{"id":81,"date":"2012-04-17T22:03:44","date_gmt":"2012-04-17T13:03:44","guid":{"rendered":"\/sawamura\/wp\/?p=81"},"modified":"2021-06-14T08:54:53","modified_gmt":"2021-06-13T23:54:53","slug":"chordom","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/chordom\/","title":{"rendered":"\u810a\u7d22\u816b (\u305b\u304d\u3055\u304f\u3057\u3085) \u30b3\u30eb\u30c9\u30fc\u30de chordoma"},"content":{"rendered":"<ul>\n<li>\u8133\u3067\u306f\u306a\u304f\u3066<span style=\"color: #000080;\"><strong>\u982d\u84cb\u9aa8\u306b\u3067\u304d\u308b\u816b\u760d<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u5e74\u9593100\u4e07\u4eba\u306b\u4e00\u4eba\u304f\u3089\u3044\u306e\u767a\u751f\u7387\u3067\u3068\u3066\u3082\u73cd\u3057\u3044\u816b\u760d\u3067\u3059<\/li>\n<li>\u306a\u3093\u3068\u3044\u3063\u3066\u3082<strong><span style=\"color: #ff0000;\"><span class=\"style2\">\u3084\u3063\u304b\u3044\u306a\u60aa\u6027\u816b\u760d\u3067\u3059<\/span><\/span><\/strong><\/li>\n<li>\u75c5\u7406\u7d44\u7e54\u306f\u826f\u6027\u3068\u3055\u308c\u307e\u3059\u304c\uff0c\u826f\u6027\u306a\u3069\u3068\u8a00\u3048\u308b\u816b\u760d\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u6210\u4eba\u306b\u3082\u5b50\u4f9b\u306b\u3082\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>30\u4ee3\u304b\u308960\u4ee3\u306b\u591a\u3044<\/strong><\/span>\u306e\u3067\u3059\u304c\uff0c10\u4ee3\u306e\u5973\u306e\u5b50\u306e\u659c\u53f0\u810a\u7d22\u816b\u3082\u6cbb\u7642\u3057\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u982d\u84cb\u5e95\u9aa8\uff08\u659c\u53f0\uff09<\/span><\/strong><span style=\"color: #000000;\">\u3042\u308b\u3044\u306f<\/span><strong><span style=\"color: #ff0000;\">\u810a\u690e\u9aa8\uff08\u4ed9\u5c3e\u690e\uff09<\/span><\/strong><span style=\"color: #000000;\">\u306b\u3067\u304d\u307e\u3059<\/span><\/li>\n<li>\u4e2d\u3067\u3082\u659c\u53f0\u3068\u3044\u3046\u982d\u306e\u4e2d\u5fc3\u306e\u9aa8\u304b\u3089\u51fa\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u5e74\u5358\u4f4d\u3067\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u65e9\u3044\u3082\u306e\u3067\u306f\uff12\u22123\u30f6\u6708\u3067\u5897\u5927\u3057\u307e\u3059<\/li>\n<li>\u982d\u84cb\u5e95\u624b\u8853\u3068\u3044\u3046\u306e\u304c\u6cbb\u7642\u6cd5\u3067\u3059\u304c\u3001\u305d\u306e\u624b\u8853\u306e\u4fb5\u8972\u3068\u5371\u967a\u6027\u306f\u3068\u3066\u3082\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u307e\u305f\u5168\u90e8\u53d6\u308a\u5207\u308c\u308b\u3053\u3068\u306f\u307e\u308c\u3067\u3059\u3057\u3001\u6b8b\u305b\u3070\u518d\u767a\u3057\u3066\u3057\u307e\u3044\u307e\u3059<\/li>\n<\/ul>\n<h5>\u75c7\u72b6<\/h5>\n<ul>\n<li>\u786c\u819c\u3092\u7834\u3063\u3066\u4e2d\u306b\u5165\u308a\u8133\u306e\u65b9\u3078\u4f38\u3073\u308b\u3088\u3046\u306b\u5927\u304d\u304f\u306a\u3063\u3066\u75c7\u72b6\u3092\u3060\u3057\u307e\u3059<\/li>\n<li>\u8133\u795e\u7d4c\u3092\u5727\u8feb\u3057\u3066\uff0c<span style=\"color: #000080;\"><strong>\u76ee\u306e\u52d5\u304d\u304c\u60aa\u304f\u306a\u3063\u305f\u308a<\/strong><\/span>\u3057\u3066\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u6d77\u7dbf\u9759\u8108\u6d1e\u3078\u5165\u3063\u3066\u5927\u304d\u304f\u306a\u308b\u3068\u3001\u9854\u9762\u306e\u75db\u307f\u3084\u9ebb\u75fa\u3092\u51fa\u3057\u307e\u3059<\/li>\n<li>\u810a\u9ac4\u3092\u5727\u8feb\u3057\u3066\u810a\u9ac4\u75c7\u72b6\u3084\u810a\u9ac4\u795e\u7d4c\u6839\u75c7\u72b6\uff08\u624b\u8db3\u306e\u3057\u3073\u308c\u3068\u9ebb\u75fa\uff09\u3092\u51fa\u3057\u307e\u3059<\/li>\n<\/ul>\n<h5>\u8a3a\u65ad\u306fCT\u3068MRI\u304c\u5fc5\u8981\u3067\u3059<\/h5>\n<ul>\n<li><span style=\"color: #000080;\"><strong>CT\u3084MRI\u3067\u898b\u3048\u308b\u3088\u308a\u3082\u5b9f\u969b\u306f\u5e83\u304f\u3057\u307f\u8fbc\u3080\u3088\u3046\u306b\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #000000;\"><span style=\"color: #000080;\"><strong>CT\u3067\u9aa8\u3092\u7834\u58ca\u3057\u3066\u3044\u308b<\/strong><\/span>\u3088\u3046\u306b\u898b\u3048\u307e\u3059<\/span><\/li>\n<li>\u9020\u5f71\u5264\u3067\u767d\u304f\u5897\u5f37\u3055\u308c\u3066\u307f\u3048\u307e\u3059<\/li>\n<li>\u9ac4\u6db2\u64ad\u7a2e\u3068\u3044\u3063\u3066\u8133\u810a\u9ac4\u8868\u9762\u306b\u5e83\u304f\u8ee2\u79fb\u3059\u308b\u3053\u3068\u3082\u77e5\u3089\u308c\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<h5>\u6cbb\u7642\u3057\u306a\u3044\u3067\u7d4c\u904e\u3092\u898b\u308b\u3053\u3068<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-12801\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks2-293x300.jpg\" alt=\"\" width=\"293\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks2-293x300.jpg 293w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks2-768x787.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks2-550x564.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks2.jpg 850w\" sizes=\"auto, (max-width: 293px) 100vw, 293px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-12802\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks1-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks1-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks1-768x748.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks1-550x536.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomaks1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>10\u5e74\u9593\u3055\u3057\u305f\u308b\u75c7\u72b6\u3082\u306a\u304f\uff0c\u7d4c\u904e\u89b3\u5bdf\u3055\u308c\u3066\u304d\u305f\u5de8\u5927\u306a\u810a\u7d22\u816b\u3067\u3059\u3002\u53f3\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\uff0c\u5916\u8ee2\u795e\u7d4c\u9ebb\u75fa\uff0c\u8074\u529b\u6d88\u5931\u306a\u3069\u306e\u75c7\u72b6\u304c\u9806\u6b21\u306b\u3067\u307e\u3057\u305f\u3002\u3084\u304c\u3066\u4e0a\u54bd\u982d\u306b\u816b\u760d\u304c\u9032\u5c55\u3057\u3066\u6c17\u9053\u72ed\u7a84\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3082\u3068\u3082\u3068\u5168\u6458\u51fa\u3067\u304d\u306a\u3044\u3082\u306e\u306a\u306e\u3067\uff0c\u4e3b\u6cbb\u533b\u306e\u5148\u751f\u306e\u7d4c\u904e\u89b3\u5bdf\u3092\u3067\u304d\u308b\u3068\u3053\u308d\u307e\u3067\u3059\u308b\u3068\u3044\u3046\u65b9\u91dd\u3082\u7d0d\u5f97\u304c\u3067\u304d\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>\u7d4c\u904e\u89b3\u5bdf\u3067\u306f\uff0c\u500b\u3005\u306e\u60a3\u8005\u3055\u3093\u3067\u5927\u304d\u306a\u5dee\u304c\u51fa\u307e\u3059\u3002\u6570\u30f6\u6708\u3067\u3059\u3054\u304f\u5927\u304d\u304f\u306a\u308b\u3082\u306e\u3082\uff0c\u6570\u5e74\u3067\u3086\u3063\u304f\u308a\u5897\u5927\u3059\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5>\u6cbb\u7642<\/h5>\n<ul>\n<li><span style=\"color: #000000;\">\u6cbb\u7642\u306f\u624b\u8853\u3067\u5168\u90e8\u5b8c\u5168\u306b\u53d6\u308b\u3053\u3068\u3067\u3059\u304c\u6975\u3081\u3066\u96e3\u3057\u3044\u3067\u3059<\/span><\/li>\n<li>\u5168\u6458\u306f\u306a\u304b\u306a\u304b\u3067\u304d\u307e\u305b\u3093\u3057\uff0c<strong><span style=\"color: #ff0000;\">\u624b\u8853\u5f8c\u306e\u518d\u767a\u306f\u3068\u3066\u3082\u591a\u3044<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u624b\u8853\u3092\u7e70\u308a\u8fd4\u3057\u3066\u53d6\u308a\u304d\u308c\u306a\u304f\u306a\u308b\u306e\u304c\u666e\u901a\u3067\u3059<\/li>\n<li>\u306a\u3093\u3068\u3057\u3066\u3082\u5b8c\u5168\u306b\u53d6\u308b\u3068\u3044\u3046\u76ee\u7684\u3067\u624b\u8853\u306b\u671b\u307f\u307e\u3059\u3057\uff0c<strong><span style=\"color: #ff0000;\">\u5468\u56f2\u306e\u5065\u5eb7\u306b\u898b\u3048\u308b\u9aa8\u3082\u542b\u3081\u3066\u7a4d\u6975\u7684\u306b\u6458\u51fa\u3059\u308b<\/span><\/strong>\u3053\u3068\u304c\u671b\u307e\u308c\u307e\u3059<\/li>\n<li>\u901a\u5e38\u306e\u653e\u5c04\u7dda\uff08\u30ac\u30f3\u30de\u7dda\u3001X\u7dda\uff09\u306f\u306e\u6709\u52b9\u6027\u306f\u4f4e\u3044\u3067\u3059\u3057\u3001\u304b\u306a\u308a\u306e\u9ad8\u7dda\u91cf70\u30b0\u30ec\u30a4\u7a0b\u5ea6\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u30a8\u30eb\u30d3\u30bf\u30c3\u30af\u30b9\uff08\u30bb\u30c4\u30ad\u30b7\u30de\u30d6\uff09\u3068\u30a4\u30ec\u30c3\u30b5\uff08\u30b2\u30d5\u30a3\u30c1\u30cb\u30d6\uff09\u304c\u52b9\u3044\u305f\u3068\u3044\u3046\u3088\u3046\u306a\u5831\u544a\u3082\u3042\u308a\u307e\u3057\u305f\u304c\uff0c2020\u5e74\u6642\u70b9\u3067\u6709\u52b9\u3068\u3044\u3048\u308b<span style=\"color: #000080;\"><strong>\u85ac\u7269\u6cbb\u7642\uff08\u5316\u5b66\u7642\u6cd5\uff09\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u8edf\u9aa8\u8089\u816b\u306b\u4f3c\u305f\u75c5\u7406\u306e\u3082\u306e\u306f\u591a\u5c11\u3067\u3059\u304c\u6cbb\u308a\u3084\u3059\u3044\u3068\u3055\u308c\u307e\u3059<\/li>\n<li>\u6cbb\u7642\u5f8c\u306b\uff0c\u3082\u3063\u3068\u60aa\u6027\u306e\u7dda\u7dad\u8089\u816b\u3084\u60aa\u6027\u7dda\u7dad\u6027\u7d44\u7e54\u7403\u816b\u306a\u3069\u306b\u5909\u308f\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u7c92\u5b50\u7dda\u6cbb\u7642\u306f7\u5272\u7a0b\u5ea6\u306e\u60a3\u8005\u3055\u3093\u306b\u6709\u52b9<\/h5>\n<ul>\n<li>\u624b\u8853\u3067\u6b8b\u3063\u305f\u816b\u760d\u306b\u306f<span style=\"color: #000080;\"><span style=\"color: #ff0000;\"><strong>\u967d\u5b50\u7dda proton\u00a0<\/strong><\/span><span style=\"color: #000000;\">\u3042\u308b\u3044\u306f<\/span><span style=\"color: #ff0000;\"><strong>\u91cd\u7c92\u5b50\u7dda\u6cbb\u7642 carbon ion\u00a0<\/strong><\/span><\/span>\u304c\u6709\u52b9\u3067\u3059<\/li>\n<li>\u7c92\u5b50\u7dda\u6cbb\u7642\u306b\u304a\u3044\u3066\u3082\u8853\u5f8c\u306e\u6b8b\u5b58\u816b\u760d\u304c\u5927\u304d\u3044\u3068\u52b9\u679c\u306f\u671f\u5f85\u3067\u304d\u307e\u305b\u3093<\/li>\n<li><span style=\"color: #333333;\">2020\u5e74\u30a4\u30bf\u30ea\u30a2\u304b\u3089\u306e\u5831\u544a\u3067\u306f\u3001<\/span><strong><span style=\"color: #000080;\">5\u5e74\u5c40\u6240\u5236\u5fa1\u5272\u5408\u306f\u3001\u967d\u5b50\u7dda\u306784%\u3001\u70ad\u7d20\u7dda\u306771%<\/span><\/strong><span style=\"color: #333333;\">\u3067\u3057\u305f\uff08\u3053\u306e\u5831\u544a\u3067\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u7d4c\u904e\u89b3\u5bdf\u671f\u9593\u304c\u3042\u307e\u308a\u9577\u304f\u306a\u3044\u3053\u3068\u3067\u3059\uff09<\/span><\/li>\n<li>2020\u5e74\u6642\u70b9\u3067\u306f\u3001\u624b\u8853\u3067\u53ef\u80fd\u306a\u9650\u308a\u6458\u51fa\u3057\u3066\u3001\u6b8b\u3063\u305f\u816b\u760d\u306b\u306f\u967d\u5b50\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u308b\u3068\u3044\u3046\u306e\u304c\u826f\u3044\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u7c92\u5b50\u7dda\u6cbb\u7642\u306e\u6709\u52b9\u6027\u306f\u3001\u816b\u760d\u306e\u4f53\u7a4d\u304c\u5c0f\u3055\u3044\u3001\u8996\u795e\u7d4c\u3084\u8133\u5e79\u90e8\u306b\u816b\u760d\u304c\u63a5\u3057\u3066\u3044\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u5de6\u53f3\u3055\u308c\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u3001\u3053\u308c\u3089\u306e\u91cd\u8981\u306a\u795e\u7d4c\u7d44\u7e54\u306b\u810a\u7d22\u816b\u304c\u63a5\u3057\u306a\u3044\u3088\u3046\u306b\u3001\u624b\u8853\u6458\u51fa\u306e\u52aa\u529b\u304c\u3055\u308c\u308b\u3079\u304d\u3067\u3059<\/li>\n<li>\u4e00\u65b9\u3067\u3001\u7c92\u5b50\u7dda\u6cbb\u7642\u306e\u526f\u4f5c\u7528\u3092\u8efd\u304f\u898b\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u70ad\u7d20\u7dda\u7167\u5c04\u304c\u5185\u9838\u52d5\u8108\u3092\u542b\u3081\u3070\u5185\u9838\u52d5\u8108\u306e\u58c1\u306f\u30dc\u30ed\u30dc\u30ed\u306b\u306a\u308a\u307e\u3059\u3057\u9589\u585e\u3059\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059\u3001\u5074\u982d\u8449\u304c\u88ab\u66dd\u3059\u308b\u3068\u91cd\u3044\u8a8d\u77e5\u8a18\u61b6\u306e\u969c\u5bb3\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3001\u3082\u3061\u308d\u3093\u4e0a\u8a18\u306e\u7dda\u91cf\u304c\u8996\u795e\u7d4c\u306b\u5165\u308c\u3070\u5931\u660e\u3057\u307e\u3059\u3001\u6d77\u7dbf\u9759\u8108\u6d1e\u306b\u5165\u308c\u3070\u9854\u9762\u75bc\u75db\u3084\u773c\u7403\u904b\u52d5\u969c\u5bb3\u304c\u751f\u3058\u307e\u3059<\/li>\n<\/ul>\n<hr \/>\n<h4><span style=\"color: #000080;\">\u659c\u53f0\u306e\u810a\u7d22\u816b classical type<\/span><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk51.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4730\" title=\"chordomakk5\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk51-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk51-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk51-550x546.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk51.jpg 1017w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk61.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4731\" title=\"chordomakk6\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk61-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>CT\u3067\u306f\uff0c\u659c\u53f0\u304b\u3089\u5de6\u8776\u5f62\u9aa8\u306b\u304b\u3051\u3066\u4e0d\u898f\u5247\u306a\u9aa8\u7834\u58ca\u50cf\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk81.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4729\" title=\"chordomakk8\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk81-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4726\" title=\"chordomakk7\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk7-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-4727\" title=\"chordomakk9\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk9-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>MRI T2\u5f37\u8abf\u753b\u50cf\uff08\u5de6\uff09\u3067\u306f\u7b49\u4fe1\u53f7\u304b\u3089\u9ad8\u4fe1\u53f7\u306e\u307e\u3060\u3089\u306a\u5883\u754c\u304c\u4e0d\u660e\u77ad\u306a\u816b\u760d\u304c\u659c\u53f0\u304b\u3089\u5de6\u6d77\u7dbf\u9759\u8108\u6d1e\u5185\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u306e\u304c\u307f\u3089\u308c\u307e\u3059\u3002T1\u5f37\u8abf\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3067\u306f\uff0c\u816b\u760d\u304c\u307e\u3060\u3089\u306b\u5897\u5f37\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30c8\u30eb\u30b3\u978d\u304b\u3089\u978d\u4e0a\u90e8\u306b\u4f38\u3073\uff0c\u8996\u4ea4\u5dee\u3092\u4fb5\u3057\u7b2c\uff13\u8133\u5ba4\u5e95\u307e\u3067\u4f38\u5c55\u3057\u3066\u3044\u307e\u3059\u3002\u810a\u7d22\u816b\u304c\u786c\u819c\u5185\u306b\u6d78\u6f64\u3057\u3066\u795e\u7d4c\u7d44\u7e54\u3068\u7652\u7740\u3059\u308b\u3053\u3068\u306f\u73cd\u3057\u3044\u3053\u3068\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk4-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17541\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk4-1-300x297.jpg\" alt=\"\" width=\"300\" height=\"297\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk4-1-300x297.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk4-1-550x545.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk4-1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17542\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk1-1-300x297.jpg\" alt=\"\" width=\"300\" height=\"297\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk1-1-300x297.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk1-1-550x545.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk1-1-768x761.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk1-1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17543\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1-550x550.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1-768x768.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk2-1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk3-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17544\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk3-1-300x288.jpg\" alt=\"\" width=\"300\" height=\"288\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk3-1-300x288.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk3-1-550x528.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/chordomakk3-1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u75c5\u7406\u50cf\u3067\u3059\u3002\u8edf\u9aa8\u69d8\u7d44\u7e54\u3092\u6df7\u5728\u3057\u306a\u3044\u7d14\u7c8b\u306a\u810a\u7d22\u816b\u3067\u3059\u3002\u6838\u3092\u4e2d\u5fc3\u306b\u3057\u3066\u5927\u304d\u306a\u4e38\u3044\u7d30\u80de\u4f53\u306b\u306f\u7a7a\u80de\u304c\u76ee\u7acb\u3061\u307e\u3059\u3002\u7a7a\u80de\u816b\u760d\u7d30\u80de <span style=\"color: #000080;\"><strong>physaliphorous cells<\/strong><\/span>\u306e\u30b7\u30fc\u30c8\u72b6\u914d\u5217\u304c\u7279\u5fb4\u7684\u3067\u3059\u3002\u5de6\u4e0a\u306e\u5199\u771f\u306b\u308f\u305a\u304b\u306b\u7c98\u6db2\u72b6\u9593\u8cea\uff08\u9752\u304f\u67d3\u307e\u308b\u3068\u3053\u308d\uff09\u304c\u307f\u3048\u307e\u3059\u3002<\/p>\n<h4 align=\"left\">\u810a\u7d22\u816b\u306eWHO\u5206\u985e<\/h4>\n<ol>\n<li>\n<h5>classical chordoma<\/h5>\n<\/li>\n<li>\n<h5>chondroid chordoma\uff1a\u4e88\u5f8c\u304c\u3088\u3044\u3053\u3068\u3082\u3042\u308b<\/h5>\n<\/li>\n<li>\n<h5>dedifferentiated chroma\uff1a\u5897\u6b96\u8ee2\u79fb\u901f\u5ea6\u304c\u901f\u3044<\/h5>\n<\/li>\n<\/ol>\n<h4 class=\"style3\">\u810a\u7d22\u816b\u306e\u5c02\u9580\u77e5\u8b58<\/h4>\n<ul>\n<li>\u810a\u7d22\u816b\u306f<strong><span style=\"color: #000080;\">fetal\u00a0notochord \u907a\u6b8b\u810a\u7d22<\/span><\/strong>\u304b\u3089\u767a\u751f\u3059\u308b\u4f4e\u60aa\u6027\u5ea6\u816b\u760d low-grade neoplasm\u3067\u3059\u3002<\/li>\n<li>\u3053\u308c\u306f\u75c5\u7406\u5b66\u7684\u306a\u60aa\u6027\u5ea6\u3067\u3042\u308a\u3001\u7de9\u9664\u306a\u5897\u6b96\u80fd\u3092\u6709\u3059\u308b\u3068\u3044\u3048\u3069\u3082<strong><span style=\"color: #000080;\">\u81e8\u5e8a\u7684\u306b\u306f\u660e\u3089\u304b\u306b\u60aa\u6027\u816b\u760d<\/span><\/strong> malignant neoplasm\u3068\u3044\u3048\u307e\u3059\u3002<\/li>\n<li>\u907a\u6b8b\u810a\u7d22\u304b\u3089\u767a\u751f\u3059\u308b\u816b\u760d\u3068\u3057\u3066\uff0cecchordosis physaliphora\u304c\u826f\u6027\u578b\u3067\uff0cchordoma\u304c\u60aa\u6027\u578b\u306e\u816b\u760d\u3060\u3068\u3082\u3068\u3089\u3048\u3089\u308c\u307e\u3059<\/li>\n<li>\u982d\u84cb\u5e95\u4e2d\u5fc3\u90e8\uff08\u659c\u53f0\uff09\u3068\u810a\u690e\u306b\u767a\u751f\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u4ed9\u690e<\/strong><\/span>\u3068<strong><span style=\"color: #000080;\">\u982d\u84cb\u5e95<\/span><\/strong>\u306b\u597d\u767a\u3057\u307e\u3059\u304c\u3001\u9838\u690e\u3068\u80f8\u8170\u690e\u306b\u3082\u767a\u751f\u3057\u307e\u3059<\/li>\n<li>\u80ba\u3001\u9aa8\u3001\u809d\u81d3\u306a\u3069\u3078\u306e<span style=\"color: #000080;\"><strong>\u8ee2\u79fb<\/strong><\/span>\u306f\u7a00\u306a\u3053\u3068\u3067\u306f\u306a\u304f\u3001<strong><span style=\"color: #000080;\">\u9ac4\u6db2\u64ad\u7a2e<\/span><\/strong>\u3092\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u7d44\u7e54\u5b66\u7684\u306b\u306f<span style=\"color: #000080;\"><strong>chondroid chordoma<\/strong><\/span>\u3068\u3055\u308c\u308b\u8edf\u9aa8\u8981\u7d20\u306b\u5bcc\u3080\u3082\u306e\u306e\u4e88\u5f8c\u304c\u6bd4\u8f03\u7684\u826f\u3044\u3068\u3055\u308c\u307e\u3059<\/li>\n<li>\u7d14\u7c8b\u306b\u786c\u819c\u5185\u306b\u767a\u751f\u3059\u308b\u3082\u306e intradural chorcoma \u306e\u4e88\u5f8c\u306f\u826f\u3044\u3067\u3059<\/li>\n<li>\u4e00\u65b9\u7a00\u306a\u306e\u3067\u3059\u304c\u3001<span style=\"color: #000080;\"><strong>sarcomatous\/ dedifferentiated chordoma<\/strong><\/span>\u3067\u306f\u304d\u308f\u3081\u3066\u9032\u884c\u306e\u65e9\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u6cbb\u7642\u306e\u96e3\u70b9\u306f\u3001\u6d78\u6f64\u6027\u306e\u810a\u7d22\u816b\u3092\u5b8c\u5168\u6458\u51fa\u3059\u308b\u3053\u3068\u304c\u73fe\u5b9f\u7684\u306b\u306f\u307b\u3069\u3093\u3069\u3067\u304d\u306a\u3044\u3053\u3068\u3067\u3059<\/li>\n<li>\u624b\u8853\u6458\u51fa\u3067\u6cbb\u7652\u3059\u308b\u4f8b\u306f\u5c11\u306a\u3044\u3068\u3044\u3048\u307e\u3059\u3002<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6709\u52b9\u6027\u306f\u3042\u308b\u7a0b\u5ea6\u306f\u5b9f\u8a3c\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001<span style=\"color: #000080;\"><strong>\u7c92\u5b50\u7dda\uff08\u70ad\u7d20\u7dda\uff09\u3067\u304b\u306a\u308a\u306e\u9ad8\u7dda\u91cf\u3092\u7528\u3044\u3066\u3082\u7167\u5c04\u5f8c\u306e\u518d\u767a\u306f\u591a\u3044<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u810a\u7d22\u816b\u304c\u3001PDGFRB, PDGFA, KIT\u3092\u767a\u73fe\u3057\u304b\u3064PDGFB\u3092\u5206\u6ccc\u3059\u308bautocrine \/ pracrine loop\u3092\u6709\u3057\u3066\u5897\u6b96\u3059\u308b\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u3001anti-BDGF agent (imatinib)\u306e\u6709\u52b9\u6027\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<div class=\"setumei\" style=\"padding-left: 30px;\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/snowcristal.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-5886\" title=\"snowcristal\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/snowcristal-550x397.jpg\" alt=\"\" width=\"550\" height=\"397\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/snowcristal-550x397.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/snowcristal-300x216.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/snowcristal.jpg 1134w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/div>\n<div class=\"setumei\">\n<h1><span style=\"color: #000080;\"><strong>\u6ce1\u72b6\u5916\u810a\u7d22\u75c7 \u30a8\u30b3\u30eb\u30c9\u30fc\u30b7\u30b9 ecchordosis physaliphora<\/strong><\/span><\/h1>\n<h5>\u810a\u7d22\u816b\u3068\u3068\u3066\u3082\u4f3c\u3066\u3044\u308b\u5c0f\u3055\u3044\u982d\u84cb\u5e95\u816b\u760d\u3067\u904e\u8aa4\u816b\u3067\u3059<\/h5>\n<div>\n<ul>\n<li>\u305f\u307e\u305f\u307e\u898b\u3064\u304b\u308b\u3053\u3068\u306e\u591a\u3044\u826f\u6027\u306e\u5148\u5929\u6027\u306e\u904e\u8aa4\u816b\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u659c\u53f0\u306e\u4e2d\u592e\u304b\u3089\u3067\u308b<\/strong><\/span>ecchordosis physaliphora\u3068\u3044\u3046<span style=\"color: #000080;\"><strong>\u5c0f\u3055\u306a\u306e\u3046\u80de\u69d8\u75c5\u5909\u3067<\/strong><\/span>\u3059<\/li>\n<li>\u810a\u7d22\u816b\u3068\u540c\u3058\u767a\u751f\u6bcd\u5730\u304b\u3089\u3067\u304d\u308b\u3068\u3055\u308c\uff0c\u75c5\u7406\u5b66\u7684\u306b\u3082\u4e21\u8005\u304c\u533a\u5225\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u907a\u6b8b\u810a\u7d22\u7d44\u7e54 embryonic notochordal remnants\u00a0\u3068\u3044\u3063\u3066\uff0c\u591a\u304f\u306f\u8776\u5f62\u9aa8\u3068\u5f8c\u982d\u9aa8\u306e\u63a5\u5408\u90e8\u306esphenooccipital synchondrosis\u306e\u3068\u3053\u308d\u304b\u3089\u5f8c\u65b9\u3078\u3067\u307e\u3059<\/li>\n<li>\u8133\u5e79\u90e8\u306e\u6a4b\u306e\u524d\u306b\u3042\u308b<span style=\"color: #000080;\"><strong>\u524d\u6a4b\u69fd<\/strong><\/span>\u3068\u3044\u3046\u3068\u3053\u308d\u306b\u80b2\u3061\u307e\u3059<\/li>\n<li>\u983b\u5ea6\u304c\u9ad8\u3044\u3082\u306e\u3067\uff0c\u810a\u7d22\u816b\u3068\u9593\u9055\u3048\u3066\u6cbb\u7642\u3057\u306a\u3044\u3088\u3046\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3082\u75c7\u72b6\u3092\u51fa\u3059\u3053\u3068\u306f\u4f8b\u5916\u7684\u3067\u307b\u3068\u3093\u3069\u306a\u3044\u3068\u8a00\u3048\u307e\u3059<\/li>\n<li>\u3053\u308c\u306f<span style=\"color: #000080;\"><strong>\u810a\u7d22\u816b\u3068\u9055\u3063\u3066\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u5256\u691c\u4f8b\u3067\u306f\u4f55\u304b\u306e\u7406\u7531\u3067\u4ea1\u304f\u306a\u3063\u305f\u4eba\u306e\u5b9f\u306b2%\u306b\u898b\u3064\u304b\u308a\uff0cMRI\u3092\u3088\u304f\u898b\u308b\u30681-2%\u306e\u4eba\u306b\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u3068\u3059\u308b\u3068\u6b63\u5e38\u306a\u4eba\u306e100\u4eba\u306b\u4e00\u4eba\u306f\u3082\u3063\u3066\u3044\u308b\u3082\u306e\u306b\u306a\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4>\u753b\u50cf\u6240\u898b<\/h4>\n<div>\n<ul>\n<li>CT\u3067\u306f\uff0c\u659c\u53f0\u306e\u4e2d\u592e\u306b\u9aa8\u306e\u6d78\u98df\u50cf\u3068\u816b\u760d\u5185\u90e8\u306b\u77f3\u7070\u5316\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u810a\u7d22\u816b\u3068\u7570\u306a\u308a\uff0c\u9aa8\u7834\u58ca\u50cf\u306f\u307b\u3093\u306e\u5c11\u3057\u3067\u3059<\/li>\n<li>MRI T1\u5f37\u8abf\u753b\u50cf\u3067\u4f4e\u4fe1\u53f7\uff0cT2\u5f37\u8abf\u753b\u50cf\u3067\u9ad8\u4fe1\u53f7\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u5927\u304d\u3044\u3082\u306e\u3067\u306f\uff0c\u4fe1\u53f7\u304c\u5165\u308a\u4ea4\u3058\u3063\u305fheterogenous\u306a\u6240\u898b\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<li>MRI\u306e\u4fe1\u53f7\u3067\u306f\u810a\u7d22\u816b\u3068\u9451\u5225\u304c\u96e3\u3057\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u306e\u3046\u80de\u6027\u75c5\u5909\u306e\u3088\u3046\u306b\u307f\u3048\u3066\uff0c\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u306a\u3044\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059<\/li>\n<li>\u659c\u53f0\u3068\u306e\u9593\u306b\u7e4b\u304c\u308a\u304c\u3042\u308a\u307e\u3059 (stalk-like connection)<\/li>\n<\/ul>\n<\/div>\n<h4>\u81e8\u5e8a\u6240\u898b\u3068\u6cbb\u7642<\/h4>\n<ul>\n<li>\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u5c0f\u3055\u306a\u3082\u306e\u306f\u307e\u3063\u305f\u304f\u6cbb\u7642\u306e\u5fc5\u8981\u3082\u306a\u3044\u3082\u306e\u3067\u3059\u3057\uff0c\u5927\u304d\u3044\u306e\u3082\u306e\u3067\u3082\u75c7\u5019\u6027\u3068\u306a\u308b\u3053\u3068\u306f\u3081\u3063\u305f\u306b\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u3082\u306e\u304c2\u91cd\u306b\u898b\u3048\u308b\u3068\u3044\u3046\u5916\u8ee2\u795e\u7d4c\u9ebb\u75fa\u3068\u3044\u3046\u75c7\u72b6\u304c\u3067\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5de8\u5927\u306a\u3082\u306e\u3067\u306f\u8133\u5e79\u90e8\u5727\u8feb\u75c7\u72b6\u3068\u3057\u3066\u306e\u7247\u9ebb\u75fa\uff0c\u5931\u8abf\u6027\u6b69\u884c\uff0c\u8074\u529b\u4f4e\u4e0b\u306a\u3069\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u816b\u760d\u304b\u3089\u51fa\u8840\u3057\u3066\u7a81\u7136\u306e\u982d\u75db\uff08\u304f\u3082\u819c\u4e0b\u51fa\u8840\uff09\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u75c7\u5019\u6027\u306e\u5927\u304d\u306a\u3082\u306e\u3067\u306f\u7d4c\u9f3b\u7684\uff08\u7d4c\u8776\u5f62\u9aa8\u6d1e\uff09\u5185\u8996\u93e1\u624b\u8853\u3067\u6458\u51fa\u3067\u304d\u307e\u3059 (endoscopic transsphenoidal-transclival procedure)<\/li>\n<li>\u3057\u304b\u3057\u8133\u5e79\u90e8\u3084\u8840\u7ba1\u3084\u795e\u7d4c\u306b\u7652\u7740\u3059\u308b\u306e\u3067\u305d\u308c\u307b\u3069\u5b89\u5168\u3068\u306f\u8a00\u3044\u5207\u308c\u307e\u305b\u3093\u304b\u3089\uff0c\u7121\u7406\u3057\u3066\u5168\u6458\u51fa\u3057\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3059<\/li>\n<\/ul>\n<h4>\u5de8\u5927\u306a\u30a8\u30b3\u30eb\u30c9\u30fc\u30b7\u30b9\u30fb\u30d5\u30a3\u30b5\u30ea\u30d5\u30a9\u30e9<\/h4>\n<\/div>\n<\/div>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11225\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11226\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisboneCT2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u9aa8\u3092\u307f\u3066\u3044\u308bCT\u3067\u3059\u3002\u978d\u80cc\u304b\u3089sphenooccipital synchondrosis\u307e\u3067\u306e\u659c\u53f0\u9aa8\u76ae\u8cea\u304c\u5931\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u304b\u306a\u308a\u7279\u5fb4\u7684\u306a\u6240\u898b\u3067\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist2ax.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11232\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist2ax-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist2ax-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist2ax-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisFLAIRAx.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11228\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisFLAIRAx-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisFLAIRAx-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisFLAIRAx-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\nT2\u5f37\u8abf\u753b\u50cf\u3068FLAIR\u50cf\u3067\u3059\u3002FLAIR\u3067\u306f\u9ac4\u6db2\u3088\u308a\u9ad8\u4fe1\u53f7\u3068\u306a\u308a\u307e\u3059\u3002\u306e\u3046\u80de\u69d8\u306e\u81a8\u3089\u307f\u3092\u6709\u3057\u307e\u3059\u3002\u810a\u7d22\u816b\u3068\u7570\u306a\u308a\uff0cexpanding mass \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11227\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosisCISS1-1.jpg 600w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist1gdsa.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11231\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist1gdsa-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist1gdsa-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosist1gdsa-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\nCISS\u3068\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37T1\u5f37\u8abf\u753b\u50cf\u3067\u3059\u3002\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37\u3055\u308c\u307e\u305b\u3093\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11233\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosiswdi-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosiswdi-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosiswdi-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosiswdi-550x554.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosiswdi-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosiswdi.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n\u62e1\u6563\u5f37\u8abf\u753b\u50cf\u3067\u306f\u308f\u305a\u304b\u306b\u9ad8\u4fe1\u53f7\u3067\u3059\u3002\u985e\u8868\u76ae\u306e\u3046\u80de\u3084\u985e\u76ae\u306e\u3046\u80de\u3068\u306e\u9451\u5225\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11229\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosispatho2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosispatho2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosispatho2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11230\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosispatho3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosispatho3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/ecchordosispatho3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n\u75c5\u7406\u50cf\u306f\u810a\u7d22\u816b\u3068\u533a\u5225\u304c\u3064\u304b\u306a\u3044 indistinguishable\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u816b\u760d\u5468\u56f2\u7d44\u7e54\u3078\u306e\u6d78\u6f64\u50cf\u306e\u6709\u7121\u3060\u3051\u304c\u9451\u5225\u70b9\u3067\u3042\u308b\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<\/div>\n<div class=\"setumei\">\n<h5>\u3053\u3053\u304b\u3089\u4e0b\u306f\u6587\u732e\u60c5\u5831<\/h5>\n<\/div>\n<h4 align=\"left\">\u967d\u5b50\u7dda\u3068\u70ad\u7d20\u7dda\u306e\u52b9\u679c<\/h4>\n<p><span class=\"docsum-authors full-authors\">Iannalfi A:\u00a0<\/span>Proton and carbon ion radiotherapy in skull base chordomas: a prospective study based on a dual particle and a patient-customized treatment strategy. Neuro Oncol 2020<br \/>\n\u30a4\u30bf\u30ea\u30a2\u304b\u3089\u306e\u7c92\u5b50\u6027\u6cbb\u7642\u306e\u5831\u544a\u3067\u3059\u3002\u982d\u84cb\u5e95\u810a\u7d22\u816b\u306e\u60a3\u8005\u3055\u3093135\u4eba\u304c\u3001\u967d\u5b50\u7dda\u3042\u308b\u3044\u306f\u70ad\u7d20\u7dda\u3067\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u3002\u967d\u5b50\u7dda\u306f70\u4f8b\u306b\u4f7f\u7528\u3055\u308c74Gy (RBE)\/37fr\u3067\u3001\u70ad\u7d20\u7dda\u306f65\u4f8b\u3067\u4f7f\u7528\u3055\u308c70.4Gy\/16fr\u3067\u3057\u305f\u3002\u70ad\u7d20\u7dda\u306e\u65b9\u304c\u624b\u8853\u5f8c\u6b8b\u5b58\u816b\u760d\u304c\u5927\u304d\u3044\u75c7\u72b6\u304c\u91cd\u3044\u306a\u3069\u6cbb\u7642\u304c\u6bd4\u8f03\u7684\u56f0\u96e3\u306a\u60a3\u8005\u3055\u3093\u304c\u591a\u304f\u542b\u307e\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u8ffd\u8de1\u671f\u959344\u30f6\u6708\u3067\u306e\u5c40\u6240\u518d\u71c3\u7387 local failure \u306f\u3001\u967d\u5b50\u7dda\u306711\uff05\u3001\u70ad\u7d20\u7dda\u306721\uff05\u3067\u3057\u305f\u3002<strong><span style=\"color: #000080;\">5\u5e74\u5c40\u6240\u5236\u5fa1\u5272\u5408\u306f\u3001\u967d\u5b50\u7dda\u306784%\u3001\u70ad\u7d20\u7dda\u306771%<\/span><\/strong>\u3067\u3057\u305f\u30025\u5e74\u751f\u5b58\u5272\u5408\u306f\u4e21\u8005\u3068\u3082\u306b8\u5272\u307b\u3069\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4 align=\"left\">\u810a\u7d22\u816b\u306e<span style=\"color: #000080;\">\u5316\u5b66\u7642\u6cd5\uff08\u85ac\u7269\u6cbb\u7642\uff09<\/span><\/h4>\n<p>Magnaghi P, et al.: Afatinib Is a New Therapeutic Approach in Chordoma with a Unique Ability to Target EGFR and Brachyury.\u00a0<span role=\"menubar\">Mol Cancer Ther.<\/span> 2018<br \/>\nAfatinib\u3092\u7528\u3044\u308b\u30e8\u30fc\u30ed\u30c3\u30d1\u3067\u7b2c2\u76f8\u8a66\u9a13\u304c\u8a08\u753b\u3055\u308c\u3066\u3044\u308b\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4 align=\"left\">\u810a\u7d22\u816b\u306e\u967d\u5b50\u7dda\u6cbb\u7642<\/h4>\n<p>McDonald MW, et al.: Influence of Residual Tumor Volume and Radiation Dose Coverage in Outcomes for Clival Chordoma. Int J Radiat Oncol Biol Phys. 2015<br \/>\n\u30a4\u30f3\u30c7\u30a3\u30a2\u30ca\u5927\u5b66\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u300239\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u306e\u967d\u5b50\u7dda\u6cbb\u7642 (\u4e2d\u592e\u5024 77.4\u30b0\u30ec\u30a4; RBE range 70-79Gy) \u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u5024\u306f51\u30f6\u6708\u3068\u77ed\u3044\u306e\u3067\u3059\u304c\uff0c5\u5e74\u63a8\u5b9a\u5024\u3067\u306e\u816b\u760d\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u5272\u5408\u306f69.6\uff05 (95%CI 50-89)\u3067\uff0cOS\u00a081% (95%CI 65-97)\u3067\u3059\u3002GTV\u304c\u5c0f\u3055\u3044\u65b9\u304c\u816b\u760d\u5236\u5fa1\u304c\u78ba\u5b9f\u3068\u306a\u308a\uff0c\u816b\u760d\u5358\u4f4d\u4f53\u7a4d\u3042\u305f\u308a\u306eD1cm3\u306f74.5Gy\u4ee5\u4e0a\u304c\u5fc5\u8981\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u3053\u306e\u63a8\u5b9a\u5024\u304b\u3089\u306f\u967d\u5b50\u7dda\u3067\u810a\u7d22\u816b\u306e\u5897\u5927\u3092\u5236\u5fa1\u3067\u304d\u308b\u78ba\u7387\u306f50\uff05\u7a0b\u5ea6\u3068\u8aad\u307f\u53d6\u308c\u307e\u3059\u3002\u624b\u8853\u3067\u9650\u754c\u307e\u3067\u6458\u51fa\u3057\u3066\u6b8b\u5b58\u816b\u760d\u304c\u5c0f\u3055\u3044\u65b9\u304c\u967d\u5b50\u7dda\u306e\u52b9\u679c\u3082\u671f\u5f85\u3055\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u8aeb\u8a00\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n<h4 align=\"left\">\u810a\u7d22\u816b\u306e<span style=\"color: #000080;\">\u5316\u5b66\u7642\u6cd5\uff08\u85ac\u7269\u6cbb\u7642\uff09<\/span><\/h4>\n<p>Stacchiotti S, et al.: Imatinib mesylate in advanced chordoma: A multicenter phase II study. J Clin Oncol 545s:abstract 10003, 2007<br \/>\n55\u4f8b\u306e\u304b\u306a\u308a\u9032\u884c\u3057\u305f\u810a\u7d22\u816b\u306e\u60a3\u8005\u3055\u3093\u3067\u306e\u30a4\u30de\u30c1\u30cb\u30d6\u306e\u52b9\u679c\u304c2007\u5e74\u306b\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u300284%\u306e\u60a3\u8005\u3055\u3093\u3067\u75c5\u6c17\u306e\u9032\u884c\u304c\u6291\u5236\u3055\u308c (stable disease)\u3001\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u306f32\u9031\u9593\u300138%\u306e\u60a3\u8005\u3055\u3093\u30671\u5e74\u9593\u306f\u9032\u884c\u304c\u6b62\u307e\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u308c\u3092\u8aad\u307f\u53d6\u308b\u30683\u5206\u306e1\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u30671\u5e74\u304f\u3089\u3044\u306f\u75c5\u6c17\u306e\u60aa\u5316\u304c\u98df\u3044\u6b62\u3081\u3089\u308c\u305d\u3046\u3067\u3042\u308b\u3068\u601d\u3048\u307e\u3059\u3002\u3053\u306e\u5f8c\u306b\u306f\u3001 \u30a4\u30de\u30c1\u30cb\u30d6\u3068\u30b7\u30b9\u30d7\u30e9\u30c1\u30f3\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u4f75\u7528\u5316\u5b66\u7642\u6cd5\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u304c\u52b9\u679c\u306f\u9650\u5b9a\u7684\u3067\u3057\u305f\u3002<\/p>\n<div class=\"setumei\">\n<h4 align=\"left\">\u810a\u7d22\u816b\u306e<span style=\"color: #000080;\">\u5316\u5b66\u7642\u6cd5\uff08\u85ac\u7269\u6cbb\u7642\uff09<\/span><\/h4>\n<p>Casali PG, et al.: Imatinib mesylate in Chordoma. Cancer 101: 2086\u20132097, 2004<br \/>\nTamborini E, et al: Molecular and biochemical analyses of platelet-derived growth factor receptor (PDGFR)B, PDGFRA, and KIT Receptors in Chordomas. Clin Cancer Res 12: 6920\u20136928, 2006<br \/>\n2004\u5e74\u306b\u30a4\u30de\u30c1\u30cb\u30d6 imatinib\u3068\u3044\u3046\u6297\u304c\u3093\u5264\u3067\u810a\u7d22\u816b\u306e\u5897\u6b96\u6291\u5236\u304c\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092Casali\u3089\u304c\u5831\u544a\u3057\u307e\u3057\u305f\u30022006\u5e74\u306b\u306f18\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067 imatinib 800mg\/day\u306e\u6295\u4e0e\u3092\u884c\u3063\u305f\u3068\u3053\u308d11\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067\u52b9\u679c\u304c\u3042\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3067\u3082\u52b9\u679c\u3068\u3044\u3046\u306e\u306fCT\u3068\u304bMRI\u3067\u9020\u5f71\u5264\u3067\u79fb\u308b\u90e8\u5206\u306e\u5897\u5f37\u52b9\u679c\u304c\u4f4e\u4e0b\u3057\u305f\u3068\u3044\u3046\u7a0b\u5ea6\u3067\u3059\u3002\u816b\u760d\u306e\u5927\u304d\u3055\u304c\u5c0f\u3055\u304f\u306a\u305f\u306e\u306f2\u4eba (11%)\u3067\u3057\u305f\u3002<\/p>\n<h4>\u30a8\u30b3\u30eb\u30c9\u30fc\u30b7\u30b9\u306eMRI\u6240\u898b<\/h4>\n<p>Mehnert F, et al.: Retroclival ecchordosis physaliphora: MR imaging and review of the literature. AJNR Am J Neuroradiol 25:1851-1855, 2004<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u8133\u3067\u306f\u306a\u304f\u3066\u982d\u84cb\u9aa8\u306b\u3067\u304d\u308b\u816b\u760d\u3067\u3059 \u5e74\u9593100\u4e07\u4eba\u306b\u4e00\u4eba\u304f\u3089\u3044\u306e\u767a\u751f\u7387\u3067\u3068\u3066\u3082\u73cd\u3057\u3044\u816b\u760d\u3067\u3059 \u306a\u3093\u3068\u3044\u3063\u3066\u3082\u3084\u3063\u304b\u3044\u306a\u60aa\u6027\u816b\u760d\u3067\u3059 \u75c5\u7406\u7d44\u7e54\u306f\u826f\u6027\u3068\u3055\u308c\u307e\u3059\u304c\uff0c\u826f\u6027\u306a\u3069\u3068\u8a00\u3048\u308b\u816b\u760d\u3067\u306f\u3042\u308a\u307e\u305b\u3093 \u6210\u4eba\u306b\u3082\u5b50\u4f9b\u306b\u3082\u3067\u304d\u307e\u3059 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-81","post","type-post","status-publish","format-standard","hentry","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/81","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=81"}],"version-history":[{"count":86,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/81\/revisions"}],"predecessor-version":[{"id":17545,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/81\/revisions\/17545"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=81"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=81"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}