{"id":4554,"date":"2014-02-03T15:29:43","date_gmt":"2014-02-03T06:29:43","guid":{"rendered":"\/sawamura\/?p=4554"},"modified":"2025-07-01T11:38:05","modified_gmt":"2025-07-01T02:38:05","slug":"tectal-glioma","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/glioma\/tectal-glioma\/","title":{"rendered":"\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de  tectal glioma, tectal plate glioma"},"content":{"rendered":"<h1><span style=\"color: #000080;\">\u30c6\u30af\u30bf\u30fc\u30eb\u30fb\u30b0\u30ea\u30aa\u30fc\u30de<\/span><\/h1>\n<ul>\n<li><span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" title=\"\u8133\u5e79\u90e8\u306e\u89e3\u5256\u56f3\" href=\"\/sawamura\/anatomys\/brainstem\/\">\u4e2d\u8133\u306e\u8996\u84cb<\/a><\/strong><\/span>\uff08\u3057\u304c\u3044\uff09\u3068\u3044\u3046\u90e8\u5206\u306b\u300c\u9650\u5c40\u3059\u308b\u300d\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u3059<\/li>\n<li><span><strong style=\"color: #ff0000;\">\u601d\u6625\u671f\u304b\u3089\u82e5\u5e74\u6210<\/strong><strong style=\"color: #ff0000;\">\u4eba<\/strong>\u306b\u591a\u3044<\/span><span style=\"color: #000080;\"><strong>\u826f\u6027\u306e\u30b0\u30ea\u30aa\u30fc\u30de<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u6587\u732e\u3067\u306f\u4f4e\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de low-grade glioma\uff0c\u3068\u304f\u306b\u661f\u7d30\u80de\u816b\u3068\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u3067\u3082\u5b9f\u969b\uff0c\u5927\u90e8\u5206\u306f<span style=\"color: #000080;\"><strong>\u30b0\u30ec\u30fc\u30c91\u306e\u30b0\u30ea\u30aa\u30fc\u30de<\/strong><\/span>\u3067\uff0c<a title=\"\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\" href=\"\/sawamura\/pediattumor\/pilo\/\">\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b<\/a>\u3067\u3059<\/li>\n<li>\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u3068\u306f\u7570\u306a\u308a\uff0c<span style=\"color: #000080;\"><strong>\u5897\u6b96\u505c\u6b62 growth arrest\u304c\u751f\u3058\u308b\u30b0\u30ea\u30aa\u30fc\u30de<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u4e2d\u8133\u6c34\u9053\u3068\u3044\u3046\u9ac4\u6db2\u306e\u51fa\u53e3\u3092\u585e\u3044\u3067<span style=\"color: #ff0000;\"><strong>\u6c34\u982d\u75c7\u306b\u306a\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li>\u6c34\u982d\u75c7\u306b\u306a\u308b\u3068\u982d\u306e\u4e2d\u306b\u9ac4\u6db2\u304c\u6e9c\u307e\u3063\u3066<strong><span style=\"color: #ff0000;\">\u982d\u75db\u3084\u5614\u5410<\/span><\/strong>\u304c\u3067\u307e\u3059<\/li>\n<li>\u3046\u3063\u8840\u4e73\u982d\u3068\u3044\u3063\u3066\uff0c\u7db2\u819c\u304c\u816b\u308c\u3066\u8996\u529b\u3068\u8996\u91ce\u304c\u60aa\u304f\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e2d\u8133\u8996\u84cb\u3068\u3044\u3046\u3068\u3053\u308d\u304c\u816b\u760d\u3067\u5727\u8feb\u3055\u308c\u308b\u3068\u773c\u7403\u304c\u3046\u307e\u304f\u52d5\u304b\u306a\u304f\u306a\u308a\u307e\u3059\uff08\u773c\u7403\u904b\u52d5\u969c\u5bb3\uff09<\/li>\n<li>\u305d\u3046\u306a\u308b\u3068<strong><span style=\"color: #ff0000;\">\u7269\u304c2\u91cd\u306b\u898b\u3048\u307e\u3059<\/span><\/strong>\uff08\u8907\u8996\uff09<\/li>\n<li>\u6c34\u982d\u75c7\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306b\u306f<span style=\"color: #000000;\">\u5185\u8996\u93e1\uff08\u30ab\u30e1\u30e9\uff09\u3067\u7b2c\uff13\u8133\u5ba4\u306e\u5e8a\u306b\u7a74\u3092\u958b\u3051\u3066<\/span>\u9ac4\u6db2\u306e\u6d41\u308c\u3092\u901a\u3057\u307e\u3059<\/li>\n<li>\u3053\u308c\u3092<strong><span style=\"color: #ff0000;\"><span style=\"color: #000080;\">\u5185\u8996\u93e1\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853 ETV<\/span>\u00a0<\/span><\/strong>\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u3064\u3044\u3067\u306b\u816b\u760d\u306e\u75c5\u7406\u3092\u78ba\u304b\u3081\u308b\u305f\u3081\u306e\u751f\u691c\u8853\u304c\u3067\u304d\u308b\u3068\u3044\u3044\u306e\u3067\u3059\u304c\uff0c\u73fe\u5b9f\u306b\u306f\u306a\u304b\u306a\u304b\u96e3\u3057\u3044\u3067\u3059<\/li>\n<li>\u816b\u760d\u306f indolent tumor\u3068\u3044\u308f\u308c\u307e\u3059\uff0c\u30c0\u30e9\u30c0\u30e9\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5c0f\u5150\u671f\u304b\u3089\u601d\u6625\u671f\u3042\u305f\u308a\u3067\u5c11\u3057\u30b5\u30a4\u30ba\u304c\u5927\u304d\u304f\u306a\u308b\u306e\u3067\u3059\u304c\uff0c\u307b\u3063\u3068\u3044\u3066\u3082\u5897\u5927\u304c\u6b62\u307e\u3063\u3066\uff0c\u591a\u304f\u306e\u5834\u5408\u306f\u304a\u3068\u306a\u3057\u304f\u3057\u3066\u3044\u308b\u306e\u3067<\/strong><\/span><span style=\"color: #ff0000;\"><strong>\u6cbb\u7642\u306e\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u307e\u308c\u306b\uff0c\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u308b\u75c5\u5909\u304c\u62e1\u5927\u3057\u3066<span style=\"color: #000080;\"><strong>\u624b\u8853\u304c\u5fc5\u8981\u3068\u306a\u308b\u4f8b\u3082\u3042\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #000000;\">\u958b\u982d\u624b\u8853\u3067\u306f\u816b\u760d\u4e9c\u5168\u6458\u51fa\u3092\u884c\u3044\u307e\u3059\u304c\uff0c\u751f\u691c\u8853\u306f\u3042\u307e\u308a\u610f\u5473\u304c\u3042\u308a\u307e\u305b\u3093<\/span><\/li>\n<li>\u9589\u585e\u6027\u6c34\u982d\u75c7\u306b\u306a\u3063\u3066\uff0c\u81ea\u7136\u306b\u7b2c\uff13\u8133\u5ba4\u5e8a\u304c\u7834\u308c\u3066\u6c34\u982d\u75c7\u304c\u6cbb\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff0cspontaneous third-ventriculostomy\u3068\u8a00\u308f\u308c\u307e\u3059<\/li>\n<li>\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306f\u816b\u760d\u51fa\u8840\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u3057\u3070\u3057\u3070\u306a\u306e\u3067\u3059\u304c\uff0c\u4e2d\u8133\u8996\u84cb\u306e\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3082\u51fa\u8840\u3057\u3066\u6025\u6027\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u753b\u50cf\u3067\u5178\u578b\u7684\u306a\u3082\u306e\u4ee5\u5916\u306f\u5371\u967a !!<\/h5>\n<ul>\n<li>\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de\u306f\u300c\u8996\u84cb\u306b\u9650\u5c40\u300d\u3057\u307e\u3059\uff0c\u5c11\u3057\u4f38\u3073\u3066\u3082\u88ab\u84cb\u307e\u3067<\/li>\n<li>\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\u3084\u795e\u7d4c\u7bc0\u81a0\u816b\u306a\u3069\u3055\u307e\u3056\u307e\u306a\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3044\u308f\u3086\u308btectal glioma\u3068\u306f\u753b\u50cf\u6240\u898b\u304c\u304b\u306a\u308a\u9055\u3044\u307e\u3059\u304b\u3089\uff0cMRI\u3067\u3059\u3050\u306b\u9451\u5225\u3067\u304d\u307e\u3059<\/li>\n<li>\u4e2d\u8133\u8996\u84cb\u304b\u3089\u5e83\u304f\u4e2d\u8133\u524d\u9762\u3084\u8996\u5e8a\u306b\u4f38\u3073\u3066\u3044\u308b\u3082\u306e\u306f\uff0c\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u307e\u308c\u306b\u4e2d\u8133\u306b\u306f\uff0c\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\uff0c\u9000\u5f62\u6210\u6027\u661f\u7d30\u80de\u816b\uff0c\u81a0\u82bd\u816b\u304c\u767a\u751f\u3057\u307e\u3059\uff0c\u3067\u3059\u304b\u3089\u7d4c\u904e\u3092\u898b\u3066<strong><span style=\"color: #000080;\">\u9855\u8457\u306b\u5897\u5927\u3059\u308b\u3082\u306e\u306f\u624b\u8853\u3067\u75c5\u7406\u8a3a\u65ad<\/span><\/strong>\u3092\u3064\u3051\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u5c0f\u5150\u3067\uff0c\u3073\u307e\u3093\u6027\u6a4b\u81a0\u816b\u306e\u69d8\u306a\u81e8\u5e8a\u50cf\u3092\u793a\u3059\u3082\u306e\u304c\u3042\u308a\uff0c\u3073\u307e\u3093\u6027\u6b63\u4e2d\u30b0\u30ea\u30aa\u30fc\u30de diffuse midline glioma\u306e\u4f8b\u3067\u306f\u751f\u547d\u4e88\u5f8c\u306f\u77ed\u3044\u3067\u3059<\/li>\n<\/ul>\n<h4>\u7a00\u306a\u75c7\u72b6<\/h4>\n<div>\n<ul>\n<li>\u624b\u304c\u3075\u308b\u3048\u308b\u4f01\u56f3\u632f\u6226 intension tremor<\/li>\n<li>\u308d\u308c\u3064\u304c\u56de\u3089\u306a\u3044\u69cb\u8a9e\u969c\u5bb3<\/li>\n<li>\u3075\u3089\u3075\u3089\u3059\u308b\u5931\u8abf\u6027\u6b69\u884c<\/li>\n<li>\u5909\u306a\u7269\u304c\u307f\u3048\u308b\u4e2d\u8133\u6027\u5e7b\u8996 midbrain visual hallucination<\/li>\n<li>\u3082\u306e\u304c\u7729\u3057\u304f\u898b\u3048\u3066\u8996\u91ce\u304c\u307c\u3084\u3051\u308b\u9583\u8f1d\u6697\u70b9 scintillation scotoma<\/li>\n<\/ul>\n<\/div>\n<h4><strong>\u5185\u8996\u93e1\u3067\u306e\u958b\u7a93\u8853\u3067\u6c34\u982d\u75c7\u306f\u6cbb\u308b<\/strong><\/h4>\n<div>\n<p>Romeo A, et al: Long-term change in ventricular size following endoscopic third ventriculostomy for hydrocephalus due to tectal plate gliomas. J Neurosurg Pediatr 11: 20-25, 2013<br \/>\n\u30a2\u30e9\u30d0\u30de\u5b50\u3069\u3082\u75c5\u9662\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u6709\u3057\u3066\u3044\u308b22\u4eba\u306e\u5b50\u3069\u3082\u305f\u3061\u304c\u5185\u8996\u93e1\u3067\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853 (ETV) \u3092\u53d7\u3051\u307e\u3057\u305f\u300217\u4eba(77%)\u3067\u6c34\u982d\u75c7\u306f\u6cbb\u308a\u307e\u3057\u305f\u3002\uff14\u4eba\u306e\u5b50\u3069\u3082\u3067\u958b\u7a93\u90e8\u304c\u8a70\u307e\u3063\u3066\u5185\u8996\u93e1\u3067\u306e\u518d\u624b\u8853\u306b\u306a\u308a\u307e\u3057\u305f\u30021\u4eba\u306e\u5b50\u3069\u3082\u3060\u3051\u304cV-P\u30b7\u30e3\u30f3\u30c8\uff08\u8133\u5ba4\u8179\u8154\u77ed\u7d61\u8853\uff09\u3068\u3044\u3046\u8133\u5ba4\u304b\u3089\u8179\u8154\u307e\u3067\u30c1\u30e5\u30fc\u30d6\u3092\u901a\u3059\u624b\u8853\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u5e73\u57475.3\u5e74\u306e\u8ffd\u8de1\u671f\u9593\u3067\u75c7\u72b6\u306e\u60aa\u5316\u4f8b\u306f\u306a\u304b\u3063\u305f\u305d\u3046\u3067\u3059\u3002\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u4e88\u5f8c\u304c\u826f\u3044\u3053\u3068\u3082\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h3><span style=\"color: #000080;\">15\u6b73\u6642\u306b\u6c34\u982d\u75c7\u3067\u767a\u75c7\u3057\u3066\u5897\u5927\u3057\u306a\u304b\u3063\u305f\u4f8b<\/span><\/h3>\n<\/div>\n<p>\u3053\u306e\u4f8b\u304c\u753b\u50cf\u3068\u3057\u3066\u306f\u5178\u578b\u7684\u306a\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de\u3068\u8a00\u3048\u307e\u3059\u3002\u624b\u8853\u6458\u51fa\u3067\u304d\u306a\u3044\u30bf\u30a4\u30d7\u3067\u3059\u3002<\/p>\n<p>15\u6b73\u306e\u6642\u306b\u982d\u75db\u3068\u5614\u5410\uff0c\u8996\u529b\u3068\u8996\u91ce\u969c\u5bb3\u304c\u3067\u307e\u3057\u305f\u3002\u9589\u585e\u6027\u6c34\u982d\u75c7\u3060\u3063\u305f\u306e\u3067\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u3053\u306e\u6642\u306e\u8a3a\u65ad\u306f\u677e\u679c\u4f53\u816b\u760d\u3067\u3057\u305f\u3002\u3067\u3082\u7fcc\u5e74\uff0c\u958b\u7a93\u90e8\u304c\u8a70\u307e\u3063\u3066\u3057\u307e\u3063\u3066\uff0cV-P\u30b7\u30e3\u30f3\u30c8\uff08\u8133\u5ba4\u8179\u8154\u77ed\u7d61\u8853\uff09\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u3067\u3082\u30b7\u30e3\u30f3\u30c8\u304c\u8a70\u307e\u3063\u3066\u3057\u307e\u3063\u3066\uff0c\u982d\u75db\u3068\u5614\u5410\u3068\u610f\u8b58\u969c\u5bb3\uff08\u660f\u7761\u3001\u9664\u8133\u786c\u76f4\uff09\u3092\u751f\u3058\u308b\u6025\u6027\u30b7\u30e3\u30f3\u30c8\u4e0d\u5168\u306b\u306a\u308a\uff0c\u30b7\u30e3\u30f3\u30c8\u624b\u8853\u306e\u3084\u308a\u76f4\u3057\u3092\u3057\u307e\u3057\u305f\u300221\u6b73\u306e\u6642\u306b\u3082\u30b7\u30e3\u30f3\u30c8\u4e0d\u5168\u3067\u610f\u8b58\u969c\u5bb3\u306b\u306a\u308a\uff0c\u30b7\u30e3\u30f3\u30c8\u624b\u8853\u306e\u3084\u308a\u76f4\u3057\u3092\u3057\u307e\u3057\u305f\u3002\u305d\u306e\uff13\u30f6\u6708\u5f8c\u306b\u3082\u307e\u305f\u30b7\u30e3\u30f3\u30c8\u4e0d\u5168\u3067\u30b7\u30e3\u30f3\u30c8\u518d\u5efa\u8853\u3092\u53d7\u3051\u3066\uff0c\u305d\u308c\u304b\u3089\u79c1\u306e\u5916\u6765\u306b\u6765\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4562\" title=\"tectalglioma7\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma7-287x300.jpg\" alt=\"\" width=\"287\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma7-287x300.jpg 287w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma7-550x574.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma7.jpg 663w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4563\" title=\"tectalglioma6\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma6-283x300.jpg\" alt=\"\" width=\"283\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma6-283x300.jpg 283w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma6-550x582.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma6.jpg 691w\" sizes=\"auto, (max-width: 283px) 100vw, 283px\" \/><\/a><\/p>\n<p>\u5de6\u306fT1\u5f37\u8abf\u753b\u50cf\uff0c\u53f3\u306fFLAIR\u753b\u50cf\u3067\u3059\u3002\u4e2d\u8133\u8996\u84cb\u304c\u816b\u308c\u3066\u816b\u760d\u304c\u306b\u3058\u3080\u3088\u3046\u306b\u5e83\u304c\u3063\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u3053\u306e\u816b\u760d\u672c\u4f53\u306f15\u6b73\u306e\u6642\u304b\u308921\u6b73\u306e\u6642\u307e\u3067\u5927\u304d\u304f\u306a\u3063\u3066\u3044\u306a\u3044\u306e\u3067\uff0c\u4e2d\u8133\u8996\u84cb\u30b0\u30ea\u30aa\u30fc\u30de tectal glioma\u306e\u8a3a\u65ad\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4564\" title=\"tectalglioma3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma3-271x300.jpg\" alt=\"\" width=\"271\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma3-271x300.jpg 271w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma3-543x600.jpg 543w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma3.jpg 658w\" sizes=\"auto, (max-width: 271px) 100vw, 271px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4565\" title=\"tectalglioma1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma1-300x298.jpg\" alt=\"\" width=\"300\" height=\"298\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma1-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma1.jpg 478w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>T1\u5f37\u8abf\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u753b\u50cf\u3067\u3059\u300215\u6b73\u306e\u6642\u306f\u816b\u760d\u306e\u534a\u5206\u4ee5\u4e0a\u304c\u5f37\u304f\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u304c\uff0c\u3053\u306e21\u6b73\u306e\u6642\u306e\u753b\u50cf\u3067\u306f\uff0c\u4e2d\u5fc3\u90e8\u3084\u3084\u53f3\u5bc4\u308a\u306b\u5897\u5f37\u50cf\u304c\u8a8d\u3081\u3089\u308c\u308b\u3060\u3051\u3067\u3059\u3002\u3053\u306e\u6027\u8cea\u306f\uff0c\u816b\u760d\u304c\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma53.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7320\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma53-300x297.jpg\" alt=\"tectalglioma5\" width=\"300\" height=\"297\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma53-300x297.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma53.jpg 535w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma41.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7321\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma41-282x300.jpg\" alt=\"tectalglioma4\" width=\"282\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma41-282x300.jpg 282w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma41-550x586.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglioma41.jpg 598w\" sizes=\"auto, (max-width: 282px) 100vw, 282px\" \/><\/a><\/p>\n<p>\u5de6\u306fT2\u5f37\u8abf\u753b\u50cf\uff0c\u53f3\u306fFLAIR\u753b\u50cf\u3067\u3059\u3002\u4e2d\u8133\u8996\u84cb tectum \u306e\u4e2d\u3067\u3082\u4e0a\u4e18\u304c\u816b\u760d\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u89e3\u308a\u307e\u3059\u3057\uff0c\u677e\u679c\u4f53\u306f\u6b63\u5e38\u306e\u5927\u304d\u3055\u3067\u816b\u760d\u306e\u4e0a\u306b\u4e57\u3063\u3066\u3044\u307e\u3059\u304b\u3089\uff0c\u677e\u679c\u4f53\u816b\u760d\u3067\u306f\u306a\u3044\u3053\u3068\u304c\u89e3\u308a\u307e\u3059\u3002\u4e0a\u9ac4\u5e06\u306b\u3082\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u8133\u5ba4\u306e\u58c1\u304c\u786c\u304f\u306a\u3063\u3066\u3057\u307e\u3046 slit ventricle syndrome\u306e\u305f\u3081\u306b\uff0c\u30b7\u30e3\u30f3\u30c8\u4e0d\u5168\u3067\u3082\u8133\u5ba4\u62e1\u5927\u3057\u306a\u3044\u3067\u8133\u5727\u4ea2\u9032\u304c\u751f\u3058\u3066\uff0c\u91cd\u7be4\u306a\u610f\u8b58\u969c\u5bb3\u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u6cbb\u7642\u306f\uff0c\u78ba\u5b9f\u306b\u9589\u585e\u6027\u6c34\u982d\u75c7\u3092\u89e3\u9664\u3059\u308b\u305f\u3081\u306b\uff0c\u524d\u982d\u958b\u982d\u624b\u8853\u3067\u7b2c\uff13\u8133\u5ba4\u306e\u7d42\u677f\u3068\u3044\u3046\u3068\u3053\u308d\u3068\u7070\u767d\u9686\u8d77\u306e\u5f8c\u308d\u5074\u3092\u7834\u308b\uff0c\u8133\u5ba4\u958b\u7a93\u8853\u3092\u3057\u307e\u3057\u305f\u3002 \u305d\u306e\u5f8c\u306b\u30b7\u30e3\u30f3\u30c8\u3092\u7d50\u7d2e\u3057\u3066\u6c34\u982d\u75c7\u306e\u60aa\u5316\u304c\u306a\u3044\u3053\u3068\u3092\u78ba\u304b\u3081\u3066\u304b\u3089\uff0c\u30b7\u30e3\u30f3\u30c8\u3092\u629c\u53bb\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u624b\u8853\u306e\u5f8c\uff0c12\u5e74\u7d4c\u3061\u307e\u3059\u304c\u533b\u7642\u95a2\u4fc2\u306e\u793e\u4f1a\u4eba\u3068\u3057\u3066\u7acb\u6d3e\u306b\u751f\u6d3b\u3057\u3066\u3044\u307e\u3059\u3002\u8efd\u5ea6\u306e\u8996\u91ce\u72ed\u7a84\u4ee5\u5916\u306e\u5f8c\u907a\u75c7\uff08\u795e\u7d4c\u8131\u843d\u75c7\u72b6\uff09\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h3><span style=\"color: #000080;\">15\u6b73\u3067\u6c34\u982d\u75c7\u3067\u767a\u75c7\u3057\u3066\u9032\u884c\u3057\u305f\u4f8b<\/span><\/h3>\n<p>\u624b\u8853\u6458\u51fa\u3057\u305f\u65b9\u304c\u826f\u3044\u4f8b\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo3.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"tectalpilo3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo11.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"tectalpilo1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo11-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo4.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"tectalpilo4\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo2.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"tectalpilo2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/03\/tectalpilo2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3067\u3042\u308a\uff0c\u57fa\u672c\u7684\u306b\u306f\u521d\u56de\u624b\u8853\u3067\u5168\u6458\u51fa\u3067\u304d\u308b\u306e\u3067\u3059\u304c\uff0c\u73fe\u5b9f\u7684\u306b\u306f\uff0c\u6280\u8853\u7684\u306b\u96e3\u3057\u3059\u304e\u308b\u306e\u3067\u90e8\u5206\u6458\u51fa\u3067\u7d42\u3048\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u3053\u306e\u5b50\u306f\uff0c15\u6b73\u306e\u6642\u306b\u9589\u585e\u6027\u6c34\u982d\u75c7\u306e\u305f\u3081\u306b\uff0c\u982d\u75db\uff0c\u5614\u5410\uff0c\u610f\u8b58\u969c\u5bb3\uff0c\u77b3\u5b54\u4e0d\u540c\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u958b\u982d\u90e8\u5206\u6458\u51fa\u8853\u3068\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u3067\u56de\u5fa9\u3057\u3066\uff0c\u305d\u306e\u5f8c\u306b\u30ab\u30eb\u30dc\u30d7\u30e9\u30c1\u30f3\u3068\u30d3\u30f3\u30af\u30ea\u30b9\u30c1\u30f3\u306e\u5316\u5b66\u7642\u6cd5\u3092\u53d7\u3051\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4892\" title=\"tectalpilo6\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo6-296x300.jpg\" alt=\"\" width=\"296\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo6-296x300.jpg 296w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo6.jpg 484w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><\/a>\u00a0<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-4893\" title=\"tectalpilo7\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo7-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo7-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo7.jpg 464w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u3067\u3082\u816b\u760d\u5897\u5927\u304c\u6b62\u3081\u3089\u308c\u305a\u306b\uff0c\u767a\u75c71\u5e74\u5f8c\u306b54\u30b0\u30ec\u30a430\u5206\u5272\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u305d\u306e\u534a\u5e74\u5f8c\u304f\u3089\u3044\u304b\u3089\u518d\u5897\u5927\u3057\u307e\u3057\u305f\u304c\uff0c\u30b9\u30fc\u30c9\u30d7\u30ed\u30b0\u30ec\u30c3\u30b7\u30e7\u30f3\u3068\u8003\u3048\u3089\u308c\u307e\u3057\u305f\u3002\u4e0a\u5de6MRI\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u524d\uff0c\u4e0a\u53f3MRI\u306f\u653e\u5c04\u7dda\u6cbb\u76421\u5e74\u5f8c\u3067\u3059\u3002\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u4e00\u904e\u6027\u5897\u5927\uff08\u591a\u304f\u306f\u306e\u3046\u80de\u6027\u5897\u5927\uff09\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo81.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7326\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo81-200x200.jpg\" alt=\"tectalpilo8\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo91.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7327\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo91-200x200.jpg\" alt=\"tectalpilo9\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo101.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7328\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalpilo101-200x200.jpg\" alt=\"tectalpilo10\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u306e\u3046\u80de\u6027\u62e1\u5927\u304c\u6b62\u307e\u3089\u305a\uff0c\u767a\u75c73\u5e74\u5f8c\u306b\u307e\u305f\u518d\u958b\u982d\u624b\u8853 (left occipital transtentorial approach) \u3067\u4e9c\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u53f3\u306f\u8853\u5f8c\u306e\u753b\u50cf\u3067\u3059\u3002\u521d\u767a\u6642\u306e\u6700\u521d\u306e\u624b\u8853\u3067\u4e9c\u5168\u6458\u51fa\u3042\u308b\u3044\u306f\u5168\u6458\u51fa gross total removal\u3067\u304d\u3066\u3044\u308c\u3070\u3068\u601d\u3048\u308b\u4f8b\u3067\u3059\u3002<\/p>\n<h3><span style=\"color: #000080;\">17\u6b73\u3067\u6ed1\u8eca\u795e\u7d4c\u9ebb\u75fa\u3067\u767a\u75c7\u3057\u305f\u4f8b\u00a0<\/span><\/h3>\n<p><a href=\"\/sawamura\/glioma\/tectal-glioma\/attachment\/tectalglimk2\/\" rel=\"attachment wp-att-4917\"><br \/>\n<\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4918\" title=\"tectalglimk1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk11-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4919\" title=\"tectalglimk2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk21-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4920\" title=\"tectalglimk3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4921\" title=\"tectalglimk4\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalglimk4.jpg 227w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a>\u4e2d\u8133\u5de6\u4e0b\u4e18\u304b\u3089\u4e0a\u9ac4\u5e06\u304c\u816b\u5927\u3057\u3066\u3044\u307e\u3059\u3002\u6ed1\u8eca\u795e\u7d4c\u306e\u51fa\u53e3\u306b\u3042\u305f\u308b\u90e8\u5206\u304c\u4fb5\u3055\u308c\u3066\u3044\u3066\u75c7\u72b6\u3068\u4e00\u81f4\u3059\u308b\u6240\u898b\u3067\u3059\u3002\u53f3\u5074\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37T1\u3067\u3082\u5897\u5f37\u3055\u308c\u308b\u90e8\u5206\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u78ba\u304b\u306btectal glioma\u306e\u6027\u8cea\u3092\u6709\u3057\u3066\u3044\u3066\uff0c3\u5e74\u9593\u307b\u3068\u3093\u3069\u52d5\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002pia\u3092\u62bc\u3057\u3066\u7a81\u51fa\u3059\u308b\u3088\u3046\u306a\u816b\u7624\u5f62\u6210\u304c\u3042\u308a\uff0cdiffuse astrocytoma\u3068\u3082\u307e\u305f\u9055\u3046\u753b\u50cf\u6240\u898b\u3068\u8a00\u3048\u307e\u3059\u3002\u6ef2\u307f\u8fbc\u3080 infiltrate\u3068\u3044\u3046\u3088\u308a\uff0c\u584a solid mass\u3092\u4f5c\u308b\u3068\u3044\u3046\u5f62\u8cea\u304c\u3042\u308b\u306e\u304ctectal glioma\u3067\u3057\u3087\u3046\u3002<\/p>\n<h3><span style=\"color: #000080;\">19\u6b73\u3067\u5076\u7136\u898b\u3064\u304b\u3063\u305f\u4f8b\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16721\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr1-300x291.jpg\" alt=\"\" width=\"300\" height=\"291\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr1-300x291.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr1-550x533.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr1-768x744.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr1.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16722\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr2-300x288.jpg\" alt=\"\" width=\"300\" height=\"288\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr2-300x288.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr2-550x528.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr2-768x737.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr2.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-16723\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr3-300x282.jpg\" alt=\"\" width=\"300\" height=\"282\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr3-300x282.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr3-550x517.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr3-768x721.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalgliomamr3.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u982d\u90e8\u6253\u64b2\u3067\u691c\u67fb\u3055\u308c\u5076\u7136\u767a\u898b\u3055\u308c\u305f19\u6b73\u7537\u6027\u3082\u306e\u3067\u3059\u3002\u4e2d\u8133\u8996\u84cb\u5168\u4f53\u304c\u816b\u5927\u3057\u3066\u816b\u760d\u5316\u3057\u3066\u3044\u307e\u3059\u3002\u5de6\u5074\u306b\u306e\u3046\u80de\u304c\u3042\u308a\u5468\u56f2\u304c\u6de1\u304f\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u3067\u5897\u5f37\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>\u4e2d\u8133\u6c34\u9053\u306e\u7652\u7740\u9589\u585e\u306b\u3088\u308a\uff0c\u9ad8\u5ea6\u306e\u505c\u6b62\u6027\u6c34\u982d\u75c7\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u9ad8\u8eab\u9577\u3067\u3059\u304c\u982d\u56f2\u304c61cm\u3042\u308a\u307e\u3057\u305f\u3002\u5c0f\u3055\u3044\u9803\u304b\u3089\u982d\u304c\u5927\u304d\u3044\u306e\u3067\u5bb6\u65cf\u3082\u6c17\u306b\u306a\u3089\u306a\u3044\u3088\u3046\u3067\u3059\u3002\u6570\u5e74\u4ee5\u4e0a\u3042\u308b\u3044\u306f10\u5e74\u8fd1\u304f\u306e\u9577\u671f\u306b\u308f\u305f\u3063\u3066\u3053\u306e\u6c34\u982d\u75c7\u306f\u5909\u308f\u3089\u306a\u3044\u306e\u3067\u3057\u3087\u3046\u3002<br \/>\n\u982d\u75db\u306a\u3069\u306e\u75c7\u72b6\u306f\u306a\u304f\uff0c\u773c\u5e95\u6240\u898b\u3082\u8996\u795e\u7d4c\u4e73\u982d\u306e\u7570\u5e38\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u7121\u6cbb\u7642\u3067\u7d4c\u904e\u89b3\u5bdf\u3092\u3057\u3066\u3044\u307e\u3059\u3002\u8a8d\u77e5\u6a5f\u80fd\u3082\u5168\u304f\u6b63\u5e38\u3067\uff0c\u56fd\u7acb\u5927\u5b66\u304b\u3089\u5927\u5b66\u9662\u306b\u9032\u3080\u4e88\u5b9a\u3067\u3059\u3002<br \/>\n\u3082\u3061\u308d\u3093\u3053\u308c\u304b\u3089\u3082\u6ce8\u610f\u6df1\u304f\u7d4c\u904e\u89b3\u5bdf\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<hr \/>\n<h5>MRI\u3067\u3068\u3066\u3082\u4f3c\u3066\u3044\u308b\u816b\u760d<\/h5>\n<h3><span style=\"color: #000080;\">tectal glioma\u306b\u9593\u9055\u3048\u305d\u3046\u306aPPTID \u677e\u679c\u4f53\u5b9f\u8cea\u816b\u760d<\/span><\/h3>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9463\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn3-200x200.jpg\" alt=\"tectalkn3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9464\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4-200x200.jpg\" alt=\"tectalkn4\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4-768x767.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4-550x549.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn4.jpg 984w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9465\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2-200x200.jpg\" alt=\"tectalkn2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2-768x772.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn2.jpg 984w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9466\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn1-200x200.jpg\" alt=\"tectalkn1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/tectalkn1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u4e0a\u6bb5\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37MRI\u3067\u306f\u677e\u679c\u4f53\u816b\u760d\u306b\u898b\u3048\u3084\u3084\u5883\u754c\u304c\u4e0d\u660e\u77ad\u306a\u306e\u3067\uff0c\u5e74\u9f62\u304b\u3089\u306fPPTID\u304c\u7591\u308f\u308c\u307e\u3059\u3002\u3057\u304b\u3057\uff0cCISS\u306e\u753b\u50cf\u3067\uff0c\u4e2d\u8133\u4e0a\u4e18\u3068\u306e\u5883\u754c\u304c\u306a\u304f\u4e2d\u8133\u816b\u5927\u304c\u3042\u308b\u3088\u3046\u306b\u307f\u3048\uff0c\u30c6\u30af\u30bf\u30fc\u30eb\u30b0\u30ea\u30aa\u30fc\u30de\u3092\u7591\u3063\u3066\u7d4c\u904e\u89b3\u5bdf\u3057\u307e\u3057\u305f\u3002\u816b\u760d\u304c\u3086\u3063\u304f\u308a\u5897\u5927\u3057\u305f\u306e\u3067\u6458\u51fa\u3057\u305f\u3068\u3053\u308dPPTID\u3068\u3044\u3046\u8a3a\u65ad\u304c\u3064\u304d\u307e\u3057\u305f\u3002<\/p>\n<hr \/>\n<p style=\"text-align: center;\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/sleepyowl.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-4913\" title=\"sleepyowl\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/sleepyowl-550x378.jpg\" alt=\"\" width=\"550\" height=\"378\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/sleepyowl-550x378.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/sleepyowl-300x206.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/02\/sleepyowl.jpg 992w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u30c6\u30af\u30bf\u30fc\u30eb\u30fb\u30b0\u30ea\u30aa\u30fc\u30de \u4e2d\u8133\u306e\u8996\u84cb\uff08\u3057\u304c\u3044\uff09\u3068\u3044\u3046\u90e8\u5206\u306b\u300c\u9650\u5c40\u3059\u308b\u300d\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u3059 \u601d\u6625\u671f\u304b\u3089\u82e5\u5e74\u6210\u4eba\u306b\u591a\u3044\u826f\u6027\u306e\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u3059 \u6587\u732e\u3067\u306f\u4f4e\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de low-grade glioma\uff0c\u3068\u304f\u306b\u661f\u7d30\u80de\u816b\u3068\u8a18\u8f09\u3055\u308c\u3066\u3044 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