{"id":8405,"date":"2016-03-13T13:49:54","date_gmt":"2016-03-13T04:49:54","guid":{"rendered":"\/sawamura\/?p=8405"},"modified":"2024-04-19T17:39:46","modified_gmt":"2024-04-19T08:39:46","slug":"paragangliomaglomus","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/paragangliomaglomus\/","title":{"rendered":"\u508d\u795e\u7d4c\u7bc0\u816b \u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\uff0c\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d"},"content":{"rendered":"<p>\u3044\u308d\u3044\u308d\u306a\u540d\u524d\u3067\u547c\u3070\u308c\u307e\u3059<\/p>\n<h5>\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d\u3001\u30b0\u30ed\u30e0\u30b9\u816b\u760d glomus tumor<\/h5>\n<h5>\u508d\u795e\u7d4c\u7bc0\u816b\u3000\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u3000paraganglioma<\/h5>\n<h5>\u5316\u5b66\u53d7\u5bb9\u4f53\u816b\u760d \u30b1\u30e2\u30c7\u30af\u30c8\u30fc\u30de\u3000chemodectoma<\/h5>\n<h5>\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d neuroendocrine tumor<\/h5>\n<p>\u3044\u308d\u3044\u308d\u3042\u3063\u3066\u3081\u3093\u3069\u304f\u3055\u3044\u306e\u3067\u3059\u304c\uff0cWHO\u306e\u75c5\u7406\u5206\u985e\u3067\u306f paraganglioma\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u306e\u3067\uff0c\u6b63\u78ba\u306b\u306f\u30ab\u30bf\u30ab\u30ca\u3067\u300c<strong><span style=\"color: #000080;\">\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de<\/span><\/strong>\u300d\u3068\u547c\u3076\u306e\u304c\u9069\u5207\u3067\u3059\u3002\u5927\u5206\u985e\u3068\u3057\u3066\u306e\u795e\u7d4c\u5916\u80da\u8449\u816b\u760d\u306e\u306a\u304b\u306e\uff0c\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d\u306e\u306a\u304b\u306e\uff0c\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de \u508d\u795e\u7d4c\u7bc0\u816b\u3067\u3059\u3002\u526f\u814e\u306b\u3067\u304d\u308b\u8910\u8272\u7d30\u80de\u816b pheochromocytoma\u306f\u540c\u3058\u3082\u306e\u3067\u3059\u3002\u8133\u795e\u7d4c\u5916\u79d1\u3067\u306f\u982d\u84cb\u5e95\u306b\u591a\u304f\uff0c\u300c<strong><span style=\"color: #000080;\">\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d<\/span><\/strong>\u300d\u3068\u547c\u3070\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<h4>\u304a\u304a\u307e\u304b\u306a\u3053\u3068<\/h4>\n<ul>\n<li>WHO \u30b0\u30ec\u30fc\u30c91\u306e<strong><span style=\"color: #ff0000;\">\u826f\u6027\u306e\u816b\u760d<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u81ea\u5f8b\u795e\u7d4c\u7bc0 segmental automomic ganglia \/ \u00a0paraganglia \u304b\u3089\u767a\u751f\u3057\u307e\u3059<\/li>\n<li>\u4e2d\u67a2\u795e\u7d4c\u7cfb\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u810a\u67f1\u7ba1\u5185\u99ac\u5c3e<\/strong><\/span>\u306b\u3067\u304d\u308b spinal paraganglioma\u306e\u983b\u5ea6\u304c\u3082\u3063\u3068\u3082\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u982d\u84cb\u5e95\uff08\u982d\u306e\u5e95\u90e8\u306e\u9aa8\u306e\u4e2d\uff09\u306b\u3067\u304d\u308b\u3053\u3068\u3082\u591a\u3044\u306e\u3067\uff0c\u5834\u6240\u3068\u3057\u3066\u306f\u982d\u84cb\u5e95\u816b\u760d\u306b\u5206\u985e\u3055\u308c\u307e\u3059<\/li>\n<li>40\u4ee3\u306e\u6210\u4eba\u306b\u3082\u3063\u3068\u3082\u591a\u304f\u307f\u3089\u308c\u307e\u3059<\/li>\n<li>\u5927\u3057\u305f\u75c7\u72b6\u304c\u306a\u3044\u3082\u306e\u306f\u6cbb\u7642\u3057\u306a\u3044\u3067\u307b\u3063\u3066\u304a\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u898b\u3064\u304b\u3063\u3066\u3082\u52e2\u3044\u8fbc\u3093\u3067\u624b\u8853\u3092\u3057\u306a\u3044<\/strong><\/span><\/li>\n<li>\u4f55\u5e74\u3082\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3082\u307b\u3068\u3093\u3069\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u5de8\u5927\u306a\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u6700\u3082\u591a\u3044\u306e\u304c\u9f13\u5ba4\u306b\u3067\u304d\u308b\u3082\u306e\u3067\uff0c\u8108\u6253\u3064\u3088\u3046\u306a\u8033\u9cf4\u308a\uff08<strong><span style=\"color: #000080;\">\u62cd\u52d5\u6027\u8033\u9cf4<\/span><\/strong><span style=\"color: #000080;\">\uff09<\/span><strong><span style=\"color: #000080;\">\uff0c\u8074\u529b\u4f4e\u4e0b<\/span><\/strong>\uff0c\u8033\u306e\u7a74\u304b\u3089\u51fa\u8840\u3059\u308b\uff08\u5916\u8033\u9053\u51fa\u8840\uff09\u306a\u3069\u3067\u767a\u75c7\u3057\u307e\u3059<\/li>\n<li>\u8033\u9f3b\u79d1\u3067\u8033\u306e\u7a74\u304b\u3089\u306e\u305e\u304f\u3068\uff0c\u8d64\u3044\u306e\u3067\u8840\u7ba1\u816b\u3060\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059<\/li>\n<li>\u982d\u84cb\u5e95\u306e\u3082\u306e\u3067\u306f\uff0c<strong><span style=\"color: #000080;\">\u305b\u304d<\/span><\/strong>\uff08\u7406\u7531\u306e\u306a\u3044\u54b3\u767a\u4f5c\uff09\uff0c<strong><span style=\"color: #000080;\">\u3057\u3083\u304c\u308c\u58f0<\/span><\/strong>\uff08\u55c4\u58f0\uff09\uff0c<strong><span style=\"color: #000080;\">\u98f2\u307f\u8fbc\u307f\u3065\u3089\u3044<\/span><\/strong>\uff08\u56a5\u4e0b\u969c\u5bb3\uff09\uff0c\u9854\u9762\u304c\u3086\u304c\u3080\uff08\u672b\u68a2\u6027\u9854\u9762\u795e\u7d4c\u9ebb\u75fa\uff09\u306a\u3069\u306e\u75c7\u72b6\u3067\u3059<\/li>\n<li>\u981a\u52d5\u8108\u306b\u3067\u304d\u308b\u3082\u306e\u306f\uff0c\u9996\u306e\u6a2a\u304c\u3075\u304f\u308c\u3066\u304f\u308b\u306e\u3067\u6c17\u3065\u304b\u308c\u307e\u3059<\/li>\n<li>\u30ab\u30c6\u30b3\u30e9\u30df\u30f3\u3092\u5206\u6ccc\u3059\u308b\u816b\u760d\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u3072\u3069\u3044\u9ad8\u8840\u5727\u3068\u52d5\u60b8<\/strong><\/span>\u304c\u3067\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8840\u7ba1\u306b\u5bcc\u3080\u816b\u760d hypervascular tumor\u00a0<\/strong><\/span>\u3067\uff0c\u305f\u304f\u3055\u3093\u306e\u52d5\u8108\u304c\u6d41\u5165\u3057\u3066\u706b\u306e\u7389\u307f\u305f\u3044\u306a\u8840\u7ba1\u816b\u306b\u898b\u3048\u307e\u3059<\/li>\n<li>\u307e\u308c\u306b\u80ba\u8ee2\u79fb\u3092\u751f\u3058\u307e\u3059<\/li>\n<\/ul>\n<h4>\u8133\u816b\u760d\u3001\u982d\u84cb\u5e95\u816b\u760d\u3068\u3057\u3066\u306e\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d\u306e\u767a\u751f\u90e8\u4f4d<\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u9f13\u5ba4<\/strong><\/span> tympanum : glomus tympanicum (tympanum) tumor<\/li>\n<li><strong><span style=\"color: #000080;\">\u9838\u9759\u8108\u7403<\/span><\/strong> jugular bulb : glomus jugulare tumor<\/li>\n<li><strong><span style=\"color: #000080;\">\u8ff7\u8d70\u795e\u7d4c\u7bc0<\/span><\/strong> vagal ganglion : glomus vagale tumor<\/li>\n<li><strong><span style=\"color: #000080;\">\u9838\u52d5\u8108\u5c0f\u4f53<\/span><\/strong> carotid body : carotid body paraganglioma,\u00a0glomus caroticum tumor<\/li>\n<\/ul>\n<h4>\u6a5f\u80fd\u6027\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de<\/h4>\n<ul>\n<li>\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u306f\u3082\u3068\u3082\u3068\uff0c\u81ea\u5f8b\u795e\u7d4c\u7bc0 autonomic ganglia\u304b\u3089\u767a\u751f\u3059\u308b\u816b\u760d\u3067\u3059<\/li>\n<li>\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d\u3068\u8a00\u308f\u308c\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u81ea\u5f8b\u795e\u7d4c\u7bc0\u7d30\u80de\u306e\u50cd\u304d\u3092\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u30ab\u30c6\u30b3\u30e9\u30df\u30f3 catecholamine\u3092\u5206\u6ccc\u3059\u308b\u3082\u306e\u3092\u6a5f\u80fd\u6027\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de functional paraganglioma\u3068\u3044\u3044\u307e\u3059\u304c\uff0c\u6570%\u304f\u3089\u3044\u3067\u3081\u305a\u3089\u3057\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u75c7\u72b6\u306f\uff0c<span style=\"color: #ff0000;\"><strong>\u96e3\u6cbb\u6027\u9ad8\u8840\u5727<\/strong><\/span>\uff0c\u52d5\u60b8\uff0c\u982d\u75db\u3068\u767a\u6c57\u306a\u3069<\/li>\n<li>\u3082\u3068\u3082\u3068\u304b\u306a\u308a\u306e\u9ad8\u8840\u5727\u3067\u3059\u304b\u3089\uff0c\u3053\u308c\u3092\u8a8d\u8b58\u3057\u306a\u3044\u3068\uff0c\u624b\u8853\u4e2d\u306b\u816b\u760d\u3092\u6458\u51fa\u3057\u305f\u77ac\u9593\u306b\u4f4e\u8840\u5727\u306b\u898b\u821e\u308f\u308c\u307e\u3059<\/li>\n<li>\u624b\u8853\u3067\u816b\u760d\u3092\u3044\u3058\u308b\u3068\u304d\u306f\u964d\u5727\u5264\uff0c\u816b\u760d\u3092\u6458\u51fa\u3057\u305f\u5f8c\u306f\u6607\u5727\u5264\u3092\u4f7f\u3044\u307e\u3059<\/li>\n<li>\u624b\u8853\u5f8c\u306b\u964d\u5727\u5264\u3092\u4e2d\u6b62\u3057\u306a\u3044\u3068\u4f4e\u8840\u5727\u75c7\u72b6\u3092\u51fa\u3057\u307e\u3059<\/li>\n<li>\u8853\u5f8c\u7ba1\u7406\u3067\u306f\u4f4e\u8840\u5727\u306b\u3088\u308b\u8133\u6897\u585e\u3084\u5fc3\u7b4b\u6897\u585e\u306e\u767a\u75c7\u306b\u3082\u6c17\u3092\u3064\u3051\u307e\u3059<\/li>\n<\/ul>\n<h4>\u691c\u67fb<\/h4>\n<ul>\n<li>MRI\u3067\u307b\u3068\u3093\u3069\u78ba\u5b9a\u8a3a\u65ad\u3067\u304d\u307e\u3059\uff0c<span style=\"color: #000080;\"><strong>\u62e1\u6563\u5f37\u8abf\u753b\u50cf DWI\u3067\u9ad8\u4fe1\u53f7<\/strong><\/span>\u306b\u306a\u308b\u306e\u3082\u7279\u5fb4\u3067\u3059<\/li>\n<li>CT\u3067\u5074\u982d\u9aa8\u306e\u7834\u58ca\u306e\u7a0b\u5ea6\u3092\u307f\u307e\u3059<\/li>\n<li>\u624b\u8853\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u6c7a\u307e\u3063\u305f\u6642\u3060\u3051\uff0c\u30ab\u30c6\u30fc\u30c6\u30eb\u306b\u3088\u308b\u8840\u7ba1\u64ae\u5f71 DSA \u3092\u3057\u307e\u3059<\/li>\n<\/ul>\n<h4>\u6cbb\u7642\uff08\u624b\u8853\u6458\u51fa\uff09<\/h4>\n<ul>\n<li>\u307e\u305a\uff0c\u624b\u8853\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u304b\u3069\u3046\u304b\u3092\u614e\u91cd\u306b\u8003\u3048\u307e\u3059<\/li>\n<li>\u9f13\u5ba4\u306e\u4e2d\u306b\u3067\u304d\u305f\u3082\u306e\u306f\u8033\u9f3b\u79d1\u3067\u624b\u8853\u3057\u307e\u3059<\/li>\n<li>\u981a\u52d5\u8108\u306e\u5206\u5c90\u90e8\uff08\u9838\u52d5\u8108\u5c0f\u4f53\uff09\u306b\u3067\u304d\u305f\u3082\u306e\u306f\uff0c\u5185\u981a\u52d5\u8108\u3068\u306e\u5265\u96e2\u3055\u3048\u614e\u91cd\u306b\u3059\u308c\u3070\u5168\u6458\u51fa\u3057\u3066\u3082\u624b\u8853\u5f8c\u907a\u75c7\u3092\u6b8b\u3055\u306a\u3044\u3067\u3067\u304d\u307e\u3059<\/li>\n<li>\u9838\u9759\u8108\u7403\u306b\u767a\u751f\u3057\u305f\u3082\u306e\u306f\uff0c\u304b\u306a\u308a\u5927\u304d\u306a\u3082\u306e\u3057\u304b\u624b\u8853\u9069\u5fdc\u306b\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u305d\u308c\u3092\u6458\u51fa\u3059\u308b\u3068\u56a5\u4e0b\u969c\u5bb3\u3084\u55c4\u58f0\u3084\u526f\u795e\u7d4c\u9ebb\u75fa\uff08\u9838\u80a9\u90e8\u306e\u7b4b\u8089\u304c\u840e\u7e2e\u3059\u308b\uff09\u306a\u3069\u306e\u624b\u8853\u5408\u4f75\u75c7\u306e\u983b\u5ea6\u304c\u3068\u3066\u3082\u9ad8\u3044\u3068\u8a00\u3048\u307e\u3059<\/li>\n<li>\u5927\u639b\u304b\u308a\u306a\u982d\u84cb\u5e95\u624b\u8853\u3092\u3057\u306a\u3044\u3053\u3068\u304c\u5927\u5207\u3067\u3059<\/li>\n<li>\u3082\u306e\u3059\u3054\u304f\u51fa\u8840\u3059\u308b\u306e\u3067\uff0c\u6700\u521d\u306b\u816b\u760d\u306b\u6d41\u5165\u3059\u308b\u52d5\u8108\u3092\u6b62\u3081\u307e\u3059\u304c\uff0c\u305d\u308c\u3055\u3048\u3057\u3063\u304b\u308a\u3067\u304d\u308c\u3070\u5f8c\u306f\u614e\u91cd\u306b\u5265\u96e2\u3059\u308b\u3060\u3051\u3067\u3059<\/li>\n<li>\u624b\u8853\u304c\u3082\u3063\u3068\u3082\u56f0\u96e3\u306a\u30bf\u30a4\u30d7\u306f\uff0c<strong><span style=\"color: #ff0000;\">FIsch class D<\/span><\/strong> (Ugo FIsch\u3068\u3044\u3046\u6709\u540d\u306a\u8033\u9f3b\u79d1\u533b\u306e\u5206\u985e)\u306e\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d\u3067\uff0c\u982d\u84cb\u5185\u4f38\u5c55\u304c\u3042\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u30af\u30e9\u30b9D\u3067\u306f\uff0c\u981a\u9759\u8108\u5b54\u304b\u3089\u5c0f\u8133\u5ef6\u9ac4\u89d2\u90e8\u306b\u816b\u760d\u304c\u4f38\u3073\u3066\uff0c\u5ef6\u9ac4\u3092\u5727\u8feb\u3057\u3066\uff0c\u690e\u9aa8\u52d5\u8108\u7cfb\u304b\u3089\u816b\u760d\u52d5\u8108\u3092\u5f15\u304d\u8fbc\u307f\u307e\u3059<\/li>\n<li>\u3053\u306e\u624b\u8853\u3060\u3051\u306f\u3068\u3066\u3082\u96e3\u6613\u5ea6\u304c\u9ad8\u304f\u3066\u96e3\u3057\u3044\u3067\u3057\u3087\u3046<\/li>\n<\/ul>\n<h4>\u3061\u3087\u3063\u3068\u96e3\u3057\u3044\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy4.jpg\" rel=\"attachment wp-att-8434\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8434\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy4-280x300.jpg\" alt=\"gliomusiy4\" width=\"280\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy4-280x300.jpg 280w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy4-768x824.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy4-550x590.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy4.jpg 850w\" sizes=\"auto, (max-width: 280px) 100vw, 280px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy3.jpg\" rel=\"attachment wp-att-8436\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8436\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy3-274x300.jpg\" alt=\"gliomusiy3\" width=\"274\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy3-274x300.jpg 274w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy3-768x841.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy3-548x600.jpg 548w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/gliomusiy3.jpg 850w\" sizes=\"auto, (max-width: 274px) 100vw, 274px\" \/><\/a><\/p>\n<p>\u8033\u306e\u805e\u3053\u3048\u3068\u98f2\u307f\u8fbc\u307f\u304c\u60aa\u304f\u306a\u3063\u3066\u767a\u75c7\uff08\u96e3\u8074\u3068\u56a5\u4e0b\u969c\u5bb3\uff09\u3057\u305f20\u4ee3\u306e\u60a3\u8005\u3055\u3093\u306e\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d jugular paraganglioma\u3067\u3059\u3002\u5de6\u306e\u981a\u52d5\u8108\u64ae\u5f71 CAG\u3067\u306f\uff0c\u9838\u90e8\u306e\u816b\u760d\u306b\u304a\u3055\u308c\u3066\u5185\u981a\u52d5\u8108\u304c\u524d\u65b9\u306b\u5c48\u66f2\u3057\u3066\u3044\u307e\u3059\u3002\u5916\u981a\u52d5\u8108\u304b\u3089\u591a\u304f\u306e\u8840\u7ba1\u304c\u6d41\u5165\u3057\u3066\u8840\u7ba1\u816b\u306e\u3088\u3046\u306b\u6fc3\u3044\u816b\u760d\u9670\u5f71\u304c\u307f\u3048\u307e\u3059\u3002\u53f3\u5074\u306e\u690e\u9aa8\u52d5\u8108\u64ae\u5f71 VAG\u3067\u306f\uff0c\u981a\u9759\u8108\u5b54\u304b\u3089\u982d\u84cb\u5185\u306e\u5c0f\u8133\u5ef6\u9ac4\u89d2\u90e8\u307e\u3067\u4f38\u3073\u305f\u816b\u760d\u304c\u67d3\u307e\u308a\u307e\u3059\u3002\u982d\u84cb\u5185\u306fPICA\u304b\u3089\u9838\u9759\u8108\u7403\u3068\u9838\u90e8\u306b\u306f\u690e\u9aa8\u52d5\u8108\u306e\u7b4b\u8089\u679d\u304b\u3089\u306e\u816b\u760d\u8840\u7ba1\u304c\u307f\u3089\u308c\u307e\u3059\u3002<br \/>\n<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy4.jpg\" rel=\"attachment wp-att-8438\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8438 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy4-200x200.jpg\" alt=\"glomusiy4\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy4-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy5.jpg\" rel=\"attachment wp-att-8439\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8439\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy5-200x200.jpg\" alt=\"glomusiy5\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy5-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy5-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy6.jpg\" rel=\"attachment wp-att-8441\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8441 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy6-200x200.jpg\" alt=\"glomusiy6\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy6-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy6-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8442 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy7-200x200.jpg\" alt=\"glomusiy7\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy7-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy7-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy8.jpg\" rel=\"attachment wp-att-8443\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8443 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy8-200x200.jpg\" alt=\"glomusiy8\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy8-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy8-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u9838\u90e8\u304b\u3089\u9838\u9759\u8108\u7403\u3092\u629c\u3051\u3066S\u4e0a\u9759\u8108\u6d1e\u5185\u306b\u5165\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u30af\u30e9\u30b9C\u304bD\u304b\u8ff7\u3046\u3068\u3053\u308d\u3067\u3059\u3002\u3061\u3087\u3063\u3068\u96e3\u3057\u3044\u3002\u307e\u305f\u3053\u306e\u30b5\u30a4\u30ba\u3067\u306f\uff0c\u8ff7\u8d70\u795e\u7d4c\u3068\u820c\u54bd\u795e\u7d4c\u306e\u6a5f\u80fd\u3092\u6e29\u5b58\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3002\u5ef6\u9ac4\u65b9\u5411\u3078\u4f38\u5c55\u3057\u3066\u3044\u307e\u3059\u3057\u5e74\u9f62\u304c\u82e5\u3044\u306e\u3067\u624b\u8853\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\u3082\u306e\u3067\u3057\u305f\u3002<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9.jpg\" rel=\"attachment wp-att-8448\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8448 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9-200x200.jpg\" alt=\"glomusiy9\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9-768x768.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9-550x550.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy9.jpg 850w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy11.jpg\" rel=\"attachment wp-att-8450\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8450 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy11-200x200.jpg\" alt=\"glomusiy11\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy11-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy11-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy10.jpg\" rel=\"attachment wp-att-8449\"><br \/>\n<\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy10.jpg\" rel=\"attachment wp-att-8449\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8449 size-thumbnail\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy10-200x200.jpg\" alt=\"glomusiy10\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy10-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusiy10-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u3053\u306e\u816b\u760d\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u5236\u5fa1\u3067\u304d\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u3002\u624b\u8853\u3067\u5168\u6458\u51fa\u3067\u304d\u306610\u5e74\u4ee5\u4e0a\u518d\u767a\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u56a5\u4e0b\u969c\u5bb3\u3068\u5f37\u3044\u55c4\u58f0\u304c\u6b8b\u308a\u307e\u3057\u305f\u304c\uff0c\u50cd\u3044\u3066\u793e\u4f1a\u751f\u6d3b\u306f\u3067\u304d\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u6cbb\u7642\uff08\u653e\u5c04\u7dda\u6cbb\u7642\uff09<\/h4>\n<ul>\n<li>\u624b\u8853\u6458\u51fa\u3067\u304d\u308b\u3082\u306e\u306f\u624b\u8853\u304c\u7b2c\u4e00\u9078\u629e\u3067\u3059<\/li>\n<li>\u3067\u3082\u982d\u84cb\u5e95\u306b\u9650\u5c40\u3059\u308b\u3082\u306e\u306a\u3069\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u9069\u5fdc\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6709\u52b9\u3067\u3059\u304b\u3089\uff0c\u624b\u8853\u6cbb\u7642\u3068\u306e\u9069\u5426\u3092\u3088\u304f\u3088\u304f\u8003\u3048\u307e\u3059<\/li>\n<\/ul>\n<h4>\u5de8\u5927\u306a\u3082\u306e\u3067\u3082\u307b\u3063\u3068\u3044\u3066\u3044\u3044<\/h4>\n<p>\u6cbb\u7642\u3057\u306a\u304f\u3066\u3082\u3044\u3044\u3082\u306e\u3082\u591a\u3044\u816b\u760d\u3067\u3059<br \/>\n<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8427 size-thumbnail\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu3-200x200.jpg\" alt=\"glomususu3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a>\u3000<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/06.3-1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8431 size-thumbnail\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/06.3-1-1-200x200.jpg\" alt=\"06.3-1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/06.3-1-1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/06.3-1-1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u5de6\u306f1991\u5e74\uff0c\u53f3\u306f2006\u5e74\u306eMRI\u753b\u50cf\u3067\u3059\u300215\u5e74\u9593\u3067\u816b\u760d\u306e\u30b5\u30a4\u30ba\u306f\u5909\u308f\u3063\u3066\u3044\u307e\u305b\u3093\u3002<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8428 size-large\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu1-550x198.jpg\" alt=\"glomususu1\" width=\"550\" height=\"198\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu1-550x198.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu1-300x108.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomususu1.jpg 652w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>1991\u5e74\u306b50\u4ee3\u306e\u5973\u6027\u306b\u307f\u3064\u304b\u3063\u305f\u3082\u306e\u3067\u3057\u305f\u3002\u9ec4\u8272\u306b\u793a\u3057\u305f\u30eb\u30fc\u30c8\u3067\u6458\u51fa\u3067\u304d\u306a\u3044\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\uff0c\u53f3\u5f8c\u982d\u90e8\u304c\u816b\u308c\u3066\u304d\u305f\u3068\u3044\u3046\u8a34\u3048\u3068\u30db\u30eb\u30cd\u30eb\u75c7\u5019\uff0c\u8edf\u53e3\u84cb\u9ebb\u75fa\u3057\u304b\u306a\u304b\u3063\u305f\u306e\u3067\uff0c\u4f55\u3082\u6cbb\u7642\u3057\u306a\u3044\u3067\u307b\u3063\u3066\u304a\u304d\u307e\u3057\u305f\u30022016\u5e74\u307e\u306725\u5e74\u9593\u89b3\u5bdf\u3057\u7d9a\u3051\u307e\u3057\u305f\u3002\u75c7\u72b6\u306e\u60aa\u5316\u306f\u5168\u304f\u306a\u304f\u5143\u6c17\u306b\u66ae\u3089\u3057\u3066\u304a\u3089\u308c\u307e\u3059\u3002\u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d\u306f\u3042\u308b\u4e00\u5b9a\u306e\u5e74\u9f62\u306b\u306a\u308b\u3068\u5897\u5927\u3057\u306a\u3044\u3068\u3044\u3046\u6027\u8cea\u3092\u6301\u3063\u3066\u3044\u308b\u826f\u6027\u816b\u760d\u3067\u3059\u3002\u3053\u308c\u3092\u5927\u3005\u7684\u306a\u982d\u84cb\u5e95\u5916\u79d1\u624b\u8853\u3067\u6458\u51fa\u3059\u308b\u3059\u308b\u3068\u3044\u3046\u611a\u3092\u72af\u3057\u3066\u306f\u306a\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u60aa\u6027\u306e\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\uff1f<\/h4>\n<ul>\n<li>\u57fa\u672c\u7684\u306b\u306f\u60aa\u6027\u816b\u760d\u306b\u306f\u306a\u308a\u307e\u305b\u3093\uff0c\u30b0\u30ec\u30fc\u30c9\uff11\u306e\u307e\u307e\u3067\u3059<\/li>\n<li>\u3067\u3082\u304d\u308f\u3081\u3066\u307e\u308c\u306b\uff0c\u9838\u9759\u8108\u3092\u4ecb\u3057\u3066<span style=\"color: #000080;\"><strong>\u80ba\u8ee2\u79fb<\/strong><\/span>\u3057\u307e\u3059<\/li>\n<li>\u9ac4\u819c\u816b\u306e\u80ba\u8ee2\u79fb\u3068\u540c\u3058\u3088\u3046\u306a\uff0c\u3086\u3063\u304f\u308a\u3068\u3057\u305f\u9032\u884c\u3068\u3044\u3046\u4e88\u5f8c\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u306f\u9838\u9759\u8108\u3092\u4ecb\u3057\u3066\u306e\u3053\u307c\u308c\u843d\u3061\u308b\u3088\u3046\u306a\u80ba\u8ee2\u79fb\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u9838\u9759\u8108\u3092\u906e\u65ad\u3059\u308b\u3088\u3046\u306a\u816b\u760d\u6458\u51fa\u624b\u8853\u3092\u3059\u308c\u3070\u4e88\u9632\u3067\u304d\u308b\u3068\u3044\u3046\u8003\u3048\u65b9\u3082\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8418 size-thumbnail\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy1-200x200.jpg\" alt=\"glomusuiy1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8419 size-thumbnail\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy2-200x200.jpg\" alt=\"glomusuiy2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/glomusuiy2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u591a\u767a\u6027\u80ba\u8ee2\u79fb\u304c\u767a\u898b\u3055\u308c\u7121\u6cbb\u7642\u306714\u5e74\u304c\u7d4c\u904e\u3057\u307e\u3057\u305f\u3002\u80ba\u8ee2\u79fb\u5de3\u306f\u7121\u6570\u3067\u3059\u304c\u305f\u3044\u3057\u3066\u5897\u5927\u3057\u307e\u305b\u3093\u306e\u3067\u666e\u901a\u306e\u751f\u6d3b\u304c\u3067\u304d\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u5148\u5929\u6027\uff08\u5bb6\u65cf\u6027\uff09\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de<\/h4>\n<ul>\n<li>\u5e38\u67d3\u8272\u4f53\u512a\u6027\u907a\u4f1d\u3057\u307e\u3059<\/li>\n<li>\u795e\u7d4c\u7bc0\u816b\u3068\u8910\u8272\u7d30\u80de\u816b\u304c\u591a\u767a\u3057\u307e\u3059<\/li>\n<li>30\u4ee3\u3067\u767a\u898b\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\uff0c100\u4e07\u4eba\u306b\uff11\u4eba\u304f\u3089\u3044\u306e\u767a\u751f\u7387\u3067\u3059<\/li>\n<li>\u539f\u56e0\u907a\u4f1d\u5b50\u306f\uff0c<span class=\"geneSymbol\">SDHD<\/span>\u00a0gene\u00a0(type 1),\u00a0<span class=\"geneSymbol\">SDHAF2<\/span>\u00a0gene (type 2),\u00a0<span class=\"geneSymbol\">SDHC<\/span>\u00a0gene (type 3),\u00a0<span class=\"geneSymbol\">SDHB<\/span>\u00a0gene\u00a0(type 4)\u3067\u3059\u3002type 4\u3060\u3051\u3067\u60aa\u6027\u816b\u760d\u304c\u767a\u751f\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-8413 alignnone\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm0-200x200.jpg\" alt=\"paragangtm0\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm0-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm0-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-8414 alignnone\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm1-200x200.jpg\" alt=\"paragangtm1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-8415 alignnone\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm2-200x200.jpg\" alt=\"paragangtm2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/paragangtm2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/p>\n<p>\u907a\u4f1d\u6b74\u304c\u3042\u308a30\u4ee3\u304f\u3089\u3044\u3067\u3059\u3002\u9ec4\u8272\u306e\u77e2\u5370\u3067\u793a\u3059\u53f3\u5074\u306fglomus vagale\uff0c\u5de6\u5074\u306f\u4e0a\u304cglomus jugulare\u3001\u5de6\u4e0b\u304cglomus caroticum\u3067\u3059\u3002\u6559\u79d1\u66f8\u306b\u8f09\u305b\u305f\u3044\u304f\u3089\u3044\u5178\u578b\u7684\u306a\u90e8\u4f4d\u306b\u767a\u751f\u3057\u3066\u3044\u307e\u3059\u3002\u7121\u75c7\u72b6\u3067\u3059\u304b\u3089\u3082\u3061\u308d\u3093\u6cbb\u7642\u306f\u3057\u307e\u305b\u3093\u30026\u5e74\u304f\u3089\u3044\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3044\u307e\u3059\u304c\u307b\u3068\u3093\u3069\u5897\u5927\u3082\u3057\u307e\u305b\u3093\u3002<\/p>\n<hr \/>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/owlalone.jpg\" rel=\"attachment wp-att-8445\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-8445 size-large\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/owlalone-550x405.jpg\" alt=\"owlalone\" width=\"550\" height=\"405\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/owlalone-550x405.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/owlalone-300x221.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/owlalone-768x566.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/owlalone.jpg 850w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<h5>\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d\u3068\u3057\u3066\u306e\u6a5f\u80fd\u6027\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u6cbb\u7642<\/h5>\n<p>Kong G, et al.: Efficacy of Peptide Receptor Radionuclide Therapy for Functional Metastatic Paraganglioma and Pheochromocytoma. J Clin Endocrinol Met, 2017<br \/>\n\u5207\u9664\u56f0\u96e3\u306a\u9ad8\u8840\u5727\u3092\u751f\u3058\u308b\u6a5f\u80fd\u6027\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u306b\uff0c\u30da\u30d7\u30c1\u30c9\u53d7\u5bb9\u4f53\u653e\u5c04\u6027\u6838\u7a2e\u6cbb\u7642\u00a0peptide receptor radionuclide therapy (PRRT)\u304c\u6709\u52b9\u3067\u3042\u308b\u3068\u306e\u5831\u544a\u3067\u3059\u3002\u7c73\u56fd\u3067\u306f\u5546\u54c1\u5316\u3055\u308c\uff0c2018\u5e741\u6708\u306bFDA\u306f\u30eb\u30bf\u30bb\u30e9\u3092\u627f\u8a8d\u3057\u307e\u3057\u305f\u304c\uff0c\u65e5\u672c\u3067\u306f\u672a\u627f\u8a8d\u3067\u3059\u3002<\/p>\n<p>\u4ed6\u306b\u6d88\u5316\u5668\u3067\u306f\uff0c\u30bd\u30de\u30c8\u30b9\u30bf\u30c1\u30f3\u30a2\u30ca\u30ed\u30b0\uff0c\u30a8\u30d9\u30ed\u30ea\u30e0\u30b9\uff0c\u30b9\u30cb\u30c1\u30cb\u30d6\uff0c\u30b9\u30c8\u30ec\u30d7\u30c8\u30be\u30b7\u30f3\uff0cPRRT\u306a\u3069\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u304c\uff0c\u982d\u9838\u90e8\u306e\u6a5f\u80fd\u6027\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u306b\u95a2\u3059\u308b\u5831\u544a\u306f\u5e0c\u8584\u3067\u3059\u3002<\/p>\n<h5>\u75c5\u7406<\/h5>\n<p>\u5de3\u72b6\uff0c\u5206\u8449\u72b6\u69cb\u9020\u3092\u793a\u3059\u00a0<span style=\"color: #000080;\"><strong>Zellballen pattern<\/strong><\/span> \u3068\u3044\u3046\u7279\u5fb4\u7684\u306a\u7d44\u7e54\u50cf\u3092\u793a\u3057\u307e\u3059\u3002Web\u3067Zellballen pattern figure \u3092\u691c\u7d22\u3059\u308b\u3068\u753b\u50cf\u304c\u305f\u304f\u3055\u3093\u51fa\u307e\u3059\u3002<\/p>\n<h4>\u30ad\u30e3\u30c3\u30b9\u30eb\u30de\u30f3\u75c5\uff1a\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u3068\u8853\u524d\u8a3a\u65ad\u3092\u9593\u9055\u3048\u305f\u3082\u306e<\/h4>\n<p>10\u6b73\u304f\u3089\u3044\u304b\u3089\u9838\u90e8\u306b\u816b\u760d\u304c\u3042\u308a\u751f\u691c\u8853\u3092\u3055\u308c\u307e\u3057\u305f\u304c\u8a3a\u65ad\u304c\u3064\u304b\u305a\uff0c31\u6b73\u307e\u3067\u306a\u306b\u3082\u6cbb\u7642\u3092\u3057\u306a\u304b\u3063\u305f\u60a3\u8005\u3055\u3093\u3067\u3059\u300220\u5e74\u9593\u3067\u304b\u306a\u308a\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemangd.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-22488\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemangd-300x294.jpg\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemangd-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemangd-550x539.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemangd-768x753.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemangd.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemant2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-22489\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemant2-300x284.jpg\" alt=\"\" width=\"300\" height=\"284\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemant2-300x284.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemant2-550x522.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemant2-768x728.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemant2.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\/2016\/03\/castlemancta.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-22490\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemancta-550x515.jpg\" alt=\"\" width=\"550\" height=\"515\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemancta-550x515.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemancta-300x281.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/03\/castlemancta.jpg 709w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a>30\u4ee3\u3067\uff0c\u8840\u884c\u6027\u80ba\u8ee2\u79fb\u304c\u591a\u767a\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u8a3a\u65ad\u3092\u53d7\u3051\u307e\u3057\u305f\u300220\u5e74\u4ee5\u4e0a\u306e\u75c5\u6b74\u304c\u3042\u308a\uff0c\u591a\u304f\u306e\u8840\u7ba1\u306b\u5bcc\u3080hypervascular tumor\u3067\u3042\u3063\u305f\u305f\u3081\u306b\uff0c\u826f\u6027\u816b\u760d\u3067\u3042\u308b\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u80ba\u8ee2\u79fb\u3068\u3044\u3046\u8853\u524d\u8a3a\u65ad\u3067\u9838\u90e8\u816b\u760d\u306e\u6458\u51fa\u3092\u3057\u307e\u3057\u305f\u3002<br \/>\n\u5168\u6458\u51fa\u3057\u3066\u8853\u5f8c\u7d4c\u904e\u306b\u554f\u984c\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u304c\uff0c\u75c5\u7406\u8a3a\u65ad\u306f\uff0c\u5168\u4f53\u304c\u30ea\u30f3\u30d1\u7403\u3068\u80da\u4e2d\u5fc3\u69d8\u306e\u69cb\u9020\u3067<span style=\"color: #ff0000;\"><strong>C<\/strong><strong>astleman disease<\/strong><\/span>\u3067\u3057\u305f\u3002\u767a\u71b1\u3084\u5026\u6020\u611f\u306a\u3069\u306e\u75c7\u72b6\u304c\u306a\u304f\u8efd\u75c7\u306e\u5358\u4e2d\u5fc3\u6027\u30ad\u30e3\u30c3\u30b9\u30eb\u30de\u30f3\u75c5\u3068\u3057\u3066\u7d4c\u904e\u3057\u305f\u3082\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<hr \/>\n<h5>\u6587\u732e<\/h5>\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u5236\u5fa1\u3067\u304d\u308b\u3082\u306e\u304c\u591a\u3044<\/h4>\n<p class=\"heading-title\"><span class=\"authors-list-item \">Dupin C:\u00a0<\/span>Treatment of head and neck paragangliomas with external beam radiation therapy. Int J Radiat Oncol Biol Phys 2014<br \/>\n1990\u5e74\u304b\u30892009\u5e74\u306e\u9593\u306b66\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\uff08\u4e2d\u592e\u502445\u30b0\u30ec\u30a4\uff09\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u4e2d\u592e\u502430ml\u3067\u3059\u304b\u3089\u6bd4\u8f03\u7684\u5c0f\u3055\u3044\u3082\u306e\u304c\u591a\u3044\u3067\u3059\u3002\u5074\u982d\u9aa851\u4f8b\uff0c\u981a\u52d5\u8108\u740318\u4f8b\uff0c\u8ff7\u8d70\u795e\u7d4c\u8d77\u6e9010\u4f8b\u3067\u3059\u3002\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u5024\u306f4.1\u5e74\u3067\u3057\u305f\u30021\u4f8b\u306e\u60a3\u8005\u3055\u3093\u3060\u3051\u3067\u7167\u5c04\u5f8c8\u5e74\u3067\u518d\u71c3\u304c\u3042\u308a\u307e\u3057\u305f\u30025\u5e74\u816b\u760d\u5236\u5fa1\u5272\u5408\u306f98.7%\u3068\u3044\u3046\u9ad8\u7387\u3067\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3044\u308d\u3044\u308d\u306a\u540d\u524d\u3067\u547c\u3070\u308c\u307e\u3059 \u30b0\u30ed\u30fc\u30e0\u30b9\u816b\u760d\u3001\u30b0\u30ed\u30e0\u30b9\u816b\u760d glomus tumor \u508d\u795e\u7d4c\u7bc0\u816b\u3000\u30d1\u30e9\u30ac\u30f3\u30b0\u30ea\u30aa\u30fc\u30de\u3000paraganglioma \u5316\u5b66\u53d7\u5bb9\u4f53\u816b\u760d \u30b1\u30e2\u30c7\u30af\u30c8\u30fc\u30de\u3000chemodectoma \u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d n [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-8405","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\/8405","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=8405"}],"version-history":[{"count":36,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/8405\/revisions"}],"predecessor-version":[{"id":22491,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/8405\/revisions\/22491"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=8405"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=8405"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=8405"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}