{"id":3162,"date":"2013-07-14T11:37:01","date_gmt":"2013-07-14T02:37:01","guid":{"rendered":"\/sawamura\/?p=3162"},"modified":"2020-08-12T08:40:11","modified_gmt":"2020-08-11T23:40:11","slug":"pinealparenchymaltumor","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/pinealparenchymaltumor\/","title":{"rendered":"\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d\u306e\u75c7\u4f8b pineal parenchymal tumor"},"content":{"rendered":"<h5>\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d\u306b\u306f\uff13\u7a2e\u985e\u3042\u308a\u307e\u3059<\/h5>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\u7d30\u80de\u816b \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<span style=\"color: #000080;\">\u00a0 \u00a0\u30b0\u30ec\u30fc\u30c91 pineocytoma<\/span><\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d \u00a0 \u00a0\u00a0<strong>\u30b0\u30ec\u30fc\u30c92\u3068<strong>\u30b0\u30ec\u30fc\u30c93<\/strong><br \/>\npineal parenchymal tumor of intermediate differentiation PPTID<\/strong><\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\u82bd\u816b<strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u30b0\u30ec\u30fc\u30c94 pineoblastoma<\/strong><\/strong><\/span><\/li>\n<\/ul>\n<hr \/>\n<h1><span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\u7d30\u80de\u816b\u30b0\u30ec\u30fc\u30c91\u306e\u75c7\u4f8b<\/strong><\/span><\/h1>\n<div>\n<h4>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4f8b\uff11\uff08\u5178\u578b\u4f8b\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1.png\" alt=\"\" width=\"232\" height=\"246\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo2.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo2.png\" alt=\"\" width=\"240\" height=\"246\" \/><\/a><\/p>\n<p>\u3053\u308c\u306f\u82e5\u3044\u5973\u6027\u306b\u898b\u3064\u304b\u3063\u305f\u677e\u679c\u4f53\u7d30\u80de\u816b\u3067\u3059\u3002\u7121\u75c7\u72b6\u3067\u3059\u3057\u6c34\u982d\u75c7\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u677e\u679c\u4f53\u306e\u3046\u80de\u3068\u306e\u533a\u5225\u304c\u3080\u305a\u304b\u3057\u3044\u306e\u3067\u3059\u304c\uff0c\u56a2\u80de\u306e\u58c1\u304c\u539a\u304f\u3066\u9020\u5f71\u5264\u3067\u5f37\u304f\u5897\u5f37\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\uff0c\u677e\u679c\u4f53\u306e\u3046\u80de\u3067\u306f\u306a\u3044\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u624b\u8853\u3067\u5b8c\u5168\u306b\u6458\u51fa\u3057\u3066\u6cbb\u308a\u307e\u3057\u305f\u3002\u677e\u679c\u4f53\u7d30\u80de\u816b\u306f\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u308b\u826f\u6027\u306e\u816b\u760d\u3067\u3059\uff08WHO\u30b0\u30ec\u30fc\u30c9\uff11\uff09\u3002\u5468\u308a\u306e\u8133\u306b\u6d78\u6f64\u3057\u306a\u3044\u306e\u3067\u624b\u8853\u306f\u6bd4\u8f03\u7684\u5b89\u5168\u306b\u3067\u304d\u307e\u3059\u3057\uff0c\u5168\u90e8\u53d6\u308c\u307e\u3059\u3002<\/p>\n<h4>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4f8b2\uff08\u5178\u578b\u4f8b\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineoTCt2ax4.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"pineoTCt2ax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineoTCt2ax4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineoTCt1ceax1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"pineoTCt1ceax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineoTCt1ceax1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineoTCt1sag1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"pineoTCt1sag\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineoTCt1sag1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u6210\u4eba\u5973\u6027\u306e\u677e\u679c\u4f53\u7d30\u80de\u816b\u3067\u5145\u5b9f\u6027\u816b\u760d\u3067\u3059\u3002\u591a\u5c11\u51f9\u51f8\u304c\u3042\u308a\u307e\u3059\u304c\u3060\u3044\u305f\u3044\u6955\u5186\u5f62\u3002\u4e2d\u8133\u6c34\u9053\u304c\u9589\u585e\u3057\u3066\u8efd\u5ea6\u306e\u6c34\u982d\u75c7\uff08\u982d\u306e\u4e2d\u306b\u9ac4\u6db2\u304c\u6e9c\u307e\u308b\uff09\u306b\u306a\u3063\u3066\u304d\u3066\u3044\u307e\u3059\u3002\u6025\u6027\u6c34\u982d\u75c7\u3067\u6025\u5909\u3057\u3066\u610f\u8b58\u969c\u5bb3\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u306e\u3067\uff0c\u8ff7\u308f\u305a\u6458\u51fa\u3059\u308b\u304b\uff0c\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853 ETV\u3092\u3057\u3066\u304b\u3089\u7d4c\u904e\u89b3\u5bdf\u3057\u307e\u3059\u3002<\/p>\n<h4>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4f8b3\uff08\u5178\u578b\u4f8b\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-1.png\" alt=\"\" width=\"228\" height=\"232\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-2.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-2.png\" alt=\"\" width=\"225\" height=\"236\" \/><\/a><\/p>\n<p>\u3053\u308c\u3082\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u7121\u75c7\u72b6\u306e\u5973\u6027\u306e\u5c0f\u3055\u3044\u677e\u679c\u4f53\u7d30\u80de\u816b\u3067\u3059\u304c\uff0c\u307b\u3068\u3093\u3069\u5b9f\u8cea\u6027\u3067\u306e\u3046\u80de\u304c\u3042\u308a\u307e\u305b\u3093\u3002\u53f3\u306fCISS\u3068\u3044\u3046\u753b\u50cf\u3067\u3059\u3002\u4e2d\u8133\u306e\u8996\u84cb\u306f\u5727\u8feb\u3055\u308c\u3066\u5909\u5f62\u3057\u3066\u3044\u307e\u3059\u304c\uff0c\u4e2d\u8133\u6c34\u9053\u304c\u307e\u3060\u9589\u585e\u3057\u3066\u3044\u306a\u3044\u306e\u304c\u3088\u304f\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-3.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-3.png\" alt=\"\" width=\"268\" height=\"211\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-4.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/pineal\/pineo1-4.png\" alt=\"\" width=\"201\" height=\"205\" \/><\/a><\/p>\n<p>\u5de6\u5074\u306fMRI\u8840\u7ba1\u50cf\u3067\u3059\u3002\u8d64\u304f\u5857\u3063\u305f\u677e\u679c\u4f53\u816b\u760d\u304c\u305f\u304f\u3055\u3093\u306e\u8840\u7ba1\u3068\u304f\u306b\u9759\u8108\u306b\u56f2\u307e\u308c\u3066\u3044\u3066\u6df1\u3044\u4f4d\u7f6e\u306b\u3042\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u53f3\u306f\u624b\u8853\u5f8c\u306eMRI\u3067\u3059\u3002\u5e78\u3044\u5f8c\u4ea4\u9023\u3068\u3044\u3046\u3068\u3053\u308d\u3082\u6b8b\u305b\u305f\u306e\u3067\u773c\u7403\u904b\u52d5\u969c\u5bb3\uff08\u3082\u306e\u304c\uff12\u91cd\u306b\u898b\u3048\u308b\uff09\u3068\u3044\u3046\u5f8c\u907a\u75c7\u306f\u51fa\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<h4>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4f8b4\uff08\u306e\u3046\u80de\u6027\u816b\u760d\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/OMpineo11.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"OMpineo1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/OMpineo11-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/OMpineo21.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"OMpineo2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/OMpineo21-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/OMpineo31.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"OMpineo3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/OMpineo31-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>30\u4ee3\u5973\u6027\u306e\u306e\u3046\u80de\u6027\u306e\u677e\u679c\u4f53\u7d30\u80de\u816b\u3067\u3059\u3002\u3053\u308c\u306f\u5927\u304d\u306a\u677e\u679c\u4f53\u56a2\u80de\u3068\u307b\u3068\u3093\u3069\u753b\u50cf\u3067\u306f\u533a\u5225\u304c\u3064\u304b\u306a\u3044\u3082\u306e\u3067\u3057\u305f\u3002\u3067\u3082\u816b\u760d\u306e\u306e\u3046\u80de\u58c1\uff08\u6db2\u4f53\u306e\u5165\u3063\u3066\u3044\u308b\u888b\u306e\u58c1\uff09\u306e\u5f8c\u65b9\u304c\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u3066\u3044\u3066\u3054\u304f\u4e00\u90e8\u304c\u5b9f\u8cea\u6027\u3067\u3042\u308b\u3053\u3068\u304c\u89e3\u308a\u307e\u3059\u3002<\/p>\n<h4>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4f8b5\uff0860\u4ee3\u767a\u75c7\uff09<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9685\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1-550x548.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks1.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9686\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2-550x548.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocyks2.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u6c34\u982d\u75c7\u3067\u898b\u3064\u304b\u3063\u305f63\u6b73\u7537\u6027\u306e\u677e\u679c\u4f53\u7d30\u80de\u816b\u3067\u3059\u30021\u5e74\u9593\u89b3\u5bdf\u3057\u307e\u3057\u305f\u304c\u5c11\u3057\u5897\u5927\u3057\u305f\u306e\u3067\uff0c\u958b\u982d\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u5e74\u9f62\u5c64\u306b\u306f\u73cd\u3057\u3044\u3068\u8a00\u3048\u307e\u3059\u3002\u524d\u5f8c\u306b\u9577\u3044\u3044\u3073\u3064\u306a\u5f62\u3092\u3057\u3066\u307e\u3059\u304c\u5883\u754c\u306f\u660e\u77ad\u3067\u4e2d\u8133\u3084\u8996\u5e8a\u306b\u6d78\u6f64\u6240\u898b\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4f8b6\uff0820\u5e74\u4ee5\u4e0a\u306e\u89b3\u5bdf\u4f8b\uff09<\/h4>\n<\/div>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11307\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11308\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart-768x773.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart-550x554.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomart.jpg 850w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a>20\u6b73\u304f\u3089\u3044\u3067\u767a\u898b\u3055\u308c\uff0c40\u6b73\u3067\u816b\u760d\u5897\u5927\u306e\u305f\u3081\u306b\u6c34\u982d\u75c7\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u3067\u75c7\u72b6\u306f\u6d88\u5931\uff0c\u751f\u691c\u8853\u3067\u306f\u677e\u679c\u4f53\u7d30\u80de\u816b WHO grade I\u306e\u8a3a\u65ad\u3067\u3059\u3002\u3055\u3089\u306b4\u5e74\u9593\u89b3\u5bdf\u3057\u305f\u306e\u304c\u53f3\u5074\u306e\u753b\u50cf\u3067\u3059\u3002\u307b\u3068\u3093\u3069\u5897\u5927\u3057\u3066\u3044\u307e\u305b\u3093\u3002\u308f\u305a\u304b\u306b\u5909\u6027\u6027\u306e\u3046\u80de\u5f62\u6210\u304c\u524d\u65b9\u306b\u898b\u3089\u308c\u308b\u3060\u3051\u3067\u3059\u3002<\/p>\n<p>\u3053\u306e\u4f8b\u306f\u6975\u3081\u3066\u4f8b\u5916\u7684\u3068\u8a00\u3048\u307e\u3059\u304c\uff0c20\u5e74\u4ee5\u4e0a\u89b3\u5bdf\u3067\u304d\u308b\u4f8b\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3082\uff0c\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u904b\u304c\u826f\u3044\u3060\u3051\u3067\uff0c\u672c\u6765\u306f\u5371\u967a\u3067\u3059\u3002\u305f\u3063\u305f1\u65e5\u3067\u6025\u6fc0\u306a\u9589\u585e\u6027\u6c34\u982d\u75c7\u304b\u3089\u547c\u5438\u505c\u6b62\uff0c\u6b7b\u306b\u81f3\u308b\u4f8b\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<div>\n<h4><strong>\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u75c5\u7406\u6240\u898b<\/strong><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineohe2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" title=\"pineocytomatousrosette\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pineohe2-300x232.jpg\" alt=\"\" width=\"300\" height=\"232\" \/><\/a><br \/>\n<span style=\"color: #000080;\"><strong>pineocytomatous rosettes with nucleus-free space<\/strong><\/span>s<\/p>\n<p>\u5206\u5316\u5ea6\u306e\u9ad8\u3044\u5747\u4e00\u306a\u816b\u760d\u7d30\u80de\u3067\u69cb\u6210\u3055\u308c\uff0c\u7d30\u80de\u6838\u306e\u914d\u5217\u3067\u6838\u304c\u306a\u3044\u9699\u9593\u304c\u3067\u304d\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u4e2d\u306b\u306f\u816b\u760d\u7d30\u80de\u306e\u7a81\u8d77\u304c\u7d30\u304b\u3044\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3092\u4f5c\u3063\u3066\u3044\u307e\u3059\u3002\u6838\u306f\u67d3\u8272\u8cea\u306b\u5bcc\u3093\u3067\u3044\u307e\u3059\u304c\uff0c\u67d3\u8272\u8cea\u306e\u5206\u5e03\u306f\u4e0d\u6574\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<h1><span style=\"color: #000080;\"><strong><strong>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d PPTID \u30b0\u30ec\u30fc\u30c92\u3068\u30b0\u30ec\u30fc\u30c93\u306e\u75c7\u4f8b<\/strong><\/strong><\/span><\/h1>\n<h4>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d PPTID\u00a0\u306e\u4f8b1<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrt21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3220\" title=\"pptidmrt2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrt21-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrt21-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrt21-550x559.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrt21.jpg 611w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><br \/>\n40\u4ee3\u7537\u6027\u306ePPTID\u30b0\u30ec\u30fc\u30c93\u3067\u3059\u3002\u65e9\u671d\u306e\u6fc0\u3057\u3044\u982d\u75db\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002morning headache\u306f\u677e\u679c\u4f53\u816b\u760d\u306e\u7279\u5fb4\u3067\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u5bfe\u3057\u3066\u5185\u8996\u93e1\u306b\u3088\u308b\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u3068\u751f\u691c\u8853\u304c\u306a\u3055\u308c\u3066\u304b\u3089\u7d39\u4ecb\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u751f\u691c\u8853\u524d\u306eHCG-beta 2.1mIU\u3068\u967d\u6027\u3067\u3057\u305f\u304b\u3089germinoma\u3092\u5f37\u304f\u7591\u3044\u307e\u3057\u305f\u304c\uff0c\u751f\u691c\u75c5\u7406\u8a3a\u65ad\u306frosette\u69cb\u9020\u304c\u3042\u308a\u4e2d\u7b49\u5ea6\u306e\u6838\u7570\u578b\u3092\u6709\u3059\u308bPPTID\u3067\u3042\u308a\uff0cMIB-1 8%\u3067\u3057\u305f\u3002\u77ed\u671f\u9593\u306e\u9593\u306b\u5897\u5927\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u30b0\u30ec\u30fc\u30c93 PPTID\u3068\u5224\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctsag.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3216\" title=\"pptidctsag\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctsag-300x293.jpg\" alt=\"\" width=\"300\" height=\"293\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctsag-300x293.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctsag-550x538.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctsag.jpg 566w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctax.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3217\" title=\"pptidctax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctax-296x300.jpg\" alt=\"\" width=\"296\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctax-296x300.jpg 296w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctax-550x556.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidctax.jpg 597w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><\/a><\/p>\n<p>\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u5f8c\u306eCT\u3067\u3059\u3002\u5de6\u306eCT\u3067\u306f\u5c0f\u3055\u306a\u77f3\u7070\u5316\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u53f3\u306e\u9020\u5f71CT\u3067\u306f\u5c0f\u3055\u306a\u306e\u3046\u80de\u90e8\u5206\u3092\u306e\u305e\u3044\u3066\u5747\u4e00\u306a\u5897\u5f37\u52b9\u679c\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrax1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3221\" title=\"pptidmrax\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrax1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrax1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrax1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrax1.jpg 541w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrsag.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3222\" title=\"pptidmrsag\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrsag-298x300.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrsag-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrsag-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmrsag.jpg 485w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><\/p>\n<p>MRI\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u50cf\u3067\u3059\u3002\u816b\u760d\u5883\u754c\u304c\u308f\u308a\u306b\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u3066\uff0c\u4e2d\u8133\u3084\u8996\u5e8a\u306b\u6d78\u6f64\u50cf\u304c\u3042\u308a\u307e\u305b\u3093\u304b\u3089\uff0c\u677e\u679c\u4f53\u82bd\u816b\u3067\u306f\u306a\u3044\u3053\u3068\u304c\u89e3\u308a\u307e\u3059\u3002\u3067\u3082\uff0c\u3053\u306e\u753b\u50cf\u3060\u3051\u304b\u3089\u306f\uff0c\u677e\u679c\u4f53\u7d30\u80de\u816b\u3084\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3068\u306e\u533a\u5225\u306f\u3064\u304d\u307e\u305b\u3093\u3002<\/p>\n<p>PPTID\u3067\u3042\u308a\uff0cMIB-1\u304c\u6bd4\u8f03\u7684\u9ad8\u3044\u306e\u3067\uff0c\u8133\u810a\u9ac4\u7167\u5c04 24\u30b0\u30ec\u30a4\u30fb12\u5206\u5272\u3068\u816b\u760d\u5c40\u6240\u7167\u5c0430\u30b0\u30ec\u30a4\u30fb15\u5206\u5272\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3057\u305f\u304c\uff0c\u816b\u760d\u306f\u3042\u307e\u308a\u7e2e\u5c0f\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u305d\u306e\u5f8c\u306b\uff0c\u5f8c\u982d\u958b\u982d\u7d4c\u30c6\u30f3\u30c8\u6cd5\u3067\u816b\u760d\u3092\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u8853\u5f8c\u306b\u30c6\u30e2\u30c0\u30fc\u30eb6\u30b3\u30fc\u30b9\u3092\u52a0\u3048\u307e\u3057\u305f\uff08\u30c6\u30e2\u30c0\u30fc\u30eb\u304c\u6709\u52b9\u3067\u3042\u308b\u6839\u62e0\u306f\u3042\u308a\u307e\u305b\u3093\uff09\u3002\u8a18\u8f09\u6642\u70b9\u3067\u306f\u60a3\u8005\u3055\u3093\u306f\u5143\u6c17\u3067\u5fa9\u8077\u3057\u3066\u3044\u3066\uff0c\u6b8b\u5b58\u816b\u760d\u3082\u306a\u304f\uff0c\u773c\u7403\u904b\u52d5\u969c\u5bb3\u306a\u3069\u306e\u795e\u7d4c\u75c7\u72b6\u3082\u5168\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d PPTID\u00a0\u306e\u4f8b2<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo5.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3223\" title=\"pineo5\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo5-282x300.png\" alt=\"\" width=\"282\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo5-282x300.png 282w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo5.png 283w\" sizes=\"auto, (max-width: 282px) 100vw, 282px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo4.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-3224\" title=\"pineo4\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo4.png\" alt=\"\" width=\"283\" height=\"250\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo6.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3225\" title=\"pineo6\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo6-269x300.png\" alt=\"\" width=\"269\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo6-269x300.png 269w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineo6.png 283w\" sizes=\"auto, (max-width: 269px) 100vw, 269px\" \/><\/a><br \/>\n\u4e2d\u5e74\u306e\u7537\u6027\u306b\u767a\u751f\u3057\u305f\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d \u30b0\u30ec\u30fc\u30c92\u3067\u3059\u3002\u6c34\u982d\u75c7\uff08\u8133\u5ba4\u306e\u62e1\u5927\uff09\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u6c34\u982d\u75c7\u306e\u305f\u3081\u306b\u982d\u75db\u3068\u5614\u5410\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u958b\u982d\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u3066\u304b\u3089\uff0c46\u30b0\u30ec\u30a4\u306e\u816b\u760d\u5c40\u6240\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u307e\u3057\u305f\u3002\u6cbb\u7642\u5f8c10\u5e74\u7d4c\u3061\u307e\u3059\u304c\u518d\u767a\u3057\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n<h4>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d PPTID\u00a0\u306e\u4f8b3<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9795\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9796\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineocytomakn2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u7121\u75c7\u72b6\u3067\u767a\u898b\u3055\u308c\u305f40\u4ee3\u5973\u6027\u3067\u3059\u30021\u5e74\u534a\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\u5897\u5927\u50be\u5411\u3092\u793a\u3057\uff0c\u9589\u585e\u6027\u6c34\u982d\u75c7\u3068\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u5f62\u304c\u4e0d\u6574\u5f62\u3067\u53f3\u8996\u5e8a\u306b\u98df\u3044\u8fbc\u3093\u3067\u3044\u308b\u306e\u3067PPTID\u3060\u3068\u8003\u3048\u3066\u958b\u982d\u624b\u8853\u3092\u3057\u307e\u3057\u305f\u3002\u624b\u8853\u6240\u898b\u3067\u3082\u53f3\u8996\u5e8a\u306b\u6df1\u304f\u98df\u3044\u8fbc\u307f\u4e2d\u8133\u8996\u84cb\u306e\u5468\u56f2\u306b\u56de\u308a\u8fbc\u3080\u3088\u3046\u306b\u5f35\u308a\u4ed8\u3044\u3066\u3044\u307e\u3057\u305f\u3002\u677e\u679c\u4f53\u7d30\u80de\u816b\u304c\u8996\u5e8a\u6d78\u6f64\u3059\u308b\u4e8b\u306f\u307b\u3068\u3093\u3069\u306a\u304fPPTID\u306e\u7279\u5fb4\u3067\u3059\u3002\u521d\u671f\u306e\u75c5\u7406\u78ba\u5b9a\u8a3a\u65ad\u306f\uff0cPPTID grade II\/III \uff08\u30b0\u30ec\u30fc\u30c92\u306b\u8fd1\u3044\u3082\u306e\uff09\u3067\u3057\u305f\u304c\uff0c\u305d\u306e\u5f8c\uff0c\u30b0\u30ec\u30fc\u30c93\u3068\u8a02\u6b63\u3055\u308c\u307e\u3057\u305f\u3002\u30b0\u30ec\u30fc\u30c9\u304c\uff12\u304b\uff13\u304b\u3068\u3044\u3046\u5224\u65ad\u306f\uff0c\u75c5\u7406\u8a3a\u65ad\u533b\u306b\u3068\u3063\u3066\u3082\u6975\u3081\u3066\u96e3\u3057\u3044\u3082\u306e\u3067\u3059\u3002<\/p>\n<h4>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d PPTID\u00a0\u306e\u4f8b4<\/h4>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16042\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh1-300x293.jpg\" alt=\"\" width=\"300\" height=\"293\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh1-300x293.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh1-550x536.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh1-768x749.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16043\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh2-288x300.jpg\" alt=\"\" width=\"288\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh2-288x300.jpg 288w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh2-550x572.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh2-768x799.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh2.jpg 850w\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16044\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3-300x298.jpg\" alt=\"\" width=\"300\" height=\"298\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3-550x545.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3-768x762.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh3.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16045\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh4-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh4-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh4-550x555.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh4-768x775.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidoh4.jpg 850w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><\/p>\n<p>\u6c34\u90fd\u75c7\u3067\u767a\u75c7\u3057\u305f20\u4ee3\u306e\u5973\u6027\u3067\u3059\u3002\u306e\u3046\u80de\u3092\u542b\u3080\u5883\u754c\u660e\u77ad\u306a\u677e\u679c\u4f53\u816b\u760d\u3067\uff0c\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u3088\u3046\u306b\u3082\u307f\u3048\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u4e2d\u8133\u8996\u84cb\u3068\u5de6\u8996\u5e8a\u306b\u6d78\u6f64\u50cf\u304c\u7591\u308f\u308c\u307e\u3059\u3002OTA\u3067\u4e2d\u8133\u5185\u90e8\u306b\u98df\u3044\u8fbc\u3080\u3082\u306e\u3082\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u8853\u5f8c2\u5e74\u3067\u8efd\u5ea6\u306e\u773c\u7403\u4e0a\u8ee2\u969c\u5bb3\u3092\u6b8b\u3057\u3066\u3044\u307e\u3059\u304c\u5fa9\u8077\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-15615\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidohpatho-550x220.jpg\" alt=\"\" width=\"550\" height=\"220\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidohpatho-550x220.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidohpatho-300x120.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidohpatho-768x307.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidohpatho.jpg 1134w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\uff0c\u816b\u5927\u6838\u3092\u6709\u3059\u308b\u7570\u578b\u7d30\u80de\u304c\u5145\u5b9f\u6027\u306b\u5897\u6b96\u3059\u308b\u816b\u760d\u3067\u3059\u3002\u3067\u3082\u4e00\u90e8\u3067\uff0cpineocytoma\u306b\u76f8\u5f53\u3059\u308b\u5206\u5316\u50cf\u3092\u793a\u3059\u90e8\u5206\u304c\u3042\u308a\uff0cNF\u90e8\u5206\u7684\u967d\u6027\u304c\u591a\u304f\u30b0\u30ec\u30fc\u30c9 II\u3068\u5224\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u624b\u8853\u6240\u898b\u3067\u8996\u5e8a\u6d78\u6f64\u304c\u307f\u3089\u308c\uff0cMIB-1 5-7% (\u5de6\u306e\u753b\u50cf\uff09\u3067\u3042\u308a\uff0cWHO\u306e\u898f\u5b9a\u3059\u308bMIB 5%\u4ee5\u4e0a\u306e\u9ad8\u30ea\u30b9\u30afPPTID\u3068\u3082\u8a00\u3048\u307e\u3059\u3002<br \/>\n\u3053\u306e\u75c5\u7406\u8a3a\u65ad\u304b\u3089\u306f\u304b\u306a\u308a\u8ff7\u3046\u306e\u3067\u3059\u304c\uff0c\u8133\u810a\u9ac4\u7167\u5c04 24Gy\/12\u5206\u5272\uff0c\u816b\u760d\u5c40\u6240\u7dcf\u7dda\u91cf 54Gy\/27\u5206\u5272\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u3044\u307e\u3057\u305f\u3002\u8133\u810a\u9ac4\u7167\u5c04\u3092\u52a0\u3048\u305f\u6700\u7d42\u7684\u306a\u5224\u65ad\u306f\uff0c\u7d30\u80de\u5bc6\u5ea6\u304c\u304b\u306a\u308a\u9ad8\u304fMIB 10%\u7a0b\u5ea6\u306e\u90e8\u5206\u50cf\u3092\u6709\u3059\u308bPPTID\u3067\u3042\u3063\u305f\u304b\u3089\u3067\u3059\u3002<\/p>\n<h4><strong>\u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d PPTID \u306e\u75c5\u7406<\/strong><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidpath1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3187\" title=\"pptidpath1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidpath1-300x279.jpg\" alt=\"\" width=\"300\" height=\"279\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidpath1-300x279.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidpath1-550x512.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidpath1.jpg 643w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u4e00\u898b\u3059\u308b\u3068\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\u677e\u679c\u4f53\u82bd\u816b\u3068\u3082\u8a3a\u65ad\u3055\u308c\u308b\u3088\u3046\u306a\u4f8b\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pptidpath2.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"pptidpath2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pptidpath2-300x287.jpg\" alt=\"\" width=\"300\" height=\"287\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pptidpathohe1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"OLYMPUS DIGITAL CAMERA\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/pptidpathohe1-300x285.jpg\" alt=\"\" width=\"300\" height=\"285\" \/><\/a><\/p>\n<p>\u677e\u679c\u4f53\u82bd\u816b\u3068\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u4e2d\u9593\u306b\u4f4d\u7f6e\u3059\u308b\u75c5\u7406\u50cf\u3067\u3059\u3002\u677e\u679c\u4f53\u7d30\u80de\u816b\u3088\u308a\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\uff0c\u8efd\u5ea6\u304b\u3089\u4e2d\u7b49\u5ea6\u306e\u6838\u7570\u578b\u304c\u3042\u308a\uff0c\u5206\u88c2\u80fd\u304c\u4e2d\u7b49\u5ea6\u306b\u9ad8\u3044\u3068\u3055\u308c\u307e\u3059\u3002\u5de6\u306e\u5199\u771f\u306e\u3088\u3046\u306b\uff0c\u677e\u679c\u4f53\u7d30\u80de\u816b\u306b\u4f3c\u305frosette\u3092\u4f5c\u308a\u306a\u304c\u3089\u3082\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u304f\u3073\u307e\u3093\u6027\u306b\u7d30\u80de\u6838\u304c\u96c6\u7a4d\u3059\u308b\u90e8\u5206\u3082\u898b\u3089\u308c\u305f\u308a\uff0c\u53f3\u306e\u5199\u771f\u306e\u3088\u3046\u306b\u300c\u3054\u304f\u4e00\u90e8\u300d\u306b\u5de8\u7d30\u80de\u304c\u898b\u3089\u308c\u305f\u308a\u6838\u7570\u578b\u3092\u4f34\u3046\u7d30\u80de\u304c\u51fa\u73fe\u3057\u307e\u3059\u3002Homer Wright rosette\u3084ganglion cell\u306e\u51fa\u73fe\u3082\u3042\u308a\u307e\u3059\u3002\u30b0\u30ec\u30fc\u30c92\u3068\u30b0\u30ec\u30fc\u30c93\u3092\u5206\u3051\u308b\u57fa\u6e96\u306f\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u307e\u305b\u3093\u304c\uff0c\u5206\u88c2\u80fd\u3092\u57fa\u6e96\u306b\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3088\u3046\u3067\u3059\u3002MIB-1\u304c 3 to 10%\u3059\u304b\u3089\uff0c8%\u304f\u3089\u3044\u3060\u3068\u30b0\u30ec\u30fc\u30c93\u3068\u306a\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u307e\u305f\u816b\u760d\u306e\u5927\u90e8\u5206\u304c\u677e\u679c\u4f53\u7d30\u80de\u816b\u306e\u6240\u898b\u3067\uff0c\u4e00\u90e8\u306b\u4e0a\u8a18\u306e\u3088\u3046\u306a\u6240\u898b\u306e\u3042\u308b\u3082\u306e\u306f\u30b0\u30ec\u30fc\u30c92\u3068\u3057\u307e\u3059\u3002\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\uff0c\u30b0\u30ec\u30fc\u30c92\u30683\u306e\u5b9a\u7fa9\u306f\u975e\u5e38\u306bfazzy\u3067\u3042\u308b\u3053\u3068\u3067\u3059\u3002\u3053\u308c\u306b\u3088\u3063\u3066\u5c40\u6240\u7167\u5c04\u304b\u8133\u810a\u9ac4\u7167\u5c04\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u306f\u3068\u3066\u3082\u5371\u967a\u306a\u306e\u3067\u3059\u304c (\u30fb\u30fb\uff1f)<\/p>\n<h3><span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\u82bd\u816b\u30b0\u30ec\u30fc\u30c94\u306e\u75c7\u4f8b<\/strong><\/span><\/h3>\n<p>\u6c34\u982d\u75c7\u3067\u767a\u75c7\u3057\u305f6\u6b73\u5150\u3067\uff0c4cm\u304f\u3089\u3044\u3042\u308b\u5927\u304d\u306a\u677e\u679c\u4f53\u82bd\u816b\u3067\u3057\u305f\u3002\u5927\u5b66\u75c5\u9662\u3067\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u3068\u751f\u691c\u8853\u3092\u3057\u3066\uff0c\u8133\u810a\u9ac4\u7167\u5c0430\u30b0\u30ec\u30a4(20\u5206\u5272)\uff0c\u5c40\u624060\u30b0\u30ec\u30a4(35\u5206\u5272)\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u30b7\u30b9\u30d7\u30e9\u30c1\u30f3\u3092\u57fa\u5264\u3068\u3057\u305f\u5316\u5b66\u7642\u6cd5\u304c\uff13\u30b3\u30fc\u30b9\u884c\u308f\u308c\u307e\u3057\u305f\u304c\uff0c\u653e\u5c04\u7dda\u3067\u7e2e\u5c0f\u3057\u305f\u816b\u760d\u306f\u5c11\u3057\u5897\u5927\u3057\u3066\u3057\u307e\u3044\u307e\u3057\u305f\u3002<br \/>\n<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9688\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9689\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm2-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9690\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pineoblastm3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u653e\u5c04\u7dda\u5316\u5b66\u7642\u6cd5\u5f8c\u306e\u753b\u50cf\u3067\u3059\u3002\u816b\u760d\u5883\u754c\u306f\u4e0d\u660e\u77ad\uff08\u5de6\uff09\u3067\uff0c\u816b\u760d\u5185\u51fa\u8840\uff08\u4e2d\u592e\uff09\u3057\u3066\uff0c\u5de6\u306e\u8996\u5e8a\u306b\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u3002\u304b\u306a\u308a\u30ea\u30b9\u30af\u306f\u9ad8\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u308c\u3092\u958b\u982d\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\uff08\u53f3\uff09\uff0c\u3053\u306e\u6642\u70b9\u3067\u5b8c\u5168\u5bdb\u89e3 CR \u3067\u3059\u3002\u3053\u306e\u5f8c\u306b\u3055\u3089\u306b\u5316\u5b66\u7642\u6cd5\u3068\u5e79\u7d30\u80de\u79fb\u690d\uff08PBSCT\uff0c\u5927\u91cf\u5316\u5b66\u7642\u6cd5\uff09\u304c\u52a0\u3048\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u304a\u305d\u3089\u304f\u521d\u671f\u6cbb\u7642\u3067\u306f\uff0c\u8003\u3048\u3089\u308c\u5f97\u308b\u6700\u5927\u9650\u306e\u6cbb\u7642\u304c\u306a\u3055\u308c\u305f\u4f8b\u3067\uff0c\u6cbb\u7642\u306b\u5f53\u305f\u3089\u308c\u305f\u5148\u751f\u3068\u60a3\u5150\u3068\u5bb6\u65cf\u306f\u307b\u3093\u3068\u306b\u7cbe\u4e00\u676f\u95d8\u3044\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c2\u5e74\u5f8c\u306b\u524d\u982d\u8449\u306b\u518d\u767a\u3057\u307e\u3057\u305f\u30022017\u5e74\u73fe\u5728\u3067\u3082\uff0c\u677e\u679c\u4f53\u82bd\u816b\u306e\u4e88\u5f8c\u306f\u6975\u3081\u3066\u4e0d\u826f\u3067\u3059\u3002<\/p>\n<h3><span style=\"color: #000080;\">\u5927\u8133\u8868\u9762\u306b\u8ee2\u79fb\u3057\u305fPPTID 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loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-14447\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmetaknmib-300x287.jpg\" alt=\"\" width=\"300\" height=\"287\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmetaknmib-300x287.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmetaknmib-550x526.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/07\/pptidmetaknmib.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nPPTID \u30b0\u30ec\u30fc\u30c93\u306e\u8edf\u819c\u4e0a\uff08\u304f\u3082\u819c\u4e0b\u8154\uff09\u8ee2\u79fb\u5de3\u3067\u3059\u3002\u8edf\u819c\u4e0b\u306e\u5927\u8133\u7d44\u7e54\u306b\u306f\u6d78\u6f64\u3057\u3066\u3044\u307e\u305b\u3093\u3002PPTID\u306e\u7279\u5fb4\u7684\u306a\u7d44\u7e54\u50cf\u306f\u5931\u308f\u308c\u3066\u3044\u307e\u3059\u304c\uff0c\u30ed\u30bc\u30c3\u30c8\u5f62\u6210\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002MIB-1\u67d3\u8272\u7387\uff08\u5de6\uff09\u306f\u9ad8\u304f15%\u3092\u8d85\u3048\u307e\u3059\u3002\u8ee2\u79fb\u5de3\u306f\u30b0\u30ec\u30fc\u30c94\u76f8\u5f53\u306e\u6027\u8cea\u3092\u6709\u3057\u3066\u3044\u308b\u3068\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d\u306b\u306f\uff13\u7a2e\u985e\u3042\u308a\u307e\u3059 \u677e\u679c\u4f53\u7d30\u80de\u816b \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 \u00a0\u30b0\u30ec\u30fc\u30c91 pineocytoma \u4e2d\u9593\u578b\u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d \u00a0 \u00a0\u00a0\u30b0\u30ec\u30fc\u30c92\u3068\u30b0\u30ec\u30fc\u30c93 pineal parenchymal tumor  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