{"id":3763,"date":"2013-09-02T10:40:31","date_gmt":"2013-09-02T01:40:31","guid":{"rendered":"\/sawamura\/?p=3763"},"modified":"2021-04-16T09:44:24","modified_gmt":"2021-04-16T00:44:24","slug":"germinomadwarfism","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pediattumor\/germcelltumors\/germinomadwarfism\/","title":{"rendered":"\u4f4e\u8eab\u9577\u3067\u767a\u75c7\u3057\u305f\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de"},"content":{"rendered":"
1. \u5e7c\u5150\u671f3\u6b73\u304b\u3089\u4f4e\u8eab\u9577\uff0c\u767a\u9054\u969c\u5bb3\u3067\u767a\u75c7\u3057\u305f\u4f8b<\/span><\/h5>\n

\u3053\u306e\u5b50\u306f\uff0c3\u6b73\u6642\u306b\u767a\u9054\u969c\u5bb3<\/strong><\/span>\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u30025\u6b73\u6642\u306b\u8eab\u9577\u306e\u4f38\u3073\u306e\u4f4e\u4e0b<\/strong><\/span>\u304c\u3042\u308a\uff0c\u9593\u3082\u306a\u304f\u5c3f\u5d29\u75c7\u3092\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u4e0b\u306e\u56f3\u306f\uff0c\u3053\u306e\u5b50\u306e\u6210\u9577\u66f2\u7dda\u3067\u3059\u30025\u6b73\u304b\u3089\u306f\u307b\u3068\u3093\u3069\u8eab\u9577\u304c\u4f38\u3073\u306a\u3044\u6642\u671f\u304c\u7d9a\u304d\u307e\u3059\u3002\u3067\u3082\u3088\u304f\u898b\u308b\u30684\u6b73\u304f\u3089\u3044\u304b\u3089\u8eab\u9577\u306e\u4f38\u3073\u306e\u7a0b\u5ea6\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002\u00a0\u8a3a\u65ad\u304c\u306a\u3055\u308c\u305f\u306e\u306f\uff0c2005\u5e74\u306e9\u6b73\uff16\u30f6\u6708<\/span><\/strong>\u306b\u306a\u3063\u305f\u6642\u3067\u3059\u3002\u7d045\u5e74\u9593\uff0cMRI\u3067\u306f\u816b\u760d\u304c\u307f\u3089\u308c\u305a\uff0cgerminoma\u3068\u306f\u8a3a\u65ad\u3055\u308c\u305a\u306b\u7d4c\u904e\u3057\u307e\u3057\u305f\u3002\u81ea\u9589\u75c7\u304c\u3042\u308a\u307e\u3057\u305f\u304c\uff0c\u305d\u308c\u3060\u3051\u3067\u306f\u306a\u304f\u3066\uff0c\u304a\u305d\u3089\u304f\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u524d\u4ea4\u9023\uff0c\u5927\u8133\u57fa\u5e95\u6838\u306b\u6d78\u6f64\u3059\u308b\u816b\u760d\u306e\u305f\u3081\u306b\uff0c\u5168\u822c\u7684\u306a\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3068\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3092\u5448\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

9\u6b736\u30f6\u6708\u6642\u306b\u306f\uff0c\u816b\u760d\u306f\u8776\u5f62\u9aa8\u6d1e\uff0c\u659c\u53f0\u4e0a\u90e8\uff0c\u6d77\u7dbf\u9759\u8108\u6d1e\u5185\uff0c\u30c8\u30eb\u30b3\u978d\u5185\uff08\u4e0b\u5782\u4f53\uff09\uff0c\u978d\u4e0a\u90e8\u3001\u8996\u5e8a\u4e0b\u90e8\uff0c\u7d42\u677f\u524d\u4ea4\u9023\uff0c\u5927\u8133\u57fa\u5e95\u6838\uff0c\u677e\u679c\u4f53\u3078\u3068\u4f38\u5c55\u3057\u3066\u3044\u307e\u3057\u305f\u30024\u30b3\u30fc\u30b9\u306eCDDP\u3092\u30d9\u30fc\u30b9\u3068\u3057\u305f\u5316\u5b66\u7642\u6cd5\u304c\u306a\u3055\u308c\uff0c25.2\u30b0\u30ec\u30a4\/14\u5206\u5272\u306e\u5168\u8133\u7167\u5c04 whole brain\u3092\u884c\u306a\u3044\u307e\u3057\u305f\u3002\u4ee5\u5f8c\uff0c7\u5e74\u9593\u518d\u767a\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u5b50\u306e\u816b\u760d\u306e\u767a\u898b\u304c\u65e9\u3051\u308c\u3070\u8a8d\u77e5\u6a5f\u80fd\u3092\u3082\u3046\u5c11\u3057\u826f\u3044\u72b6\u614b\u3067\u4fdd\u3066\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n

2. \u5e7c\u5150\u671f4\u6b73\u3067\u4f4e\u8eab\u9577\u3067\u767a\u75c7\u3057\u305f\u4f8b<\/span><\/h5>\n

4\u6b73\u306e\u3068\u304d\u5e7c\u7a1a\u5712\u5150\u3067\u4f4e\u8eab\u9577\u306e\u50be\u5411\u3092\u6307\u6458\u3055\u308c\u307e\u3057\u305f\u3002\u00a08\u6b73\u6642\u306b\u306f\u660e\u3089\u304b\u306a\u4f4e\u8eab\u9577\u3067\u3042\u308a\uff0c\u5c3f\u5d29\u75c7\u3092\u767a\u75c7\u3057\u307e\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

\u8840\u6e05HCG-beta 4.5mIU\u3067\uff0c\u4e0b\u306eMRI\u306b\u898b\u3089\u308c\u308b\u3088\u3046\u306b\u7b2c\uff13\u8133\u5ba4\uff08\u8996\u5e8a\u4e0b\u90e8\uff09\u306e\u30b0\u30ea\u30aa\u30fc\u30de\uff08\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\uff09\u3068\u898b\u9593\u9055\u3046\u3088\u3046\u306a\u816b\u760d\u3067\u3057\u305f\u3002\u4e0b\u5782\u4f53\u67c4\u306f\u592a\u304f\u306a\u3063\u3066\u3044\u306a\u3044\u3057\u4e0b\u5782\u4f53\u306e\u30b5\u30a4\u30ba\u3082\u666e\u901a\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u6c34\u982d\u75c7\u3082\u3042\u308a\u307e\u305b\u3093\u306e\u3067\uff0c\u958b\u982d\u624b\u8853\u3067\u751f\u691c\u3092\u3057\u3066germinoma\u306e\u8a3a\u65ad\u3092\u5f97\u307e\u3057\u305f\u3002<\/p>\n

\"\"\"\"<\/p>\n

\"\"<\/a>\"\"<\/p>\n

\u4e0a\u306eMRI\u3067\u8996\u795e\u7d4c\u4ea4\u53c9\u304c\u816b\u5927\u3057\u3066\u3044\u308b\u306e\u304c\u89e3\u308a\u307e\u3059\u304c\uff0c\u4e0b\u306eMRI CISS\u753b\u50cf\u3067\u306f\u66f4\u306b\u660e\u3089\u304b\u3067\u3059\uff0c\u5de6\u53f3\u306e\u8996\u795e\u7d4c\u3068\u8996\u4ea4\u5dee\u3068\u8996\u7d22\u304c\u816b\u5927\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u8996\u529b\u3092\u8a08\u3063\u305f\u3089\uff0c\u53f30.6\uff0c\u5de61.5\u3067\u3044\u3073\u3064\u306a\u8996\u91ce\u6b20\u640d\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u816b\u760d\u306f\u306e\u3046\u80de\u5f62\u6210\u3057\u306a\u304c\u3089\u5de6\u306e\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u5927\u8133\u57fa\u5e95\u6838\u306b\u3082\u6d78\u6f64\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n

\"\"<\/a>\"\"<\/a><\/p>\n

\u75c5\u7406\u8a3a\u65ad\u78ba\u5b9a\u5f8c\u306b\uff0cICE\u5316\u5b66\u7642\u6cd53\u30b3\u30fc\u30b9\u3068\u5168\u8133\u7167\u5c04 whole brain 25.2Gy\/14\u5206\u5272\u3092\u3057\u307e\u3057\u305f\u3002\u5168\u8133\u7167\u5c04\u3092\u3057\u305f\u306e\u306f\u5927\u8133\u57fa\u5e95\u6838\u6d78\u6f64\u304c\u898b\u3089\u308c\u305f\u304b\u3089\u3067\u3059\u3002<\/p>\n

\"\"<\/a>\"\"<\/a><\/p>\n

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3. 8\u6b73\u3067\u4f4e\u8eab\u9577\u3067\u767a\u75c7\u3057\u305f\u4f8b<\/span><\/h5>\n

\"\"<\/p>\n

8\u6b73\u3067\u8eab\u9577\u306e\u4f38\u3073\u304c\u60aa\u304f\u306a\u308a3\u5e74\u9593\u8a3a\u65ad\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u300212\u6b73\u6642\u306b\u8efd\u5ea6\u306e\u5c3f\u5d29\u75c7\u3092\u4f75\u767a\u3057\u3066\u767a\u898b\u3055\u308c\u305f\u3082\u306e\u3067\u3059\u3002\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u306fGH\u4e0d\u5168\u306e\u4ed6\u306b\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n

\"\"<\/a>
\n\u975e\u5e38\u306b\u5178\u578b\u7684\u306a\u4e0b\u5782\u4f53\u5f8c\u8449germinoma\u306e\u753b\u50cf\u3067\u3059\u3002\u840e\u7e2e\u3057\u3066\u6b8b\u3063\u305f\u524d\u8449\u7dda\u7d44\u7e54\u304c\u524d\u65b9\u306b\u3042\u308a\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u307e\u3059\u3002\u8584\u304f\u5897\u5f37\u3055\u308c\u3066\u3044\u308b\u30c8\u30eb\u30b3\u978d\u80cc\u90e8\u304cgerminoma\u3067\u3059\u3002\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3067\u4e0b\u5782\u4f53\u5e95\u9762\u3092\u3082\u3061\u3042\u3052\u3066\u751f\u691c\u3092\u884c\u3044\u307e\u3057\u305f\u3002
\nCBDCA\/VP-16 3\u30b3\u30fc\u30b9\u306e\u5f8c\u3067\uff0c\u5168\u8133\u5ba4\u7167\u5c0425.2Gy\/14fr\u3092\u52a0\u3048\u3066\u6cbb\u7652\u3057\u3066\u3044\u307e\u3059\u3002\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3067\u8eab\u9577\u3082\u4f38\u3073\u3066\uff0c11\u5e74\u304c\u7d4c\u904e\u3057\uff0c\u793e\u4f1a\u4eba\u3068\u3057\u3066\u666e\u901a\u306b\u66ae\u3089\u305b\u3066\u3044\u307e\u3059\u3002<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

1. \u5e7c\u5150\u671f3\u6b73\u304b\u3089\u4f4e\u8eab\u9577\uff0c\u767a\u9054\u969c\u5bb3\u3067\u767a\u75c7\u3057\u305f\u4f8b \u3053\u306e\u5b50\u306f\uff0c3\u6b73\u6642\u306b\u767a\u9054\u969c\u5bb3\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u30025\u6b73\u6642\u306b\u8eab\u9577\u306e\u4f38\u3073\u306e\u4f4e\u4e0b\u304c\u3042\u308a\uff0c\u9593\u3082\u306a\u304f\u5c3f\u5d29\u75c7\u3092\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u4e0b\u306e\u56f3\u306f\uff0c\u3053\u306e\u5b50\u306e\u6210\u9577\u66f2\u7dda\u3067\u3059\u30025\u6b73\u304b\u3089\u306f\u307b\u3068\u3093\u3069\u8eab\u9577\u304c\u4f38 […]<\/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-3763","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\/3763","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=3763"}],"version-history":[{"count":52,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/3763\/revisions"}],"predecessor-version":[{"id":17079,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/3763\/revisions\/17079"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=3763"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=3763"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=3763"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}