{"id":6593,"date":"2015-01-17T10:11:03","date_gmt":"2015-01-17T01:11:03","guid":{"rendered":"\/sawamura\/?p=6593"},"modified":"2021-09-06T17:13:42","modified_gmt":"2021-09-06T08:13:42","slug":"germinom","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pathocase\/germinom\/","title":{"rendered":"\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306e\u75c5\u7406 pathology of germinoma"},"content":{"rendered":"<h5>\u00a0\u9577\u5d8b\u548c\u90ce\u306e\u75c5\u7406\u6559\u5ba4\uff08\u753b\u50cf\u306f\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u62e1\u5927\u3055\u308c\u307e\u3059\uff09<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/germinomahashi.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"germinomahashi\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/germinomahashi-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/germinomaty1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"germinomaty1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/germinomaty1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" \/><\/a><\/p>\n<p>\u75c5\u7406\u8a3a\u65ad\u306f\u56f0\u96e3\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5de6\u5074\u306e\u5199\u771f\u306e\u3088\u3046\u306b\uff0c\u591a\u304f\u306e\u5834\u5408\u306bHE\u67d3\u8272\u3067<span style=\"color: #000080;\"><strong>two-cell pattern<\/strong><\/span>\u3068\u547c\u3070\u308c\u308b\uff0c \u5927\u578b\u306e\u816b\u760d\u7d30\u80de\u3068\u5c0f\u578b\u306e\u30ea\u30f3\u30d1\u7403 (T cells) \u6d78\u6f64\u306e\u7279\u5fb4\u7684\u306a\u75c5\u7406\u50cf\u3067\u8a3a\u65ad\u304c\u3064\u304d\u307e\u3059\u3002\u5927\u578b\u306e\u816b\u760d\u7d30\u80de\u306f<span style=\"color: #000080;\"><strong>\u6955\u5186\u5f62\u306e\u5927\u304d\u306a\u6838\u306b\u5927\u304d\u306a\u6838\u5c0f\u4f53<\/strong><\/span>\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9321\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany1-300x225.jpg\" alt=\"germinomany1\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany1-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany1-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany1.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u5f31\u62e1\u50cf\u3067\u3059\u3002\u985e\u5186\u5f62\u3067\u5927\u578b\u306e\u6838\u3092\u6709\u3059\u308bgerm cell (\u80da\u7d30\u80de)\u985e\u4f3c\u306e\u7d30\u80de\u3068\u5c0f\u578b\u306e\u30ea\u30f3\u30d1\u7403\u304b\u3089\u306a\u308b\u816b\u760d\u3067\u3001two cell pattern\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9322\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany2-300x225.jpg\" alt=\"germinomany2\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany2-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany2-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany2.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u5927\u578b\u306egerm cell\u985e\u4f3c\u306e\u7d30\u80de (germ cell\u3068\u547c\u3076)\u3067\u306f\u816b\u5927\u3057\u305f\u6838\u5c0f\u4f53\u304c\u660e\u77ad\u306b\u307f\u3089\u308c\u307e\u3059(\u592a\u3044\u77e2\u5370)\u3002\u5c0f\u578b\u306e\u7d30\u80de\u306e\u4e2d\u306b\u306fplasma cell (\u7d30\u3044\u77e2\u5370)\u3082\u898b\u3089\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaplap.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9328\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaplap-300x234.jpg\" alt=\"germinomaplap\" width=\"300\" height=\"234\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaplap-300x234.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaplap-550x429.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaplap.jpg 591w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>PLAP\u67d3\u8272\u3067\u306egerminoma nest\uff1aplacetal alkaline phosphatase (PLAP)\u3067\u7d30\u80de\u8cea\u3068\u7d30\u80de\u819c\u304c\u67d3\u8272\u3055\u308c\u307e\u3059\u304c\u7279\u7570\u6027\u3092\u6b20\u304f\u6240\u898b\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9323\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany3-300x225.jpg\" alt=\"germinomany3\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany3-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany3-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany3.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u816b\u760d\u30de\u30fc\u30ab\u30fc\u306e\uff11\u3064\u3068\u3057\u3066\u7528\u3044\u3089\u308c\u305fplacental alkaline phosphatase (PLAP)\u306f\u9670\u6027\u306e\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9324\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany4-300x225.jpg\" alt=\"germinomany4\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany4-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany4-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany4.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u6d88\u5316\u7ba1\u306b\u591a\u304f\u767a\u751f\u3059\u308bGIST (gastrointestinal stromal tumor)\u306b\u967d\u6027\u3068\u306a\u308bKIT (c-kit \u86cb\u767d)\u67d3\u8272\u3067germ cell\u306e\u7d30\u80de\u819c\u304c\u5f37\u304f\u67d3\u307e\u308a\u307e\u3059\u3002\u5b9a\u578b\u7684\u306atwo-cell pattern\u3092\u6b20\u304f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u305d\u306e\u3088\u3046\u306a\u6642\u306b\u7d30\u80de\u819c c-kit\uff0c\u6838 OCT4\u306e\u967d\u6027\u6240\u898b\u304c\u898b\u3089\u308c\u308c\u3070germinoma\u3068\u8a3a\u65ad\u3067\u304d\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9325\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany5-300x225.jpg\" alt=\"germinomany5\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany5-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany5-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany5.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u8ee2\u5199\u56e0\u5b50OCT3\/4 (Octamer-binding transcription facter )\u306e\u514d\u75ab\u67d3\u8272\u3067germ cell\u306e\u6838\u304c\u5f37\u967d\u6027\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9326\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany6-300x225.jpg\" alt=\"germinomany6\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany6-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany6-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomany6.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u7d30\u80de\u306e\u5897\u6b96\u5468\u671f\u3067\u767a\u73fe\u3055\u308c\u308bMIB-1\u3092\u7528\u3044\u305f\u514d\u75ab\u3067germ cell\u306e\u307b\u3068\u3093\u3069\u304c\u967d\u6027\u306b\u67d3\u307e\u308a\u3001\u7d30\u80de\u5897\u6b96\u80fd\u304c\u65fa\u76db\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomagfap.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-14480\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomagfap-300x262.jpg\" alt=\"\" width=\"300\" height=\"262\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomagfap-300x262.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomagfap-768x671.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomagfap-550x481.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomagfap.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>GFAP\u67d3\u8272\u3067\u3059\u3002\u6fc3\u304f\u67d3\u307e\u3063\u3066\u3044\u308b\u306e\u304c\u8133\u767d\u8cea\u7d44\u7e54\u3067\u3059\u3002\u8133\u306e\u767d\u8cea\u306e\u5185\u90e8\u306bgerminoma cells (\u67d3\u307e\u3063\u3066\u3044\u306a\u3044\u7d30\u80de\uff09\u304c\u67d3\u307f\u8fbc\u3080\u3088\u3046\u306b\u5165\u3063\u3066\u3044\u307e\u3059(invasion)\u3002\u4e0a\u8863\u4e0b\u4f38\u5c55\u306e\u5f8c\u306b\u306f\u8133\u3084\u795e\u7d4c\u306e\u5185\u90e8\u306b\u6d78\u6f64\u3057\u3066\u3044\u304f\u6027\u8cea\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5>STGC\u3068\u306f<\/h5>\n<p><span style=\"color: #000080;\"><strong>syncytiotorophoblastic giant cell (STGC)<\/strong><\/span>\u304cHCG-\u03b2\u3067\u67d3\u8272\u3055\u308c\u308b\u3053\u3068\u306f\u3088\u304f\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u904e\u53bb\u306b\u306f\uff0cSTGC\u306e\u5b58\u5728\u306f\u9ad8\u3044\u518d\u767a\u5272\u5408\u3092\u793a\u3059\u3068\u3055\u308c\u305f\u305f\u3081\u306b\uff0c\u75c5\u7406\u8a3a\u65ad\u4e0a\u3067\u91cd\u8996\u3055\u308c\u305f\u6642\u671f\u3082\u3042\u308a\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u4e88\u5f8c\u3068\u306e\u95a2\u9023\u306f\u306a\u304f\u73fe\u5728\u3067\u306f\u305d\u306e\u81e8\u5e8a\u7684\u306a\u610f\u7fa9\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u89e3\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5>\u30ea\u30f3\u30d1\u7bc0\u80da\u82bd\u4e2d\u5fc3 germinal center<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaih.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6606\" title=\"OLYMPUS DIGITAL CAMERA\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaih-289x300.jpg\" alt=\"\" width=\"289\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaih-289x300.jpg 289w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaih-550x569.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaih.jpg 722w\" sizes=\"auto, (max-width: 289px) 100vw, 289px\" \/><\/a>\u00a0<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty31.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6609\" title=\"germinomaty3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty31-300x283.jpg\" alt=\"\" width=\"300\" height=\"283\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty31-300x283.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty31-550x519.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty31.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5de6\u5074\u306f\u816b\u760d\u7d30\u80de\u306e\u307f\u3067\u69cb\u6210\u3055\u308c\u308b\u7d44\u7e54\u3067\uff0c\u53f3\u5074\u306f\u30ea\u30f3\u30d1\u7bc0\u80da\u82bd\u4e2d\u5fc3 germinal center\u3092\u5f62\u6210\u3059\u308b\u3088\u3046\u306b\u591a\u304f\u306e\u30ea\u30f3\u30d1\u7403\u304c\u96c6\u7c07\u3059\u308b\u7d44\u7e54\u3067\u3059\u3002\u816b\u760d\u7d30\u80de\u306f\u672a\u5206\u5316\u3067\u5927\u578b\uff0c\u5358\u7d14\u306b\u30b7\u30fc\u30c8\u72b6\u306b\u914d\u5217\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u8c4a\u5bcc\u306a\u7d30\u80de\u8cea\u306b\u306f\u30b0\u30ea\u30b3\u30fc\u30b2\u30f3\u304c\u84c4\u7a4d\u3057\u3066\u660e\u308b\u304f\u898b\u3048\uff0c\u4e2d\u5fc3\u306b\u5927\u304d\u306a\u6838\u304c\u3042\u308a\u307e\u3059\u3002\u672c\u6765\u306f\u5897\u6b96\u80fd\u306e\u9ad8\u3044\u816b\u760d\u3067\u3042\u308a\uff0cMIB-1\u67d3\u8272\u7387\u306f\u9ad8\u304f\u5206\u88c2\u50cf\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6612\" title=\"germinomaty2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty2-300x274.jpg\" alt=\"\" width=\"300\" height=\"274\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty2-300x274.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty2-550x502.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomaty2.jpg 595w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nfibrogliosis\u3068\u30ea\u30f3\u30d1\u7403\u6d78\u6f64\u304c\u512a\u4f4d\u3067\u816b\u760d\u7d30\u80de\u304c\u5c11\u306a\u3044\u90e8\u5206\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u5909\u5316\u304c\u5f37\u3044\u7d44\u7e54\u3092desmoplastic stromal response\u3068\u3044\u3044\u307e\u3059\u3002granulomatous germinoma\u3068\u547c\u3070\u308c\u308b\u3082\u306e\u3067\u306f\u8457\u660e\u306a\u8089\u82bd\u816b\u69d8\u306e\u708e\u75c7\u53cd\u5fdc\u50cf granulomatous response \u3092\u307f\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u6240\u898b\u306f\uff0cMRI\u3067\u63cf\u51fa\u3055\u308c\u306a\u3044\u3088\u3046\u306a\u5927\u8133\u57fa\u5e95\u6838germinoma\u306a\u3069\u3067\uff0cgerminoma cells\u306e\u5897\u6b96\u3068\u9000\u7e2e\u304c\u7e70\u308a\u8fd4\u3055\u308c\uff0cgliofibrosis\u306b\u7f6e\u304d\u63db\u308f\u308a\u306a\u304c\u3089\u5b58\u5728\u3057\u3066\u816b\u760d\u3068\u3057\u3066\u306emass effect\u3092\u5448\u3057\u306a\u3044\u3068\u3044\u3046\u81e8\u5e8a\u50cf\u3068\u4e00\u81f4\u3057\u307e\u3059\u3002<\/p>\n<h5>\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u304c\u8133\u7d44\u7e54\u6d78\u6f64\u6027\u3067\u3042\u308b\u3053\u3068\u3078\u306e\u7559\u610f\u70b9<\/h5>\n<p>\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u306b\u306f\u597d\u767a\u90e8\u4f4d\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\uff0c\u795e\u7d4c\u4e0b\u5782\u4f53\uff0c\u677e\u679c\u4f53\uff0c\u5927\u8133\u57fa\u5e95\u6838\u306a\u3069\u3067\u3059\u304c\uff0c\u816b\u760d\u584a\u3092\u5f62\u6210\u3057\u306a\u3044\u3067\u5468\u56f2\u8133\u7d44\u7e54\u306b\u6d78\u6f64\u4f38\u5c55\u3057\u3066\u3044\u308b\u3060\u3051\u3068\u3044\u3046\u753b\u50cf\u6240\u898b\u3092\u307f\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u591a\u304f\u306f\u6d78\u6f64\u5f62\u614b\u304c\u8133\u5ba4\u58c1\u306b\u6cbf\u3046 subependymal infiltration\u3068\u3044\u3046\u7279\u5fb4\u304b\u3089\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3068\u753b\u50cf\u8a3a\u65ad\u3067\u304d\u308b\u306e\u3067\u3059\u304c\uff0c\u539f\u767a\u90e8\u4f4d\u306b\u816b\u760d\u584a\u304c\u306a\u304f\u3066\uff0c\u8996\u795e\u7d4c\u4ea4\u53c9\u3084\u8996\u5e8a\u3042\u308b\u3044\u306f\u5927\u8133\u57fa\u5e95\u6838\u3060\u3051\u306b\u816b\u760d\u304c\u3042\u308b\u306a\u3069\u3068\u3044\u3046\u4f8b\u3082\u3042\u308a\u307e\u3059\u3002\u7279\u306b\u6ce8\u610f\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u306e\u306f\uff0c\u8133\u7d44\u7e54\u6d78\u6f64\u304c\u4e3b\u4f53\u3067\uff0cgerminoma\u3068\u3057\u3066\u306e\u816b\u760d\u584a\u3092\u5f62\u6210\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u3067\u3059\u3002<span style=\"color: #000080;\"><strong>\u6b63\u5e38\u8133\u7d44\u7e54\u5185\uff08GFAP\u967d\u6027\uff09\u306b\u816b\u760d\u7d30\u80de\uff08c-kit\u967d\u6027\uff09\u3068\u30ea\u30f3\u30d1\u7403\u304c\u6563\u5728\u3059\u308b\u3068\u3044\u3046\u75c5\u7406\u7d44\u7e54\u6240\u898b\u306b\u306a\u308a\u307e\u3059<\/strong><\/span>\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/pediattumor\/germcelltumors\/geminomadeepfrontal\/\"><span style=\"color: #000080;\"><strong>\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u5b9f\u4f8b\u3068\u75c5\u7406\u6240\u898b\u304c\u307f\u3089\u308c\u307e\u3059<\/strong><\/span><\/a><\/p>\n<h5>\u30b8\u30e3\u30fc\u30df\u30ce\u30fc\u30de\u3068\u30ea\u30f3\u30d1\u7403\u6d78\u6f64\uff1a\u514d\u75ab\u6a5f\u80fd\u306e\u5f79\u5272<\/h5>\n<p><span class=\"docsum-authors full-authors\"><span class=\"docsum-journal-citation full-journal-citation\">Sawamura Y:\u00a0Immunohistochemical and in vitro functional analysis of pineal-germinoma infiltrating lymphocytes: report of a case. Neurosurgery\u00a01989<\/span><br \/>\nKato T, Sawamura Y<\/span>Occult neurohypophyseal germinomas in patients presenting with central diabetes insipidus.\u00a0<span class=\"docsum-journal-citation full-journal-citation\">Neurosurg Focus 1998<br \/>\n<\/span>Sudo A, Sawamura Y: High uptake on 11C-methionine positron emission tomographic scan of basal ganglia germinoma with cerebral hemiatrophy. AJNR 2003<\/p>\n<ul>\n<li>germinoma\u306f\u3068\u3066\u3082\u4f4e\u3044\u7dda\u91cf\u306eX\u7dda\u691c\u67fb\u3060\u3051\u3067\u6d88\u5931\u3057\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u305d\u306e\u5f8c\uff0c\u968f\u5206\u7d4c\u3063\u3066\u304b\u3089\u518d\u767a\u3057\u305f\u308a\uff0c\u6cbb\u3063\u305f\u308a\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>germinoma\u306e\u7d44\u7e54\u306e\u306a\u304b\u306b\u306f\u305f\u304f\u3055\u3093\u306e\u30ea\u30f3\u30d1\u7403\u304c\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>germinoma\u306f\uff0cMIB-1\u67d3\u8272\u3067\u9ad8\u3044\u816b\u760d\u7d30\u80de\u5206\u88c2\u80fd\u3068\u5897\u6b96\u80fd\u3092\u793a\u3057\u307e\u3059<\/li>\n<li>\u3067\u3082\u305d\u308c\u307b\u3069\u65e9\u304f\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u3053\u3053\u306b\u306f\u5927\u304d\u306a\u75c5\u7406\u5b66\u7684\u306a\u77db\u76fe\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u6162\u6027\u708e\u75c7\u6027\u7d44\u7e54\u304c\u816b\u760d\u5185\u306b\u751f\u3058\u305f\u308a\uff0clymphocytic germinal center\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5c3f\u5d29\u75c7\u3084\u4f4e\u8eab\u9577\u3067\u767a\u75c7\u3057\u3066\u304b\u3089\uff0c\u6570\u5e74\u9593\u306f\u816b\u760d\u304cMRI\u3067\u307f\u3048\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\uff0coccult germinoma\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u5927\u8133\u57fa\u5e95\u6838germinoma\u3082\uff0c\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3084\u9ebb\u75fa\u304c\u9032\u884c\u3057\u3064\u3064\u3082\u816b\u760d\u584a\u304c\u9855\u5728\u5316\u3057\u306a\u3044\u3053\u3068\u306f\u3057\u3070\u3057\u3070\u3067\u3059<\/li>\n<li>\u3053\u308c\u3089\u3092\u7dcf\u5408\u7684\u306b\u8003\u3048\u308b\u3068\uff0c\u60a3\u8005\u3055\u3093\u81ea\u8eab\u306e\u514d\u75ab\u6a5f\u80fd\u304cgerminoma\u306e\u5897\u5927\u3092\u6291\u5236\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u5f37\u304f\u793a\u5506\u3055\u308c\u307e\u3059<\/li>\n<li>1989\u5e74\u306b\u6fa4\u6751\u306f\u3053\u306e\u30ea\u30f3\u30d1\u7403\u3092\u5206\u96e2\u3057\u3066\uff0c\u816b\u760d\u5185\u6d78\u6f64T\u7d30\u80de\u304c\u816b\u760d\u7d30\u80de\u969c\u5bb3\u6d3b\u6027\u3092\u6301\u3064\u3053\u3068\u3092\u8ad6\u6587\u306b\u3057\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<hr \/>\n<h1><span style=\"color: #003366;\"><strong>\u8133\u5ba4\u4e0a\u8863\u4e0b\u6d78\u6f64\uff08\u5256\u691c\u4f8b\uff09<br \/>\nsubependymal infiltration (autopsy)<\/strong><\/span><\/h1>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake1strec.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6641\" title=\"germinomatake1strec\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake1strec-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake1strec-300x169.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake1strec-550x310.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake1strec.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>11\u6b73\uff081977\u5e74\uff09\u3067\u767a\u75c7\u3057\u3066\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\uff0c21\u6b73\uff081987\u5e74\uff09\u3067\u518d\u767a\u3057\u307e\u3057\u305f\u3002\u5074\u8133\u5ba4\u306e\u524d\u89d2\u306b\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u308b\u5178\u578b\u7684\u306agerminoma\u306e\u518d\u767a\u50cf\u304c\u307f\u308c\u307e\u3059\u3002\u8133\u8868\u306b\u3082\u810a\u9ac4\u306b\u3082\u9ac4\u6db2\u64ad\u7a2e\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatakeafterchemo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6642\" title=\"germinomatakeafterchemo\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatakeafterchemo-300x168.jpg\" alt=\"\" width=\"300\" height=\"168\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatakeafterchemo-300x168.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatakeafterchemo-550x308.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatakeafterchemo.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>CDDP\/VP-16\u5316\u5b66\u7642\u6cd5\u3067\u816b\u760d\u306f\u6d88\u5931\u3057\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake2ndrec.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6643\" title=\"germinomatake2ndrec\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake2ndrec-300x179.jpg\" alt=\"\" width=\"300\" height=\"179\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake2ndrec-300x179.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake2ndrec-550x329.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake2ndrec.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>2\u5ea6\u76ee\u306e\u518d\u767a\u3067\u3059\u3002\u5074\u8133\u5ba4\u306e\u58c1\u306b\u518d\u767a\u3057\u305f\u306e\u3067\uff0c\u307e\u305f\u5316\u5b66\u7642\u6cd5\u3092\u3057\u307e\u3057\u305f\u3089\uff0c\u53f3\u306e\u753b\u50cf\u306e\u3088\u3046\u306b\u304d\u308c\u3044\u306b\u6d88\u3048\u307e\u3057\u305f\u3002\u3053\u306e\u6642\u70b9\u3067\u3082\u9ac4\u6db2\u5438\u53ce\u969c\u5bb3\u6027\u6c34\u982d\u75c7\u306b\u3082\u9589\u585e\u6027\u6c34\u982d\u75c7\u306b\u3082\u306a\u3063\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake3rdrec.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6644\" title=\"germinomatake3rdrec\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake3rdrec-300x176.jpg\" alt=\"\" width=\"300\" height=\"176\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake3rdrec-300x176.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake3rdrec-550x323.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake3rdrec.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>3\u5ea6\u76ee\u306e\u518d\u767a\u3067\u3059\u3002\u307e\u305f\u8133\u5ba4\u306e\u58c1\u304b\u3089\u518d\u767a\u3057\u307e\u3057\u305f\u3002\u5316\u5b66\u7642\u6cd5\u3067\u816b\u760d\u306f\u307e\u305f\u6d88\u5931\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u5f8c\u3082\u7dad\u6301\u5316\u5b66\u7642\u6cd5\u3092\u884c\u3063\u305f\u306e\u3067\u3059\u304c\uff0c\u8133\u5ba4\u5185\u518d\u767a\u304c\u6b62\u3081\u3089\u308c\u305a\uff0c\u7b2c4\u8133\u5ba4\u5e95\u90e8\u306e\u816b\u760d\u304c\u5ef6\u9ac4\u306b\u6d78\u6f64\u3057\u3066\u6b7b\u4ea1\u3057\u307e\u3057\u305f\u3002<br \/>\n\u6700\u5f8c\u307e\u3067\u6c34\u982d\u75c7\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>1992\u5e74\u306e\u5256\u691c\u6240\u898b<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake31.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6650\" title=\"germinomatake3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake31-264x300.jpg\" alt=\"\" width=\"264\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake31-264x300.jpg 264w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake31-528x600.jpg 528w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake31.jpg 1135w\" sizes=\"auto, (max-width: 264px) 100vw, 264px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6651\" title=\"germinomatake2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake21-265x300.jpg\" alt=\"\" width=\"265\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake21-265x300.jpg 265w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake21-530x600.jpg 530w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake21.jpg 1129w\" sizes=\"auto, (max-width: 265px) 100vw, 265px\" \/><\/a><\/p>\n<p>\u5927\u8133\u8868\u9762\uff0c\u8133\u5e79\u90e8\uff0c\u810a\u9ac4\u304f\u3082\u819c\u4e0b\u8154\u306b\u306f\u816b\u760d\u304c\u898b\u5f53\u305f\u308a\u307e\u305b\u3093\u304c\uff0c\u5074\u8133\u5ba4\u3092\u5145\u6e80\u3059\u308b\u3088\u3046\u306b\u816b\u760d\u304c\u5897\u6b96\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake42.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-6653\" title=\"germinomatake4\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake42-515x600.jpg\" alt=\"\" width=\"515\" height=\"600\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake42-515x600.jpg 515w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake42-257x300.jpg 257w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake42.jpg 1138w\" sizes=\"auto, (max-width: 515px) 100vw, 515px\" \/><\/a><\/p>\n<p>\u5074\u8133\u5ba4\u58c1\u306b\u7d50\u7bc0\u72b6\u306e\u816b\u760d\u304c\u7121\u6570\u306b\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u4eca\u65e5\u3067\u306f\uff0c\u5185\u8996\u93e1\u306b\u3088\u308b\u8133\u5ba4\u5185\u89b3\u5bdf\u3067\u898b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-6630\" title=\"germinomatake\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake-550x368.jpg\" alt=\"\" width=\"550\" height=\"368\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake-550x368.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake-300x200.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake.jpg 1134w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<p>\u4e0a\u65b9\u304c\u5074\u8133\u5ba4\u5074\u3067\u3059\u3002\u8133\u3068\u306e\u5883\u306b\u3042\u308b\u8133\u5ba4\u4e0a\u8863 ependyum\u306e\u4e0b\u306b\u816b\u760d\u7d30\u80de\u304c\u9019\u3046\u3088\u3046\u306b\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u3053\u304b\u3089\u8840\u7ba1\u5468\u56f2 Virchow-Robin space\u3092\u901a\u3063\u3066\u8133\u6df1\u90e8\u306b\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6656\" title=\"germinomatake6\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake6-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake6-200x300.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake6-401x600.jpg 401w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake6.jpg 567w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6657\" title=\"germinomatake5\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake5-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake5-200x300.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake5-401x600.jpg 401w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/germinomatake5.jpg 567w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u5927\u8133\u6df1\u90e8\uff08\u5de6\uff09\u3068\u5c0f\u8133\u6df1\u90e8\uff08\u53f3\uff09\u306b\u306f\u9ac4\u8cea\u8840\u7ba1\u306b\u6cbf\u3063\u3066\u6d78\u6f64\u3057\u307e\u3059\u3002\u3053\u308c\u306f\u9ac4\u82bd\u816b\u306a\u3069\u3068\u540c\u69d8\u306e\u8133\u6d78\u6f64\u6240\u898b\u3067\u3059\u3002<\/p>\n<h5>\u3053\u306e\u4f8b\u304c\u6559\u3048\u3066\u304f\u308c\u308b\u3088\u3046\u306b\uff0c<span style=\"color: #ff0000;\">germinoma\u306e\u5f37\u3044\u7279\u6027\u306f\uff0c\u8133\u5ba4\u4e0a\u8863\u306b\u6cbf\u3063\u3066\u306e\u6d78\u6f64\u80fd ability of subependymal infiltration \u304c\u3068\u3066\u3082\u9ad8\u3044<\/span>\u3053\u3068\u3067\u3059\u3002\u4e00\u65b9\u3067\u64ad\u7a2e\u3059\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002<br \/>\n\u3053\u306e\u6027\u8cea\u304c\u3042\u308b\u304c\u6545\u306b\uff0c\u6cbb\u7642\u3067\u306f\u8133\u810a\u9ac4\u7167\u5c04\u3067\u306f\u306a\u304f\u3066\uff0c\u5168\u8133\u5ba4\u7167\u5c04 whole ventricle irradiation\u304c\u7528\u3044\u3089\u308c\u308b\u306e\u3067\u3059\u3002<br \/>\n\u62e1\u5927\u5c40\u6240\u7167\u5c04\u3067\u3059\u3068\uff0c\u5074\u8133\u5ba4\u524d\u89d2\u3068\u7b2c\uff14\u8133\u5ba4\u4e0b\u7aef\u304c\u5916\u308c\u3066\u3057\u307e\u3046\u306e\u3067\uff0c\u3053\u306e\u4f8b\u306e\u3088\u3046\u306b\u524d\u89d2\u306b\u518d\u767a\u3057\u307e\u3059\u3002\u307e\u305fovex\uff08\u7b2c\uff14\u8133\u5ba4\u4e0b\u7aef\uff09\u3082\u518d\u767a\u304c\u591a\u3044\u90e8\u4f4d\u3068\u3057\u3066\u77e5\u3089\u308c\u307e\u3059\u3002<\/h5>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u9577\u5d8b\u548c\u90ce\u306e\u75c5\u7406\u6559\u5ba4\uff08\u753b\u50cf\u306f\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u62e1\u5927\u3055\u308c\u307e\u3059\uff09 \u75c5\u7406\u8a3a\u65ad\u306f\u56f0\u96e3\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5de6\u5074\u306e\u5199\u771f\u306e\u3088\u3046\u306b\uff0c\u591a\u304f\u306e\u5834\u5408\u306bHE\u67d3\u8272\u3067two-cell pattern\u3068\u547c\u3070\u308c\u308b\uff0c \u5927\u578b\u306e\u816b\u760d\u7d30\u80de\u3068\u5c0f\u578b\u306e\u30ea\u30f3\u30d1\u7403 (T cel [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-6593","post","type-post","status-publish","format-standard","hentry","category-pathocase"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/6593","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=6593"}],"version-history":[{"count":55,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/6593\/revisions"}],"predecessor-version":[{"id":18176,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/6593\/revisions\/18176"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=6593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=6593"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=6593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}