u30f3\u30c8\u3092\u5207\u958b\u3059\u308b\u901a\u5e38\u306eoccipital interhemispheric transtentorial approach\u3067\u6458\u51fa\u3057\u307e\u3057\u305f\u3002dermoid cyst\u306f\u8133\u7d44\u7e54\u306b\u5f37\u304f\u7652\u7740\u3059\u308b\u305f\u3081\u306b\uff0c\u53f3\u4e2d\u8133\u88ab\u84cb\u306b\u6f5c\u308a\u8fbc\u3093\u3067\u3044\u308b\u816b\u760d\u306f\u614e\u91cd\u306b\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u7279\u306b\uff0c\u8907\u8996\u3092\u751f\u3058\u306a\u3044\u305f\u3081\u306b\u5f8c\u4ea4\u9023\u306e\u6e29\u5b58\u306b\u52aa\u529b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u75c5\u7406\u6240\u898b\u3067\u3059<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2895\" title=\"mgctdermoid1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid11-300x286.jpg\" alt=\"\" width=\"270\" height=\"257\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid11-300x286.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid11-550x524.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid11.jpg 850w\" sizes=\"auto, (max-width: 270px) 100vw, 270px\" \/><\/a>\u00a0<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid2.jpg\">\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2896\" title=\"mgctdermoid2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid2-300x273.jpg\" alt=\"\" width=\"270\" height=\"246\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid2-300x273.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid2-550x501.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid2.jpg 850w\" sizes=\"auto, (max-width: 270px) 100vw, 270px\" \/><br \/>\n<\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-2897\" title=\"mgctdermoid3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid3-300x283.jpg\" alt=\"\" width=\"300\" height=\"283\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid3-300x283.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid3-550x519.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mgctdermoid3.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>epidermis\u306bhair follicle, sebaseous gland\u3092\u4f34\u3046dermoid cyst \u985e\u76ae\u306e\u3046\u80de\u306e\u8a3a\u65ad\u3067\u3059\u3002\u4e0a\u76ae\u306b\u63a5\u3059\u308b\u8133\u7d44\u7e54\uff08\u3053\u308c\u306f\u6b63\u5e38\u8133\u7d44\u7e54\u3067\u306f\u306a\u304f\u3066\u6210\u719f\u5947\u5f62\u816b\u306e\u5185\u90e8\u306b\u3067\u304d\u305f\u8133\u7d44\u7e54\uff09\u306e\u5185\u90e8\u306bgerm cell nest\uff08\u77e2\u5370\uff09\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\uff08\u5de6\u4e0b\u62e1\u5927\uff09\u3002mature teratoma\u306bgerminoma\u304c\u6df7\u5728\u3059\u308bmixed germ cell tumor \u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<h4>\u624b\u8853\u5f8c\u306eMRI<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3911\" title=\"mixedgctnhpost1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost1-300x294.jpg\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost1-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost1-550x540.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost1.jpg 828w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3912\" title=\"mixedgctnhpost2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost2-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost2-550x551.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/05\/mixedgctnhpost2.jpg 751w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u624b\u8853\u5f8c\u306b\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37MRI\u3067\u8133\u810a\u9ac4\u64ad\u7a2e\u304c\u306a\u3044\u304b\u3069\u3046\u304b\u306e\u78ba\u8a8d\u3092\u3057\u307e\u3057\u305f\u3002\u816b\u760d\u306f\u5168\u6458\u51fa\u3067\u304d\u3066\u3044\u3066\uff0c\u8907\u8996\u3084\u8996\u91ce\u969c\u5bb3\u306a\u3069\u3082\u306a\u304f\u7121\u75c7\u72b6\u3067\u3059\u3002<\/p>\n<h4>\u8853\u5f8c\u653e\u5c04\u7dda\u5316\u5b66\u7642\u6cd5\u306e\u65b9\u91dd<\/h4>\n<p>ICE\u5316\u5b66\u7642\u6cd5 (IFO\/CDDP\/VP-16)\u3092\uff13\u30b3\u30fc\u30b9\u3057\u305f\u5f8c\u306b\uff0c\u5168\u8133\u5ba4\u7167\u5c04 whole ventricle radiation therapy 25.2 Gy\/14\u5206\u5272\u3092\u52a0\u3048\u307e\u3057\u305f\u3002\u6839\u62e0\u306f\uff0c\u6210\u719f\u5947\u5f62\u816b mature teratoma\u306f\u624b\u8853\u5168\u6458\u51fa\u3067\u6cbb\u7652\u3059\u308b\u3053\u3068\u3002\u6b8b\u308bgerminoma\u306b\u306f\u3053\u306e\u6cbb\u7642\u3067\u5341\u5206\u306b\u6cbb\u7652\u304c\u671f\u5f85\u3055\u308c\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n<h4><span style=\"color: #000080;\">\u3053\u306e\u4f8b\u306e\u96e3\u3057\u3044\u3068\u3053\u308d<\/span><\/h4>\n<p>\u307e\u305adermoid cyst\u306f\uff0c\u5468\u56f2\u306e\u795e\u7d4c\u7d44\u7e54\u306b\u7652\u7740\u3057\uff0c\u306e\u3046\u80de\u58c1\u306f\u9d8f\u76ae\u306e\u3088\u3046\u306b\u786c\u3044\u3053\u3068\u3082\u3042\u308a\u6458\u51fa\u306f\u96e3\u3057\u304f\uff0c\u304b\u3064\u306e\u3046\u80de\u58c1\u3092\u5168\u6458\u51fa\u3057\u306a\u3051\u308c\u3070\u6cbb\u3089\u306a\u3044\u3068\u3044\u3046\u70b9\u3067\u3059\u3002\u677e\u679c\u4f53\u90e8\u3067\u306f\u306a\u304f\u518d\u624b\u8853\u304c\u53ef\u80fd\u306a\u90e8\u4f4d\u3067\u3042\u308c\u3070\u826f\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u90e8\u4f4d\u306b\u304a\u3044\u3066\u306f\u4e00\u5ea6\u306e\u958b\u982d\u624b\u8853\u3067\u306e\u3046\u80de\u58c1\u3092\u5b8c\u5168\u6458\u51fa\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u518d\u767a\u3092\u7e70\u308a\u8fd4\u305b\u3070\u96e3\u6cbb\u6027\u6c34\u982d\u75c7\u306b\u3082\u306a\u308a\uff0c10\u5e74\u751f\u5b58\u306f\u96e3\u3057\u3044\u3067\u3059\u3002<\/p>\n<p>\u3053\u306e\u4f8b\u306b\u95a2\u3057\u3066\u306f\uff0c\u6df7\u5408\u6027\u80da\u7d30\u80de\u816b\u760d\u3068\u3044\u3048\u3069\u3082\u5168\u6458\u51fa\u3057\u3066\u75c5\u7406\u8a3a\u65ad\u3092\u7cbe\u5bc6\u306b\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u4ed6\u306e\u60aa\u6027\u80da\u7d30\u80de\u816b\u760d\u6210\u5206\u306e\u6df7\u5728\u306e\u53ef\u80fd\u6027\u306f\u307b\u3068\u3093\u3069\u306a\u3044\u3068\u8a00\u3048\u307e\u3059\u3002\u3053\u306e\u69d8\u306amixed germ cell tumor\u3092intermediate prognostic group\u3068\u3057\u3066\u4e00\u62ec\u308a\u306b\u3057\u3066\uff0c\u904e\u5ea6\u306e\u5316\u5b66\u7642\u6cd5\u3084\u8133\u810a\u9ac4\u7167\u5c04\u3084\u5168\u8133\u5ba4\u7167\u5c04\u306b\u5c40\u6240\u8ffd\u52a0\u7167\u5c04 local boost\u3092\u52a0\u3048\u3066\u306f\uff0covertreatment\u3068\u306a\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n<h5>\u53c2\u8003\u6587\u732e<\/h5>\n<ul>\n<li>Sawamura Y: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19329863\">Strategy of combined treatment of germ cell tumors.<\/a> Prog Neurol Surg 23:86-95, 2009<\/li>\n<li>Sawamura Y, et al.: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9817409\">Teratomas of the central nervous system: treatment considerations based on 34 cases.<\/a> J Neurosurg 89: 728-37, 1998<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>10\u6b73\u7537\u5150\u3067\uff0c\u3082\u306e\u304c2\u91cd\u306b\u898b\u3048\u308b\uff08\u8907\u8996\uff09\u3068\u3044\u3046\u4e2d\u8133\u8996\u84cb\u306e\u5727\u8feb\u75c7\u72b6\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u8840\u6e05\u306eAFP\u306f1.3 ng\/ml, HCG-beta &lt; 0.1mIU\uff0c\u9ac4\u6db2 HCG-beta &lt; 0.1mIU\u3068\u30de\u30fc\u30ab\u30fc\u306f\u691c\u51fa [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,1],"tags":[],"class_list":["post-2888","post","type-post","status-publish","format-standard","hentry","category-casestudy","category-germcelltumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/2888","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\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=2888"}],"version-history":[{"count":38,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/2888\/revisions"}],"predecessor-version":[{"id":8574,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/2888\/revisions\/8574"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=2888"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=2888"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=2888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}