{"id":86,"date":"2012-04-17T22:08:36","date_gmt":"2012-04-17T13:08:36","guid":{"rendered":"\/sawamura\/wp\/?p=86"},"modified":"2025-10-10T17:33:47","modified_gmt":"2025-10-10T08:33:47","slug":"cranio","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/cranio\/","title":{"rendered":"\u982d\u84cb\u54bd\u982d\u816b craniopharyngioma \u30af\u30e9\u30cb\u30aa\u3068\u306f"},"content":{"rendered":"<div class=\"setumei\">\n<ul>\n<li><strong><span style=\"color: #ff0000;\">\u624b\u8853\u3067\u53d6\u308c\u3066\u3057\u307e\u3048\u3070\u6cbb\u308b<\/span><\/strong>\u306e\u3067\u3059\u304c\uff0c<strong><span style=\"color: #ff0000;\">\u624b\u8853\u304c\u96e3\u3057\u3044<\/span><\/strong>\u3053\u3068\u304c\u6700\u5927\u306e\u7279\u5fb4\u3067\u3059<\/li>\n<li>\u533b\u5b66\u7528\u8a9e\u3067craniopharyngioma\u306a\u306e\u3067\uff0c\u696d\u754c\u7528\u8a9e\u3067<strong><span style=\"color: #ff0000;\">\u30af\u30e9\u30cb\u30aa<\/span><\/strong>\u3068\u547c\u3070\u308c\u307e\u3059<\/li>\n<li>\u75c5\u7406\u5b66\u7684\u306b\u306f\u826f\u6027\u306e\u816b\u760d\u3067\u3059\u3057\u3001\u8ee2\u79fb\u3057\u305f\u308a\u306f\u3057\u307e\u305b\u3093<\/li>\n<li>\u5b50\u4f9b\u305f\u3061\u3068\u6210\u4eba\u3068\u306f\u9055\u3046\u75c5\u6c17\u306e\u3088\u3046\u3067\u3059\uff0c\u767a\u751f\u5b66\u7684\u306b\u4f55\u304b\u304c\u9055\u3046\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5c0f\u5150\u8133\u816b\u760d\u306e4%\u3067 5-14\u6b73\u00a0<\/strong><\/span>\u306b\u591a\u3044\u3067\u3059\uff0c<span style=\"color: #000080;\"><strong>\u6210\u4eba\u306e\u30d4\u30fc\u30af\u306f60\u4ee3<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u8133\u306e\u4e2d\u5fc3\u306e<span style=\"color: #000000;\"><span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" href=\"..\/anatomys\/hypothlpituitary\/\">\u8996\u5e8a\u4e0b\u90e8\u3068\u4e0b\u5782\u4f53<\/a><\/strong><\/span><\/span>\u3068\u3044\u3046\u3068\u3053\u308d\u306b\u767a\u751f\u3057\u3066\u5f37\u304f\u304f\u3063\u3064\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8996\u5e8a\u4e0b\u90e8\u306b\u6d78\u6f64<\/strong><\/span>\u3057\u3066\u3044\u308b\u3082\u306e\u304c\u3042\u308a\u3001\u6458\u51fa\u3059\u308c\u3070\u3068\u3066\u3082\u3064\u3089\u3044<span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/hypothdysfunction\/\">\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3<\/a><\/strong><\/span>\u304c\u304a\u3053\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u978d\u9694\u819c\uff08\u3042\u3093\u304b\u304f\u307e\u304f\uff09\u306e\u4e0b<\/span><\/strong>\u306b\u3042\u308b\u3082\u306e\u306f\uff0c\u9f3b\u306e\u5b54\u304b\u3089\u306e\u5185\u8996\u93e1\u624b\u8853\u3067\u6cbb\u3063\u3066\u3057\u307e\u3046\u7c21\u5358\u306a\u3082\u306e\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u978d\u9694\u819c\u306e\u4e0a<\/strong><\/span>\u306e\u3082\u306e\u306f\uff0c\u5f8c\u907a\u75c7\u3092\u6b8b\u3055\u306a\u3044\u3068\u6cbb\u3089\u306a\u3044\u3082\u306e\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u978d\u9694\u819c\u306e\u4e0a\u306b\u3042\u308b\u306e\u304b\u4e0b\u306b\u3042\u308b\u306e\u304b\u3092\u624b\u8853\u306e\u524d\u306b\u805e\u304d\u307e\u3059<\/li>\n<li>\u5c0f\u3055\u306a\u3082\u306e\u3067\u306f1cm\u304f\u3089\u3044\u304b\u3089\uff0c\u5927\u304d\u306a\u3082\u306e\u3067\u306f\u6570cm\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u816b\u760d\u306f\u5927\u304d\u304f\u306a\u308b\u3068\u3068\u3066\u3082\u9762\u5012\u3067\u3059<\/li>\n<li>\u5927\u304d\u304f\u306a\u308b\u3068\u30c8\u30eb\u30b3\u978d\u304b\u3089\u978d\u4e0a\u90e8\u3001\u7b2c\uff13\u8133\u5ba4\u5468\u56f2\uff0c\u8133\u5e95\u69fd\uff0c\u524d\u982d\u8449\u306e\u5185\u90e8\u306b\u5e83\u304c\u308a\u307e\u3059\u3057\uff0c\u653e\u3063\u3066\u304a\u3044\u305f\u3089\u307b\u3068\u3093\u3069\u304c\u5927\u304d\u304f\u306a\u3063\u3066\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><span style=\"color: #000000;\">\u79c1\u306f\u8a3a\u65ad\u304c\u3064\u3044\u305f\u3089<\/span><strong>\u7d4c\u904e\u3092\u898b\u306a\u3044\u3067\u306a\u308b\u3079\u304f\u624b\u8853\u6cbb\u7642\u3092\u9078\u3093\u3060\u65b9\u304c\u826f\u3044<\/strong><\/span>\u3068\u8003\u3048\u3066\u3044\u307e\u3059<\/li>\n<li>\u3082\u3061\u308d\u3093\u4f8b\u5916\u3082\u3042\u3063\u3066\uff0c\u6210\u4eba\uff08\u9ad8\u9f62\u8005\uff09\u3067\u306f\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3082\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u6210\u4eba\u3067\uff0c\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u7121\u75c7\u72b6\u306e\u3082\u306e\u306f\u307e\u305a\u7d4c\u904e\u89b3\u5bdf\u3059\u308b\u306e\u3082\u9078\u629e\u80a2\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><a style=\"color: #000080;\" title=\"\u30e9\u30c8\u30b1\u56a2\u80de\" href=\"\/sawamura\/braintumors\/rathoke\/\">\u30e9\u30c8\u30b1\u306e\u3046\u80de<\/a><\/span>\u3092\u982d\u84cb\u54bd\u982d\u816b\u3068\u9593\u9055\u3048\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u75c7\u72b6\u306e\u8efd\u3044\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306f\u6cbb\u7642\u3057\u306a\u304f\u3066\u3044\u3044\u3053\u3068\u3082\u591a\u3044\u306e\u3067\u6c17\u3092\u3064\u3051\u3066<\/li>\n<li>\u6cbb\u7642\u304c\u6210\u529f\u3057\u3066\u3082\uff0c\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u4e0d\u8db3\uff0c\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\uff0c\u8996\u529b\u8996\u91ce\u969c\u5bb3\u306a<span style=\"color: #ff0000;\"><span style=\"color: #000000;\">\u3069\uff0c<\/span><\/span><strong><span style=\"color: #ff0000;\">\u306a\u3093\u3089\u304b\u306e\u5f8c\u907a\u75c7\u3092\u6b8b\u3059<\/span><\/strong>\u3053\u3068\u304c\u591a\u3044\u75c5\u6c17\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\"><a style=\"color: #000080;\" title=\"\u8996\u5e8a\u4e0b\u90e8\u3068\u4e0b\u5782\u4f53\u306e\u7279\u6b8a\u306a\u6a5f\u80fd\u969c\u5bb3\" href=\"\/sawamura\/braintumors\/hypothdysfunction\/\">\u80a5\u6e80\u306f\u304a\u982d\u84cb\u54bd\u982d\u816b\u306b\u3068\u3066\u3082\u591a\u3044\u5408\u4f75\u75c7\u3067\u3059<\/a><\/span><\/strong><\/li>\n<li>\u6cbb\u7642\u306e\u76ee\u6a19\u306f\uff0c\u3044\u304b\u306b\u5f8c\u907a\u75c7\u3092\u5c11\u306a\u304f\u3057\u3066\u816b\u760d\u3092\u5b8c\u5168\u306b\u53d6\u308a\u9664\u304f\u304b\u3067\u3059<\/li>\n<li>\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\u306f\u6c34\u982d\u75c7\u304c\u3042\u3063\u3066\u7dca\u6025\u624b\u8853\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3061\u3087\u3063\u3068\u307e\u3063\u3066\uff01<\/li>\n<li>\u57f7\u5200\u533b\u306b\u3053\u306e\u816b\u760d\u306e\u624b\u8853\u7d4c\u9a13\u304c\u306a\u3044\u3068\u3046\u307e\u304f\u3044\u304d\u307e\u305b\u3093\uff0c\u305d\u3046\u3044\u3046\u6642\u306f\u307e\u305a\u6c34\u982d\u75c7\u3060\u3051\u306a\u3093\u3068\u304b\u3057\u3066\u3044\u305f\u3060\u304f\u3088\u3046\u306b\u304a\u9858\u3044\u3057\u307e\u3059<\/li>\n<li>\u79c1\u306f\uff0c\u518d\u767a\u3057\u305f\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u3092\u983c\u307e\u308c\u308b\u3053\u3068\u304c\u591a\u304b\u3063\u305f\u306e\u3067\u3059\u304c\uff0c2\u56de\u76ee\uff0c\uff13\u56de\u76ee\u306e\u624b\u8853\u306f\u3055\u3089\u306b\u96e3\u3057\u3044\u3082\u306e\u306b\u306a\u3063\u3066\u3044\u3066\uff0c\u307b\u3068\u307b\u3068\u56f0\u308a\u307e\u3059<\/li>\n<li>\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u3082\u8133\u5916\u79d1\u533b\u306b\u3068\u3063\u3066\u3082\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u306f\u3053\u308f\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u6700\u521d\u306e\u624b\u8853\u3067\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u3092\u6e29\u5b58\u3059\u308b\u306e\u306f\u5927\u5207\u306a\u76ee\u6a19\u3067\u3059\u304c\uff0c\u540c\u6642\u306b<span style=\"color: #ff0000;\"><span style=\"color: #000000;\">\uff0c<\/span><\/span><strong><span style=\"color: #ff0000;\">\u306a\u3093\u3068\u3057\u3066\u3082\u816b\u760d\u3092\u6cbb\u3059\u898b\u8fbc\u307f\u304c\u3082\u3066\u308b\u3088\u3046\u306a\u7a0b\u5ea6\u306e\u624b\u8853\u7d50\u679c\u3092\u51fa\u3055\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/span><\/strong><\/li>\n<li>\u305d\u3046\u3057\u306a\u3044\u3068<span style=\"color: #000080;\"><strong>\u518d\u624b\u8853\u3092\u7e70\u308a\u8fd4\u3059\u30c9\u30ed\u30cc\u30de<\/strong><\/span>\u306b\u5165\u308b\u3053\u3068\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u816b\u760d\u306a\u306e\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5c0f\u3055\u3044\u816b\u760d\u306b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u6709\u52b9<\/strong><\/span>\u306a\u306e\u3067\u3059\u304c\uff0c\u5b50\u3069\u3082\u3060\u3068\u69d8\u3005\u306a\u653e\u5c04\u7dda\u969c\u5bb3\u304c\u51fa\u307e\u3059<\/li>\n<li>\u305f\u3068\u3048\u30ab\u30f3\u30de\u30ca\u30a4\u30d5\u306a\u3069\u306e\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u3082\uff0c\u8996\u5e8a\u4e0b\u90e8\u304c\u540c\u6642\u306b\u88ab\u66dd\u3059\u308b\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u306a\u306e\u3067\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308c\u3070<span style=\"color: #000080;\"><strong>\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\uff08\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3\uff09\u306f\u899a\u609f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3067\u3057\u3087\u3046<\/strong><\/span><\/li>\n<li>\u307e\u305f\u3055\u3089\u306b<span style=\"color: #000080;\"><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u518d\u767a\uff08\u518d\u71c3\uff09\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u306a\u3093\u3068\u3057\u3066\u3082\u907f\u3051\u305f\u3044\u3068\u306a\u308c\u3070\uff0c\u624b\u8853\u3067\u5b8c\u5168\u6458\u51fa\u3092\u76ee\u6307\u3059\u3057\u304b\u306a\u3044\u306e\u3067\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u6700\u7d42\u7684\u306a\u4e88\u5f8c\u3092\u6c7a\u3081\u308b\u306e\u306f\uff0c\u521d\u56de\u624b\u8853\u306e\u7d50\u679c\u3068\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306e\u57f7\u5200\u7d4c\u9a13\u3067\u3059<\/span><\/strong><\/li>\n<li>2023\u5e74\uff0c<span style=\"color: #ff0000;\"><strong>\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b\u306bBRAF-MEK\u963b\u5bb3\u5264\u304c\u6709\u52b9<\/strong><\/span>\u3067\u3042\u308b\u3053\u3068\u304c\u5224\u308a\u307e\u3057\u305f<\/li>\n<li>2025\u5e74\u6642\u70b9\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306b\u79d1\u5b66\u7684\u306b\u8a3c\u660e\u3055\u308c\u305f\u6709\u52b9\u306a\u85ac\u7269\u6cbb\u7642\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h5>\u75c7\u72b6\u306f<\/h5>\n<ul>\n<li>\u3086\u3063\u304f\u308a\u773c\u304c\u898b\u3065\u3089\u304f\u306a\u308b<strong><span style=\"color: #000080;\">\u8996\u91ce\u6b20\u640d\uff08\u4e21\u8033\u5074\u534a\u76f2\uff09<\/span><\/strong><\/li>\n<li>\u305f\u304f\u3055\u3093\u6c34\u3092\u98f2\u3093\u3067\uff0c\u304a\u3057\u3063\u3053\u304c\u305f\u304f\u3055\u3093\u51fa\u308b<strong><span style=\"color: #000080;\">\u5c3f\u5d29\u75c7<\/span><\/strong>\u3068\u3044\u3046\u75c7\u72b6<\/li>\n<li>\u8eab\u9577\u304c\u4f38\u3073\u306a\u304f\u306a\u308b\uff08\u6210\u9577\u30db\u30eb\u30e2\u30f3\u6b20\u640d\u75c7\uff0c\u5b50\u4f9b\u306e<strong><span style=\"color: #000080;\">\u4f4e\u8eab\u9577<\/span><\/strong>\uff09<\/li>\n<li>\u5143\u6c17\u304c\u306a\u304f\u306a\u3063\u305f\u308a<strong><span style=\"color: #000080;\">\u75b2\u308c\u3084\u3059\u3044\uff0c<\/span><\/strong>\u4e0b\u5782\u4f53\u524d\u8449\u30db\u30eb\u30e2\u30f3\u306e\u4e0d\u8db3<\/li>\n<li>\u6210\u4eba\u3067\u306f\u751f\u7406\u304c\u6b62\u307e\u3063\u305f\u308a\uff0c\u6027\u6b32\u304c\u7121\u304f\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5927\u304d\u306a\u816b\u760d\u306e\u8996\u529b\u969c\u5bb3\u306f\u6025\u306b\u9032\u884c\u3057\u3066\u624b\u8853\u3057\u3066\u3082\u623b\u3089\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u304b\u306a\u308a\u5927\u304d\u304f\u306a\u308b\u3068\uff0c\u982d\u306e\u4e2d\u306b\u6c34\u304c\u305f\u307e\u308b<span style=\"color: #000080;\"><strong>\u6c34\u982d\u75c7<\/strong><\/span>\u3067<span style=\"color: #000080;\"><strong>\u982d\u75db\u3068\u5410\u304d\u6c17<\/strong><span style=\"color: #333333;\">\u3067\u307e\u3059<\/span><\/span><\/li>\n<li>\u5927\u304d\u304f\u3066\u816b\u760d\u306e\u5468\u308a\u306b\u5f37\u3044\u8133\u6d6e\u816b\u3092\u307f\u308b\u3088\u3046\u306a\u3072\u3069\u3044\u4f8b\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u610f\u8b58\u969c\u5bb3\u3084\u8a8d\u77e5\u75c7\u3084\u9ebb\u75fa<\/strong><\/span>\u304c\u3067\u3066\u304b\u3089\u6765\u305f\u4eba\u3082\u3044\u307e\u3059<\/li>\n<li>\u5b50\u3069\u3082\u3067\u306f\u4e21\u89aa\u304c\u6c17\u3065\u304b\u306a\u3044\u3046\u3061\u306b<span style=\"color: #000080;\"><strong>\u9ad8\u5ea6\u306e\u8996\u529b\u969c\u5bb3<\/strong><\/span>\u306b\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u3068\u304f\u306b\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\uff0c\u4e73\u5e7c\u5150\u306e\u8996\u529b\u969c\u5bb3\u3067\u3059<\/span><\/strong><span style=\"color: #333333;\">\uff0c\u5bfe\u5149\u53cd\u5c04\u304c\u306f\u3063\u304d\u308a\u3057\u306a\u3044\u3068\u3053\u308d\u307e\u3067\u884c\u3063\u3066\u3057\u307e\u3046\u3068\uff0c\u624b\u8853\u3067\u8996\u795e\u7d4c\u306e\u5727\u8feb\u3092\u9664\u3044\u3066\u3082\u4e21\u5074\u306e\u8996\u529b\u3092\u5931\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b\u3089\uff0c<strong><span style=\"color: #000080;\">\u7dca\u6025\u3067\u7d4c\u9f3b\u624b\u8853<\/span><\/strong>\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/span><\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/hypothdysfunction\/\">\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u306b\u3064\u3044\u3066\u306f\u5225\u30da\u30fc\u30b8\u306b\u3042\u308a\u307e\u3059\uff0c\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/span><\/h5>\n<h5>\u691c\u67fb\u306f<\/h5>\n<ul>\n<li>MRI\u3068CT<\/li>\n<li>\u773c\u79d1\u3067\u306e\u8996\u91ce\u691c\u67fb<\/li>\n<li>\u5185\u5206\u6ccc\u5185\u79d1\u304b\u5c0f\u5150\u79d1\u3067\u306e\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u691c\u67fb\u304c\u5fc5\u305a\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u8996\u529b\u969c\u5bb3\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u601d\u3063\u305f\u3089\uff0c\u8996\u529b\u8996\u91ce\u691c\u67fb\u3092\u6025\u304e\u307e\u3059\uff08\u6025\u306b\u60aa\u304f\u306a\u308b\u304b\u3089\uff09<\/li>\n<li>\u7121\u75c7\u72b6\u306e\u3082\u306e\u306f\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3082\u3044\u3044\u306e\u3067\u3059\u304c\uff0c\u5b50\u4f9b\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\u307b\u3068\u3093\u3069\u5168\u3066\u306e\u4f8b\u3067\u5897\u5927\u3057\u3066\u304d\u307e\u3059\u304b\u3089\uff0c\u304b\u306a\u308a\u983b\u56de\u306bMRI\u691c\u67fb\u3092\u3059\u308b\u5fc5\u7528\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u524d\u3067\u3042\u3063\u3066\u3082\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u5165\u308c\u308b\u8133\u8840\u7ba1\u64ae\u5f71(DSA)\u306f\u5fc5\u8981\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u6210\u4eba\u306e\u982d\u84cb\u54bd\u982d\u816b\u3067\u306f\u307e\u308c\u306b\u6570\u5e74\u307f\u3066\u3082\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3082\u306e\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<p class=\"Wrapper clearFix\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranio11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3848 size-medium alignleft\" title=\"cranio1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranio11-300x263.jpg\" alt=\"\" width=\"300\" height=\"263\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranio11-300x263.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranio11.jpg 354w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u3053\u3093\u306a\u306b\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u3063\u3066\u3082\u3061\u3083\u3093\u3068\u5b66\u6821\u3078\u3082\u884c\u3051\u308b\u3057\uff0c\u76ee\u7acb\u3063\u305f\u75c7\u72b6\u304c\u306a\u304b\u3063\u305f\u5b50\u4f9b\u3082\u3044\u307e\u3059\u3002\u8996\u529b\u8996\u91ce\u969c\u5bb3\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u5927\u4eba\u3067\u3082\u540c\u3058\u304f\u3089\u3044\u306e\u5927\u304d\u3055\u306e\u30af\u30e9\u30cb\u30aa\u3092\u898b\u305f\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u308b\u306e\u3067\u5909\u5316\u306b\u6c17\u3065\u304b\u308c\u306a\u3044\u306e\u3067\u3059\u3002\u9006\u306b\uff0c\u30c8\u30eb\u30b3\u978d\u306e\u4e2d\u306b\u3042\u308b2 cm\u304f\u3089\u3044\u306e\u5c0f\u3055\u306a\u30af\u30e9\u30cb\u30aa\u3082\u3042\u308a\u307e\u3059\u3002\u5927\u304d\u3055\u306b\u3088\u3063\u3066\u624b\u8853\u306e\u96e3\u3057\u3055\u306f\u4ee3\u308f\u308a\u307e\u3059\u304c\uff0c\u5168\u90e8\u53d6\u3089\u306a\u3044\u3068\u518d\u767a\u3059\u308b\u53ef\u80fd\u6027\u304c\u3068\u3066\u3082\u9ad8\u3044\u816b\u760d\u3067\u3059\u3002<\/p>\n<\/div>\n<h4><span style=\"color: #ff0000;\"><b>\u978d\u9694\u819c\u306e\u4e0a\u304b\u4e0b\u304b\u3067\u96e3\u3057\u3055\u304c\u304b\u306a\u308a\u9055\u3044\u307e\u3059<\/b><\/span><\/h4>\n<h5>\u65e7\u6765\u306e\u5206\u985e\uff0c\u30c8\u30eb\u30b3\u978d\u5185 sellar\uff0c\u978d\u4e0a\u90e8 suprasellar \u3068\u3044\u3046\u7528\u8a9e\u306f\u4f7f\u308f\u306a\u3044\uff01\u3000\u6cbb\u7642\u6cd5\u306e\u9078\u629e\u3092\u8aa4\u308b\u304b\u3089\u3067\u3059\u3002<\/h5>\n<div>\n<ul>\n<li>\u982d\u84cb\u54bd\u982d\u816b\u304c\uff0c<span style=\"color: #000080;\"><strong>\u978d\u9694\u819c\u306e\u4e0b\u306b\u3042\u308b\u304b\u4e0a\u306b\u3042\u308b\u304b\u3067\u5168\u304f\u9055\u3046\u7d50\u679c<\/strong><\/span>\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u3042\u308f\u3066\u306a\u3044\u3067\uff0c<strong><span style=\"color: #ff0000;\">\u978d\u9694\u819c(\u3042\u3093\u304b\u304f\u307e\u304f)\u306e\u4e0a<\/span>\u00a0<\/strong>supradiaphragmic region \u306b\u3042\u308b\u304b\u304b\u3069\u3046\u304b\u3092\u805e\u3044\u3066\u304f\u3060\u3055\u3044<\/li>\n<li>\u5206\u985e\u3067\u304d\u306a\u3044\u3068\u304d\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u8996\u5e8a\u4e0b\u90e8\u306b\u7652\u7740\u3042\u308b\u3044\u306f\u6d78\u6f64\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u306e\u304a\u3088\u305d\u306e\u76ee\u5b89\u3068\u306a\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u978d\u9694\u819c\u306e\u4e0b\u306a\u3089\u3070\uff0c\u9f3b\u304b\u3089\u306e\u7c21\u5358\u306a\u624b\u8853\u3067\u6e08\u3080\u3057\uff0c\u6700\u60aa\u3067\u3082\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3\u3060\u3051<\/strong><\/span>\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u978d\u9694\u819c\u4e0a\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\uff0c\u4e00\u6b69\u9593\u9055\u3046\u3068\u5927\u534a\u306e\u5b50\u3069\u3082\u304c\u81ea\u7acb\u3067\u304d\u307e\u305b\u3093<\/span><\/strong><\/li>\n<li>\u3082\u3063\u3068\u5371\u306a\u3044\u306e\u306f<span style=\"color: #000080;\"><strong>\u7070\u767d\u9686\u8d77\u3092\u8d8a\u3048\u3066\u4e0a<\/strong><\/span>\u306b\u3042\u308b\u3082\u306e\u3067\uff0c\u8996\u5e8a\u4e0b\u90e8\u306b\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059<\/li>\n<li><span style=\"color: #333333;\">\u7070\u767d\u9686\u8d77\u306e\u4e0a\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\uff0c\u8996\u5e8a\u4e0b\u90e8\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u306e\u3067\uff0c\u958b\u982d\u624b\u8853<\/span>\u306b\u306a\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u978d\u9694\u819c\u4e0b infradiaphragmic type<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranioys.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-10282 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranioys-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranioys-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranioys-550x541.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/cranioys.jpg 639w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n7\u6b73\u306e\u5b50\u304c\u8996\u529b\u969c\u5bb3\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u4e21\u8033\u5074\u534a\u76f2\u3068\u3044\u3046\u75c7\u72b6\u3067\u3059\u3002\u5178\u578b\u7684\u306a<strong><span style=\"color: #ff0000;\">\u978d\u9694\u819c\u4e0b<\/span><\/strong>\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059\u3002\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u3092\u5165\u308c\u306a\u3044MRI\u3067\u307f\u3048\u308b\uff0c\u9ec4\u8272\u3044\u77e2\u5370\u306e\u5148\u306e\u767d\u3044\u9ad8\u4fe1\u53f7\u306f\u6297\u5229\u5c3f\u30db\u30eb\u30e2\u30f3\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u4e0b\u5782\u4f53\u6a5f\u80fd\u3082\u307e\u3060\u6b8b\u3063\u3066\u3044\u3066\uff0c\u5c3f\u5d29\u75c7\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u8996\u529b\u969c\u5bb3\u304c\u623b\u3089\u306a\u3044\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u306a\u308b\u3079\u304f\u65e9\u304f\uff0c\u7d4c\u9f3b\u7684\u306a\u624b\u8853\u3067\u6458\u51fa\u3057\u305f\u65b9\u304c\u3044\u3044\u3082\u306e\u3067\u3059\uff0c\u7c21\u5358 o(^-^)o<\/p>\n<h5>\u978d\u9694\u819c\u4e0a supradiaphragmic type<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9728 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2-300x298.jpg\" alt=\"\" width=\"300\" height=\"298\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2-768x762.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2-550x545.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-9730 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow1-287x300.jpg\" alt=\"\" width=\"287\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow1-287x300.jpg 287w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow1-768x804.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow1-550x576.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniow1.jpg 850w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/a><\/p>\n<p>\u3053\u306e\u5b50\u306e\u75c7\u72b6\u306f\u982d\u75db\u3060\u3051\u3002\u4e21\u89aa\u306f\u306a\u305c\u6c17\u3065\u304b\u306a\u304b\u3063\u305f\u306e\u304b\u3068\u7591\u554f\u3092\u6301\u3061\u307e\u3059\u304c\uff0c\u5de8\u5927\u306b\u306a\u308b\u307e\u3067\u75c7\u72b6\u304c\u51fa\u306a\u3044\u3053\u3068\u3082\u3042\u308b\u306e\u3067\u3059\u3002\u5de6\u306eCT\u3067\u816b\u760d\u306e\u5468\u56f2\u306b\u30d0\u30e9\u30d0\u30e9\u3068\u767d\u3044\u70b9\u72b6\u306e\u77f3\u7070\u5316\u304c\u3042\u308b\u306e\u3067\u8a3a\u65ad\u3067\u304d\u307e\u3059\u3002\u5de6\u306e\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u767a\u751f\u3057\u305f\u30af\u30e9\u30cb\u30aa\u3067\u3057\u305f\u3002\u958b\u982d\u624b\u8853\u3057\u307e\u3059\u304c\u8d85\u9ad8\u96e3\u6613\u5ea6\u3067\u3059\uff0c\u6016\u3044\u3067\u3059 (\u252f_\u252f) \u00a0\u8907\u6570\u56de\u958b\u982d\u624b\u8853\u306b\u306a\u308a\u307e\u3057\u305f\u304c\u7d50\u679c\u7684\u306b\u5168\u6458\u51fa\u3067\u304d\u3066\u3044\u307e\u3059 (by Dr \u5c71\u672c\u54f2\u54c9)\u3002<\/p>\n<h5>\u5371\u967a\u306a \u306e\u3046\u80de\u6027 \u982d\u84cb\u54bd\u982d\u816b cystic craniopharyngioma<\/h5>\n<p>\u4e0a\u306b\u793a\u3057\u305f\u4f8b\u306f\uff0c\u5de8\u5927\u306a\u300c\u306e\u3046\u80de\u6027\u300d\u982d\u84cb\u54bd\u982d\u816b\u3067\u3082\u3042\u308a\u307e\u3059\u3002\u888b\u306e\u4e2d\u306b\u6db2\u4f53\u304c\u5165\u3063\u3066\u3044\u308b\u306e\u3092\u300c\u56a2\u80de cyst\u300d\u3068\u3044\u3044\u307e\u3059\u3002\u5927\u90e8\u5206\u306f\u6db2\u4f53\u306a\u306e\u3067\uff0c\u888b\u3092\u7834\u308c\u3070\u816b\u760d\u306f\u7c21\u5358\u306b\u5c0f\u3055\u304f\u306a\u308a\u307e\u3059\u3002<br \/>\n\u3067\u3082\u554f\u984c\u304c\u3042\u308a\u307e\u3059\uff01\u3000<span style=\"color: #000080;\">\u306e\u3046\u80de\u306e\u3054\u304f\u8584\u3044\u58c1\uff081mm\u306e\u6570\u5206\u306e1\uff09\u306e\u307b\u3093\u306e\u4e00\u6b20\u7247\u3067\u3082\u53d6\u308a\u6b8b\u305b\u3070\uff0c\u305d\u3053\u304b\u3089\u518d\u767a\u3057\u307e\u3059<\/span>\u3002\uff15\u7b87\u6240\u3068\u308a\u6b8b\u305b\u3070\uff0c\uff15\u7b87\u6240\u304b\u3089\u518d\u767a\u3057\u3066\u305d\u308c\u305e\u308c\u6642\u671f\u304c\u7570\u306a\u308c\u3070\uff0c5\u56de\u306e\u518d\u624b\u8853\u3092\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3053\u308c\u306f\u3068\u3066\u3082\u591a\u304f\u7d4c\u9a13\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u4f55\u5ea6\u3082\u306a\u3093\u3069\u3082\u3042\u3061\u3053\u3061\u304b\u3089\u518d\u767a\u3057\u3066\uff0c\u4f55\u5ea6\u3082\u4f55\u5ea6\u3082\u624b\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u30c9\u30ed\u6cbc\u3067\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u306e\u3046\u80de\u306e\u898b\u3048\u306a\u3044\u3088\u3046\u306a\u8584\u3044\u58c1\u306f\u521d\u56de\u624b\u8853\u3067\u4f55\u3068\u304b\u5265\u304c\u3057\u3066\u5168\u90e8\u304d\u3061\u3093\u3068\u6458\u51fa\u3059\u308b\u3053\u3068\u304c\u3068\u3066\u3082\u5927\u5207\u3067\u3059\u3002\u591a\u304f\u306e\u8133\u5916\u79d1\u533b\u306b\u306f\u307e\u3060\u3053\u308c\u304c\u7406\u89e3\u3055\u308c\u3066\u3044\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h5>\u907a\u4f1d\u5b50\u8a3a\u65ad\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3057\u305f<\/h5>\n<\/div>\n<ul>\n<li>\u6570\u306f\u3068\u3066\u3082\u5c11\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b\u3068\u3044\u3046\u4e9c\u7a2e\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b\u306e90%\u4ee5\u4e0a\u306b\u00a0<i>BRAF<\/i> V600E\u306e\u907a\u4f1d\u5b50\u5909\u7570\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u30bf\u30a4\u30d7\u306b\u306f\uff0cMEK\u963b\u5bb3\u5264\u304c\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u304c\u5224\u3063\u3066\u6765\u307e\u3057\u305f<\/li>\n<\/ul>\n<h4><strong><span style=\"color: #ff0000;\">\u6cbb\u7642\u9078\u629e\u3059\u308b\u6642\u306b\uff0c\u5b88\u308b\u3079\u304d\u3082\u306e\u306e\u9806\u756a<\/span><\/strong><\/h4>\n<div>\n<ol>\n<li><span style=\"color: #000080;\"><strong>\u547d<\/strong><\/span>\uff08\u4e00\u756a\u5927\u5207\uff09<\/li>\n<li><span style=\"color: #000080;\"><strong>\u7247\u5074\u306e\u8996\u5e8a\u4e0b\u90e8\u6a5f\u80fd<\/strong><\/span>\uff08\u4e21\u5074\u3092\u5931\u3046\u3068\uff0c\u547d\uff0c\u8a8d\u77e5\u6a5f\u80fd\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3082\u3042\u3076\u306a\u3044\u3067\u3059\uff09<\/li>\n<li><strong><span style=\"color: #000080;\">\u8a8d\u77e5\u6a5f\u80fd<\/span><\/strong>\uff08\u81ea\u5206\u3067\u751f\u6d3b\u3067\u304d\u307e\u305b\u3093\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u5931\u3046\u3053\u3068\u3082\u591a\u3044\u3067\u3059\uff09<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8996\u529b<\/strong><\/span>\uff08\u898b\u3048\u306a\u3044\u3068\u5b66\u7fd2\u304c\u56f0\u96e3\u3067\u3059\uff0c\u3067\u3082\u8a8d\u77e5\u6a5f\u80fd\u304c\u3042\u308c\u3070\u70b9\u5b57\u3067\u3082\u52c9\u5f37\u3067\u304d\u307e\u3059\uff09<\/li>\n<li><span style=\"color: #000080;\"><strong>\u4e0b\u5782\u4f53\u6a5f\u80fd<\/strong><\/span>\uff08\u85ac\u3067\u4f55\u3068\u304b\u88dc\u5145\u3067\u304d\u307e\u3059\uff0c\u3067\u3082\u3064\u3089\u3044\u3067\u3059\uff09<\/li>\n<\/ol>\n<p>\u305f\u3068\u3048\u3070\uff0c\u3053\u3093\u306a\u5927\u304d\u306a\u9593\u9055\u3044\u304c\u3042\u308a\u307e\u3059\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u5b88\u308b\u305f\u3081\u306e\u6cbb\u7642\u65b9\u91dd\u3067\u816b\u760d\u3092\u6b8b\u305710\u5e74\u5f8c\u306b\u547d\u3092\u5931\u3046\u3053\u3068\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u5b88\u308b\u3068\u3044\u3046\u6cbb\u7642\u65b9\u91dd\u3067\u624b\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7e70\u308a\u8fd4\u3057\u3066\u8a8d\u77e5\u6a5f\u80fd\u3092\u5931\u3046\u3053\u3068\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u5b88\u308b\u3068\u3044\u3046\u65b9\u91dd\u3067\u624b\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7e70\u308a\u8fd4\u3057\u3066\u5168\u76f2\u306b\u306a\u308b\u3053\u3068\u3067\u3059<\/p>\n<\/div>\n<\/div>\n<div class=\"setumei\">\n<h5>\u624b\u8853\u6cbb\u7642\u306f\uff1f<\/h5>\n<ul>\n<li style=\"font-weight: bold;\"><strong><span style=\"color: #ff0000;\">\u307e\u305a\u624b\u8853\u3001\u3067\u3082\u3080\u305a\u304b\u3057\u3044\u3001\u5b50\u4f9b\u306f\u7279\u306b\u3080\u305a\u304b\u3057\u3044<\/span><\/strong><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u624b\u8853\u3092\u53d7\u3051\u308b\u3068\u304d\u306b\u306f<span style=\"color: #000080;\"><strong>\u57f7\u5200\u8005\u3092\u9078\u3073\u307e\u3059<\/strong><\/span>\u304c\uff0c\u540c\u69d8\u306a\u816b\u760d\u306e\u624b\u8853\u306b\u7d4c\u9a13\u3092\u7a4d\u3093\u3067\u3044\u306a\u3044\u3068\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u306f\u3067\u304d\u307e\u305b\u3093<\/span><\/li>\n<li><span style=\"font-weight: normal;\">\u958b\u982d\u3092\u5fc5\u8981\u3068\u3059\u308b\u3082\u306e\u306710\u4f8b\u304f\u3089\u3044\u306e\u985e\u4f3c\u306e\u624b\u8853\u7d4c\u9a13\u304c\u3081\u3069\u304b\u3082\u3057\u308c\u305b\u3093\u304c\u3001\u3053\u306e\u6570\u5b57\u3092\u65ad\u5b9a\u306f\u3067\u304d\u307e\u305b\u3093<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u57f7\u5200\u8005\u304c\u5b50\u4f9b\u306e\u8133\u816b\u760d\u3084\u982d\u84cb\u54bd\u982d\u816b\u306b\u3069\u306e\u304f\u3089\u3044\u306e\u7d4c\u9a13\u3092\u6301\u3063\u3066\u3044\u308b\u304b\u304c\u91cd\u8981\u3067\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u591a\u304f\u306e\u30af\u30e9\u30cb\u30aa\u306f\u978d\u9694\u819c\u306e\u4e0b\u306b\u3042\u308a\u307e\u3059\u304b\u3089\uff0c<span style=\"color: #000080;\"><strong>\u7d4c\u9f3b\u624b\u8853\u3067\u6458\u51fa<\/strong><\/span>\u3067\u304d\u307e\u3059<\/span><\/li>\n<li><span style=\"font-weight: normal;\">\u9f3b\u306e\u7a74\u304b\u3089\u8776\u5f62\u9aa8\u6d1e\u3092\u901a\u3063\u3066\uff0c\u30c8\u30eb\u30b3\u978d\u3068\u3044\u3046\u4e0b\u5782\u4f53\u304c\u5165\u3063\u3066\u3044\u308b\u3068\u3053\u308d\u306b\u5185\u8996\u93e1\u3067\u5230\u9054\u3059\u308b\u65b9\u6cd5\u3067\u3059\uff08\u7d4c\u9f3b\u7684\u306a\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\uff09<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"color: #000080;\"><strong>\u30c8\u30eb\u30b3\u978d\u62e1\u5927\u304c\u3042\u308b\u982d\u84cb\u54bd\u982d\u816b\u3067\u306f\uff0c\uff11\u6b73\u3067\u3082\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u306f\u3067\u304d\u307e\u3059<\/strong><\/span><span style=\"font-weight: normal;\">\uff08\u5b9f\u969b\u306b\u3057\u307e\u3057\u305f\uff09<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u7d4c\u9f3b\u624b\u8853\u306b\u3082\u5185\u8996\u93e1\u624b\u8853\u3068\u9855\u5fae\u93e1\u624b\u8853\u304c\u3042\u308a\u307e\u3059\uff0c\u6b63\u5e38\u4e0b\u5782\u4f53\u3092\u5265\u96e2\u3057\u3066\u6b8b\u305d\u3046\u3068\u601d\u3046\u6642\u306b\u306f\u7cbe\u5ea6\u89e3\u50cf\u529b\u306e\u9ad8\u3044\u9855\u5fae\u93e1\u624b\u8853\u3092\u4f75\u7528\u3057\u305f\u307b\u3046\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"color: #000080;\"><strong>\u305d\u308c\u4ee5\u5916\u306e\u3082\u306e\u306f\u958b\u982d\u624b\u8853\u306b\u306a\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u958b\u982d\u624b\u8853\u306e\u65b9\u6cd5\u306b\u306f\u4e3b\u306b\uff12\u3064\u306e\u5230\u9054\u6cd5\u304c\u3042\u308a\u307e\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u3072\u3068\u3064\u306f\u3001\u4e21\u5074\u306e\u524d\u982d\u90e8\u3092\u958b\u982d\u3057\u3066<span style=\"color: #000080;\"><strong>\u5de6\u53f3\u306e\u524d\u982d\u8449\u306e\u9593\u304b\u3089\u3042\u308b\u3044\u306f\u6301\u3061\u4e0a\u3052\u3066\u5165\u308b<\/strong><\/span>\u65b9\u6cd5 bifrontal approach \u3067\u3059\uff0c<\/span><span style=\"font-weight: normal;\">\u3053\u308c\u306f\u4e3b\u306b\u978d\u4e0a\u90e8\u3068\u7b2c\uff13\u8133\u5ba4\u3068\u3044\u3046\u3068\u3053\u308d\u306b\u3042\u308b\u982d\u84cb\u54bd\u982d\u816b\u3092\u3068\u308b\u306e\u306b\u4f7f\u3044\u307e\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u3082\u3046\u4e00\u3064\u306f\u3001\u53f3\u304b\u5de6\u304b\u306e\u524d\u982d\u5074\u982d\u958b\u982d\u3092\u3057\u3066<strong><span style=\"color: #000080;\">\u524d\u982d\u8449\u3068\u5074\u982d\u8449\u306e\u9593\u304b\u3089\u306e\u305e\u304f<\/span><\/strong>\u65b9\u6cd5 pterional approach \u3067\u3001\u3053\u308c\u306f\u4e3b\u306b\u978d\u4e0a\u90e8\u306b\u3042\u308b\u816b\u760d\u3092\u3068\u308b\u306e\u306b\u7528\u3044\u307e\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u4ed6\u306b\u3082\u8133\u6881\u3092\u5207\u3063\u3066\u7b2c\uff13\u8133\u5ba4\u306b\u4e0a\u304b\u3089\u5165\u308b\u65b9\u6cd5 transcallsal approach \u3084\uff0c\u524d\u982d\u8449\u306e\u76ae\u8cea\u5207\u958b\u3067\u5165\u308b\u65b9\u6cd5\uff0c\u9310\u4f53\u9aa8\u3092\u524a\u3063\u3066\u307f\u308b\u3068\u3044\u3046\u65b9\u6cd5\u306a\u3069\uff0c\u3044\u308d\u3044\u308d\u3042\u308a\u307e\u3059\u304c\u3069\u308c\u304c\u6b63\u3057\u3044\u3068\u3044\u3046\u306e\u3067\u306f\u306a\u304f\u3066\u3001\u624b\u8853\u306e\u65b9\u6cd5\u306f\u816b\u760d\u306e\u5927\u304d\u3055\u3068\u4f38\u3073\u3066\u3044\u308b\u5834\u6240\u3067\u6c7a\u307e\u308b\u306e\u3067\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u958b\u982d\u624b\u8853\u3067\u3082\u9f3b\u304b\u3089\u306e\u624b\u8853\u3067\u3082\uff0c\u4e0b\u5782\u4f53\u3092\u6b8b\u305b\u308b\u3053\u3068\u3082\u3042\u308b\u3057\uff0c\u6b8b\u305b\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u305d\u308c\u306f\u982d\u84cb\u54bd\u982d\u816b\u304c\u3069\u3053\u304b\u3089\u767a\u751f\u3057\u305f\u304b\u3067\u6c7a\u307e\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><strong><span style=\"color: #ff0000;\">\u5927\u5207\u306a\u3053\u3068\u306f\uff0c\u4e0b\u5782\u4f53\u3092\u6b8b\u305d\u3046\u3068\u3057\u3066\u816b\u760d\u3082\u6b8b\u3063\u3066\u3057\u307e\u3063\u3066\uff0c\u307e\u305f\u3059\u3050\u306b\u518d\u767a\uff08\u6b8b\u5b58\u816b\u760d\u5897\u5927\uff09\u304c\u751f\u3058\u3066\u3057\u307e\u3046\u3088\u3046\u306a\u4e8b\u614b\u3092\u907f\u3051\u308b<\/span><\/strong><span style=\"font-weight: normal;\">\u3053\u3068\u3067\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u4e0b\u5782\u4f53\u67c4\u3068\u4e0b\u5782\u4f53\u3092\u610f\u56f3\u7684\u306b\u3068\u3063\u3066\u3057\u307e\u3063\u3066\uff0c\u816b\u760d\u3092\u5168\u6458\u51fa\u3059\u308b\u3068\u3044\u3046\u5224\u65ad\u3082\u3057\u304b\u305f\u304c\u3042\u308a\u307e\u305b\u3093<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u7d4c\u9a13\u304c\u5c11\u306a\u3044\u3068\u6b63\u3057\u3044\u624b\u8853\u306e\u65b9\u6cd5\u3092\u9078\u3076\u3053\u3068\u304c\u96e3\u3057\u3044\u3067\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u3061\u306a\u307f\u306b\u79c1\u306f\u5c0f\u3055\u3044\u816b\u760d\u3082\u542b\u3081\u3066150\u4ef6\u304f\u3089\u3044\u306e\u624b\u8853\u7d4c\u9a13\u304c\u3042\u308a\u307e\u3059<\/span><\/li>\n<li style=\"font-weight: bold;\"><span style=\"font-weight: normal;\">\u60a3\u8005\u3055\u3093\u306e\u5074\u304b\u3089\u306f\u3053\u306e\u816b\u760d\u3092\u624b\u8853\u3059\u308b\u5916\u79d1\u533b\u306e\u8cac\u4efb\u304c\u91cd\u304f\u3066\u3068\u3066\u3082\u82e6\u52b4\u3059\u308b\u3053\u3068\u3092\u63a8\u5bdf\u3057\u3066\u4e0b\u3055\u3044<\/span><\/li>\n<\/ul>\n<h5>\u30af\u30e9\u30cb\u30aa\u306e\u6458\u51fa\u304c\u96e3\u3057\u3044\u306e\u306f\u8996\u5e8a\u4e0b\u90e8\u6d78\u6f64\u304c\u3042\u308b\u304b\u3089<\/h5>\n<\/div>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniotag1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" title=\"craniotag1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniotag1.jpg\" alt=\"\" width=\"251\" height=\"233\" \/><\/a><br \/>\n\u8996\u5e8a\u4e0b\u90e8\u306f\u795e\u7d4c\u7d44\u7e54\u3067\u8133\u306e\u4e00\u90e8\u3067\u3059\u3002\u305d\u306e\u4e2d\u306b\u3082\u3050\u308a\u3053\u3080\u3088\u3046\u306b\u67d3\u307f\u8fbc\u3093\u3067\u3044\u307e\u3059\u3002\u6d78\u6f64 ivasion\u3068\u3044\u3044\u307e\u3059\u3002\u30af\u30e9\u30cb\u30aa\u3092\u5b8c\u5168\u6458\u51fa\u3057\u3088\u3046\u3068\u3059\u308b\u3068\uff0c\u8996\u5e8a\u4e0b\u90e8\u306e\u4e00\u90e8\u304c\u53d6\u308c\u3066\u3057\u307e\u3063\u3066\uff0c<a href=\"\/sawamura\/braintumors\/hypothdysfunction\/\"><span style=\"color: #000080;\"><strong>\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3<\/strong><\/span><\/a>\u3068\u3044\u3046\u91cd\u3044\u5f8c\u907a\u75c7\u3092\u3060\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u7247\u65b9\u306e\u8996\u5e8a\u4e0b\u90e8\u640d\u50b7\u3060\u3051\u306a\u3089\u75c7\u72b6\u304c\u51fa\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u4e21\u5074\u8996\u5e8a\u4e0b\u90e8\u640d\u50b7\u306f\u91cd\u7be4\u3067\u3059\u3002<br \/>\n\u30af\u30e9\u30cb\u30aa\u306f\u5883\u754c\u660e\u77ad\u306a\u816b\u760d\u3068\u3044\u3046\u5148\u751f\u304c\u3044\u307e\u3059\u304c\uff0c\u5927\u304d\u306a\u9593\u9055\u3044\u3067\u3059\u3002<\/p>\n<p>\u5185\u8996\u93e1\u3067\u307f\u3066\uff0c\u30af\u30e9\u30cb\u30aa\u3092\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u5265\u304c\u3057\u3066\u6458\u51fa\u3057\u305f\uff0c\u3068\u3044\u3046\u5148\u751f\u304c\u3044\u307e\u3059\u304c\uff0c\u305d\u308c\u306f\u8996\u5e8a\u4e0b\u90e8\u306e\u4e00\u90e8\u3054\u3068\u5f15\u304d\u3061\u304e\u3063\u305f\u306e\u9593\u9055\u3044\u3067\u3057\u3087\u3046\u3002\u8996\u5e8a\u4e0b\u90e8\u6d78\u6f64\u50cf\u304c\u898b\u3048\u308b\u308f\u3051\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<div class=\"setumei\">\n<h5>\u610f\u5916\u306b\u5371\u306a\u3044\u624b\u8853\u76f4\u5f8c\u306e\u7ba1\u7406<\/h5>\n<ul>\n<li>\u624b\u8853\u306e\u76f4\u5f8c\u306b\u8996\u5e8a\u4e0b\u90e8\u3068\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u304c\u60aa\u304f\u306a\u3063\u3066\u3001<strong><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"hypothdysfunction\/\" target=\"_self\" rel=\"noopener noreferrer\">\u4f53\u306e\u4e2d\u306e\u96fb\u89e3\u8cea\uff08\u7279\u306b\u30ca\u30c8\u30ea\u30a6\u30e0\uff09\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u5d29\u3059<\/a><\/span><\/strong>\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\"><a title=\"\u8996\u5e8a\u4e0b\u90e8\u3068\u4e0b\u5782\u4f53\u306e\u7279\u6b8a\u306a\u6a5f\u80fd\u969c\u5bb3\" href=\"\/sawamura\/braintumors\/hypothdysfunction\/\"><span style=\"color: #000080;\">\u8133\u6027\u5869\u985e\u55aa\u5931\u75c7\u5019\u7fa4 (CSWS)<\/span><\/a><\/span><\/strong>\u3068\u8a00\u3044\u307e\u3059\u304c\uff0c\u3053\u306e\u3088\u3046\u306a\u624b\u8853\u306b\u306a\u308c\u3066\u3044\u308b\u8133\u5916\u79d1\u75c5\u68df\u304b\u5185\u5206\u6ccc\u5c02\u9580\u306e\u5c0f\u5150\u79d1\u533b\uff08\u5185\u79d1\u533b\uff09\u306e\u5354\u529b\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u795e\u7d4c\u4e0b\u5782\u4f53 neurohypophysis \u3092\u640d\u50b7\u3057\u3066\u5c3f\u5d29\u75c7 (DI)\u3068\u306a\u3063\u3066\u3044\u308b\u6642\u306b\u306f\uff0c\u8853\u5f8c\u3059\u3050\u306b\u30c7\u30b9\u30e2\u30d7\u30ec\u30c3\u30b7\u30f3 DDAVP \u3092\u4f7f\u7528\u3057\u307e\u3059<\/li>\n<li>\u4e0a\u8a18\u306e\u3088\u3046\u306a\u5834\u5408\u306f\u307b\u3068\u3093\u3069\u306e\u30b1\u30fc\u30b9\u3067\uff0c\u307e\u305a\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7\u306b\u306a\u3063\u3066\u3044\u304d\u307e\u3059<\/li>\n<li>\u9ad8\u5ea6\u306e\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7 (125mEq\/l\u4ee5\u4e0b)\u3084\u9ad8\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7(155mEq\/ml\u4ee5\u4e0a)\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u610f\u8b58\u969c\u5bb3\u3084\u3066\u3093\u304b\u3093\u767a\u4f5c\uff08\u3051\u3044\u308c\u3093\uff09<\/strong><\/span>\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u624b\u8853\u5f8c\u306b CSWS \u3068 DI \u306e\u7ba1\u7406\u304c\u304d\u3061\u3093\u3068\u3067\u304d\u306a\u3044\u3068<strong><span style=\"color: #000080;\">\u300c\u624b\u8853\u304c\u6210\u529f\u3057\u3066\u3082\u300d\u6b7b\u4ea1\u3059\u308b<\/span><\/strong>\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u3060\u3051\u3046\u307e\u304f\u884c\u3063\u3066\u3082\u8853\u5f8c\u304c\u5371\u306a\u3044\u306e\u3067\u3059<\/li>\n<li>\u6c34\u982d\u75c7\u306e\u7ba1\u7406\uff0c\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u8133\u6897\u585e\u306a\u3069\u306e\u624b\u8853\u5408\u4f75\u75c7\u306e\u7ba1\u7406\u3082\u305f\u3044\u3078\u3093\u3067\u3059<\/li>\n<\/ul>\n<h5>\u8853\u5f8c\u306e\u5408\u4f75\u75c7\u306f<\/h5>\n<ol>\n<li>\u7c21\u5358\u306a\u624b\u8853\u3067\u306f\u3042\u308a\u307e\u305b\u3093\uff0c\u8853\u5f8c\u306e\u5408\u4f75\u75c7\u306f\u3055\u307e\u3056\u307e\u3067\u3059<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u6700\u60aa\u306e\u5834\u5408\uff0c\u624b\u8853\u3067\u5931\u660e\u3057\u305f\u308a\uff0c\u6b7b\u4ea1\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/span><\/strong><\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u4e0b\u5782\u4f53\u306e\u4e00\u90e8\uff08\u7279\u306b\u4e0b\u5782\u4f53\u67c4\uff09\u3092\u50b7\u3064\u3051\u308b\u3068\u3001\u304a\u3057\u3063\u3053\u304c\u305f\u304f\u3055\u3093\u51fa\u3066\u3057\u307e\u3046<span style=\"color: #ff0000;\"><strong>\u5c3f\u5d29\u75c7<\/strong><\/span>\u304c\u3067\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5c3f\u5d29\u75c7\u306f\u30c7\u30b9\u30e2\u30d7\u30ec\u30c3\u30b7\u30f3<\/strong><\/span>\u3068\u3044\u3046\u6db2\u4f53\u3092\u9f3b\u306e\u4e2d\u306b\u6bce\u65e5\u5165\u308c\u308b\u3053\u3068\u3067\u6cbb\u7642\u3067\u304d\u307e\u3059\uff0c<strong><span style=\"color: #000080;\">\u30df\u30cb\u30ea\u30f3\u30e1\u30eb\u30c8<\/span><\/strong>\u3068\u3044\u3046\u7d4c\u53e3\u85ac\u3082\u4f7f\u3048\u307e\u3059<\/li>\n<li>\u540c\u3058\u5834\u6240\u306e\u640d\u50b7\u3067\u3001<strong><span style=\"color: #ff0000;\">\u4e0b\u5782\u4f53\u524d\u8449\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3<\/span><\/strong>\u304c\u51fa\u307e\u3059\uff0c\u305d\u306e\u7a0b\u5ea6\u306f\u3044\u308d\u3044\u308d\u3067\u3059<\/li>\n<li>\u524d\u8449\u30db\u30eb\u30e2\u30f3\u306b\u306f\u3001\u6210\u9577\u30db\u30eb\u30e2\u30f3\uff0c\u6027\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\u3001\u7532\u72b6\u817a\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\u3001\u526f\u814e\u76ae\u8cea\u30db\u30eb\u30e2\u30f3\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u8db3\u308a\u306a\u3044\u5834\u5408\u306f\u85ac\u3092\u98f2\u3093\u3060\u308a\u5b9a\u671f\u7684\u306b\u6ce8\u5c04\u3057\u3066\u88dc\u3063\u3066\u3044\u304b\u306a\u3051\u308c\u3070\u666e\u901a\u306e\u751f\u6d3b\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u8eab\u9577\u304c\u4f38\u3073\u306a\u304f\u306a\u308b\uff0c\u751f\u7406\u304c\u6b62\u307e\u308b\uff0c\u5143\u6c17\u304c\u306a\u304f\u306a\u308b\uff0c\u75b2\u308c\u3084\u3059\u3044\uff0c\u610f\u6b32\u304c\u306a\u304f\u306a\u308b\u306a\u3069\u524d\u8449\u6a5f\u80fd\u969c\u5bb3\u306e\u75c7\u72b6\u306f\u3055\u307e\u3056\u307e\u3067\u3059<\/li>\n<li>\u5b8c\u5168\u306a<strong><span style=\"color: #ff0000;\">\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u306e\u6d88\u5931\u3067\u306f\u80a5\u6e80<\/span><\/strong>\u306a\u3069\u304c\u5927\u304d\u306a\u554f\u984c\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u306e\u5927\u304d\u306a\u640d\u50b7\u3067\u306f\u610f\u8b58\u969c\u5bb3\u304c\u3067\u307e\u3059<\/li>\n<li>\u9577\u671f\u7684\u306b\u3082\uff0c<strong><span style=\"color: #000080;\">\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3088\u308a<a style=\"color: #000080;\" href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/hypothdysfunction\/\">\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3<\/a>\u306e\u307b\u3046\u304c\u6cbb\u7642\u304c\u3067\u304d\u306a\u3044\u91cd\u3044\u969c\u5bb3<\/span><\/strong>\u3068\u6349\u3048\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<li><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/hypothdysfunction\/\"><span style=\"color: #333333;\">\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u306e\u8a73\u3057\u3044\u3053\u3068\u306f\u4ed6\u306e\u30da\u30fc\u30b8<\/span><\/a>\u306b\u66f8\u3044\u3066\u3042\u308b\u306e\u3067\u8aad\u3093\u3067\u304f\u3060\u3055\u3044<\/li>\n<li>\u8996\u795e\u7d4c\u3001\u8996\u795e\u7d4c\u4ea4\u5dee\u3001\u8996\u7d22\u306f\u982d\u84cb\u54bd\u982d\u816b\u306b\u304f\u3063\u3064\u3044\u3066\u3044\u308b\u5834\u5408\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3053\u308c\u3089\u3092\u640d\u50b7\u3059\u308b\u3068<strong><span style=\"color: #ff0000;\">\u8996<\/span><span style=\"color: #ff0000;\">\u529b\u306e\u4f4e\u4e0b\u3084\u8996\u91ce\u306e\u6b20\u640d<\/span><\/strong>\u304c\u51fa\u3066\u898b\u3065\u3089\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u3068\u6bd4\u3079\u3066\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306e\u8996\u529b\u969c\u5bb3\u306f\u56de\u5fa9\u304c\u60aa\u304f\uff0c\u9006\u306b\uff0c\u624b\u8853\u3067\u8996\u529b\u3068\u8996\u91ce\u304c\u60aa\u5316\u3059\u308b\u3053\u3068\u306f\u7a00\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u610f\u5916\u3068\u77e5\u3089\u308c\u3066\u3044\u306a\u3044\u306e\u3067\u3059\u304c\uff0c<strong><span style=\"color: #ff0000;\">\u4e73\u982d\u4f53\u640d\u50b7\u3067\u306f\u8a18\u61b6\u969c\u5bb3\uff08\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\uff09\u3084\u60c5\u7dd2\u306e\u969c\u5bb3<\/span><\/strong>\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u65b9\u6cd5\u306b\u3082\u3088\u308b\u306e\u3067\u3059\u304c\uff0c<span style=\"color: #ff0000;\"><strong>\u8133\u5f13\u3084\u8133\u5f13\u67f1\u306e\u640d\u50b7\u3067\u306f\u8a18\u61b6\u529b\u306e\u4f4e\u4e0b<\/strong><\/span>\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u624b\u8853\u306e\u624b\u6bb5\u306b\u3082\u3088\u308b\u306e\u3067\u3059\u304c\u3001\u524d\u982d\u8449\u306e\u640d\u50b7\u3067\u306f<strong><span style=\"color: #ff0000;\">\u9ad8\u6b21\u8133\u6a5f\u80fd\u969c\u5bb3<\/span><\/strong>\uff08\u3068\u304f\u306b\u77e5\u80fd\u306e\u4f4e\u4e0b\u3001\u6027\u683c\u306e\u5909\u5316\uff09\u306a\u3069\u304c\u6b8b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u6700\u3082\u5371\u306a\u3044\u306e\u306f\u8133\u8840\u7ba1\u3092\u50b7\u3064\u3051\u308b\u3053\u3068\u3067\uff0c\u52d5\u8108\u3084\u5927\u304d\u306a\u9759\u8108\u306e\u640d\u50b7\u3067\u306f<strong><span style=\"color: #ff0000;\">\u8133\u6897\u585e<\/span><\/strong>\u304c\u3067\u304d\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u7279\u306b\u5c0f\u5150\u306e\u5834\u5408\u306f\uff0c\u5185\u981a\u52d5\u8108\u306a\u3069\u306e\u5927\u304d\u306a\u52d5\u8108\u306b\u4e56\u96e2\uff08\u52d5\u8108\u306e\u58c1\u304c\u88c2\u3051\u308b\uff09\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5c0f\u3055\u306a\u52d5\u8108\u3067\u3082\u7a7f\u901a\u679d\u3068\u547c\u3070\u308c\u308b\u3082\u306e\u306e\u640d\u50b7\u306f\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u3053\u306e\u640d\u50b7\u3067\u306f<strong><span style=\"color: #ff0000;\">\u624b\u8db3\u306e\u9ebb\u75fa<\/span><\/strong>\u304c\u6b8b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u8133\u306e\u640d\u50b7\u304c\u3042\u308b\u3068\u8853\u5f8c\u306b<strong><span style=\"color: #ff0000;\">\u75c7\u5019\u6027\u3066\u3093\u304b\u3093<\/span><\/strong>\u3068\u3044\u3046\u3051\u3044\u308c\u3093\u767a\u4f5c\u304c\u8d77\u3053\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u4ed6\u306b\u306f\u611f\u67d3\u75c7\uff08\u7279\u306b\u524d\u982d\u6d1e\u3092\u958b\u3051\u305f\u5834\u5408\uff09\u3084\u8853\u5f8c\u51fa\u8840\uff0c\u9ac4\u6db2\u6f0f\u306a\u3069\u4e00\u822c\u7684\u306a\u624b\u8853\u3067\u898b\u3089\u308c\u308b\u5408\u4f75\u75c7\u3082\u3042\u308a\u3048\u307e\u3059<\/li>\n<\/ol>\n<\/div>\n<div class=\"setumei\">\n<h5>\u624b\u8853\u5f8c\u306e\u518d\u767a\u306f\uff1f<\/h5>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u57f7\u5200\u533b\u306e\u7d4c\u9a13\u5024\u3068\u6280\u8853\u3067\u307e\u3063\u305f\u304f\u3068\u8a00\u3063\u3066\u3044\u3044\u307b\u3069\u7570\u306a\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u6587\u732e\u30c7\u30fc\u30bf\u306f\u3042\u3066\u306b\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u5c0f\u5150\u3067\u306f\uff0c\u5fae\u91cf\u3067\u3082\u53d6\u308a\u6b8b\u305b\u3070\u307b\u3068\u3093\u3069\u518d\u767a\uff08\u518d\u71c3\uff09\u3057\u3066\uff0c\u518d\u624b\u8853\u306b\u306a\u308b\u304b\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u3055\u3089\u306b\uff0c20%\u307b\u3069\u306e\u60a3\u8005\u3055\u3093\u304c3\u56de\u76ee\u306e\u624b\u8853\u3092\u5fc5\u8981\u3068\u3057\u305f\u306a\u3069\u306e\u30c7\u30fc\u30bf\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u90e8\u5206\u6458\u51fa\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3068\u304d<\/h5>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-12814\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-12813\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n40\u4ee3\u3067\u5076\u7136\u767a\u898b\u3055\u308c\u3066\u5897\u5927\u3057\u305f\u7121\u75c7\u72b6\u306e\u30af\u30e9\u30cb\u30aa\u3067\u3059\u3002\u8996\u5e8a\u4e0b\u90e8\u306e\u5de6\u5074\u304b\u3089\u767a\u751f\u3057\u3066\u3044\u308b\u306e\u304c\u4e88\u6e2c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u30af\u30e9\u30cb\u30aa\u3092\u5168\u6458\u51fa\u3059\u308b\u3068\u7070\u767d\u9686\u8d77\u3068\u4e0b\u5782\u4f53\u67c4\u306e\u3064\u306a\u304e\u3081\u304c\u5207\u308c\u3066\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-12815\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott4-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-12816\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3-550x548.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniott3.jpg 709w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u8996\u5e8a\u4e0b\u90e8\u306e\u5e95\u90e8\u306e\u5de6\u5074\u3060\u3051\u5c11\u3057\u30af\u30e9\u30cb\u30aa\u3092\u6b8b\u3057\u3066\u624b\u8853\u3092\u7d42\u3048\u307e\u3059\u3002\u3053\u306e\u6b8b\u3063\u305f\u5c0f\u3055\u306a\u816b\u760d\u306b\u306f\uff0c\u30d4\u30f3\u30dd\u30a4\u30f3\u30c8\u3067\u816b\u760d\u306e\u90e8\u5206\u3060\u3051\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u307e\u3059\u3002<\/p>\n<p>\u4e0b\u5782\u4f53\u306e\u524d\u8449\u306e\u88ab\u66dd\u306f\u907f\u3051\u306a\u3044\u3068\uff0c\u6570\u5e74\u3067\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u843d\u3061\u3066\u3057\u307e\u3057\u307e\u3059\u304b\u3089\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u5148\u751f\u306b\u304a\u9858\u3044\u3057\u3066\u6ce8\u610f\u6df1\u304f\u7dda\u91cf\u8a08\u753b\u3092\u7acb\u3066\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n<h4><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u52b9\u679c\u3068\u526f\u4f5c\u7528<\/strong><\/h4>\n<ul>\n<li>\u3069\u3046\u3057\u3066\u3082\u6458\u51fa\u3067\u304d\u306a\u304b\u3063\u305f\u5c0f\u3055\u306a\u6b8b\u5b58\u816b\u760d\u3042\u308b\u3044\u306f\u5c0f\u3055\u306a\u518d\u767a\u816b\u760d\u306b\u7528\u3044\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u7d30\u304b\u3044\u6210\u7e3e\u306f\u306f\u3063\u304d\u308a\u3057\u307e\u305b\u3093\u304c\u3001<span style=\"color: #000080;\"><strong>\u3042\u308b\u7a0b\u5ea6\u6709\u52b9<\/strong><\/span>\u3067\u3042\u308b\u3053\u3068\u306f\u78ba\u304b\u3067\u3059<\/li>\n<li>\u982d\u84cb\u54bd\u982d\u816b\u306f\u8133\u306b\u300c\u6df1\u304f\u300d\u6d78\u6f64\u3059\u308b\u816b\u760d\u3067\u306f\u306a\u3044\u306e\u3067\uff0c\u816b\u760d\u4ee5\u5916\u306e\u8133\u306b\u306f\u653e\u5c04\u7dda\u304c\u304b\u304b\u3089\u306a\u3044\u3088\u3046\u306a\u7167\u5c04\uff08<strong><span style=\"color: #000080;\">\u5b9a\u4f4d\u7167\u5c04<\/span><\/strong>\u3042\u308b\u3044\u306f<span style=\"color: #000080;\"><strong>\u539f\u4f53\u7167\u5c04<\/strong><\/span>\uff09\u304c\u5fc5\u8981\u3067\u3059\uff0c\u3057\u304b\u3057\u6280\u8853\u7684\u306b\u306f\u96e3\u3057\u3044\u3067\u3059<\/li>\n<li>\u5c0f\u3055\u306a\u30af\u30e9\u30cb\u30aa\u3078\u306f\uff0c\u7279\u306bMRI\u3067\u898b\u3048\u3066\u3044\u308b\u90e8\u4f4d\u3060\u3051\u3078\u306e\u5b9a\u4f4d\u7167\u5c04\u3092\u3057\u3066\uff0c\u4f59\u5206\u306a\u88ab\u66dd\u3092\u62db\u304b\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3059<\/li>\n<li>\u5c11\u3057\u5927\u304d\u306a\u3082\u306e\u306b\u306f\uff0c<span style=\"color: #ff0000;\"><strong>\u539f\u4f53\u7167\u5c04 conformal radiation<\/strong><\/span>\u3068\u3044\u3046\uff13\u6b21\u5143\u6cbb\u7642\u8a08\u753b\u3092\u884c\u3063\u3066\uff0c\u816b\u760d\u306e\u5468\u56f2\u306e\u6b63\u5e38\u306a\u8133\u306b\u653e\u5c04\u7dda\u304c\u306a\u308b\u3079\u304f\u5f53\u305f\u3089\u306a\u3044\u3088\u3046\u306a\u5de5\u592b\u3092\u3057\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6280\u8853\u3082\u65bd\u8a2d\u306b\u3088\u3063\u3066\u5927\u304d\u306a\u5dee\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u5206\u5272\u7167\u5c04<\/strong><\/span>\u3068\u3044\u3046\u65b9\u6cd5\u3067\u4f55\u56de\u304b\u306b\u5206\u3051\u3066\u7167\u5c04\u3059\u308b\u306e\u304c\u666e\u901a\u3067\u3059<\/li>\n<li>\u6700\u8fd1\u3067\u306f<span style=\"color: #000080;\"><strong>\u967d\u5b50\u7dda\u6cbb\u7642<\/strong><\/span>\u3082\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\uff0c\u3057\u304b\u3057\u5f93\u6765\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3088\u308a\u6cbb\u7642\u6210\u7e3e\u304c\u512a\u308c\u3066\u3044\u308b\u3068\u3044\u3046\u8a3c\u62e0\u306f\u307e\u3060\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u967d\u5b50\u7dda\u3067\u306f\u771f\u306e\u5b9a\u4f4d\u7167\u5c04\u306f\u3067\u304d\u307e\u305b\u3093\u304b\u3089\u7406\u8ad6\u7684\u306b\u306f\u5b9a\u4f4d\u7167\u5c04\u306b\u52a3\u308a\u307e\u3059<\/li>\n<li>\u8853\u5f8c\u306b\u6b8b\u3063\u305f\u816b\u760d\u3084\u518d\u767a\u816b\u760d\u3067\uff0c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c\u30ce\u30d0\u30ea\u30b9\uff0c\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u306a\u3069\u304c\u4f7f\u3048\u307e\u3059<\/li>\n<li>\u3067\u3082\u3001\u30ac\u30f3\u30de\u30ca\u30a4\u30d5 SRS \u306f\u816b\u760d\u304c\u8996\u795e\u7d4c\u306a\u3069\u306b\u304f\u3063\u3064\u3044\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u4f7f\u3048\u307e\u305b\u3093<\/li>\n<li>\u5c0f\u5150\u306e\u5927\u304d\u306a\u816b\u760d\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3068\u77e5\u80fd\u306e\u767a\u9054\u304c\u9045\u308c\u307e\u3059\uff08<span style=\"color: #000080;\"><strong>\u7cbe\u795e\u767a\u9054\u9045\u6ede\uff0c\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3<\/strong><\/span>\uff09<\/li>\n<li>\u4e0b\u5782\u4f53\u306b\u653e\u5c04\u7dda\u304c\u304b\u304b\u308b\u3068\u4e0b\u5782\u4f53\u524d\u8449\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3\u304c\u51fa\u307e\u3059<\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u306e\u5f8c\u65b9\u306b\u3042\u308b<span style=\"color: #000080;\"><strong>\u4e73\u982d\u4f53\u306e\u88ab\u7206\u3067\u306f\u8a18\u61b6\u529b\u306e\u4f4e\u4e0b<\/strong><\/span>\uff0c<span style=\"color: #000080;\"><strong>\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u3084\u60c5\u7dd2\u306e\u969c\u5bb3<\/strong><\/span>\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u5c0f\u5150\u3067\u306f\u5185\u981a\u52d5\u8108\u7cfb\u304c\u88ab\u7206\u3059\u308b\u3068\uff0c\u981a\u52d5\u8108\u304c\u72ed\u7a84\u3092\u751f\u3058\u3066\u82e5\u3044\u6642\u306b\u8133\u6897\u585e\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u9589\u585e\u3068\u8a00\u3044\u307e\u3059\u304c\uff0c\u6210\u4eba\u3067\u306f5%\u7a0b\u5ea6\uff0c\u5c0f\u5150\u3067\u306f20-30%\u306e\u9ad8\u7387\u306b\u767a\u751f\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059<\/li>\n<\/ul>\n<h5>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u518d\u767a\u306f\uff1f<\/h5>\n<ul>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u3066\u3082\u518d\u767a\u3059\u308b\u3053\u3068\u306f\u73cd\u3057\u304f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e<span style=\"color: #000080;\"><strong>\u5897\u60aa\uff08\u518d\u767a\uff09\u306f\u7167\u5c04\u5f8c\u6570\u5e74\u304b\u308910\u5e74\u3082\u306e\u5f8c<\/strong><\/span>\u306b\u3082\u751f\u3058\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3057\u3066\uff15\u5e74\u305f\u3063\u3066\u3082\u5b89\u5fc3\u3057\u3066\u306f\u3044\u3051\u307e\u305b\u3093<\/li>\n<li>\u518d\u767a\u3059\u308c\u3070\uff0c\u6cbb\u7642\u304c\u3055\u3089\u306b\u3080\u305a\u304b\u3057\u304f\u306a\u308a\u8ffd\u3044\u8a70\u3081\u3089\u308c\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u624b\u8853\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u306b\u3057\u3066\u3082\uff0c\u6700\u521d\u304b\u3089\u8a08\u753b\u3055\u308c\u305f\u30ec\u30d9\u30eb\u306e\u9ad8\u3044\u6cbb\u7642\u3092\u53d7\u3051\u308b<\/strong><\/span>\u3053\u3068\u304c\u5f8c\u907a\u75c7\u3092\u5c11\u306a\u304f\u751f\u304d\u6b8b\u308b\u305f\u3081\u306e\u30b3\u30c4\u3067\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e<span style=\"color: #000080;\"><strong>\u982d\u84cb\u54bd\u982d\u816b\u306e\u60aa\u6027\u5316<\/strong><\/span>\u306f\uff0c5\u4eba\u306e\u60a3\u8005\u3055\u3093\uff08\uff14\u4eba\u306f\u5b50\u3069\u3082\uff09\u3092\u77e5\u3063\u3066\u3044\u307e\u3059\u304c\uff0c\u3053\u306e\u983b\u5ea6\u306f\u4f4e\u3044\u3082\u306e\u3067\u3057\u3087\u3046<\/li>\n<li>\u306f\u3063\u304d\u308a\u3057\u305f\u79d1\u5b66\u7684\u306a\u6839\u62e0\u306f\u3042\u308a\u307e\u305b\u3093\u304c\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306f\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u3088\u3063\u3066\u60aa\u6027\u5316\u3059\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u816b\u760d\u3067\u3059<\/li>\n<\/ul>\n<h5>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u764220\u5e74\u5f8c\u306e\u518d\u767a\u3068\u3044\u3046\u306e\u306f\u3042\u308a\u307e\u3059<\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomk.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-12821\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomk-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomk-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomk-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n4\u6b73\u3067\uff0c\u7b2c\uff13\u8133\u5ba4\u5185\u306e\u30af\u30e9\u30cb\u30aa\u30922\u5ea6\u306e\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3055\u308c\uff0c<br \/>\n6\u6b73\u306e\u6642\u306b\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u3092\u53d7\u3051\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u90e8\u5206\u7684\u306b\u6e29\u5b58\u3055\u308c\u3066\u6210\u4eba\u306b\u306a\u308a\u307e\u3057\u305f<br \/>\n\u3053\u306eMRI\u306f25\u6b73\u306e\u6642\u306e\u3082\u306e\u3067\uff0c\u7d4c\u904e\u3092\u898b\u305f\u3089\u524d\u982d\u8449\u5185\u306e\u3046\u80de\u3082\u3067\u304d\u3066\u5897\u5927\u3057\u3066\u304d\u307e\u3057\u305f<br \/>\n\u3057\u304b\u305f\u304c\u306a\u3044\u306e\u3067\u958b\u982d\u624b\u8853\u3067\u6458\u51fa\u3057\u307e\u3057\u305f<\/p>\n<hr \/>\n<h1><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"https:\/\/sites.google.com\/site\/craniopark\/\">\u30af\u30e9\u30cb\u30aa\u30d1\u30fc\u30af\u3068\u3044\u3046\u982d\u84cb\u54bd\u982d\u816b\u306e\u60a3\u8005\u3055\u3093\u306e\u4f1a\u304c\u3042\u308a\u307e\u3059<\/a><\/span><\/h1>\n<div>\n<hr \/>\n<h1><span style=\"color: #ff0000;\"><strong>\u5185\u8996\u93e1\u624b\u8853\u3078\u306e\u8aa4\u89e3<\/strong><\/span><\/h1>\n<ul>\n<li>\u7d4c\u9f3b\u624b\u8853\u3067\u306f\u307b\u3068\u3093\u3069\u5168\u3066\u306e\u4f8b\u3067\u5185\u8996\u93e1\u3092\u7528\u3044\u307e\u3059<\/li>\n<li>\u5185\u8996\u93e1\u624b\u8853\u306e\u65b9\u304c\u4f4e\u4fb5\u8972\uff0c\u624b\u8853\u304c\u8efd\u304f\u3059\u3080\u3068\u3044\u3046\u8aa4\u89e3\u304c\u3042\u308a\u307e\u3059\uff0c\u5927\u304d\u306a\u8aa4\u89e3\u3067\u3059<\/li>\n<li>\u9855\u5fae\u93e1\u624b\u8853\u306e\u65b9\u304c\uff0c\u5185\u8996\u93e1\u624b\u8853\u3088\u308a\u89e3\u50cf\u529b\u304c\u9ad8\u3044\u306e\u3067\u7cbe\u5bc6\u306a\u624b\u8853\u304c\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8996\u5e8a\u4e0b\u90e8\u3084\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u3092\u6b8b\u305d\u3046\u3068\u3059\u308c\u3070\uff0c<span style=\"color: #ff0000;\">\u9855\u5fae\u93e1\u624b\u8853\u3092\u4f75\u7528<\/span><\/strong><span style=\"color: #333333;\">\u3057\u305f\u307b\u3046\u304c\u3044\u3044\u3044<\/span><\/span>\u3067\u3059<\/li>\n<li>\u8133\u5916\u79d1\u533b\u3082\u8aa4\u89e3\u3057\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304b\u3089\uff0c\u60a3\u8005\u3055\u3093\u306f\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044<\/li>\n<li>\u5185\u8996\u93e1\u306e\u5229\u70b9\u306f\u9855\u5fae\u93e1\u3067\u898b\u3048\u306a\u3044\u3068\u3053\u308d\u304c\u898b\u3048\u308b\u3053\u3068\u3067\u3059\uff0c\u3067\u3082\u898b\u3048\u3066\u3082\uff0c\u4e0b\u5782\u4f53\u3084\u4e0b\u5782\u4f53\u67c4\u3084\u8996\u5e8a\u4e0b\u90e8\u3068\u306e\u7d30\u304b\u3044\u5265\u96e2\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u8996\u5e8a\u4e0b\u90e8\u3084\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u3092\u6b8b\u305d\u3046\u3068\u3059\u308c\u3070\u9855\u5fae\u93e1\u624b\u8853\u306e\u307b\u3046\u304c\u306f\u308b\u304b\u306b\u512a\u308c\u3066\u3044\u308b\u306e\u3067\u3059<\/li>\n<\/ul>\n<h5>\u306a\u305c\uff1f<br \/>\n\u3082\u3057\uff0c\u677e\u679c\u4f53\u306e\u5947\u5f62\u816b\u3092\u5185\u8996\u93e1\u3060\u3051\u3067\u5b8c\u5168\u6458\u51fa\u3059\u308c\u3070\u304b\u306a\u308a\u306e\u78ba\u7387\u3067\u6b7b\u4ea1\u4f8b\u304c\u51fa\u308b\u3067\u3057\u3087\u3046\uff0c\u8074\u795e\u7d4c\u816b\u760d\u3092\u5185\u8996\u93e1\u3067\u624b\u8853\u3059\u308c\u3070\u8074\u529b\u3092\u6b8b\u3059\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\uff0c\u5fae\u7d30\u306a\u5265\u96e2\u624b\u8853\u306f\u9855\u5fae\u93e1\u3067\u3057\u304b\u3067\u304d\u306a\u3044\u306e\u304c\u73fe\u5b9f\u3067\u3059<\/h5>\n<\/div>\n<h4>\u3061\u3087\u3063\u3068\u5c0f\u3055\u306a\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059<\/h4>\n<p class=\"imgCenter\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio8.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio8.png\" alt=\"\u3061\u3087\u3063\u3068\u5c0f\u3055\u306a\u982d\u84cb\u54bd\u982d\u816b\" width=\"240\" height=\"238\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio9.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio9.png\" alt=\"\u3061\u3087\u3063\u3068\u5c0f\u3055\u306a\u982d\u84cb\u54bd\u982d\u816b\" width=\"240\" height=\"247\" \/><\/a><\/p>\n<p>\u30c8\u30eb\u30b3\u978d\u306e\u4e2d\u304b\u3089\u767a\u751f\u3059\u308b\u982d\u84cb\u54bd\u982d\u816b\u306f\uff0c\u8eab\u9577\u306e\u4f38\u3073\u304c\u60aa\u3044\uff08\u4f4e\u8eab\u9577\uff09\u3068\u304b\u304a\u3057\u3063\u3053\u306e\u91cf\u304c\u591a\u304f\u3066\u6c34\u3092\u305f\u304f\u3055\u3093\u98f2\u3080\uff08\u5c3f\u5d29\u75c7\uff09\u3068\u304b\u3067\u767a\u75c7\u3057\u307e\u3059\u3002\u305d\u308c\u304b\u3089\u8996\u529b\u306e\u969c\u5bb3\u3002\u305f\u3044\u3066\u3044\u306e\u5834\u5408\u306f\u5c0f\u3055\u3044\u816b\u760d\u304c\u591a\u304f\u3066\uff0c\u9f3b\u5b54\u304b\u3089\u306e\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3067\u6458\u51fa\u3067\u304d\u307e\u3059\u3002\u306e\u3046\u80de\u306e\u90e8\u5206\uff08\u53f3\u306eMRI\u306e\u771f\u3063\u767d\u306a\u90e8\u5206\uff09\u3092\u3064\u3076\u3059\u3060\u3051\u306e\u624b\u8853\u3060\u3068\u518d\u767a\u3057\u307e\u3059\u304b\u3089\uff0c\u816b\u760d\u3092\u5168\u90e8\u53d6\u308b\u624b\u8853\u3092\u76ee\u6307\u3057\u307e\u3059\u3002\u305d\u3046\u3057\u306a\u3044\u3068\u4f55\u5ea6\u3082\u624b\u8853\u3092\u7e70\u308a\u8fd4\u3059\u304b\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3053\u3068\u306b\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u76ee\u6a19\u306f\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u3092\u5c11\u3057\u3067\u3082\u6b8b\u3059\u3053\u3068\u3067\u3059\u304c\uff0c\u4e0b\u5782\u4f53\u6b63\u5e38\u7d44\u7e54\u3068\u306e\u5265\u96e2\u304c\u96e3\u3057\u3044\u3053\u3068\u3082\u591a\u3044\u3067\u3059\u3002\u5e7c\u5150\u3067\u526f\u9f3b\u8154\uff08\u8776\u5f62\u9aa8\u6d1e\uff09\u306e\u767a\u9054\u304c\u306a\u304f\u3066\u3082\uff0c\u30c9\u30ea\u30eb\u3067\u8776\u5f62\u9aa8\u3092\u524a\u308c\u3070\u3053\u306e\u624b\u8853\u306f\u53ef\u80fd\u3067\u3059\u3002\u3067\u3082\u305d\u308c\u304c\u3067\u304d\u308b\u5916\u79d1\u533b\u306f\u5c11\u306a\u3044\u304b\u3082\u3002\u3053\u306e\u4f8b\u306f\u9ec4\u8272\u8089\u82bd\u816b\u3068\u306e\u9451\u5225\u304c\u96e3\u3057\u3044\u3082\u306e\u3067\u3057\u305f\u3002<\/p>\n<h4>\u3061\u3087\u3063\u3068\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059<\/h4>\n<p class=\"imgCenter\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio4.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio4.png\" alt=\"\u3061\u3087\u3063\u3068\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\" width=\"240\" height=\"235\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio5.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio5.png\" alt=\"\u3061\u3087\u3063\u3068\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\" width=\"256\" height=\"239\" \/><\/a><\/p>\n<p>\u56a2\u80de\uff08\u6db2\u4f53\u304c\u5165\u3063\u3066\u3044\u308b\u888b\uff09\u306e\u90e8\u5206\u3068\uff0c\u816b\u760d\u7d30\u80de\u304c\u56fa\u307e\u3063\u3066\u3044\u308b\u5b9f\u8cea\u90e8\u5206\u304c\u5165\u308a\u4ea4\u3058\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u304f\u3089\u3044\u306e\u5927\u304d\u3055\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u3068\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u6b8b\u3059\u3053\u3068\u306f\u3068\u3066\u3082\u96e3\u3057\u304f\u306a\u308a\u307e\u3059\u3002\u8996\u795e\u7d4c\u304c\u5727\u8feb\u3055\u308c\u3066\u8996\u529b\u4f4e\u4e0b\u3068\u8996\u91ce\u969c\u5bb3\u3092\u751f\u3058\u307e\u3059\u3002\u7b2c\uff13\u8133\u5ba4\u304c\u816b\u760d\u3067\u9589\u585e\u3057\u3066\u3044\u3066\u6c34\u982d\u75c7\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u304b\u3089\u77e5\u80fd\u306e\u6d3b\u52d5\u304c\u4f4e\u4e0b\u3057\u307e\u3059\u3002<\/p>\n<p class=\"imgCenter\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio3.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio3.png\" alt=\"\u592a\u3044\u8133\u52d5\u8108\" width=\"240\" height=\"252\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio2.png\" alt=\"\u592a\u3044\u8133\u52d5\u8108\" width=\"250\" height=\"253\" \/><\/a><\/p>\n<p>\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u306e\u306b\u5371\u306a\u3044\u306e\u306f\uff0c\u8133\u306e\u8840\u7ba1\u306e\u640d\u50b7\u3067\u3059\u3002\u5de6\u3067\u306f\u767d\u304f\uff0c\u53f3\u3067\u306f\u9ed2\u304f\u7dda\u72b6\u306b\u79fb\u3063\u3066\u3044\u308b\u306e\u304c\u592a\u3044\u8133\u52d5\u8108\u3067\u3059\u3002\u3053\u308c\u3089\u4ee5\u5916\u306b\u3082\u305f\u304f\u3055\u3093\u306e\u7d30\u3044\u91cd\u8981\u306a\u52d5\u8108\u304c\u7d61\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<p class=\"imgCenter\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio7.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio7.png\" alt=\"\u816b\u760d\u306f\u6458\u51fa\" width=\"240\" height=\"243\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio6.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio6.png\" alt=\"\u816b\u760d\u306f\u6458\u51fa\" width=\"253\" height=\"251\" \/><\/a><\/p>\n<p>\u5e78\u3044\u3053\u306e\u60a3\u8005\u3055\u3093\u306e\u816b\u760d\u306f\u6458\u51fa\u3067\u304d\u3066\u60a3\u8005\u3055\u3093\u306f\u5143\u6c17\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3067\u3082\u3053\u306e\u304f\u3089\u3044\u306e\u30b5\u30a4\u30ba\u306b\u306a\u308b\u3068\u624b\u8853\u304c\u3044\u3064\u3082\u3046\u307e\u304f\u3044\u304f\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3057\u91cd\u5927\u306a\u969c\u5bb3\u304c\u6b8b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4><span style=\"color: #000080;\">\u3082\u3057\u518d\u767a\u3057\u305f\u3089<\/span><\/h4>\n<ul>\n<li>\u6b8b\u5ff5\u306a\u304c\u3089<span style=\"color: #000080;\"><strong>\u982d\u84cb\u54bd\u982d\u816b\u306e\u518d\u767a\u30fb\u518d\u71c3\u306f\u3068\u3066\u3082\u983b\u5ea6\u304c\u9ad8\u3044<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u3068\u304f\u306b\uff0c<span style=\"color: #000080;\"><strong><span class=\"style3\">\u5c0f\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\u53d6\u308a\u6b8b\u305b\u3070\u5fc5\u305a\u816b\u760d\u306f\u5927\u304d\u304f\u306a\u308a\u307e\u3059<\/span><\/strong><\/span>\u306e\u3067\uff0c\u307e\u305f\u624b\u8853\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u5c0f\u5150\u3067\u816b\u760d\u3092\u53d6\u308a\u6b8b\u3057\u305f\u5834\u5408\u306f\u7d4c\u904e\u89b3\u5bdf\u3067\u69d8\u5b50\u3092\u898b\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u5168\u6458\u51fa\u3067\u304d\u305f\u3068\u8003\u3048\u3066\u3044\u3066\u3082\u6570\u5e74\u5f8c\u306b\u816b\u760d\u304c\u73fe\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u5168\u90e8\u53d6\u308c\u305f\u3068\u8a00\u308f\u308c\u3066\u3082\uff0c\u6700\u521d\u304b\u3089\u3053\u306e\u899a\u609f\u3092\u3057\u3066\u304a\u3044\u305f\u307b\u3046\u304c\u53d7\u3051\u5165\u308c\u3084\u3059\u3044\u3067\u3059<\/li>\n<li>\u307e\u305f\u3058\u3063\u304f\u308a\u62c5\u5f53\u306e\u5148\u751f\u304b\u3089\u304a\u8a71\u3092\u805e\u3044\u3066\u3088\u304f\u3088\u304f\u8003\u3048\u307e\u3059<\/li>\n<li>\u3053\u3069\u3082\u306e\u5834\u5408\u306b\u306f\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3068\u3044\u308f\u308c\u3066\u3082\u5b89\u6613\u306b\u6c7a\u65ad\u3057\u306a\u3044\u3053\u3068\u3067\u3059\uff0c\u3082\u3046\u4e00\u5ea6\u624b\u8853\u3059\u308c\u3070\u3068\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304b\u3089<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u306f\u8f9b\u3044\u7d50\u679c\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u304b\u3089\u3067\u3059<\/li>\n<li>\u518d\u624b\u8853\u306f\u3055\u3089\u306b\u96e3\u3057\u304f\u306a\u308a\u307e\u3059\uff0c\u3067\u3082\u3067\u304d\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li><strong><span style=\"color: #000080;\">\u624b\u8853\u30ea\u30b9\u30af\u304c\u9ad8\u3059\u304e\u308b\u6642\u306b\u306f\u653e\u5c04\u7dda\u6cbb\u7642<\/span><\/strong>\u3092\u9078\u3073\u307e\u3059<\/li>\n<li>\u5236\u304c\u3093\u5264\u306f\u52b9\u304d\u307e\u305b\u3093\u306e\u3067\u85ac\u7269\u6cbb\u7642\u306f\u3067\u304d\u307e\u305b\u3093<\/li>\n<\/ul>\n<h2><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owltwin2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-11184\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owltwin2-300x241.jpg\" alt=\"\" width=\"300\" height=\"241\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owltwin2-300x241.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owltwin2-768x616.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owltwin2-550x441.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owltwin2.jpg 959w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<h2><span style=\"color: #000080;\">\u3053\u3053\u304b\u3089\u4e0b\u306f\u96e3\u3057\u3044<\/span><\/h2>\n<h4 class=\"setumei\"><span style=\"color: #000080;\">\u5c0f\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u3092\u624b\u8853\u3067\u5168\u6458\u3059\u308b\u304b\u3069\u3046\u304b\uff1f<\/span><\/h4>\n<ul>\n<li>\u826f\u304f\u805e\u304b\u308c\u308b\u306e\u3067\u79c1\u306e2005\u5e74\u304b\u30892009\u5e74\u306e\u624b\u8853\u3092\u632f\u308a\u8fd4\u3063\u3066\u307f\u307e\u3057\u305f<\/li>\n<li>15\u6b73\u672a\u6e80\u3067\u767a\u75c7\u3057\u305f\u982d\u84cb\u54bd\u982d\u816b\u309228\u4f8b\u624b\u8853\u3057\u3066\u3044\u307e\u3057\u305f<\/li>\n<li>\u521d\u767a\u306e\u5b50\u4f9b\u304c16\u4eba\uff0c\u518d\u767a\u3057\u3066\u304b\u3089\u79c1\u306e\u3068\u3053\u308d\u3078\u6765\u305f\u306e\u304c12\u4eba\u3067\u3057\u305f<\/li>\n<li>\u624b\u8853\u306e\u524d\u306b\u4e21\u89aa\u306b\u306f\uff0c\u306a\u306b\u304c\u306a\u3093\u3067\u3082\u5168\u6458\u51fa\u3059\u308b\u3068\u306f\u8a00\u3063\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f<\/li>\n<li>\u3067\u3082\u7d50\u679c\u7684\u306b\u306f\uff0c<strong><span style=\"color: #ff0000;\">\u5168\u4f8b\u3067\u5168\u6458\u51fa\u3092\u8a66\u307f\u3066\u3044\u307e\u3057\u305f<\/span><\/strong><\/li>\n<li>\u8853\u5f8c\u306b\u81ea\u5206\u3067\u5168\u6458\u3057\u305f\u3068\u8003\u3048\u3066\u3044\u3066\u3082\uff0c\u3053\u306e28\u4eba\u306e\u5185\u30675\u4eba\u304c\u518d\u767a\u3057\u307e\u3057\u305f<\/li>\n<li>\u307e\u305f\u305d\u306e\u518d\u767a\u6642\u306b\u3082\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u3066\u3044\u307e\u3057\u305f<\/li>\n<li>\u3082\u3063\u3068\u9577\u304f\u89b3\u5bdf\u3059\u308b\u3068\u3055\u3089\u306b\u3082\u3046\u5c11\u3057\u306f\u518d\u767a\u306e\u4f8b\u306f\u5897\u3048\u308b\u3060\u308d\u3046\u3068\u8003\u3048\u3066\u3044\u307e\u3059<\/li>\n<li>\u7d50\u679c\u7684\u306b\uff0c<strong><span style=\"color: #ff0000;\">\u79c1\u306f\u81ea\u5206\u306e\u904e\u53bb\u306e\u7d4c\u9a13\u304b\u3089\u5c0f\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\u5168\u6458\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3068\u8003\u3048\u3066\u3044\u308b\u3088\u3046\u3067\u3059<\/span><\/strong><\/li>\n<li>\u3067\u3082\uff0c\u3053\u308c\u304c\u6b63\u3057\u3044\u8003\u3048\u65b9\u304b\u3069\u3046\u304b\u306f\u308f\u304b\u308a\u307e\u305b\u3093<\/li>\n<li>\u624b\u8853\u5408\u4f75\u75c7\u304c\u91cd\u3044\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u7a4d\u6975\u7684\u306a\u5168\u6458\u51fa\u306f\u3057\u306a\u3044\u3068\u3044\u3046\u65b9\u91dd\u3092\u3068\u308b\u533b\u5e2b\u3082\u591a\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u6700\u8fd1\u306e\u6b27\u7c73\u306e\u8ad6\u6587\u3067\u306f\uff0c\u5168\u6458\u51fa\u304c\u5371\u967a\u306a\u306e\u3067\u90e8\u5206\u6458\u51fa\u8853\uff08debulking surgery)\u3092\u52e7\u3081\u308b<\/strong><\/span>\u50be\u5411\u304c\u5f37\u3044\u306e\u3067\u3059<\/li>\n<li>\u3067\u3082\uff0c\u7d50\u679c\u7684\u306b\u306f\u518d\u71c3\uff08\u518d\u767a\uff09\u3057\u3066\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u3084\u624b\u8853\u3092\u4f55\u5ea6\u3082\u7e70\u308a\u8fd4\u3059\u3053\u3068\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u3082\u3057\uff0c\u90e8\u5206\u6458\u51fa\u3092\u9078\u3076\u306e\u3067\u3042\u308c\u3070\uff0c\u305d\u306e\u7d50\u679c\u304c10\u5e74\u5f8c\u306b\u3069\u306e\u3088\u3046\u306b\u306a\u308b\u304b\u3082\u3088\u304f\u3088\u304f\u8003\u3048\u3066\u304b\u3089\u9078\u629e\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4 class=\"setumei\"><span style=\"color: #000080;\">\u958b\u982d\u624b\u8853\u304b\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\uff08\u9f3b\u304b\u3089\uff09\u304b\u306e\u8b70\u8ad6\uff1a\u3061\u3087\u3063\u3068\u5c02\u9580\u7684\u306a\u8a18\u8ff0\u3067\u3059<\/span><\/h4>\n<ul>\n<li>\u3069\u3061\u3089\u304c\u3044\u3044\u306e\u304b\u306f\uff0c\u816b\u760d\u306e\u767a\u751f\u3057\u305f\u5834\u6240\u3067\u6c7a\u307e\u308a\u307e\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u30fb\u30c8\u30eb\u30b3\u978d\u5185\u304b\u3089\u767a\u751f\u3057\u305f\u982d\u84cb\u54bd\u982d\u816b\u306f<span style=\"color: #000080;\"><strong>\u9f3b\u304b\u3089\u5185\u8996\u93e1\u624b\u8853<\/strong><\/span>\u3067\u3068\u308c\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u9f3b\u306e\u5b54\uff08\u5e7c\u5150\u306f\u53e3\u5507\u4e0b\uff09\u304b\u3089\u5165\u3063\u3066\u6458\u51fa\u3057\u305f\u65b9\u304c\u60a3\u8005\u3055\u3093\u306e\u8ca0\u62c5\u306f\u5c11\u306a\u3044\u306e\u306f\u660e\u3089\u304b<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u5185\u8996\u93e1\u5358\u72ec\u624b\u8853\u3067\u884c\u3046\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u4e0b\u5782\u4f53\u67c4\u3084\u8996\u5e8a\u4e0b\u90e8\u5e95\u90e8\u304b\u3089\u306e\u5265\u96e2\u306b\u306f\u9855\u5fae\u93e1\u3092\u4f75\u7528\u3057\u305f\u65b9\u304c\u89e3\u50cf\u529b\u304c\u9ad8\u304f\u5fae\u7d30\u306a\u5265\u96e2\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u978d\u4e0a\u90e8\u3068\u3044\u3046\u3068\u3053\u308d\u3078\u4f38\u3073\u308b\u3068\uff0c\u304f\u3082\u819c\u4e0b\u8154\u304b\u3089\u7d30\u3044\u52d5\u8108\u304c\u816b\u760d\u306b\u5165\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u52d5\u8108\u306e\u51e6\u7406\u3092\u8aa4\u308b\u3068\u81f4\u547d\u7684\u306a\u304f\u3082\u819c\u4e0b\u51fa\u8840\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b\u3089\uff0c\u3053\u306e\u610f\u5473\u3067\u306f\u958b\u982d\u624b\u8853\u306e\u65b9\u304c\u5b89\u5168\u6027\u306f\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u7b2c\uff13\u8133\u5ba4\u5185\uff0c\u7070\u767d\u9686\u8d77\uff0c\u4e0b\u5782\u4f53\u67c4\u304b\u3089\u767a\u751f\u3057\u305f\u982d\u84cb\u54bd\u982d\u816b\u306f\u958b\u982d\u624b\u8853\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u958b\u982d\u8853\u306e\u65b9\u6cd5\u3092\u9078\u3076\u306e\u306f\u3068\u3066\u3082\u8907\u96d1\u306a\u8981\u7d20\u304c\u7d61\u307f\u307e\u3059<\/li>\n<li>\u57fa\u672c\u7684\u306b\u306f\u4e21\u5074\u524d\u982d\u958b\u982d (frontbasal\/interhemispheric)\u3082\u3057\u304f\u306f\u524d\u982d\u5074\u982d\u958b\u982d \u00a0(pterional)\u3067\u884c\u306a\u3044\u307e\u3059<\/li>\n<li>\u4e21\u5074\u524d\u982d\u958b\u982d\u3067\u3082\uff0c\u5927\u8133\u534a\u7403\u9593\u88c2\u7d4c\u7d42\u677f\u6cd5 (translaminaterminalis)\u306f\u7b2c\uff13\u8133\u5ba4\u3078\u4f38\u5c55\u3057\u3066\u3044\u308b\u3082\u306e\u306b\u7528\u3044\u307e\u3059<\/li>\n<li>\u4e21\u5074\u524d\u982d\u958b\u982d\u3067\u3082\uff0c\u5927\u8133\u534a\u7403\u9593\u88c2\u7d4c\u8133\u6881\u6cd5 (transcallosal)\u306f\u7b2c\uff13\u8133\u5ba4\u306b\u5c40\u5728\u3059\u308b\u3082\u306e\u306b\u7528\u3044\u307e\u3059<\/li>\n<li>\u4e21\u5074\u524d\u982d\u958b\u982d\u3067\u3082\uff0c\u4e21\u5074\u524d\u982d\u8449\u4e0b\u5230\u9054\u6cd5 (bilateral subfrontal\/frontbasal)\u306f\u978d\u4e0a\u90e8\u304b\u3089\u978d\u5185\u4f38\u5c55\u3057\u3066\u3044\u308b\u3082\u306e\u306b\u7528\u3044\u307e\u3059\uff0c\u5074\u65b9\u5c55\u958b\u306b\u5f37\u3044\u306e\u3067\u30b7\u30eb\u30d3\u30a6\u30b9\u88c2\u306b\u4f38\u5c55\u3057\u305f\u3082\u306e\u306b\u3082\u6709\u5229\u3067\u3059<\/li>\n<li>\u978d\u5185\u304b\u3089\u978d\u4e0a\u90e8\uff0c\u7b2c\uff13\u8133\u5ba4\u5185\u306b\u9032\u5c55\u3059\u308b\u96e3\u3057\u3044\u982d\u84cb\u54bd\u982d\u816b\u306b\u306f\uff0c<span style=\"color: #ff0000;\"><strong>bilateral frontbasal-interhemispheric translaminaterminalis approach<\/strong><\/span>\u3068\u3044\u3046\u624b\u8853\u6cd5\u3092\u7528\u3044\u307e\u3059\u304c\uff0c\u3053\u306e\u6280\u8853\u306f\u96e3\u3057\u304f\u3066\uff0c\u304d\u3061\u3093\u3068\u3067\u304d\u308b\u306e\u306f\u65e5\u672c\u306b\u6570\u4eba\u304b\u3082<\/li>\n<li>\u3055\u3089\u306b\u3044\u308d\u3044\u308d\u7d44\u307f\u5408\u305b\u3082\u3042\u3063\u3066\u958b\u982d\u6cd5\u306e\u9078\u629e\u3092\u66f8\u3044\u3066\u3044\u304f\u3068\u304d\u308a\u304c\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u816b\u760d\u306e\u5c40\u5728\u3068\u4e0b\u5782\u4f53\u67c4\u306e\u4f4d\u7f6e\u3092\u6b63\u78ba\u306b\u628a\u63e1\u3057\u3066\u6700\u3082\u9069\u5207\u306a\u65b9\u6cd5\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u3067\u3059<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio12.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio12.png\" alt=\"\" width=\"227\" height=\"233\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranoi14.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranoi14.png\" alt=\"\" width=\"230\" height=\"236\" \/><\/a><\/p>\n<p>\uff19\u6b73\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059\u3002\u8996\u529b\u969c\u5bb3\u304c\u9ad8\u5ea6\u306a\u306e\u3067\u9f3b\u306e\u5b54\uff08\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\uff09\u304b\u3089\u6025\u3044\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u816b\u760d\u306e\u584a\u304c\u30c8\u30eb\u30b3\u978d\u306e\u5e95\u306b\u3042\u308a\u307e\u3059\u304c\uff0c\u3053\u306e\u90e8\u5206\u306f\u958b\u982d\u624b\u8853\u3067\u306f\u591a\u5c11\u898b\u3065\u3089\u3044\u3067\u3059\u3002\u8853\u5f8c\u306b\u8996\u529b\u306f\u5c11\u3057\u826f\u304f\u306a\u308a\u307e\u3057\u305f\u3002\uff11\u5e74\u5f8c\u306eMRI\uff08\u53f3\u5074\uff09\u3067\u306f\u4e0b\u5782\u4f53\u7d44\u7e54\u306f\u6b8b\u3063\u3066\u3044\u3066\uff0c\u524d\u8449\u30db\u30eb\u30e2\u30f3\u306f\u6b63\u5e38\u3067\u3059\u304c\u8efd\u3044\u5c3f\u5d29\u75c7\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\"><strong>\u982d\u84cb\u54bd\u982d\u816b\u3067\u8996\u529b\u3092\u5b88\u308b\u305f\u3081\u306b<\/strong>\uff08\u3061\u3087\u3063\u3068\u5c02\u9580\u5bb6\u5411\u3051\uff09<\/span><\/h5>\n<p><span style=\"color: #ff0000;\"><strong>\u982d\u84cb\u54bd\u982d\u816b\u3067\u306f\u8996\u529b\u969c\u5bb3\u304c\u623b\u3089\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/strong><\/span><\/p>\n<ul>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u3068\u540c\u3058\u3088\u3046\u306a\u8996\u529b\u8996\u91ce\u969c\u5bb3\u304c\u3067\u307e\u3059\uff0c\u4e21\u8033\u5074\u534a\u76f2\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u817a\u816b\u306f\u624b\u8853\u3067\u816b\u760d\u3092\u3068\u308b\u3068\u8996\u91ce\u6b20\u640d\u304c\u6cbb\u308b\u306e\u3067\u3059\u304c\uff0c\u982d\u84cb\u54bd\u982d\u816b\u3067\u306f\u6cbb\u3089\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u978d\u7d50\u7bc0\u9ac4\u819c\u816b\u306f\u3053\u306e\u4e21\u8005\u306e\u4e2d\u9593\u306b\u4f4d\u7f6e\u3057\u307e\u3059<\/li>\n<li>\u978d\u7d50\u7bc0\u9ac4\u819c\u816b\u3067\u306f\uff0c\u958b\u982d\u624b\u8853\u3088\u308a\u3082\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u306e\u65b9\u304c\uff0c\u8996\u529b\u306e\u6e29\u5b58\u7387\u304c\u9ad8\u3044\u3053\u3068\u304c\u3059\u3067\u306b\u5e83\u304f\u77e5\u3089\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u982d\u84cb\u54bd\u982d\u816b\u3082\u305d\u3046\u3067\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u9ad8\u5ea6\u306e\u8996\u529b\u8996\u91ce\u969c\u5bb3\u3092\u5448\u3059\u308b\u982d\u84cb\u54bd\u982d\u816b\u306f\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\uff08\u7d4c\u9f3b\u624b\u8853\uff09\u3067\u6458\u51fa\u3059\u308b\u3079\u304d<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u4e73\u5e7c\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u3067\u306f\u6025\u901f\u306b\u8996\u529b\u969c\u5bb3\u304c\u60aa\u5316\u3057\u3066\u5168\u76f2\u306b\u306a\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10374\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10375\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2-768x772.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniomh2.jpg 850w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p style=\"padding-left: 30px;\">10\u5e74\u4ee5\u4e0a\u3082\u524d\u306e\u3064\u3089\u3044\u7d4c\u9a13\u3067\u3059\u30021\u6b732\u30f6\u6708\u3067\u6025\u901f\u306a\u8996\u529b\u4f4e\u4e0b\u3092\u751f\u3058\u305f\u5b50\u3067\u3059\u3002\u7dca\u6025\u3067\u524d\u982d\u958b\u982d\u3057\u3066\u306e\u3046\u80de\u3060\u3051\u6f70\u3059\u975e\u5e38\u306b\u77ed\u6642\u9593\u306e\u624b\u8853\u3067\uff0c\u8996\u795e\u7d4c\u3092\u9664\u5727\u3057\u307e\u3057\u305f\u3002\u3067\u3082\u4e21\u5074\u306e\u8996\u529b\u3092\u5b8c\u5168\u306b\u5931\u3044\u307e\u3057\u305f\u3002\u5f53\u6642\u306f\uff11\u6b73\u5150\u306e\u7d4c\u9f3b\u624b\u8853\u3092\u3067\u304d\u308b\u8133\u5916\u79d1\u533b\u306f\u65e5\u672c\u306b\u306f\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<ul>\n<li>\u4e73\u5e7c\u5150\u306f\u8996\u529b\u969c\u5bb3\u3092\u8a34\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u304b\u3089\u9ad8\u5ea6\u306e\u8996\u529b\u969c\u5bb3\u3067\u3082\u6c17\u3065\u304b\u308c\u306a\u3044\u3057\uff0c\u8996\u795e\u7d4c\u304c\u8106\u5f31\u306a\u306e\u3067\u5931\u660e\u306b\u81f3\u308a\u307e\u3059<\/li>\n<li>\u4e73\u5e7c\u5150\u3067\u773c\u7403\u304c\u63fa\u308c\u308b\u3088\u3046\u306a(pendular nystagmus)\u8996\u529b\u969c\u5bb3\u304c\u3042\u308b\u5834\u5408\u306f\uff0c\u7dca\u6025\u624b\u8853\u3067\u8996\u795e\u7d4c\u3092\u9664\u5727\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u958b\u982d\u624b\u8853\u3067\u306f\u8996\u529b\u304c\u6551\u3048\u306a\u3044\u306e\u3067\uff0c\u5c0f\u3055\u3044\u5b50\u3067\u3082\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3092\u3057\u307e\u3059<\/strong><\/span><\/li>\n<li>1\u6b73\u5150\u3067\u3082\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3067\u7d4c\u9f3b\u7684\u306a\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u306f\u3067\u304d\u307e\u3059\u304c\uff0c2017\u5e74\u6642\u70b9\u3067\u65e5\u672c\u3067\u306f\u6570\u30ab\u6240\u306e\u65bd\u8a2d\u3067\u3057\u3087\u3046<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn33-1.jpg\" rel=\"attachment wp-att-8732\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8732\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn33-1-292x300.jpg\" alt=\"craniokn33\" width=\"292\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn33-1-292x300.jpg 292w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn33-1-550x566.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn33-1.jpg 567w\" sizes=\"auto, (max-width: 292px) 100vw, 292px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn44.jpg\" rel=\"attachment wp-att-8733\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8733\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn44-300x293.jpg\" alt=\"craniokn44\" width=\"300\" height=\"293\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn44-300x293.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn44-550x537.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn44.jpg 567w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p style=\"padding-left: 30px;\">8\u6b73\u3067\u4e21\u5074\u306e\u8996\u529b\u4f4e\u4e0b\u304c\u751f\u3058\u307e\u3057\u305f\u3002\u773c\u79d1\u3067\u306f\u7cbe\u795e\u7684\u306a\u3082\u306e\u3068\u8a3a\u65ad\u3055\u308c\u3066\uff0c4\u30f6\u6708\u304f\u3089\u3044\u3067\u53f3\u8996\u529b 0.4\uff08\u8033\u5074\u534a\u76f2\uff09\uff0c\u5de6\u6307\u6570\u5f01\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u306e\u3046\u80de\u6027\u982d\u84cb\u54bd\u982d\u816b\u3067\u5927\u304d\u306a\u9aa8\u5316\u3092\u4f34\u3046\u3082\u306e\u30671\u6708\u304f\u3089\u3044\u306e\u9593\u306b\u5168\u76f2\u306b\u306a\u308b\u304b\u3082\u3068\u5224\u65ad\u3057\u307e\u3057\u305f\uff08\u5931\u660e\u5bf8\u524d\u3067\u3059\uff09\u3002<br \/>\n\u77e2\u5370\u306e\u5148\u306b\u898b\u3048\u308b\u3088\u3046\u306b\u4e0b\u5782\u4f53\u306f\u6b63\u5e38\u306e\u5f62\u614b\u3067\u3059\u3002\u3053\u306e\u753b\u50cf\u304b\u3089\u7070\u767d\u9686\u8d77\u306e\u5de6\u5f8c\u65b9\uff0c\u4e73\u982d\u4f53\u306e\u524d\u65b9\u304c\u816b\u760d\u767a\u751f\u6bcd\u5730\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u5c3f\u5d29\u75c7\u3082\u306a\u304f\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u6b63\u5e38\u3067\u3059\u3002\u7d4c\u9f3b\u7684\u306a\u5185\u8996\u93e1\u624b\u8853\u3067\u816b\u760d\u306e\u5927\u90e8\u5206\u3092\u6458\u51fa\u3059\u308c\u3070\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u5ec3\u7d76\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22.jpg\" rel=\"attachment wp-att-8734\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8734\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22-298x300.jpg\" alt=\"craniokn22\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn22.jpg 567w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn11.jpg\" rel=\"attachment wp-att-8735\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8735\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn11-297x300.jpg\" alt=\"craniokn11\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn11-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn11-550x556.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn11-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokn11.jpg 567w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><\/p>\n<p style=\"padding-left: 30px;\">\u3068\u306b\u304b\u304f\u5931\u660e\u3092\u907f\u3051\u308b\u305f\u3081\u306b\u6025\u3044\u3067\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853(transsphenoidal-transtuberculum sellae approach)\u3067\u816b\u760d\u306e\u3046\u80de\u306e\u6e1b\u5727\u3092\u3057\u307e\u3057\u305f\uff08\u7dd1\u306e\u77e2\u5370\u306e\u7d4c\u8def by \u51fd\u9928\u4e2d\u592e\u75c5\u9662\u52a0\u85e4\u529f\u5148\u751f\uff09\u3002\u305d\u306e\u5f8c\u306b\u524d\u982d\u958b\u982d\u3067\u816b\u760d\u3092\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\uff08\u53f3\u5074\u306e\u753b\u50cf\uff09\u3002\u5c3f\u5d29\u75c7\u306f\u3067\u307e\u3057\u305f\u304c\u4e0b\u5782\u4f53\u524d\u8449\u6a5f\u80fd\u306f\u6b63\u5e38\u3067\u3059\u3002<br \/>\n\u53f3\u8996\u529b 0.45\uff0c\u5de6\u660e\u6697\u5f01\u306e\u8996\u529b\u304c\u6b8b\u308a\u307e\u3057\u305f\u3002\u3067\u3082\u3082\u3057\uff0c\u7d4c\u9f3b\u624b\u8853\u3092\u3057\u306a\u3044\u3067\u3044\u304d\u306a\u308a\u958b\u982d\u3059\u308c\u3070\u304a\u305d\u3089\u304f\u5168\u76f2\u306b\u306a\u3063\u3066\u3044\u305f\u4f8b\u3067\u3059\u3002<\/p>\n<\/div>\n<h5>\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b papillary craniopharyngioma<\/h5>\n<ul>\n<li><strong><span style=\"color: #000080;\">\u6210\u4eba\u306e\u307f<\/span><\/strong>\u306b\u767a\u751f\u3059\u308b\u826f\u6027\u306e\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>adamantinomatous type\u3068\u306f\u7570\u306a\u3063\u305f\u816b\u760d\u3067\u306f\u306a\u3044\u304b<\/strong><\/span>\u3068\u601d\u3048\u308b\u304f\u3089\u3044\u9055\u3044\u307e\u3059<\/li>\n<li>\u5e73\u5747\u5e74\u9f62\u306f40-55\u6b73\u304f\u3089\u3044\u3067\u4e2d\u5e74\u4ee5\u964d\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u7b2c3\u8133\u5ba4\u5185\u90e8<\/strong><\/span>\u306b\u767a\u751f\u3057\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u30c8\u30eb\u30b3\u978d\u5185\u816b\u760d\u3067\u3082\u978d\u4e0a\u90e8\u816b\u760d\u3067\u3082\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u753b\u50cf\u8a3a\u65ad\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u7b2c\uff13\u8133\u5ba4\u5185\u306b\uff0c\u5883\u754c\u660e\u77ad\u306a\uff0c\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u3067\u5168\u4f53\u304c\u5897\u5f37\u3055\u308c\u308b\uff0c\u77f3\u7070\u5316\u3082\u306e\u3046\u80de\u3082\u7121\u3044\u816b\u760d<\/strong><\/span>\u3068\u3057\u3066\u8a3a\u65ad\u3055\u308c\u307e\u3059<\/li>\n<li>\u77f3\u7070\u5316\u304c\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u56fa\u5f62\u816b\u760d\u3067\u3042\u308a\uff0c\u306e\u3046\u80de\u5f62\u6210\u306f\u3068\u3066\u3082\u307e\u308c\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3092\u542b\u3080\u6a5f\u68b0\u6cb9\u306e\u3088\u3046\u306a\u5185\u5bb9\u6db2\u304c\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>adamantinomatous type\u3068\u6bd4\u8f03\u3057\u3066<strong><span style=\"color: #000080;\">\u8133\u7d44\u7e54\u6d78\u6f64\u304c\u5c11\u306a\u3044\u3067\u3059<\/span><\/strong><\/li>\n<li>\u75c5\u7406\u306f\uff0cfibrovascular core\u3092\u4e2d\u5fc3\u3068\u3057\u3066\uff0c<span style=\"color: #000080;\"><strong>\u30b1\u30e9\u30c1\u30f3\u3092\u542b\u307e\u306a\u3044<\/strong><\/span>\u5206\u5316\u5ea6\u306e\u9ad8\u3044&#8221;\u975e\u89d2\u5316\u578b\u201d\u6241\u5e73\u4e0a\u76ae\u306e\u5358\u7d14\u306a\u5897\u6b96\u3067\u3059<\/li>\n<li><span style=\"color: #ff0000;\"><strong>BRAF\u304c\u539f\u56e0\u907a\u4f1d\u5b50<\/strong><\/span>\u3068\u3057\u3066\u63a8\u5b9a\u3055\u308c\uff0c90%\u4ee5\u4e0a\u306b\u5909\u7570\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059<\/li>\n<li>2023\u5e74\uff0c<em>BRAF<\/em>^<span style=\"color: #ff0000;\"><strong>MEK\u963b\u5bb3\u5264\u3067\u3042\u308b\u30d9\u30e0\u30e9\u30d5\u30a7\u30cb\u30d6 vemurafenib\u3068\u30b3\u30d3\u30e1\u30c1\u30cb\u30d6 cobimetinib28\u65e5\u30b5\u30a4\u30af\u30eb\u6295\u4e0e\u3067\u816b\u760d\u304c\u9855\u8457\u306b\u7e2e\u5c0f\u3059\u308b<\/strong><\/span>\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f<\/li>\n<li>\u4e2d\u592e\u5024\uff18\u30b5\u30a4\u30af\u30eb\u3067\uff0c\u6295\u4e0e\u3055\u308c\u305f16\u4f8b\u4e2d15\u4f8b\u3067PR\u4ee5\u4e0a\u306e\u816b\u760d\u7e2e\u5c0f\u304c\u5f97\u3089\u308c\uff0c\u816b\u760d\u4f53\u7a4d\u7e2e\u5c0f\u4e2d\u592e\u5024\u306f91% (68-99)\u3067\u3057\u305f\u304c\uff0c\u6295\u4e0e\u4e2d\u6b62\u3068\u3068\u3082\u306b\u518d\u5897\u5927\u304c\u8a8d\u3081\u3089\u308c24\u30f6\u6708PFS\u306f58\uff05\u3067\u3057\u305f<\/li>\n<li>\u624b\u8853\u306f\u958b\u982d\u624b\u8853\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u624b\u8853\u3067\u5168\u6458\u51fa\u3067\u304d\u3066\u6cbb\u308b<\/strong><\/span>\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li>fibrovascular core\u304c\u7070\u767d\u9686\u8d77\u306b\u3042\u308a\uff0c\u5265\u96e2\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b\u3089\uff0c\u305d\u3053\u306f\u6b8b\u3057\u307e\u3059<\/li>\n<li>\u7070\u767d\u9686\u8d77\u306e\u5927\u304d\u306a\u640d\u50b7\u304c\u7121\u3051\u308c\u3070\uff0c\u8996\u5e8a\u4e0b\u90e8\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u6e29\u5b58\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u3082\u3061\u308d\u3093\u7070\u767d\u9686\u8d77\u304b\u3089\u306f\u305a\u305b\u306a\u3044\u3082\u306e\u3082\u3042\u308a\uff0c\u305d\u306e\u5834\u5408\u306b\u7070\u767d\u9686\u8d77\u3054\u3068\u5168\u6458\u51fa\u3059\u308c\u3070\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u6210\u4eba\u3067\u3059\u304b\u3089\u90e8\u5206\u7684\u306b\u6b8b\u308c\u3070\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u52a0\u3048\u307e\u3059<\/li>\n<li>\u8133\u6d78\u6f64\u304c\u5c11\u306a\u3044\u306e\u3067\u518d\u767a\u306e\u983b\u5ea6\u306fadamantinomatous type\u3088\u308a\u304b\u306a\u308a\u4f4e\u3044\u3067\u3059<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio10.png\" alt=\"\" width=\"247\" height=\"242\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/craniofig\/cranio11.png\" alt=\"\" width=\"245\" height=\"258\" \/><\/p>\n<p>\u6210\u4eba\u306e\u7b2c\uff13\u8133\u5ba4\u5185\u90e8\u306b\u5c40\u5728\u3059\u308b\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059\u3002\u7d4c\u8133\u6881\u6cd5\u3067\u4e21\u5074\u306e\u30e2\u30f3\u30ed\u30fc\u5b54\u304b\u3089\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u7d44\u7e54\u306f\u6b8b\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f<span style=\"color: #ff0000;\"><strong>\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b<\/strong><\/span>\u3068\u547c\u3070\u308c\u308b\u3082\u306e\u3067\uff0c\u6210\u4eba\u306b\u3057\u304b\u767a\u751f\u3057\u307e\u305b\u3093\uff0c\u306e\u3046\u80de\u304c\u306a\u304f\u77f3\u7070\u5316\u3082\u306a\u3044\u306e\u304c\u5927\u304d\u306a\u7279\u5fb4\u3067\u3059\u3002\u5883\u754c\u304c\u660e\u77ad\u3067\u67d4\u3089\u304b\u304f\u6458\u51fa\u304c\u7c21\u5358\u306a\u30bf\u30a4\u30d7\u3068\u3057\u3066\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u60a3\u8005\u3055\u3093\u3082\u8853\u5f8c\u306b\u4e0b\u5782\u4f53\u6a5f\u80fd\u4e0d\u5168\u3082\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u3082\u751f\u3058\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-8394\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/02\/craniopapillary-550x413.jpg\" alt=\"craniopapillary\" width=\"550\" height=\"413\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/02\/craniopapillary-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/02\/craniopapillary-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/02\/craniopapillary-768x576.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/02\/craniopapillary-900x675.jpg 900w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/02\/craniopapillary.jpg 1401w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>Monomorphous mass of well-differenciated squamous epithelium lacking surface maturation and wet keratin.<\/p>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<h5><span style=\"color: #000080;\">\u982d\u84cb\u54bd\u982d\u816b\u306b\u3068\u3063\u3066\u3082\u3088\u304f\u4f3c\u305f\u75c5\u5909<\/span><\/h5>\n<h5><a title=\"\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b xanthogranuloma of the sellar region\" href=\"\/sawamura\/braintumors\/xanthogranuloma\/\"><span style=\"color: #000080;\"><span style=\"color: #ff0000;\">\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b<\/span> xanthogranuloma of the sellar resion<br \/>\n<\/span><br \/>\n<\/a><span style=\"color: #000080;\">\u3000\u3000\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u8a73\u3057\u304f\u8aad\u3081\u307e\u3059<\/span><\/h5>\n<ul>\n<li>\u982d\u84cb\u54bd\u982d\u816b\u3068\u3068\u3066\u3082\u4f3c\u3066\u3044\u3066\uff0c\u30e9\u30c8\u30b1\u56a2\u80de\u306e\u4e00\u90e8\u3068\u3057\u3066\u3053\u306e\u75c5\u540d\u3092\u8a8d\u3081\u306a\u3044\u533b\u5e2b\u3082\u3044\u307e\u3059<\/li>\n<li>Paulus\u3089\u304c1999\u5e74\u306b\u63d0\u5531\u3057\u305f\u3082\u306e\u3067\uff0c\u901a\u5e38\u306e\u982d\u84cb\u54bd\u982d\u816b\u3068\u7570\u306a\u308b\u4e88\u5f8c\u3092\u793a\u3059\u3068\u3057\u307e\u3057\u305f<\/li>\n<li>\u601d\u6625\u671f\u304b\u3089\u82e5\u5e74\u6210\u4eba\u306b\u591a\u304f\uff0c\u30c8\u30eb\u30b3\u978d\u5185\u306b\u9650\u5c40\u6027\u306e\u816b\u760d\u3067\u3059<\/li>\n<li>\u982d\u84cb\u54bd\u982d\u816b\u3068\u3057\u3066\u306f\u816b\u760d\u30b5\u30a4\u30ba\u304c\u5c0f\u3055\u304f\uff0c\u305d\u306e\u5272\u306b\u306f\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u304c\u8457\u3057\u304f\uff0c\u75c5\u6b74\u304c\u9577\u304f\uff0c\u77f3\u7070\u5316\u3068\u8996\u529b\u969c\u5bb3\u306e\u7a0b\u5ea6\u304c\u4f4e\u304f\uff0c\u6458\u51fa\u304c\u3057\u3084\u3059\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u8853\u5f8c\u518d\u767a\u304c\u5c11\u306a\u3044\u3068\u3044\u3046\u826f\u6027\u306e\u7d4c\u904e\u3092\u305f\u3069\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u591a\u5c11\u53d6\u308a\u6b8b\u3057\u3066\u3082\u518d\u71c3\u3057\u307e\u305b\u3093<\/li>\n<li>\u982d\u84cb\u54bd\u982d\u816b\u3068\u306f\u533a\u5225\u3055\u308c\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3829\" title=\"xanthokmt1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt1-300x285.jpg\" alt=\"\" width=\"300\" height=\"285\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt1-300x285.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt1-550x524.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt1.jpg 809w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-3830\" title=\"xanthokmt2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt2-300x288.jpg\" alt=\"\" width=\"300\" height=\"288\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt2-300x288.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt2-550x529.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/xanthokmt2.jpg 789w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>10\u6b73\u306e\u5973\u306e\u5b50\u3067\u3054\u304f\u8efd\u5ea6\u306e\u8996\u91ce\u969c\u5bb3\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u5de6\u304c<span style=\"color: #ff0000;\"><strong>T1\u5f37\u8abf\u753b\u50cf\u3067\u9ad8\u4fe1\u53f7<\/strong><span style=\"color: #000000;\">\uff0c\u53f3\u304c<\/span><strong>T2\u5f37\u8abf\u753b\u50cf\u3067\u4f4e\u4fe1\u53f7<\/strong><\/span>\u3067\uff0c\u5178\u578b\u7684\u306a\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b\u3067\u3059\u3002\u753b\u50cf\u8a3a\u65ad\u3067\uff0c\u4e0b\u5782\u4f53\u817a\u816b\u306e\u816b\u760d\u5185\u51fa\u8840\u3068\u3088\u304f\u9593\u9055\u308f\u308c\u308b\u306e\u3067\u3059\u304c\uff0c\u30b3\u30ec\u30b9\u30c6\u30ea\u30f3\u7d50\u6676\u3092\u8c4a\u5bcc\u306b\u542b\u3080\u8089\u82bd\u816b\u3067\u3059\u3002\u982d\u84cb\u54bd\u982d\u816b\u3088\u308a\u3082\u4e88\u5f8c\u304c\u826f\u3044\u3082\u306e\u3067\u3059\u306e\u3067\uff0c\u982d\u84cb\u54bd\u982d\u816b\u3068\u306f\u4e00\u7dd2\u304f\u305f\u306b\u3057\u3066\u306f\u3044\u3051\u307e\u305b\u3093\u3002\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3068\u7570\u306a\u308a\uff0c\u816b\u760d\u5b9f\u8cea\u5185\u306b\u4e0a\u76ae\u7d30\u80de\u3082\u898b\u3089\u308c\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\"><span style=\"color: #ff0000;\">\u30af\u30e9\u30cb\u30aa\u306e\u9aa8\u5316<\/span>\u00a0ossification<\/span><\/h5>\n<\/div>\n<\/div>\n<div>\n<h2><strong><span style=\"color: #ff0000;\">\u306a\u305c\u6c17\u306b\u3059\u308b\u304b\u3068\u3044\u3046\u3068\u624b\u8853\u304c\u3068\u3066\u3082\u96e3\u3057\u304f\u306a\u308b\u304b\u3089\u3067\u3059<\/span><\/strong><\/h2>\n<ul>\n<li>\u77f3\u7070\u5316\u306f\u3088\u304f\u3042\u308a\u307e\u3059\u3057\uff0c\u77f3\u7070\u5316\u304c\u624b\u8853\u3067\u554f\u984c\u3068\u306a\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u9aa8\u5316\u306f\u4f3c\u3066\u975e\u306a\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u77f3\u7070\u5316\u306f\u7815\u3051\u307e\u3059\u304c\uff0c\u9aa8\u5316\u306f\u7815\u3051\u306a\u3044\u306e\u3067\u4e00\u584a\u306b\u3057\u3066\u5f15\u304d\u305a\u308a\u51fa\u3059\u3053\u3068\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u64cd\u4f5c\u306b\u3088\u3063\u3066\uff0c\u624b\u8853\u30ea\u30b9\u30af\u304c\u6975\u3081\u3066\u9ad8\u304f\u306a\u308a\u307e\u3059<\/li>\n<\/ul>\n<h4><strong>\u751f\u6daf\u3067\u6700\u3082\u82e6\u52b4\u3057\u305f\u4f8b\uff1a\u9aa8\u5316\u3092\u306a\u3081\u3066\u306f\u3044\u3051\u306a\u3044\uff01<\/strong><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8724\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf3-200x200.jpg\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf3-144x144.jpg 144w\" alt=\"craniokf3\" width=\"200\" height=\"200\" \/><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf1.jpg\" rel=\"attachment wp-att-8722\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8722\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf1-200x200.jpg\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf1-144x144.jpg 144w\" alt=\"craniokf1\" width=\"200\" height=\"200\" \/><\/a><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf4.jpg\" rel=\"attachment wp-att-8723\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8723\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf4-200x200.jpg\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/craniokf4-144x144.jpg 144w\" alt=\"craniokf4\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>11\u6b73\u3067\u4f4e\u8eab\u9577\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u5de6\u306eCT\u3067\u306f\u5c0f\u3055\u306a\u9aa8\u5316\u306b\u898b\u3048\uff0c\u3053\u306e\u7a0b\u5ea6\u306e\u982d\u84cb\u54bd\u982d\u816b\u306a\u3089\u4f55\u3068\u304b\u306a\u308b\u3068\u601d\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u624b\u8853\u6240\u898b\u3067\u306f\uff0c\u8996\u4ea4\u53c9\u3084\u8996\u5e8a\u4e0b\u90e8\u5e95\u90e8\u304b\u3089\u5265\u96e2\u3067\u304d\u306a\u3044\uff0c\u3082\u306e\u3059\u3054\u304f\u786c\u3044\u9aa8\u5316\u3067\u3057\u305f\u3002\u9aa8\u5316\u90e8\u5206\u304c\u52d5\u304b\u305b\u306a\u3044\u305f\u3081\u306b\uff0c\u5468\u56f2\u306e\u7a7f\u901a\u679d\uff08\u52d5\u8108\uff09\u3068\u3082\u5bb9\u6613\u306b\u306f\u306f\u304c\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u958b\u982d\u8853\u3060\u3063\u305f\u306e\u3067\u30bd\u30ce\u30da\u30c3\u30c8\u3067\u9aa8\u5316\u3092\u7834\u7815\u3057\u307e\u3057\u305f\u304c\uff0c\u8996\u4ea4\u53c9\u3092\u5c11\u3057\u640d\u50b7\u3057\u307e\u3057\u305f\u3002\u4f55\u3068\u304b\u5168\u6458\u51fa\u3067\u304d\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306e\u6cbb\u7642\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3082\u518d\u767a\u306a\u304f\u3066\uff0c\u5143\u6c17\u306b\u5b66\u6821\u4f3c\u901a\u3063\u3066\u6c34\u6cf3\u3068\u304b\u5439\u594f\u697d\u30b3\u30f3\u30af\u30fc\u30eb\u306b\u3067\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002<\/p>\n<\/div>\n<h4><strong>\u978d\u4e0a\u69fd\u306e\u9aa8\u5316\u4f8b<\/strong><\/h4>\n<p>8\u6b73\u306e\u5973\u306e\u5b50\u3067\u3059\u3002\u5b66\u6821\u306e\u691c\u8a3a\u3067\u4e21\u5074\u306e\u8996\u529b\u4f4e\u4e0b\u3092\u6307\u6458\u3055\u308c\u3066\uff0c\u305d\u306e4\u30f6\u6708\u5f8c\u306b\u3088\u3046\u3084\u304f\u982d\u84cb\u54bd\u982d\u816b\u304c\u767a\u898b\u3055\u308c\u307e\u3057\u305f\u3002\u767a\u898b\u3055\u308c\u305f\u3068\u304d\u306f\uff0c\u4e21\u8033\u5074\u534a\u76f2\u3067\u9ad8\u5ea6\u306e\u8996\u529b\u4f4e\u4e0b\uff08\u5de6\u6307\u6570\u5f01\uff09\u3067\u3057\u305f\u3002<\/p>\n<p><a class=\"fancyboxforwp\" title=\"cranioossi4\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi4.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6512\" title=\"cranioossi4\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi4-284x300.jpg\" sizes=\"auto, (max-width: 284px) 100vw, 284px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi4-284x300.jpg 284w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi4-550x580.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi4.jpg 709w\" alt=\"\" width=\"284\" height=\"300\" \/><\/a><a class=\"fancyboxforwp\" title=\"cranioossi3\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi3.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6514\" title=\"cranioossi3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi3-288x300.jpg\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi3-288x300.jpg 288w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi3-550x572.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi3.jpg 709w\" alt=\"\" width=\"288\" height=\"300\" \/><\/a><\/p>\n<p>\u3068\u306b\u304b\u304f\u6b8b\u3063\u305f\u8996\u529b\u3092\u52a9\u3051\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u3067\uff0c\u307e\u305a\uff0c\u719f\u7df4\u3057\u305f\u8853\u8005\u306b\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3067\u306e\u3046\u80de\u9664\u5727\uff08\u306e\u3046\u80de\u304b\u3089\u6db2\u4f53\u3092\u629c\u304f\u624b\u8853\uff09\u3092\u3057\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u6e29\u5b58\u3055\u308c\u307e\u3057\u305f\u3002\u306a\u3093\u3068\u304b\u4e21\u5074\u306e\u5931\u660e\u306f\u9632\u3052\u305f\u306e\u3067\u3059\u304c\uff0c\u8996\u529b\u3068\u8996\u91ce\u306f\u6539\u5584\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306a\u982d\u84cb\u54bd\u982d\u816b\u3067\u306f\u4e00\u5ea6\u60aa\u304f\u306a\u3063\u305f\u8996\u529b\u3068\u8996\u91ce\u306f\u624b\u8853\u3057\u3066\u3082\u6539\u5584\u3057\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<p><a class=\"fancyboxforwp\" title=\"cranioossi2\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi2.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6517\" title=\"cranioossi2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi2-288x300.jpg\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi2-288x300.jpg 288w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi2-550x571.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi2.jpg 624w\" alt=\"\" width=\"288\" height=\"300\" \/><\/a><a class=\"fancyboxforwp\" title=\"cranioossi1\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi1.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6518\" title=\"cranioossi1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi1-295x300.jpg\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi1-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi1-550x557.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi1.jpg 624w\" alt=\"\" width=\"295\" height=\"300\" \/><\/a><\/p>\n<p>\u8996\u795e\u7d4c\u3078\u306e\u5727\u8feb\u306f\u3068\u308c\u305f\u306e\u3067\uff0c\u4eca\u5ea6\u306f\u816b\u760d\u306e\u672c\u4f53\u3092\u6458\u51fa\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u30c8\u30eb\u30b3\u978d\u4e0a\u90e8\u306b\u5927\u304d\u306a\u9aa8\u5316\uff08\u9ec4\u8272\u306e\u77e2\u5370\uff09\u304c\u3042\u308a\u307e\u3059\u3002\u9aa8\u5316\u306f15mm\u304f\u3089\u3044\u306e\u5927\u304d\u3055\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3053\u306e\u5927\u304d\u306a\u9aa8\u5316\u306f\u7815\u304f\u3053\u3068\u304c\u3067\u304d\u305a\u306b\uff0c\u5468\u56f2\u3092\u5168\u90e8\u5265\u96e2\u3057\u3066\u4e00\u584a\u306b\u3057\u3066\u5f15\u304d\u305a\u308a\u51fa\u3057\u307e\u3057\u305f\u3002\u5f8c\u4ea4\u901a\u52d5\u8108\u306e\u4e0b\u5074\u304b\u3089\u5f15\u3063\u5f35\u308a\u3060\u3057\u305f\u306e\u3067\u3059\u304c\uff0c\u304b\u306a\u308a\u5371\u967a\u306a\u624b\u8853\u64cd\u4f5c\u3067\u3057\u305f\u3002\u7d50\u679c\u7684\u306b\u306f\uff0c\u4e0b\u5782\u4f53\u67c4\u3092\u6e29\u5b58\u3067\u304d\u3066\u816b\u760d\u3092\u5168\u6458\u51fa\u3057\u307e\u3057\u305f<\/p>\n<p><a class=\"fancyboxforwp\" title=\"cranioossi5\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi52.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-6529\" title=\"cranioossi5\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi52-550x380.jpg\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi52-550x380.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi52-300x207.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioossi52.jpg 945w\" alt=\"\" width=\"550\" height=\"380\" \/><\/a><\/p>\n<p>\u6458\u51fa\u3057\u305f\u9aa8\u5316\u7247\u306e\u75c5\u7406\u50cf\u3067\u3059\u3002\u6210\u719f\u3057\u305f\u9aa8\u7d44\u7e54 mature bone\u3067\u3059\u3002<\/p>\n<h4><strong>\u978d\u5185\u306e\u9aa8\u5316\u4f8b<\/strong><\/h4>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks4.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10230\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks4-300x300.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks4-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks4-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks4.jpg 850w\" alt=\"\" width=\"300\" height=\"300\" \/><\/a><br \/>\n14\u6b73\u3067\u4f4e\u8eab\u9577\u3067\u767a\u75c7\u3057\u3066\u3044\u307e\u3059\u304b\u3089\uff0c\u304b\u306a\u308a\u3086\u3063\u304f\u308a\u5897\u5927\u3057\u305f\u978d\u9694\u819c\u4e0b\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059\u3002\u30c8\u30eb\u30b3\u978d\u5185\u30fb\u978d\u9694\u819c\u4e0b\u306b\u9aa8\u5316\u304c\u3042\u308a\u307e\u3059\u3002\u7d4c\u9f3b\u7684\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u67c4\u3068\u4e0b\u5782\u4f53\u306f\u306a\u3093\u3068\u304b\u5f62\u614b\u7684\u6e29\u5b58\u3092\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks2.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10231\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks2-300x261.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks2-300x261.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks2-768x667.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks2-550x478.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks2.jpg 870w\" alt=\"\" width=\"300\" height=\"261\" \/><\/a><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks3.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10232\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks3-300x245.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks3-300x245.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks3-768x628.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks3-550x450.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks3.jpg 784w\" alt=\"\" width=\"300\" height=\"245\" \/><\/a><\/p>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks1.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10233\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks1-300x266.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks1-300x266.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/01\/cranioks1.jpg 510w\" alt=\"\" width=\"300\" height=\"266\" \/><\/a><br \/>\nadamantinomatous type\u3067\u3059\u3002mature bone\u306e\u7aef\u306b\u306f\u7834\u9aa8\u5de8\u7d30\u80de\u304c\u591a\u6570\u898b\u3089\u308c\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<h5>\u30af\u30e9\u30cb\u30aa\u306e\u8ee2\u79fb\u3000drop metastasis \u624b\u8853\u8a98\u767a\u8ee2\u79fb<\/h5>\n<p><span style=\"color: #ff0000;\">\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u3067\u306f\u7834\u7247\u3092\u843d\u3068\u3057\u3066\u306f\u3044\u3051\u307e\u305b\u3093\uff0c\u610f\u5916\u306b\u591a\u3044<\/span><\/p>\n<p>\u982d\u84cb\u54bd\u982d\u816b\u304c\u8ee2\u79fb\u3059\u308b\u3053\u3068\u306f\u306a\u3044\u3068\u8003\u3048\u3066\u3044\u3044\u3067\u3059\u3002\u3067\u3082\u4f8b\u5916\u7684\u306b\u307f\u308b\u306e\u304c\uff0c\u6458\u51fa\u624b\u8853\u3067\u8ee2\u79fb\u3092\u8a98\u767a\u3057\u3066\u3057\u307e\u3046\u3082\u306e\u3067\u3059\u3002\u30af\u30e9\u30cb\u30aa\u3092\u5c11\u3057\u3065\u3064\u3061\u304e\u3063\u3066\u53d6\u3063\u3066\u3044\u304f\u306e\u3067\uff0c\u30ab\u30b9\u304c\u3053\u307c\u308c\u843d\u3061\u3066\uff0c\u7a2e\u304c\u6492\u304b\u308c\u308b\u3088\u3046\u306b\u8ee2\u79fb\u3092\u3059\u308b\u306e\u3067\u3059\u3002\u3053\u308c\u3092\uff0c<span style=\"color: #ff0000;\"><strong>drop metastasis<\/strong><\/span>\u3068\u3044\u3044\u307e\u3059\u3002\u624b\u8853\u30eb\u30fc\u30c8\u306b\u6cbf\u3063\u305f\u4f4d\u7f6e\u306b\u767a\u751f\u3057\u307e\u3059\u3002\u901a\u5e38\u306f\u6570\u30f6\u6708\u304b\u3089\u6570\u5e74\u5f8c\u306b\u9855\u5728\u5316\u3057\u307e\u3059\u3002\u5185\u8996\u93e1\u624b\u8853\u3067\u306f\u524d\u6a4b\u69fd\u304b\u3089\u810a\u9ac4\u8154\u306b\u843d\u3068\u3059\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpre.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-15713\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpre-293x300.jpg\" alt=\"\" width=\"293\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpre-293x300.jpg 293w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpre-550x564.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpre.jpg 709w\" sizes=\"auto, (max-width: 293px) 100vw, 293px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpatho.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-15714\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpatho-300x289.jpg\" alt=\"\" width=\"300\" height=\"289\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpatho-300x289.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpatho-550x530.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkpatho.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u7b2c\uff13\u8133\u5ba4\u5185\u306eadamantinomatous craniopharyngioma\u3067\u3059\u3002\u3053\u308c\u3092\u4e21\u5074\u524d\u982d\u958b\u982d\uff0c\u7d4c\u8133\u6881\u6cd5 transcallosall approach\u3067\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u3068\u4e0b\u5782\u4f53\u67c4\u3092\u6e29\u5b58\u3059\u308b\u305f\u3081\u3067\u3059\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokksagi.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-15715\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokksagi-287x300.jpg\" alt=\"\" width=\"287\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokksagi-287x300.jpg 287w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokksagi-550x575.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokksagi.jpg 709w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkaxial.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-15716\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkaxial-300x294.jpg\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkaxial-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkaxial-550x540.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniokkaxial.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u521d\u56de\u624b\u8853\u304b\u30896\u5e74\u5f8c\uff0c\u539f\u767a\u90e8\u4f4d\u306b\u816b\u760d\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3057\uff0c\u524d\u982d\u90e8\u5927\u8133\u938c\uff08\u8d64\u77e2\u5370\uff09\u306b\u816b\u760d\u304c\u767a\u751f\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u624b\u8853\u7d4c\u8def\uff08\u7dd1\u306e\u7dda\uff09\u306b\u6cbf\u3063\u305f\u4f4d\u7f6e\u306b\u3042\u308b\u306e\u3067\uff0cdrop metastasis\u3060\u3068\u308f\u304b\u308a\u307e\u3057\u305f\u3002\u75c5\u7406\u306f\u521d\u56de\u3068\u540c\u3058\u3082\u306e\u3067\u3059\u3002\u3053\u306edrop metastasis\u306f\u610f\u5916\u306b\u591a\u3044\u3082\u306e\u3067\u3059\u3002\u982d\u84cb\u54bd\u982d\u816b\u306f\uff0c\u6975\u5c0f\u306e\u816b\u760d\u7247\u3067\u3082\u8133\u8868\u3084\u8133\u69fd\u306b\u3053\u307c\u308c\u843d\u3061\u308c\u3070\uff0c\u305d\u3053\u3067\u7740\u5e8a\u3057\u3066\uff0c\u6570\u5e74\u5f8c\u306b\u518d\u767a\u3068\u306a\u3063\u3066\u73fe\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u624b\u8853\u306e\u6642\u306b\u65ad\u7247\u3092\u6b8b\u3057\u305f\u308a\u843d\u3068\u3057\u305f\u308a\u3057\u3066\u306f\u306a\u308a\u307e\u305b\u3093\u3002<\/p>\n<hr \/>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy2-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17719\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy2-1-300x297.jpg\" alt=\"\" width=\"300\" height=\"297\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy2-1-300x297.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy2-1-550x544.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy2-1-768x760.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy2-1.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17720\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1-550x551.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1-768x769.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy1.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\/craniodropmetesy3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-17721\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy3-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy3-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy3-550x540.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy3-768x754.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/craniodropmetesy3.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u4e0a\u306eMRI\u306f\uff0c\u5927\u304d\u306a\u7b2c\uff13\u8133\u5ba4\u5185\u982d\u84cb\u54bd\u982d\u816b\u3092\u4e9c\u5168\u6458\u51fa\u3057\u305f\u308f\u305a\u304b2\u30f6\u6708\u5f8c\u306eMRI\u3067\u3059\u3002\u524d\u982d\u84cb\u5e95\u5927\u8133\u534a\u7403\u9593\u88c2\u90e8\u306b\u306e\u3046\u80de\u304c\u767a\u751f\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u3055\u304b\u306edrop metasis\u304b\u3068\u601d\u3063\u30661\u30f6\u6708\u7d4c\u904e\u3092\u898b\u305f\u3089\uff0c\u4e0b\u306e\u753b\u50cf\u306e\u3088\u3046\u306b\u9855\u8457\u306a\u5897\u5927\u3092\u793a\u3057\u307e\u3057\u305f\u3002\u75c5\u7406\u306f papillary type WHO grade 1\u3067\uff0cMIB-1\u304c6%\u3068\u9ad8\u5024\u3067\u3057\u305f\u3002\u3067\u3082\u982d\u84cb\u54bd\u982d\u816b\u306e\u518d\u767a\u3068MIB\u67d3\u8272\u7387\u306f\u95a2\u4fc2\u304c\u306a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<hr \/>\n<h5><span style=\"color: #000080;\">\u624b\u8853\u3068\u653e\u5c04\u7dda\u4ee5\u5916\u306e\u6cbb\u7642\u624b\u6bb5<\/span><\/h5>\n<p>\u30aa\u30f3\u30de\u30e4\u30fb\u30c1\u30e5\u30fc\u30d6\u3092\u306e\u3046\u80de\u306b\u5165\u308c\u3066\uff0c\u305d\u3053\u304b\u3089\u85ac\u5264\u3092\u6ce8\u5165\u3059\u308b\u3068\u3044\u3046\u624b\u6bb5\u3067\u3059\u3002\u3053\u308c\u3089\u306e\u6cbb\u7642\u306f\uff0c\u306e\u3046\u80de\u6027\u982d\u84cb\u54bd\u982d\u816b\u3092\u4e00\u6642\u7684\u306b\u5c0f\u3055\u304f\u3059\u308b\u3042\u308b\u3044\u306f\u5897\u5927\u3092\u6b62\u3081\u308b\u3068\u3044\u3046\u52b9\u679c\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u3002\u3057\u304b\u3057\uff0c<span style=\"color: #000080;\"><strong>\u982d\u84cb\u54bd\u982d\u816b\u3092\u6d88\u3059\uff0c\u6cbb\u3059\u3068\u3044\u3046\u52b9\u679c\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<h4>\u30d6\u30ec\u30aa\u30de\u30a4\u30b7\u30f3<\/h4>\n<ul>\n<li>\u82e5\u5e72\u306e\u6709\u52b9\u6027\u304c\u3042\u3063\u3066\uff0c\u624b\u8853\u307e\u3067\u306e\u671f\u9593\u3092\u4f38\u3070\u305b\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u4e00\u6642\u7684\u52b9\u679c\u3067\u816b\u760d\u3092\u6cbb\u3059\u529b\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u306e\u3046\u80de\u304b\u3089\u6f0f\u308c\u308b\u3068\u5468\u56f2\u306e\u8133\u306b\u708e\u75c7\u3092\u751f\u3058\u3066\u8133\u6d6e\u816b\u304c\u8d77\u3053\u308a\u307e\u3059<\/li>\n<li>\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u3068\u3057\u3066\uff0c\u8996\u529b\u4f4e\u4e0b\uff0c\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\uff0c\u52d5\u8108\u72ed\u7a84\u306b\u3088\u308b\u8133\u6897\u585e\uff0c\u3066\u3093\u304b\u3093\u767a\u4f5c\u306a\u3069\u304c\u3042\u308a\u7528\u3044\u3089\u308c\u306a\u304f\u306a\u308a\u307e\u3057\u305f<\/li>\n<\/ul>\n<h4>\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3 IFN-\u03b1<\/h4>\n<ul>\n<li>\u30b0\u30ea\u30aa\u30fc\u30de\u306b\u5bfe\u3059\u308b\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u306e\u9ac4\u6db2\u5185\u6ce8\u5165\u306f40\u5e74\u304f\u3089\u3044\u306e\u9577\u3044\u6b74\u53f2\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u30d6\u30ec\u30aa\u30de\u30a4\u30b7\u30f3\u3088\u308a\u306f\u526f\u4f5c\u7528\u306f\u5c11\u306a\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u816b\u760d\u3084\u306e\u3046\u80de\u304c\u5927\u304d\u304f\u306a\u308b\u306e\u3092\u9045\u304f\u3059\u308b\u52b9\u679c\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u624b\u8853\u5168\u6458\u51fa\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u5f85\u6a5f\u3059\u308b\u3068\u3044\u3046\u76ee\u7684<\/strong><\/span>\u3067\u4f7f\u7528\u3055\u308c\u307e\u3059<\/li>\n<li>\u306e\u3046\u80de\u304b\u3089\u6f0f\u308c\u308b\u3068\uff0c\u5468\u56f2\u306e\u8133\uff08\u8996\u8def\uff0c\u8996\u5e8a\u4e0b\u90e8\uff09\u306b\u708e\u75c7\u3092\u751f\u3058\u307e\u3059<\/li>\n<li>\u30aa\u30f3\u30de\u30e4\u306e\u30c1\u30e5\u30fc\u30d6\u3092\u633f\u5165\u3059\u308b\u3068\u534a\u6570\u4ee5\u4e0a\u306e\u4f8b\u3067\u306e\u3046\u80de\u304b\u3089\u6f0f\u308c\u307e\u3059<\/li>\n<li>\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u304c\u8a98\u767a\u3057\u305f\u708e\u75c7\u3067\u982d\u84cb\u54bd\u982d\u816b\u5468\u56f2\u306e\u7652\u7740\u304c\u9ad8\u5ea6\u306b\u306a\u308a\u6b21\u306e\u624b\u8853\u6458\u51fa\u304c\u56f0\u96e3\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3082\u52b9\u679c\u306f\u4e00\u6642\u7684\u3067\u3042\u308a\uff0c\u305d\u306e\u5f8c\u306b\u624b\u8853\u304b\u653e\u5c04\u7dda\u6cbb\u7642 definitive therapy \u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059<\/strong><\/span><\/li>\n<\/ul>\n<h5>\u6297\u816b\u760d\u85ac\uff08\u6297\u304c\u3093\u5264\uff09\u306e\u5168\u8eab\u6295\u4e0e<\/h5>\n<ul>\n<li>\u30b7\u30b9\u30d7\u30e9\u30c1\u30f3\u304c\u4e00\u6642\u7684\u52b9\u679c\u3092\u307f\u305b\u305f\u3068\u3044\u3046\u75c7\u4f8b\u5831\u544a\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u6709\u52b9\u306a\u6297\u304c\u3093\u5264\u306f\u77e5\u3089\u308c\u3066\u3044\u307e\u305b\u3093<\/li>\n<li>\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u306e\u5c40\u6240\u6295\u4e0e\u3084\u5168\u8eab\u6295\u4e0e\u306f\u7121\u52b9\u3067\u3059<\/li>\n<\/ul>\n<div class=\"setumei\">\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/photos\/sola2.png\" alt=\"\" width=\"459\" height=\"319\" \/><\/p>\n<h5><span style=\"color: #000080;\">\u30af\u30e9\u30cb\u30aa\u3068\u8996\u5e8a\u4e0b\u90e8\uff0c\u8996\u7d22\u306e\u6d6e\u816b<\/span><\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9475\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama3-200x200.jpg\" alt=\"hirayama3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9476\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama1-200x200.jpg\" alt=\"hirayama1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9477\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama2-200x200.jpg\" alt=\"hirayama2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/hirayama2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u6210\u4eba\u306e\u306e\u3046\u80de\u6027\u982d\u84cb\u54bd\u982d\u816b cystic craniopharyngioma \u3067\u3059\u3002\u816b\u760d\u306e\u5468\u56f2\u306e\u8996\u5e8a\u4e0b\u90e8\u306b\u6d6e\u816b\u304c\u3042\u308a\u307e\u3059\u3002\u53f3\u8996\u7d22\u304b\u3089\u5185\u5305\u3078\u306e\u6d6e\u816b\u3082\u9855\u8457\u3067\u3057\u305f\u3002\u3053\u306e\u305f\u3081\u306b\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u8996\u5e8a\u4e0b\u90e8\u6027\u306e\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u306f\u53ef\u9006\u7684\u3067\uff0c\u624b\u8853\u3067\u8996\u5e8a\u4e0b\u90e8\u640d\u50b7\u3092\u3057\u306a\u3044\u3088\u3046\u306b\u816b\u760d\u6458\u51fa\u3059\u308b\u3068\u8a8d\u77e5\u6a5f\u80fd\u306f\u6b63\u5e38\u306b\u623b\u308a\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u30af\u30e9\u30cb\u30aa\u306e\u60aa\u6027\u5316<\/span><\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomalignant.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9523\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomalignant-286x300.jpg\" alt=\"craniomalignant\" width=\"286\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomalignant-286x300.jpg 286w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomalignant-550x577.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomalignant.jpg 630w\" sizes=\"auto, (max-width: 286px) 100vw, 286px\" \/><\/a>2005\u5e74\u5927\u5b66\u75c5\u9662\u3067\u6458\u51fa\u3092\u53d7\u3051\u3066\u8853\u5f8c\u306b\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3057\u307e\u3057\u305f\u30022009\u5e74\u306b\u518d\u767a\u3057\u3066\uff0c\u5b50\u3069\u3082\u75c5\u9662\u3067\u6458\u51fa\u3092\u53d7\u3051\u8853\u5f8c\u306b\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3092\u3057\u307e\u3057\u305f\u30022\u5ea6\u306e\u9ad8\u7dda\u91cf\u5b9a\u4f4d\u7167\u5c04\u304c\u5165\u3063\u3066\u3044\u307e\u3057\u305f\u30022010\u5e74\u306b2\u5ea6\u76ee\u306e\u518d\u767a\u3092\u898b\u3066\uff0c\u79c1\u306e\u3068\u3053\u308d\u3078\u6765\u307e\u3057\u305f\u3002\u6d77\u7dbf\u9759\u8108\u6d1e\u304b\u3089\u8776\u5f62\u9aa8\u6d1e\uff0c\u982d\u84cb\u5185\u306b\u6fc0\u3057\u3044\u518d\u767a\u304c\u3042\u308a\u307e\u3057\u305f\u304c\uff0c\u982d\u84cb\u5e95\u5916\u79d1\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u75c5\u7406\u306f\u60aa\u6027\u5ea6\u304c\u9ad8\u3044\u30ac\u30f3 (ameloblastic carcinoma) \u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u5de6\u306eMRI\u306f\u3055\u3089\u306b1\u5e74\u5f8c3\u56de\u76ee\u306e\u518d\u767a\u306e\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>\u5b50\u3069\u3082\u306e\u982d\u84cb\u54bd\u982d\u816b\u306b\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3084\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u306e\u6cbb\u7642\u3092\u884c\u3048\u3070\uff0c\u816b\u760d\u306e\u60aa\u6027\u5316\u304c\u751f\u3058\u308b\u3053\u3068\u306f\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #000080;\"><strong>\u5e7c\u5150\u306e\u5de8\u5927\u306a\u30af\u30e9\u30cb\u30aa<\/strong><\/span><\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9535\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu3-200x200.jpg\" alt=\"craniosu3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9536\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu1-200x200.jpg\" alt=\"craniosu1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9537\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu2-200x200.jpg\" alt=\"craniosu2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosu2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u9ad8\u5ea6\u306e\u8996\u529b\u4f4e\u4e0b\u3067\u767a\u75c7\u3057\u305f\uff13\u6b73\u5150\u306e\u30af\u30e9\u30cb\u30aa\u3067\u3059\u3002\u8133\u5ba4\u30c9\u30ec\u30ca\u30fc\u30b8\u304c\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u5f53\u7136\u3067\u3059\u304c\uff0c\u5185\u8996\u93e1\u306b\u3088\u308b\u7a7f\u7834\u3067\u306e\u3046\u80de\u3092\u7e2e\u5c0f\u3055\u305b\u3066\uff0c\u6b8b\u5b58\u8996\u529b\u306e\u6e29\u5b58\u3092\u8a66\u307f\u307e\u3059\u3002\u305d\u308c\u304b\u3089\u958b\u982d\u624b\u8853 bilateral subfrontal-interhemispheric approach \u3067\u5168\u6458\u51fa\u3067\u3059\u3002\u9854\u9762\u795e\u7d4c\u306b\u3082\u816b\u760d\u58c1\u306f\u7652\u7740\u3057\u3066\u3044\u307e\u3057\u305f\u304c\uff0c\u4f55\u304c\u4f55\u3067\u3082\u5168\u6458\u3057\u306a\u3044\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u9811\u5f35\u308a\u307e\u3059\u3002\u3053\u306e\u5b50\u306f\u958b\u982d\u8853\u5f8c\u306b\u4e0b\u5782\u4f53\u67c4\u306e\u3068\u3053\u308d\u306b\u5c0f\u3055\u306a\u518d\u767a\u3092\u751f\u3058\u3066\uff0c\u7d4c\u9f3b\u7684\u5185\u8996\u93e1\u624b\u8853\u3067\u307e\u305f\u5168\u6458\u51fa\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u5e7c\u5150\u306e\u5de8\u5927\u306a\u982d\u84cb\u54bd\u982d\u816b\u306f\uff0c\u30ea\u30b9\u30af\u3068\u3068\u3089\u305a\u306b\u4e2d\u9014\u534a\u7aef\u306a\u90e8\u5206\u6458\u51fa\u3059\u308c\u3070\uff0c\u6570\u56de\u4ee5\u4e0a\u306e\u958b\u982d\u624b\u8853\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6ce5\u6cbc\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5 style=\"text-align: center;\"><span style=\"color: #000080;\"><strong>\u75c7\u72b6\u304c\u306a\u304f\u3066\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u3082\u306e\u3067\u306f\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u6b8b\u305b\u307e\u3059<\/strong><\/span><\/h5>\n<p>\u978d\u9694\u819c\u4e0b\u30bf\u30a4\u30d7<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20970\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas2-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas2-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas2-768x771.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20971\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas1-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas1-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas1-550x541.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>4\u6b73\u306e\u5c11\u5e74\u306b\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u3082\u306e\u3067\u3059\u3002CT\u3067\u77f3\u7070\u5316\u304c\u3042\u308a\uff0c\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u3067\u6591\u3089\u306b\u5897\u5f37\u3055\u308c\u308b\u3082\u306e\u3067\u4e0b\u5782\u4f53\u5f8c\u8449\u306e\u9ad8\u4fe1\u53f7\u306f\u6b8b\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophashe.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20972\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophashe-300x279.jpg\" alt=\"\" width=\"300\" height=\"279\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophashe-300x279.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophashe-550x512.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophashe.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophasmib.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20973\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophasmib-300x276.jpg\" alt=\"\" width=\"300\" height=\"276\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophasmib-300x276.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophasmib-550x506.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophasmib.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u7d4c\u9f3b\u624b\u8853\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002beta-akatenin\u967d\u6027\u306eadamantinomatous type\u3067\uff0cMIB-1\u306f3%\u7a0b\u5ea6\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-20974 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas3-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas3-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas3-550x534.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniophas3.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>\u5c3f\u5d29\u75c7\u3082\u306a\u304f\u624b\u8853\u5f8c\u306e\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u6b63\u5e38\u306b\u4fdd\u305f\u308c\u3066\u3044\u307e\u3057\u305f\u3002<br \/>\n\u3067\u3082\u5f8c\u8449\u3068\u306e\u5265\u96e2\u306a\u3069\u3067\u306f\u7121\u7406\u3092\u3057\u3066\u3044\u307e\u305b\u3093\u304b\u3089\uff0c\u3082\u3057\u304b\u3059\u308b\u3068\u518d\u767a\u3059\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u305d\u306e\u6642\u306f\u307e\u305f\u7d4c\u9f3b\u624b\u8853\u3067\u5168\u6458\u51fa\u3059\u308c\u3070\u3044\u3044\u306e\u3067\u3059\u3002\u3053\u306e\u30b1\u30fc\u30b9\u3067\u306f\u4e0b\u5782\u4f53\u6a5f\u80fd\u6e29\u5b58\u304c\u5b8c\u5168\u6458\u51fa\u3088\u308a\u512a\u5148\u3055\u308c\u307e\u3059\u3002\u306a\u305c\u306a\u3089\u518d\u624b\u8853\u306b\u306a\u3063\u3066\u3082\u7d50\u679c\u7684\u306b\u306f\u6cbb\u305b\u308b\u304b\u3089\u3002<\/p>\n<h5><span style=\"color: #000080;\">\u7d4c\u9f3b\u5185\u8996\u93e1\u3067\u306f\u306a\u304f\uff0c\u958b\u982d\u624b\u8853\u306e\u65b9\u304c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u5b88\u308c\u308b\u4f8b<\/span><\/h5>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20472\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre1.jpg 412w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20473\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre2-298x300.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre2-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranokkpre2.jpg 357w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/><\/a><\/p>\n<p>\u4e21\u8033\u5074\u534a\u76f2\u306e\u307f\u3067\u767a\u75c7\u3057\u305f\u978d\u9694\u819c\u4e0b\u30bf\u30a4\u30d7\u3067\u3059\u3002\u4e0b\u5782\u4f53\u67c4\u306f\u524d\u65b9\u5de6\u5074\u306b\u3042\u308a\u307e\u3059\u3002\u816b\u760d\u306f\u978d\u5185\u5f8c\u65b9\u306b\u3082\u3042\u308a\uff0c\u5f37\u3044\u9aa8\u5316\u3092\u4f34\u3046\u3082\u306e\u3067\u3057\u305f\u3002\u3053\u308c\u3092\u7d4c\u9f3b\u5185\u8996\u93e1\u624b\u8853\u3067\u5168\u6458\u51fa\u3059\u308c\u3070\u524d\u8449\u640d\u50b7\u306f\u907f\u3051\u3089\u308c\u307e\u305b\u3042\u3093\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniokkpostop.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20471\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniokkpostop-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniokkpostop-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniokkpostop.jpg 329w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><br \/>\n\u8853\u76f4\u5f8c\u306eMRI\u3067\u3059\u3002\u53f3\u524d\u982d\u5074\u982d\u958b\u982d\u3067\u978d\u5185\u306e\u3082\u306e\u3082\u542b\u3081\u3066\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u67c4\u306f\u9577\u304f\u4f38\u3073\u3066\u6241\u5e73\u5316\u3057\u3066\u8584\u304f\u816b\u760d\u306e\u5de6\u5f8c\u9762\u306b\u5f35\u308a\u4ed8\u3044\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u308c\u3092\u524a\u304e\u843d\u3068\u3059\u3088\u3046\u306b\u3057\u3066\u4e0b\u5782\u4f53\u67c4\u3092\u6b8b\u3057\u307e\u3057\u305f\u3002<br \/>\n\u8853\u5f8c14\u5e74\u518d\u767a\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3068\u3066\u3082\u8efd\u3044\u5c3f\u5d29\u75c7\u3092\u6b8b\u3057\u307e\u3057\u305f\u304c\uff0c\u524d\u8449\u6a5f\u80fd\u306f\u6b63\u5e38\u306b\u6e29\u5b58\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-20467\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho-300x290.jpg\" alt=\"\" width=\"300\" height=\"290\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho-300x290.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho-550x531.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-19892\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho1-300x295.jpg\" alt=\"\" width=\"300\" height=\"295\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho1-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho1-550x541.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniosmpatho1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u978d\u5185\u306b\u3042\u3063\u305f\u90e8\u5206\u306e\u75c5\u7406\u6240\u898b\u3067\u3059\u3002adamantinoomatous type\u3067\uff0c\u7834\u9aa8\u7d30\u80de\u3092\u4f34\u3046\u5f37\u3044\u9aa8\u5316\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<hr \/>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/owlfly.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-9539\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/owlfly-300x196.jpg\" alt=\"owlfly\" width=\"300\" height=\"196\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/owlfly-300x196.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/owlfly-768x503.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/owlfly-550x360.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/owlfly.jpg 984w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<div class=\"setumei\">\n<h5><span style=\"color: #000080;\"><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u8840\u7ba1\u9589\u585e\u3068\u8133\u6897\u585e\u3057k<\/span><\/span><\/h5>\n<\/div>\n<\/div>\n<ul>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3068\uff0c\u30af\u30e9\u30cb\u30aa\u3068\u4e00\u7dd2\u306b\uff0c\u5185\u9838\u52d5\u8108\u3082\u88ab\u66dd\u3057\u3066\u3057\u307e\u3044\u307e\u3059<\/li>\n<li>\u30ea\u30cb\u30a2\u30c3\u30af\u306a\u3069\u306720\u56de\u304b\u308930\u56de\u304f\u3089\u3044\u306b\u7d30\u304b\u304f\u5206\u3051\u3066\uff08\u591a\u5206\u5272\uff09\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u3068\uff0c<strong>5\u5e74\u5f8c<\/strong>\u304f\u3089\u3044\u304b\u3089\u52d5\u8108\u72ed\u7a84\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3084\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u30671\u56de\u304b\u30893\u56de\u304f\u3089\u3044\u3067\u7167\u5c04\u3059\u308b\u3068\uff0c<strong>2\u5e74\u5f8c<\/strong>\u304f\u3089\u3044\u304b\u3089\u52d5\u8108\u304c\u7d30\u304f\u306a\u3063\u3066\u304f\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u75c7\u72b6\u304c\u7121\u3044\u7121\u75c7\u5019\u6027\u3067\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u8840\u7ba1\u64ae\u5f71\u3067\u306f\uff0c\u88ab\u7206\u3057\u305f\u52d5\u8108\u306e\u5358\u306a\u308b\u72ed\u7a84\u3084\u9589\u585e\uff0c\u3042\u308b\u3044\u306f<strong>\u30e2\u30e4\u30e2\u30e4\u75c5\uff08\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u72ed\u7a84\u75c7<\/strong>\uff09\u306b\u307f\u3048\u307e\u3059<\/li>\n<li>\u75c7\u72b6\u304c\u51fa\u308b\u5834\u5408\u306b\u306f\uff0cTIA \u4e00\u904e\u6027\u8133\u865a\u8840\u767a\u4f5c\uff0c\u3066\u3093\u304b\u3093\u767a\u4f5c\uff0c\u9ebb\u75fa\u306a\u3069\u3092\u6b8b\u3059\u8133\u6897\u585e\u306a\u3069\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u308b\u5e74\u9f62\u304c\u4f4e\u3044\u307b\u3069\uff0c\u304b\u306a\u308a\u78ba\u7387\u304c\u9ad8\u304f\u306a\u3063\u3066\u6765\u307e\u3059<\/li>\n<li><strong>\u5e7c\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u3059\u308b\u30682\u5272\u304f\u3089\u3044\u3067\u5185\u9838\u52d5\u8108\u7cfb\u306e\u72ed\u7a84<\/strong>\u304c\u751f\u3058\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranioarteries.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10439\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranioarteries-300x293.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranioarteries-300x293.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranioarteries-550x537.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranioarteries.jpg 709w\" alt=\"\" width=\"300\" height=\"293\" \/><\/a><br \/>\n\u30af\u30e9\u30cb\u30aa\u306f\u978d\u5185\u3084\u978d\u4e0a\u90e8\u3068\u3044\u3046\u90e8\u4f4d\u306b\u3067\u304d\u308b\u816b\u760d\u3067\u3059\u3002\u7dd1\u8272\u306b\u5857\u3063\u305f\u306e\u304c\u816b\u760d\uff0c\u8d64\u304c\u52d5\u8108\uff0c\u9752\u304c\u9759\u8108\u3067\u3059\u3002\u30af\u30e9\u30cb\u30aa\u306e\u5468\u56f2\u306b\u306f\u305f\u304f\u3055\u3093\u306e\u52d5\u8108\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u7279\u306b\u5185\u9838\u52d5\u8108\u3068\u524d\u5927\u8133\u52d5\u8108\u304c\u816b\u760d\u306b\u63a5\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<h4>\u5c0f\u5150\u306e\u30af\u30e9\u30cb\u30aa\uff1a\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u5185\u9838\u52d5\u8108\u9589\u585e\u3068\u8133\u52d5\u8108\u7624\u306e\u767a\u751f<\/h4>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranioradmoyamoya.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-10422\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranioradmoyamoya-550x405.jpg\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranioradmoyamoya-550x405.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranioradmoyamoya-300x221.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranioradmoyamoya-768x566.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/cranioradmoyamoya.jpg 850w\" alt=\"\" width=\"550\" height=\"405\" \/><\/a><\/p>\n<p>4\u6b73\u306e\u6642\u306b\u982d\u84cb\u54bd\u982d\u816b\u306b\u5bfe\u3057\u306650\u30b0\u30ec\u30a4\u306e\u5206\u5272\u7167\u5c04\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u4e21\u5074\u306e\u5185\u9838\u52d5\u8108\u3068\u524d\u4ea4\u901a\u52d5\u8108\u304c\u88ab\u66dd\u3057\u3066\u3044\u307e\u3059\u300216\u6b73\uff0812\u5e74\u5f8c\uff09\u306b\u5de6\u7247\u9ebb\u75fa\u306e\u865a\u8840\u767a\u4f5c\u3092\u751f\u3058\u307e\u3057\u305f\u3002\u53f3\u5185\u9838\u52d5\u8108\u304c\u9589\u585e\u3057\u3066\u30a6\u30a3\u30eb\u30b9\u52d5\u8108\u8f2a\u9589\u585e\uff08\u30e2\u30e4\u30e2\u30e4\u75c5\uff09\u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u524d\u4ea4\u901a\u52d5\u8108\u306b\u52d5\u8108\u7624\uff08\u8d64\u77e2\u5370\uff09\u3082\u3067\u304d\u3066\u3044\u307e\u3057\u305f\u3002\u5c0f\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u3078\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u306f\u304b\u306a\u308a\u9ad8\u7387\u306b\u9589\u585e\u6027\u8133\u8840\u7ba1\u969c\u5bb3\u3092\u751f\u3058\u308b\u306e\u3067\u3059\u304c\uff0c\u6cbb\u7642\u5f8c10\u5e74\u4ee5\u4e0a\u304c\u305f\u3063\u3066\u304b\u3089\u8d77\u308b\u306e\u3067\uff0c\u6cbb\u7642\u3092\u884c\u3063\u305f\u533b\u5e2b\u306f\u305d\u308c\u3092\u307f\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u5c0f\u5150\u306e\u30af\u30e9\u30cb\u30aa\uff1a\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u8133\u6897\u585e<\/h4>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino1.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10425\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino1-300x283.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino1-300x283.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino1-768x724.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino1-550x518.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino1.jpg 1181w\" alt=\"\" width=\"300\" height=\"283\" \/><\/a><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino2.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10426\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino2-300x292.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino2-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino2-768x747.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino2-550x535.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/10\/craniomoyashino2.jpg 1181w\" alt=\"\" width=\"300\" height=\"292\" \/><\/a><\/p>\n<p>3\u6b73\u306e\u6642\u306b\u978d\u4e0a\u90e8\u30af\u30e9\u30cb\u30aa\u306b40\u30b0\u30ec\u30a4\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u305f\u300231\u6b73\uff0828\u5e74\u5f8c\uff09\u3067\u53f3\u524d\u982d\u8449\u306b\u8133\u6897\u585e\u3092\u751f\u3058\u307e\u3057\u305f\u3002\u53f3\u5185\u9838\u52d5\u8108\u3068\u5de6\u524d\u5927\u8133\u52d5\u8108\u304c\u9589\u585e\u3057\u305f<strong>\u30a6\u30a3\u30eb\u30b9\u52d5\u8108\u8f2a\u9589\u585e\u75c7\uff08\u30e2\u30e4\u30e2\u30e4\u75c5\uff09<\/strong>\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u53f3\u306e\u4e2d\u786c\u819c\u52d5\u8108\u304b\u3089\u53f3\u5927\u8133\u306b\u8840\u6d41\u304c\u5165\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u5c0f\u5150\u306e\u30af\u30e9\u30cb\u30aa\uff1a\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u8133\u6897\u585e<\/h4>\n<p><a class=\"fancyboxforwp\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranopostradimoya.jpg\" data-fancybox=\"gallery\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10437\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranopostradimoya-300x295.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranopostradimoya-300x295.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranopostradimoya-768x756.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranopostradimoya-550x541.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/cranopostradimoya.jpg 1476w\" alt=\"\" width=\"300\" height=\"295\" \/><\/a><br \/>\n5\u6b73\u3067\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\uff0c8\u6b73\u306810\u6b73\u306e\u6642\u306b\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u53f3\u5185\u9838\u52d5\u8108\u304c\u9589\u585e\u3057\u3066\u30a6\u30a3\u30eb\u30b9\u52d5\u8108\u8f2a\u9589\u585e\uff08\u30e2\u30e4\u30e2\u30e4\u75c5\uff09\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u306e\u753b\u50cf\u306f10\u6b73\u6642\u306e\u3082\u306e\u3067\u3059\u3002\u53f3\u4e2d\u786c\u819c\u52d5\u8108\u304b\u3089\u53f3\u306e\u524d\u982d\u8449\u3068\u5074\u982d\u8449\u306b\u8840\u6d41\u304c\u5165\u3063\u3066\u3044\u3066\u30e2\u30e4\u30e2\u30e4\u75c5\u306e\u75c5\u614b\u3067\u3059\u3002\u8133\u865a\u8840\u767a\u4f5c\u3084\u8133\u6897\u585e\u306f\u306a\u3044\u7121\u75c7\u5019\u6027\u306e\u3082\u306e\u3067\u3059\u3002<br \/>\n\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3084\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u306a\u3069\u306e\u9ad8\u7dda\u91cf\u7167\u5c04\u3067\u306f\uff0c\u52d5\u8108\u9589\u585e\u306f\u591a\u5206\u5272\u7167\u5c04\u3088\u308a\u3082\u65e9\u304f\u751f\u3058\u307e\u3059\u3002<\/p>\n<p>Lo AC, et al.: A Cross-Sectional Cohort Study of\u00a0Cerebrovascular Disease\u00a0and Late Effects After\u00a0RadiationTherapy for\u00a0Craniopharyngioma. Pediatr Blood Cancer.\u00a02016<br \/>\n\u5e74\u9f62\u4e2d\u592e\u502410\u6b73\uff0c20\u4eba\u306e\u982d\u84cb\u54bd\u982d\u816b\u306e\u60a3\u8005\u3055\u3093\u304c\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u3066\uff0c5\u4eba(20%)\u306b\u8133\u5352\u4e2d stroke\u304c\u751f\u3058\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c9\u5e74\u307b\u3069\u3067\u767a\u75c7\u3057\u3066\u3044\u307e\u3059<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-10436 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/tears-240x300.jpg\" alt=\"\" width=\"240\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/tears-240x300.jpg 240w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/tears-480x600.jpg 480w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2018\/01\/tears.jpg 640w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h1><a style=\"font-family: '\uff2d\uff33 \u30b4\u30b7\u30c3\u30af', sans-serif; font-size: 1.3em; background-color: #effffa;\" href=\"\/sawamura\/pathocase\/craniopharyngiomapathology\/\"><span style=\"color: #000080;\">\u982d\u84cb\u54bd\u982d\u816b\u306e\u75c5\u7406\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/span><\/a><\/h1>\n<div class=\"setumei\">\n<hr \/>\n<h5>\u6587\u732e\u60c5\u5831<\/h5>\n<\/div>\n<h4>\u6210\u9577\u30db\u30eb\u30e2\u30f3\u3093\u304a\u88dc\u5145\u306f\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306e\u518d\u767a\u306b\u306f\u5f71\u97ff\u3057\u306a\u3044<\/h4>\n<p>Pan LS: The effect of growth hormone replacement therapy on craniopharyngioma recurrence: a systematic review and meta-analysis. Pituitary 2025<br \/>\n817\u4f8b\u3092\u691c\u7d22\u3057\u305f\u30e1\u30bf\u30a2\u30ca\u30e9\u30a4\u30b7\u30b9\u3067\u3059\u3002GH\u306e\u88dc\u5145\u3068\u982d\u84cb\u54bd\u982d\u816b\u306e\u6cbb\u7642\u5f8c\u518d\u767a\u3068\u306f\u5168\u304f\u4f55\u306e\u95a2\u9023\u3082\u306a\u304b\u3063\u305f\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002\u8853\u5f8c12\u30f6\u6708\u4ee5\u5185\u306bGH\u88dc\u5145\u3092\u59cb\u3081\u308b\u3068\uff0c\u6709\u610f\u306b\u518d\u767a\u5272\u5408\u304c\u4f4e\u4e0b\u3057\u305f\u3068\u307e\u3067\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u3053\u307e\u3067\u306f\u3061\u3087\u3063\u3068\u30d0\u30a4\u30a2\u30b9\u304c\u5927\u304d\u3044\u6bcd\u96c6\u56e3\u3067\u3059\u304c\u3002<\/p>\n<h4>\u5c0f\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\u518d\u767a\u7387\u304c\u3068\u3066\u3082\u9ad8\u3044\u306e\u3067\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u6b8b\u3059\u306e\u304c\u96e3\u3057\u3044\u4f8b\u3067\u306f\uff0c\u4e0b\u5782\u4f53\u830e\u3092\u3042\u3048\u3066\u6e29\u5b58\u3057\u306a\u3044\u3067\u5b8c\u5168\u6458\u51fa\u3057\u305f\u65b9\u304c\u826f\u3044<\/h4>\n<p class=\"heading-title\">Kino H: Outcomes of endoscopic endonasal surgery for pediatric craniopharyngioma with a focus on morphological preservation of the pituitary stalk and endocrine functions&gt; Pituitary 2025<br \/>\n22\u4eba\u306e\u5b50\u4f9b\u305f\u3061\u304c\uff0c35\u56de\u306e\u624b\u8853\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u5b88\u308b\u305f\u3081\u306b\uff0c\u4e0b\u5782\u4f53\u67c4\u3092\u89e3\u5256\u5b66\u7684\u306b\u6b8b\u305d\u3046\u3068\u3044\u3046\u52aa\u529b\u304c\u306a\u3055\u308c\uff0c18\u4f8b\u3067\u6e29\u5b58\u3055\u308c\uff0c14\u4f8b\u3067\u306f\u4f55\u3089\u304b\u306e\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u6b8b\u308a\u307e\u3057\u305f\u3002\u3057\u304b\u3057\uff0c\u3053\u308c\u3089\u4e0b\u5782\u4f53\u67c4\u3092\u6b8b\u3057\u305f\u4f8b\u3067\u518d\u767a\u7387\u304c\u9ad8\u7387\u3067\u3057\u305f\u3002\u7d50\u8ad6\u3068\u3057\u3066\u8457\u8005\u3089\u306f\uff0c\u5185\u5206\u6ccc\u6a5f\u80fd\u6e29\u5b58\u304c\u96e3\u3057\u3044\u3068\u601d\u308f\u308c\u308b\u75c7\u4f8b\u3067\u306f\u4e0b\u5782\u4f53\u830e\u6e29\u5b58\u306b\u3053\u3060\u308f\u3089\u306a\u3044\u307b\u3046\u304c\u826f\u3044\u3068\u8003\u3048\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002\u3067\u3059\u304c\uff0c\u978d\u9694\u819c\u4e0b\u30bf\u30a4\u30d7\u3067\u826f\u597d\u306a\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u3042\u308b\u4f8b\u3067\u306f\uff0c\u4e0b\u5782\u4f53\u6a5f\u80fd\u6e29\u5b58\u306b\u7a4d\u6975\u7684\u306b\u52aa\u529b\u3057\u307e\u3059\u3002<\/p>\n<h4>\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b\u306bBRAF-MEK\u963b\u5bb3\u5264\u304c\u6709\u52b9<\/h4>\n<p class=\"heading-title\"><span class=\"authors-list-item \">Brastianos PK:\u00a0<\/span>BRAF-MEK Inhibition in Newly Diagnosed Papillary Craniopharyngiomas. N Engl J Med 2023<br \/>\nPapillary type\u306b\u306f90%\u4ee5\u4e0a\u3067<i>BRAF<\/i> V600E mutations\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002BRAF\u306e\u5909\u7570\u304c\u3042\u308a\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u982d\u84cb\u54bd\u982d\u816b\u306e\u60a3\u8005\u3055\u3093\u304c\u5bfe\u8c61\u3067\u3059\u3002MEK inhibitor combination \u30d9\u30e0\u30e9\u30d5\u30a7\u30cb\u30d6 vemurafenib\u3068\u30b3\u30d3\u30e1\u30c1\u30cb\u30d6 cobimetinib\u304c28\u65e5\u30b5\u30a4\u30af\u30eb\u3067\u6295\u4e0e\u3055\u308c\u307e\u3057\u305f\u3002\u4e2d\u592e\u5024\uff18\u30b5\u30a4\u30af\u30eb\u3067\uff0c\u6295\u4e0e\u3055\u308c\u305f16\u4f8b\u4e2d15\u4f8b\u3067PR\u4ee5\u4e0a\u306e\u816b\u760d\u7e2e\u5c0f\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002\u816b\u760d\u4f53\u5236\u7e2e\u5c0f\u4e2d\u592e\u5024\u306f91% (68-99)\u3067\u3057\u305f\u304c\uff0c\u6295\u4e0e\u4e2d\u6b62\u3068\u3068\u3082\u306b\u518d\u5897\u5927\u304c\u8a8d\u3081\u3089\u308c24\u30f6\u6708PFS\u306f58\uff05\u3067\u3057\u305f\u3002\u6709\u5bb3\u4e8b\u8c61\u306f\u767a\u5fc3\uff0c\u9ad8\u8840\u7cd6\uff0cCK\u9ad8\u5024\u306a\u3069\u3067\uff0c3\u4f8b\u3067\u6295\u4e0e\u4e2d\u6b62\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u6210\u4eba\u982d\u84cb\u54bd\u982d\u816b\u306b\u5bfe\u3059\u308b\u4e2d\u6027\u5b50\u7dda\u6cbb\u7642\u306e\u52b9\u679c<\/h4>\n<p class=\"heading-title\">Beddok A: Proton therapy for adult craniopharyngioma: Experience of a single institution in 91 consecutive patients. Neuro Oncol 2023<br \/>\n\u30d5\u30e9\u30f3\u30b9\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002\u5e74\u9f62\u4e2d\u592e\u502437\u6b73\uff0c64\u4f8b\u304c\u8853\u5f8c\u6b8b\u5b58\u816b\u760d\u306b\uff0c27\u4f8b\u3067\u518d\u767a\u306b\u5bfe\u3057\u3066\u4e2d\u6027\u5b50\u7dda\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002CTV\u306f\u901a\u5e385mm\uff0c\u6b63\u5e38\u8133\u306bCTV\u304c\u5165\u308b\u5834\u5408\u306fGTV\u306e2-3mm\u3067\u30de\u30fc\u30b8\u30f3\u3092\u3068\u3063\u3066\u3044\u307e\u3059\u3002PTV\u306fCTV\u306b2mm\u3092\u52a0\u3048\u307e\u3059\u300252.2-54Gy\/29-30Fr\u306e\u7dda\u91cf\u304c\u7528\u3044\u3089\u308c\u307e\u3057\u305f\u3002<br \/>\n\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u502439\u30f6\u6708\u3067\uff0cCR 35.2%, PR 49.5%, SD 9.9%\u3067\u3057\u305f\u30025\u4f8b\u306e\u307f\u3067\u7167\u5c04\u91ce\u5185\u518d\u767a\u304c\u751f\u3058\u307e\u3057\u305f\u3002\u9045\u767a\u6027\u969c\u5bb3(\u30b0\u30ec\u30fc\u30c92\u4ee5\u4e0a)\u3068\u3057\u3066\uff0c\u5185\u5206\u6ccc\u969c\u5bb3\u304c\u6700\u3082\u9ad8\u983b\u5ea6\u3067\uff0c9.8%\u3067\u8996\u529b\u969c\u5bb3\uff0c11.3%\u3067\u75c7\u5019\u6027\u8a18\u61b6\u969c\u5bb3\u304c\u751f\u3058\u307e\u3057\u305f\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u816b\u760d\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u5272\u676f\u306f\u975e\u5e38\u306b\u9ad8\u3044\u3067\u3059\u3002\u6700\u5927\u3067\u4e21\u50747mm\u3065\u3064\uff0c\u8a0814mm\u304c\u63cf\u51fa\u3055\u308c\u308b\u816b\u760d\u3088\u308a\u5e83\u304f\u30bf\u30fc\u30b2\u30c3\u30c8\u3068\u306a\u308a\u307e\u3059\u3002\u978d\u4e0a\u90e8\u3068\u3044\u3046\u4f4d\u7f6e\u3067\u3053\u308c\u306f\u304b\u306a\u308a\u306e\u91cd\u8981\u306a\u795e\u7d4c\u7d44\u7e54\u306b\u5927\u304d\u306a\u4fb5\u8972\u304c\u52a0\u308f\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u3082\u3063\u3068\u7cbe\u5bc6\u306b\u8a8d\u77e5\u6a5f\u80fd\u3084\u9577\u3044\u89b3\u5bdf\u3092\u3059\u308b\u3068\uff0c\u305f\u3068\u3048\u30af\u30e9\u30cb\u30aa\u306f\u5236\u5fa1\u3067\u304d\u3066\u3082\u793e\u4f1a\u5fa9\u5e30\u304c\u96e3\u3057\u3044\u60a3\u8005\u3055\u3093\u304c\u5897\u3048\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<h4>\u8853\u5f8c\u7167\u5c04\u306b\u4e2d\u6027\u5b50\u7dda\u3092\u4f7f\u7528\u3059\u308b\u3068\u8a8d\u77e5\u6a5f\u80fd\u306e\u6e29\u5b58\u304c\u826f\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b<\/h4>\n<p class=\"article-header__title smaller\">Merchant TE: Proton therapy and limited surgery for paediatric and adolescent patients with craniopharyngioma (RT2CR): a single-arm, phase 2 study. \u00a0Lancet Oncol 2023<br \/>\n\u6bd4\u8f03\u5bfe\u8c61\u306a\u3057\u306e\u7b2c2\u76f8\u8a66\u9a13\u3067\u3059\u3002\u5c0f\u5150\u3068\u601d\u6625\u671f\u306e\u982d\u84cb\u54bd\u982d\u816b94\u4eba\u304c\u5916\u79d1\u6cbb\u7642\u3068\u4e2d\u6027\u5b50\u6cbb\u7642(54 Gy\uff0cCTV 5mm)\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u795e\u7d4c\u8a8d\u77e5\u6a5f\u80fd\u691c\u67fb\u306f\u6cbb\u7642\u5f8c5\u5e74\u9593\u6bce\u5e74\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u7d50\u679c\u306f\u904e\u53bb\u306e\u75c7\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u3066\u8a55\u4fa1\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u8a8d\u77e5\u6a5f\u80fd\u306fX\u7dda\u7167\u5c04\u3088\u308a\u6539\u5584\u3055\u308c\u305f\u305d\u3046\u3067\u3059\u3002\u751f\u5b58\u5272\u5408\u306f\u6539\u5584\u305b\u305a\u91cd\u75c7\u5408\u4f75\u75c7\u306e\u5272\u5408\u306f\u540c\u3058\u3067\u3057\u305f\u30023\u5e74PFS\u306f96.8%\u3067\uff0c\u653e\u5c04\u7dda\u58ca\u6b7b\u304c2\u4f8b\uff0c\u91cd\u7be4\u306a\u8840\u7ba1\u969c\u5bb3\u304c4\u4f8b\uff0cpermanent neurological conditions?\u304c3\u4f8b\u306b\uff0c\u8996\u529b\u4f4e\u4e0b\u304c4\u4f8b\u306b\u751f\u3058\u307e\u3057\u305f\u3002<br \/>\n\u300c\u89e3\u8aac\u300dproton 54Gy\u3092\u7528\u3044\u3066\u3044\u307e\u3059\u304c\uff0c\u591a\u304f\u306e\u4f8b\u3067\u8996\u5e8a\u4e0b\u90e8\u88ab\u66dd\u304c\u751f\u3058\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u3053\u306e\u7dda\u91cf\u306f\u30a6\u30a3\u30ea\u30b9\u52d5\u8108\u8f2a\u306e\u72ed\u7a84\u6027\u75c5\u5909\u3084\u91cd\u75c7\u5408\u4f75\u75c7\uff0c\u9593\u8133\u4e0b\u5782\u4f53\u969c\u5bb3\uff0c\u8996\u529b\u969c\u5bb3\u3092\u751f\u3058\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3059\u304e\u308b\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u7279\u306b\u5c0f\u5150\u306e\u5834\u5408\uff0c\u8996\u5e8a\u4e0b\u90e8\uff0c\u8996\u795e\u7d4c\u306e\u8010\u7528\u6700\u5927\u7dda\u91cf\u306f50Gy\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<h4>\u982d\u84cb\u54bd\u982d\u816b\u306e\u6cbb\u7642\u8a55\u4fa1\u57fa\u6e96<\/h4>\n<p>Hoffman LM:\u00a0Response assessment in pediatric craniopharyngioma: recommendations from the Response Assessment in Pediatric Neuro-Oncology (RAPNO) Working Group. Neuro Oncol 2023<br \/>\n\u56fa\u5f62\u90e8\u5206\u3068\u306e\u3046\u80de\u90e8\u5206\u3092\u5408\u308f\u305b\u30662\u65b9\u5411\u306e\u9577\u5f84\u3067\u5927\u304d\u3055\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002\u795e\u7d4c\u5185\u5206\u6ccc\u6a5f\u80fd\u3068\u8996\u6a5f\u80fd\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002\u306e\u3046\u80de\u6027\u75c5\u5909\u306f\u65b0\u305f\u306a\u3082\u3057\u304f\u306f\u9032\u884c\u6027\u306e\u75c7\u72b6\u304c\u3042\u308b\u6642\u306e\u307f\u306b\uff0cPD progression \u9032\u884c\u3068\u8a55\u4fa1\u3057\u307e\u3059\u3002\u300c\u89e3\u8aac\u300d\u982d\u84cb\u54bd\u982d\u816b\u306f\uff0c\u816b\u760d\u5236\u5fa1\u3068\u6a5f\u80fd\u55aa\u5931\u304c\uff0c\u30c8\u30ec\u30fc\u30c9\u30aa\u30d5\u306e\u95a2\u4fc2\u306b\u3042\u308b\u306e\u3067\uff0c\u6cbb\u7642\u8a55\u4fa1\u57fa\u6e96\u3068\u3044\u3046\u3082\u306e\u306f\u3067\u304d\u306a\u3044\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u4eca\u5f8c\u3082\u7121\u7406\u3067\u3057\u3087\u3046\u3002<\/p>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<h4>\u6210\u4eba\u306e\u982d\u84cb\u54bd\u982d\u816b\u306b\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u306e\u6709\u52b9\u6027\u306f\u9ad8\u3044<\/h4>\n<\/div>\n<\/div>\n<p>Ohhashi G: Postoperative Long-term Outcomes of Patient with Craniopharyngioma Based on CyberKnife Treatment. Cureus,\u00a02020<br \/>\n\u5927\u6a4b\u5143\u4e00\u90ce\u5148\u751f\u306e\u66f8\u304b\u308c\u305f\u5831\u544a\u3067\u3059\u3002\u5bfe\u8c61\u306f\uff0c29\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba33\u4f8b\u3067\u3059\u3002\u7d4c\u9f3b\u5185\u8996\u93e1\u9855\u5fae\u93e1\u4f75\u7528\u624b\u8853\u3067\u6458\u51fa\u3057\uff0c\u305d\u306e\u5f8c\u306b\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u5168\u6458\u51fa\u306f\uff18\u4f8b\u3067\u3042\u308a\uff0c33\u4f8b\u3059\u3079\u3066\u3067\u4e0b\u5782\u4f53\u3068\u4e0b\u5782\u4f53\u67c4\u304c\u6e29\u5b58\u3055\u308c\u307e\u3057\u305f\u3002\u89e3\u6790\u5bfe\u8c61\u306f\uff0c\u5168\u6458\u51fa\u8853\u5f8c\u518d\u767a\uff13\u4f8b\uff0c\u8853\u5f8c\u6b8b\u5b5825\u4f8b\u306e\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u6cbb\u7642\u4f8b\u3067\u3059\u3002\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u6cbb\u7642\u3055\u308c\u305f28\u4f8b\u3067\u306f\u518d\u71c3\uff0f\u518d\u767a\u306f\u7121\u304b\u3063\u305f\u3068\u306e\u7d50\u679c\u3067\u3057\u305f\u3002\u3055\u3089\u306b\uff0c\u8853\u5f8c\u3042\u308b\u3044\u306f\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u5f8c\u306b\u4e0b\u5782\u4f53\u6a5f\u80fd\u60aa\u5316\u4f8b\u306f\u306a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u6210\u4eba\u4f8b\u3067\u3059\u304c\uff0c\u624b\u8853\u306fpalliative surgery\u3067\u6a5f\u80fd\u6e29\u5b58\u3092\u8a08\u308a\uff0c\u6b8b\u5b58\u816b\u760d\u306b\u306f\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3092\u7528\u3044\u308b\u3068\u3044\u3046\u57fa\u672c\u65b9\u91dd\u306f\uff0c\u65e5\u672c\u3067\u3082\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<h4>BRAF\u5909\u7570\u306e\u3042\u308b\u4e73\u982d\u72b6\u982d\u84cb\u54bd\u982d\u816b\u306bdabrafenib\u3068trametinib\u304c\u6709\u52b9\u3067\u3042\u3063\u305f<\/h4>\n<\/div>\n<\/div>\n<p class=\"heading-title\">Bernstein A: Dual BRAF\/MEK therapy in BRAF V600E-mutated primary brain tumors: a case series showing dramatic clinical and radiographic responses and a reduction in cutaneous toxicity. J Neurusurg 2019<br \/>\n\u75c7\u4f8b\u5831\u544a\u3067\u3059\u3002dabrafenib\u3068trametinib\u306e\uff18\u9031\u9593\u6295\u4e0e\u3067\u816b\u760d\u304c\u307b\u3068\u3093\u3069\u6d88\u5931\u3057\u305f\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642 definitive \u3068\u5168\u6458\u51fa\u306e\u5168\u751f\u5b58\u5272\u5408\u306f\u5909\u308f\u3089\u306a\u3044<\/h4>\n<p>Hill TK: Patterns of Care in Pediatric <span class=\"highlight\">Craniopharyngioma<\/span>: Outcomes Following Definitive <span class=\"highlight\">Radiotherapy<\/span>.\u00a0<span role=\"menubar\">Anticancer Res.<\/span> 2019<br \/>\n\u5317\u7c73\u30672004\u5e74\u304b\u30892014\u5e74\u306b\u304b\u3051\u3066\u6cbb\u7642\u3055\u308c\u305f\uff0c373\u4eba\u306e\u5c0f\u5150\u982d\u84cb\u54bd\u982d\u816b\u306e\u751f\u547d\u4e88\u5f8c\u89e3\u6790\u3067\u3059\u3002\u7a4d\u6975\u7684\u306a\u6458\u51fa\u8853\u3092\u884c\u308f\u306a\u3044\u3067\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u5165\u308b\u3068\u3044\u3046definitive RT\uff0c\u90e8\u5206\u6458\u51fa\u5f8c\u653e\u5c04\u7dda\u6cbb\u7642 STR+RT\uff0c\u624b\u8853\u5168\u6458\u51fa GTR\u3067OS\u304c\u540c\u3058\u304f\u3089\u3044\u3060\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300f\u3042\u307e\u308a\u610f\u5473\u304c\u3042\u308a\u307e\u305b\u3093\u306d\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306ftumor free\u306b\u306a\u3063\u305f\u3068\u304d\u306edeficits\u306e\u7a0b\u5ea6\u304c\u6c7a\u5b9a\u7684\u306a\u4e88\u5f8c\u56e0\u5b50\u3067\u3059\u304b\u3089\u3002<\/p>\n<h4>\u5185\u8996\u93e1\u624b\u8853\u3067\u4e0b\u5782\u4f53\u67c4 stalk \u3092\u6e29\u5b58\u3057\u3066\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u6b8b\u308b\u304b\uff1f<\/h4>\n<p>Ord\u00f3\u00f1ez-Rubiano EG: Preserve or sacrifice the stalk? Endocrinological outcomes, extent of resection, and recurrence rates following endoscopic endonasal resection of craniopharyngiomas.\u00a0<span role=\"menubar\">J Neurosurg.<\/span> 2018<br \/>\n54\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u5185\u8996\u93e1\u624b\u8853\u3092\u53d7\u3051\uff0c33\u4eba(66%)\u3067\u4e0b\u5782\u4f53\u67c4\u304c\u6e29\u5b58\u3055\u308c\uff0c21\u4eba(39%)\u3067\u5207\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u5168\u6458\u51fa\u306f\uff0c\u4e0b\u5782\u4f53\u67c4\u6e29\u5b58\u3067\u306f73%\uff0c\u4e0b\u5782\u4f53\u67c4\u5207\u65ad\u3067\u306f100%\u3067\u3057\u305f\u3002\u5168\u4f53\u306e<span style=\"color: #000080;\"><strong>4\u4eba (7%)\u3067\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u5b8c\u5168\u306b\u6b63\u5e38\u306b\u4fdd\u305f\u308c\u307e\u3057\u305f<\/strong><\/span>\u3002\u7d50\u8a9e\u3068\u3057\u3066\uff0c\u4e0b\u5782\u4f53\u67c4\u3092\u624b\u8853\u3067\u6b8b\u3057\u3066\u3082\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u306f\u9ad8\u7387\u306b\u751f\u3058\u308b\uff0c\u4e00\u65b9\u3067\u816b\u760d\u518d\u71c3\u306b\u3088\u308a\u6b21\u306e\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u308b\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u305d\u308c\u3067\u3082\u4e0b\u5782\u4f53\u6a5f\u80fd\u3092\u6b8b\u3057\u3066\u5b8c\u5168\u6458\u51fa\u3059\u308b\u3068\u3044\u3046\u52aa\u529b\u306f\u7d99\u7d9a\u3055\u308c\u308b\u3079\u304d\u3060\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d\u305d\u3046\u3067\u3059\u306d\u3002\u3053\u306e\u8ad6\u6587\u306e\u5bfe\u8c61\u3068\u306a\u3063\u305f\u3082\u306e\u306f\uff0c\u3044\u308f\u3086\u308bsellar-suprasellar\u306e\u982d\u84cb\u54bd\u982d\u816b\u3067\u3059\u3002\u978d\u9694\u819c\u4e0a\u306b\u9650\u308b\u3068\u3082\u3063\u3068\u56f0\u96e3\u3067\u96e3\u3057\u3044\u8a71\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<h4>\u624b\u8853\u3067\u306f\u90e8\u5206\u6458\u51fa\u306b\u3068\u3069\u3081\u305f\u65b9\u304c\u969c\u5bb3\u304c\u5c11\u306a\u3044\uff0c\u5f53\u305f\u308a\u524d\u3060\uff01<\/h4>\n<p>Cohen M<sup>, <\/sup>et al.: Trends in treatment and outcomes of pediatric\u00a0craniopharyngioma, 1975-2011 Neuro Oncol\u00a02013<br \/>\nKilday JP, et al.: Intracystic interferon-alpha in pediatric\u00a0craniopharyngioma\u00a0patients: an international multicenter assessment on behalf of SIOPE and ISPN Neuro Oncol\u00a02017<br \/>\n\u4e21\u8ad6\u6587\u5171\u306b\u5c0f\u5150\u306e\u624b\u8853\u306fmorbidity\u304c\u9ad8\u3059\u304e\u308b\u306e\u3067\u306e\u3046\u80de\u3092\u6f70\u3059\u304f\u3089\u3044\u306b\u3057\u3066\u304a\u3044\u305f\u65b9\u304c\uff0c\u9593\u8133\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u4fdd\u305f\u308c\u305f\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u306e\u52b9\u679c\u306f\u4e00\u6642\u7684\u3067\u3059\u3002\u5f53\u7136\u816b\u760d\u304c\u6b8b\u308b\u306e\u3067\u3059\u304c\uff0c\u653e\u5c04\u7dda\u6cbb\u7642\u306a\u3069\u304c\u52a0\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u6700\u7d42\u8abf\u67fb\u6642\u70b9\u3067\u6b8b\u5b58\u816b\u760d\u3092\u6709\u3057\u3066\u3044\u308b\u5b50\u4f9b\u304c\u591a\u3044\u3067\u3059\u3002<br \/>\n\u6b8b\u3057\u305f\u816b\u760d\u306b\u624b\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7e70\u308a\u8fd4\u3059\u6ce5\u6cbc\u306e\u9577\u671f\u4e88\u5f8c\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u3088\u308b\u8133\u6a5f\u80fd\u969c\u5bb3\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u99ac\u9e7f\u3052\u3066\u3044\u308b\u3068\u6fa4\u6751\u306f\u601d\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n<div class=\"setumei\">\n<h4>\u91cd\u75c7\u306e\u80a5\u6e80\u306b\u5bfe\u3059\u308b\u85ac\u7269\u6cbb\u7642<\/h4>\n<p>Kim DD, et al.: Efficacy and safety of beloranib for weight loss in obese adults: a randomized controlled trial. Diabetes Obes Metab 17, 2015<br \/>\n2015\u5e749\u6708\u306bEuropean Commission\u304c\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306b\u3088\u308b\u5236\u5fa1\u4e0d\u80fd\u306a\u3072\u3069\u3044\u80a5\u6e80\u306b\u5bfe\u3057\u3066\uff0c<span style=\"color: #000080;\"><strong>beloranib<\/strong><\/span>\u3068\u3044\u3046\u85ac\u5264\u3092\u627f\u8a8d\u3057\u307e\u3057\u305f\u304c\u65e5\u672c\u3067\u306f\u4f7f\u3048\u307e\u305b\u3093\u3002\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u3084\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u80a5\u6e80\u306fHypothalamic Injury-Associated Obesity (HIAO)\u3068\u3044\u3044\u307e\u3059\u3002beloranib\u306f\u3082\u3068\u3082\u3068\u6297\u304c\u3093\u5264\u3068\u3057\u3066\u958b\u767a\u3055\u308c\u307e\u3057\u305f\u3002\u4eba\u306f\u8840\u7cd6\u5024\u304c\u4e0b\u304c\u308b\u3068\u8102\u80aa\u3092\u71c3\u713c\u3057\u3066\u30a8\u30cd\u30eb\u30ae\u30fc\u306b\u66ff\u3048\u307e\u3059\uff0c\u305d\u306e\u6642\u306b\u304a\u8179\u304c\u6e1b\u308a\u307e\u3059\u304c\uff0cbeloranib\u306f\u305d\u306e\u7a7a\u8179\u611f\u3092\u6291\u5236\u3059\u308b\u3068\u3044\u3046\u4f5c\u7528\u3092\u3082\u3063\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u809d\u81d3\u3067\u306e\u8102\u80aa\u5408\u6210\u3068\u4f53\u8102\u80aa\u306e\u84c4\u7a4d\u3092\u6291\u5236\u3057\u307e\u3059\u3002\u6709\u5bb3\u4e8b\u8c61\u306f\u4e0d\u7720\u3084\u6d88\u5316\u5668\u75c7\u72b6\u3067\u3059\u304c\uff0c\u91cd\u7be4\u306a\u3082\u306e\u304c\u3042\u308b\u3068\u306e\u60c5\u5831\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u518d\u767a<\/h4>\n<p>Klimo P Jr, et al.: Recurrent craniopharyngioma after conformal radiation in children and the burden of treatment. J Neurosurg Pediatr 15:499-505, 2015<br \/>\n\u982d\u84cb\u54bd\u982d\u816b\u306b\u306fconformal radiation \u539f\u4f53\u7167\u5c04\u3068\u3044\u3046\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u306a\u3055\u308c\u307e\u3059\u3002\u539f\u4f53\u7167\u5c04\u3092\u53d7\u3051\u305f97\u4eba\u306e\u5b50\u4f9b\u306e\u3046\u306118\u4eba(19%)\u306b\u816b\u760d\u518d\u71c3\uff08\u518d\u767a\uff09\u304c\u751f\u3058\u307e\u3057\u305f\u3002\u7167\u5c04\u5f8c\u518d\u767a\u306e\u4e2d\u592e\u5024\u306f4.6\u5e74\u5f8c (range 3.6-13.8)\u3067\u3059\u3002\u3053\u306e\u5185\u3067\uff0c11\u4eba\u304c\u3055\u3089\u306b\uff12\u5ea6\u76ee\u306e\u518d\u71c3\uff08\u518d\u767a\uff09\u3092\u751f\u3058\u307e\u3057\u305f\u3002\u518d\u767a\u3092\u7e70\u308a\u8fd4\u3059\u3068\uff0c\u518d\u767a\u307e\u3067\u306e\u671f\u9593\u304c\u77ed\u304f\u306a\u3063\u3066\u304d\u307e\u3059\u3002\u8457\u8005\u306f\u7d50\u8ad6\u3067\uff0c<span style=\"color: #ff0000;\"><strong>\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306e\u518d\u767a\u6cbb\u7642\u306f\u3082\u306e\u3059\u3054\u304f\u96e3\u3057\u3044\u3068\u8ff0\u3079\u3066\u3044\u307e\u3059<\/strong><\/span>\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u3063\u3066\u3055\u3089\u306b\u518d\u767a\u3059\u308c\u3070\u307e\u3068\u3082\u306b\u751f\u304d\u6b8b\u308b\u3059\u3079\u304c\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u518d\u767a\u6642\u306b\u304a\u3044\u3066\u3082\u624b\u8853\u3067\u5168\u6458\u51fa\u3059\u308b\u3079\u304d\u3067\u3042\u308b\uff0c\u306e\u3046\u80de\u6027\u5897\u5927\u3067\u306e\u3046\u80de\u3092\u6f70\u3059\u3060\u3051\u306e\u624b\u8853\u306f\u6210\u529f\u3057\u306a\u3044\u3068\u306e\u52a9\u8a00\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4>\u5c0f\u5150\u306e\u982d\u84cb\u54bd\u982d\u816b\u306e\u6cbb\u7642\u306e\u30c8\u30ec\u30f3\u30c9<\/h4>\n<p>Cohen M, et al.: Trends in treatment and outcomes of pediatric craniopharyngioma, 1975\u20132011 Neuro-Oncol 15: 767-774, 2013<br \/>\n\u30c8\u30ed\u30f3\u30c8\u5b50\u3069\u3082\u75c5\u9662\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u30022011\u5e74\u304b\u30892013\u5e74\u307e\u306733\u4eba\uff08\u5e742.8\u4eba\uff09\u5e73\u5747\u5e74\u9f6210.7\u6b73\u304c\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u3002\u521d\u56de\u624b\u8853\u3067\uff0c18\u4eba (55%)\u306f\u306e\u3046\u80de\u306e\u9664\u5727\u306e\u307f\u304c\u306a\u3055\u308c\u307e\u3057\u305f\u3002\u540c\u3058\u65bd\u8a2d\u3067\u305d\u306e10\u5e74\u524d\u306b\u306f\uff0c\u7a4d\u6975\u7684\u6458\u51fa\u8853\u304c\u3081\u3056\u3055\u308c\u3066\u3044\u3066\uff0c2%\u306e\u307f\u304c\u306e\u3046\u80de\u9664\u5727\u3092\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u3002\u8853\u5f8c\u306e\u5c3f\u5d29\u75c7\u306f55%\uff0c\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u306f58%\u3067\u3057\u305f\u3002\u904e\u53bb\u306e\u4f8b\u3067\u306f\u305d\u308c\u305e\u308c88%\u306886%\u3067\u3057\u305f\u304b\u3089\uff0c\u6709\u610f\u306b\u969c\u5bb3\u304c\u5c11\u306a\u304b\u3063\u305f\u3068\u306e\u7d50\u679c\u3067\u3057\u305f\u3002\u9ad8\u5ea6\u306e\u80a5\u6e80\u3068\u306a\u308b\u60a3\u5150\u308236%\u6e1b\u5c11\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u7d50\u8ad6\u3068\u3057\u3066\uff0c\u5168\u6458\u51fa\u3092\u3081\u3056\u3059\u3068\u3044\u3046\u8003\u3048\u65b9\u3092\u6368\u3066\u308b\u3053\u3068\u3067\uff0c\u751f\u5b58\u306e\u8cea\u304c\u5411\u4e0a\u3057\u3066\u5185\u5206\u6ccc\u306e\u4e88\u5f8c\u304c\u6539\u5584\u3055\u308c\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n\u300c\u611f\u60f3\u300d\u3061\u3087\u3063\u3068\u4e71\u66b4\u306a\u7d50\u8ad6\u3067\u3059\u3002\u6b8b\u3063\u305f\u816b\u760d\u304c\u5897\u5927\u3057\u3066\uff0c\u66f4\u306b\u6cbb\u7642\u3092\u7e70\u308a\u8fd4\u3057\u3066\uff0c20\u5e74\u5f8c\u306b\u3064\u3089\u3044\u6700\u7d42\u7684\u306a\u7d50\u672b\u306b\u306a\u308b\u3053\u3068\u304c\u5168\u304f\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u3082\u3061\u308d\u3093\uff0c\u6700\u521d\u306e\u624b\u8853\u3067\u306e\u3046\u80de\u3092\u5c0f\u3055\u304f\u3059\u308b\u3060\u3051\u306a\u3089\u624b\u8853\u5f8c\u907a\u75c7\uff08\u5408\u4f75\u75c7\uff09\u306a\u3069\u307b\u3068\u3093\u3069\u751f\u3058\u306a\u3044\u3067\u3057\u3087\u3046\u3002Neuro-Oncology\u3068\u3044\u3046\u6a29\u5a01\u3042\u308b\u96d1\u8a8c\u306b\u63b2\u8f09\u3055\u308c\u305f\u306b\u3057\u3066\u306f\u8cea\u306e\u4f4e\u3044\u8ad6\u6587\u3060\u3068\u8a00\u308f\u3056\u308b\u3092\u5f97\u307e\u305b\u3093\u3002\u307e\u305f\u3053\u306e\u8ad6\u6587\u304c\u5c0f\u5150\u79d1\u306e\u5148\u751f\u305f\u3061\u306e\u9593\u3067\u4e00\u4eba\u6b69\u304d\u3059\u308b\u3053\u3068\u3092\u5371\u60e7\u3057\u307e\u3059\u3002<\/p>\n<h4>\u7a4d\u6975\u7684\u306a\u6458\u51fa\u304c\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u3092\u62db\u304f<\/h4>\n<p>De Vile CJ, et al: Management of childhood craniopharyngioma: can the morbidity of radical surgery be predicted? J Neurosurg 85:73\u201381, 1996<br \/>\nMuller HL, et al: Functional capacity, obesity and hypothalamic involvement: cross-sectional study on 212 patients with childhood craniopharyngioma. Klin Padiatr 215:310\u2013314, 2003<br \/>\nDe Vile CJ\u3089\u3068Muller HL\u3089\u304c\u5225\u500b\u306b\u5831\u544a\u3057\u305f\u3082\u306e\u3067\u3059\u304c\uff0c\u767a\u75c7\u6642\u306b\u4f53\u91cd\u5897\u52a0\u304c\u8457\u3057\u304b\u3063\u305f\u5b50\u4f9b\u3067\u306f\uff0c\u624b\u8853\u5f8c\u306e\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u304c\u91cd\u3044\u3082\u306e\u306b\u306a\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002 \u3053\u308c\u306f\u8996\u5e8a\u4e0b\u90e8\u6027\u80a5\u6e80\u304c\u3042\u3063\u305f\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u3066\uff0c\u982d\u84cb\u54bd\u982d\u816b\u304c\u8996\u5e8a\u4e0b\u90e8\u306b\u6d78\u6f64\u3057\u3066\u8996\u5e8a\u4e0b\u90e8\u969c\u5bb3\u3092\u751f\u3058\u3066\u3044\u305f\u3082\u306e\u3068\u6349\u3048\u3089\u308c\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u3053\u306e\u3088\u3046\u306a\u982d\u84cb\u54bd\u982d\u816b\u3092\u5b8c\u5168\u6458\u51fa\u3059\u308b\u3068\u4e21\u5074\u306e\u8996\u5e8a\u4e0b\u90e8\u640d\u50b7\u3092\u751f\u3058\u308b\u6050\u308c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4>\u30d6\u30ec\u30aa\u30de\u30a4\u30b7\u30f3\uff08\u5236\u304c\u3093\u5264\uff09\u306e\u56a2\u80de\u5185\u6ce8\u5165<\/h4>\n<p align=\"left\">\u53e4\u304f\u304b\u3089\u77e5\u3089\u308c\u3066\u3044\u308b\u6cbb\u7642\u6cd5\u3067\uff0cICC intracystic chemotherapy\u306e\u4e00\u7a2e\u3067\u3059\u3002\u982d\u76ae\u306e\u4e0b\u306b\u30aa\u30f3\u30de\u30e4\u30ea\u30b6\u30fc\u30d0\u30fc\u3068\u3044\u3046\u888b\u3092\u5165\u308c\u3066\uff0c\u305d\u3053\u304b\u3089\u30c1\u30e5\u30fc\u30d6\u3092\u816b\u760d\u306e\u3046\u80de\u307e\u3067\u5c0e\u304d\u307e\u3059\u3002\u30ea\u30b6\u30fc\u30d0\u30fc\u304b\u3089\u30d6\u30ec\u30aa\u30de\u30a4\u30b7\u30f3\u304b\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u3068\u3044\u3046\u85ac\u3092\u5165\u308c\u3066\uff0c\u982d\u84cb\u54bd\u982d\u816b\u306e\u5897\u5927\u3092\u6291\u3048\u3088\u3046\u3068\u3059\u308b\u3082\u306e\u3067\u3059\u3002<br \/>\nHukin et al.: Intracystic bleomycin therapy for craniopharyngioma in children: the Canadian experience. Caner 109: 2124-31, 2007<br \/>\n\u30ab\u30ca\u30c0\u306e\u5c0f\u5150\u75c5\u9662\u304b\u3089\u306e\u5831\u544a\u3067\uff0c17\u4eba\u306e\u5b50\u3069\u3082\u304c\u521d\u767a\u6642\u306b\uff0c5\u4eba\u306e\u5b50\u3069\u3082\u304c\u518d\u767a\u6642\u306b\u30d7\u30ec\u30aa\u30de\u30a4\u30b7\u30f3\u306e\u6295\u4e0e\u3092\u53d7\u3051\u307e\u3057\u305f\u30025\u4f8b\u3067CR\uff08\u816b\u760d\u304c\u6d88\u5931\u3059\u308b\u3053\u3068\uff09\uff0c6\u4f8b\u3067PR\uff08\u90e8\u5206\u7684\u306b\u5c0f\u3055\u304f\u306a\u308b\u3053\u3068\uff09\uff0c5\u4f8b\u3067MR\uff08\u307b\u3093\u306e\u5c11\u3057\u5c0f\u3055\u304f\u306a\u308b\uff09\u3068\u3044\u3046\u52b9\u679c\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u30021\u4f8b\u3067\u306f2.8\u5e74\u9593\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u3089\u306a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u89b3\u5bdf\u671f\u9593\u4e2d\u592e\u50244\u5e74\u306e\u89e3\u6790\u3067\u306f\uff0c9\u4f8b\u3067\u306f\u52b9\u679c\u304c\u6301\u7d9a\u3057\u306a\u3044\u3067\u4ed6\u306e\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3057\u305f\u304c\uff0c8\u4f8b\u3067\u306f\u3053\u306e\u6cbb\u7642\u3067\u816b\u760d\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3055\u308c\u307e\u3057\u305f\u3002\u5168\u4f53\u3067\u306f\uff0c1.8\u5e74\u9593\u816b\u760d\u5897\u5927\u3092\u6291\u3048\u3089\u308c\u307e\u3057\u305f\u3002\u526f\u4f5c\u7528\u306f\uff0c\u816b\u760d\u5468\u56f2\u306e\u4e00\u6642\u7684\u306a\u8133\u6d6e\u816b\u304c\uff12\u4f8b\uff0c\u601d\u6625\u671f\u65e9\u767a\u304c1\u4f8b\uff0c\u6c4e\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u304c2\u4f8b\u3067\u3059\u3002\u8457\u8005\u306f\u30d6\u30ec\u30aa\u30de\u30a4\u30b7\u30f3\u3067\uff0c\u6570\u5e74\u9593\u306f\u7a4d\u6975\u7684\u6458\u51fa\u8853\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u9001\u3089\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u7d50\u8ad6\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4 align=\"left\"><span style=\"color: #ff0000;\"><strong>\u982d\u84cb\u5e95\u624b\u8853\u306e\u5229\u7528\uff1a\u7d4c\u9310\u4f53\u9aa8\u6cd5<\/strong><\/span> transpetrosal approach<\/h4>\n<p>Al-Mefty O, et al.: The petrosal approach for the total removal of giant retrochiasmatic craniopharyngiomas in children. J Neurosurg 106: 87-92, 2007<br \/>\n\u982d\u84cb\u5e95\u624b\u8853\u306b\u8208\u5473\u3092\u6301\u3063\u3066\u3044\u308b\u8133\u5916\u79d1\u533b\u304c\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853\u3092\u3059\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u306e\u8ad6\u6587\u306b\u66f8\u304b\u308c\u3066\u3044\u308b\u306e\u306f\uff0cS\u72b6\u9759\u8108\u6d1e\u3092\u9732\u51fa\u3059\u308b\u3088\u3046\u306b\u9310\u4f53\u9aa8\u3092\u524a\u9664\u3057\u3066\uff0c\u5f8c\u982d\u7aa9\u306e\u786c\u819c\u304b\u3089\u9310\u4f53\u9759\u8108\u306e\u5185\u5074\uff0c\u6ed1\u8eca\u795e\u7d4c\u306e\u5916\u5074\u3067\u30c6\u30f3\u30c8\u3092\u5207\u958b\u3057\u3066\uff0c\u5074\u982d\u8449\u3092\u6319\u4e0a\u3057\u3066\uff0c\u4e2d\u982d\u84cb\u7aa9\u65b9\u5411\u304b\u3089\u978d\u4e0a\u90e8\u3092\u89b3\u5bdf\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002<br \/>\n<span style=\"color: #000080;\"><strong>\u300c\u8b66\u544a\u300d<\/strong><\/span>\u89e3\u3089\u306a\u3044\u624b\u8853\u304c\u3042\u308b\u3068\u3059\u3050\u306b\u771f\u4f3c\u3092\u3057\u3066\u307f\u3088\u3046\u3068\u3059\u308b\u306e\u304c\uff0c\u8133\u5916\u79d1\u533b\u306e\u60aa\u3044\u6027\u7656\u3068\u8a00\u3048\u307e\u3059\u3002\u3053\u306e\u65b9\u6cd5\u306f\uff0c\u5074\u982d\u8449\u3092\u304b\u306a\u308a\u5727\u8feb\u3057\u3066\u6319\u4e0a\u3057\u7121\u3051\u308c\u3070\u306a\u3089\u305a\uff0c\u9310\u4f53\u9759\u8108\u3084\u5074\u982d\u8449\u6df1\u90e8\u9759\u8108\u306b\u5bfe\u3059\u308b\u4fb5\u8972\u304c\u9ad8\u304f\uff0c\u8996\u91ce\u3068\u624b\u8853\u64cd\u4f5c\u91ce\u306f\u5fc5\u305a\u3057\u3082\u5e83\u304f\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u524d\u4ea4\u901a\u52d5\u8108\u306e\u5f8c\u9762\u304b\u3089\u3067\u308b\u7a7f\u901a\u679d\u3084\u5f8c\u4ea4\u901a\u52d5\u8108\u304b\u3089\u5185\u5074\u65b9\u9762\u306b\u51fa\u308b\u7d30\u3044\u816b\u760d\u52d5\u8108\u3092\u5265\u304c\u3059\u306b\u306f\u8996\u91ce\u304c\u8db3\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u5074\u982d\u8449\u5e95\u90e8\u306e\u727d\u5f15\u304c\u5f37\u304f\u306a\u308a\u5074\u982d\u8449\u632b\u6ec5\u304c\u3057\u3070\u3057\u3070\u751f\u3058\u308b\u306e\u3067\uff0c\u5de6\u5074\u304b\u3089\u306e\u624b\u8853\u3067\u306f\u5927\u304d\u306a\u969c\u5bb3\u304c\u51fa\u307e\u3059\u3002<br \/>\n\u5f8c\u982d\u7aa9\u306b\u5927\u304d\u304f\u9032\u5c55\u3057\u305f\u3054\u304f\u3054\u304f\u4e00\u90e8\u306e\u5de8\u5927\u306a\u982d\u84cb\u54bd\u982d\u816b\u306b\u9069\u5fdc\u306f\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\uff0c<span style=\"color: #ff0000;\"><strong>\u901a\u5e38\u306e\u982d\u84cb\u54bd\u982d\u816b\u306b\u884c\u308f\u308c\u308b\u3079\u304d\u624b\u8853\u65b9\u6cd5\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/strong><\/span>\u3002\u7d76\u5bfe\u306b\u898b\u3048\u306a\u3044\u306e\u306f\uff0c\u624b\u8853\u5074\u306e\u8996\u7d22\u306e\u5185\u5074\u3068\u8996\u5e8a\u4e0b\u90e8\u306e\u5185\u9762\u3067\u3059\u3002\u3053\u306e\u4f4d\u7f6e\u3067\u306f\u982d\u84cb\u54bd\u982d\u816b\u3092\u76f4\u8996\u4e0b\u306b\u5265\u96e2\u3067\u304d\u306a\u3044\u306e\u3067\u7121\u7406\u77e2\u7406\u5f15\u304d\u3065\u308a\u51fa\u3059\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<h4>\u3059\u3079\u3066\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\u7d4c\u9f3b\u7684\u306a\u5185\u8996\u93e1\u624b\u8853\u3067\u6458\u51fa\u3067\u304d\u308b?<\/h4>\n<p>Koutourousiou M, et al.: Endoscopic endonasal surgery for craniopharyngiomas: surgical outcome in 64 patients. J Neurosurg 119: 1194-1207, 2013<br \/>\nPittzburg\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u300217\u4eba\u306e\u5c0f\u5150\u3092\u542b\u308064\u4eba\u306e\u60a3\u8005\u3055\u3093\u306b\u7d4c\u9f3b\u7684\u5185\u8996\u93e1\u624b\u8853\u304c\u306a\u3055\u308c\u307e\u3057\u305f\u300224\u4f8b(37.5%)\u3067\u5168\u6458\u51fa gross-total resection\uff0c22\u4f8b(34.2%)\u3067\u307b\u307c\u5168\u6458\u51fa near-total resection\uff0c14\u4f8b\u306780%subtotal\uff0c4\u4f8b\u304c\u90e8\u5206\u6458\u51fa\u3067\u3057\u305f\u30029\u4f8b\u3067\u8853\u5f8c\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u3055\u308c\u3066\u3044\u307e\u3059\u300236\u4f8b\u3067\u8996\u6a5f\u80fd\u304c\u6539\u5584\u3057\uff0c2\u4f8b\u3067\u60aa\u5316\u3057\u307e\u3057\u305f\u3002\u7279\u7b46\u3059\u3079\u304d\u3053\u3068\u306f\uff0c\u8996\u6a5f\u80fd\u969c\u5bb3\u304c\u3042\u3063\u305f44\u4eba\u306e\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\u3067\uff0c38\u4eba(86%)\u304c\u6539\u5584\u3057\u305f\u3068\u3044\u3046\u3053\u3068\u3067\uff0c\u60aa\u5316\u3057\u305f\u60a3\u8005\u3055\u3093\u306f\u4e00\u4eba\u3082\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u7d043\u5e74\u9593\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\uff0c22\u4f8b(34%)\u306b\u518d\u767a\u304c\u751f\u3058\u307e\u3057\u305f\u3002\u7d50\u8ad6\u3068\u3057\u3066\uff0c\u5e74\u9f62\uff0c\u816b\u760d\u306e\u5927\u304d\u3055\uff0c\u4f4d\u7f6e\u306b\u95a2\u308f\u3089\u305a\uff0c\u7d14\u7c8b\u306a\u7b2c\uff13\u8133\u5ba4\u816b\u760d\u3092\u8997\u3051\u3070\uff0c\u5168\u3066\u306e\u982d\u84cb\u54bd\u982d\u816b\u306f\u5185\u8996\u93e1\u624b\u8853\u3067\u6cbb\u7642\u3067\u304d\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u300c\u89e3\u8aac\u300d \u978d\u9694\u819c\u4e0b\u3060\u3051\u306e\u3082\u306e\u3082\u542b\u3081\u308c\u3070\u3053\u306e\u304f\u3089\u3044\u306e\u6210\u7e3e\u306f\u5f97\u3089\u308c\u308b\u306e\u3067\u3057\u3087\u3046\u3002\u4e0b\u5782\u4f53\u6a5f\u80fd\u304c\u6b63\u5e38\u306a\u978d\u5185\u306b\u306f\u816b\u760d\u304c\u306a\u3044\u982d\u84cb\u54bd\u982d\u816b\u3082\u542b\u3081\u3066\u306e\u30b6\u30c3\u30d1\u306e\u8a71\u306f\u3044\u305f\u3060\u3051\u307e\u305b\u3093\u3057\uff0c\u7d50\u8ad6\u306f\u6975\u7aef\u3060\u3068\u8a00\u3048\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u3084\u306f\u308a\u6ce8\u76ee\u3059\u3079\u304d\u306f\uff0c\u7d4c\u9f3b\u624b\u8853\u3067\u306e\u8996\u6a5f\u80fd\u306e\u6e29\u5b58\u7387\u304c\u9ad8\u3044\u3068\u3044\u3046\u4e8b\u5b9f\u3067\u3059\u3002\u307e\u305f1\/3\u304f\u3089\u3044\u306b\u518d\u71c3\u304c\u751f\u3058\u305f\u3068\u3044\u3046\u306e\u306f\u3068\u3066\u3082\u6b63\u76f4\u306a\u5831\u544a\u3067\u3059\u3002<\/p>\n<h4>\u978d\u4e0a\u90e8\u304b\u3089\u7b2c\uff13\u8133\u5ba4\u306b\u3042\u308b\u982d\u84cb\u54bd\u982d\u816b\u306e\u5185\u8996\u93e1\u624b\u8853<\/h4>\n<p>Kenning TJ, et al.: Endoscopic endonasal craniopharyngioma resection. J Neurosurg 32: Suppl:E5, 2012<br \/>\nDr. Kenning\u306e\u624b\u8853\u304cYouTube\u3067\u516c\u958b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<a href=\"https:\/\/www.youtube.com\/watch?v=i3-qieLlbVk&amp;feature=youtu.be\">https:\/\/www.youtube.com\/watch?v=i3-qieLlbVk&amp;feature=youtu.be<\/a><br \/>\n\u30d3\u30c7\u30aa\u306f\u3059\u3070\u3089\u3057\u3044\u624b\u8853\u3092\u307f\u305b\u3066\u304f\u308c\u3066\u3044\u307e\u3059\u3002planum sphenoidale\u3092\u958b\u3051\u3066\u3044\u304f\u306e\u3067\uff0c\u5f53\u7136\uff0c\u624b\u8853\u64cd\u4f5c\u91ce\u306f\u3068\u3066\u3082\u72ed\u3044\u3067\u3059\u3002 \u79c1\u3082\u3053\u306e\u624b\u8853\u306f\u3057\u3088\u3046\u3068\u601d\u3048\u3070\u3067\u304d\u307e\u3059\uff0c\u3067\u3082\u5185\u8996\u93e1\u624b\u8853\u306e\u5bbf\u547d\u3068\u3057\u3066\uff0c\u5185\u981a\u52d5\u8108\u3084\u524d\u4ea4\u901a\u52d5\u8108\u304b\u3089\u306e\u7d30\u3044\u5206\u679d\u304b\u3089\u3082\u3057\u4e07\u4e00\u52d5\u8108\u51fa\u8840\u304c\u751f\u305a\u308c\u3070\uff0c\u8853\u91ce\u306e\u5074\u65b9\u3067\u305d\u308c\u3092\u6b62\u3081\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<span style=\"color: #000080;\"><strong>\u6b62\u3081\u3089\u308c\u306a\u3051\u308c\u3070\u91cd\u75c7\u304f\u3082\u819c\u4e0b\u51fa\u8840<\/strong><\/span>\u3067\u3059\u3002\u307e\u305f\uff0c\u30e2\u30f3\u30ed\u30fc\u5b54\u306e\u4f4d\u7f6e\u307e\u3067\u816b\u760d\u306e\u3046\u80de\u58c1\u3092\u5265\u96e2\u306b\u3044\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u69d8\u306b\u8996\u5e8a\u4e0b\u90e8\u304b\u3089\u30c4\u30eb\u3093\u3068\u5265\u304c\u308c\u3066\u304f\u308c\u308b\u982d\u84cb\u54bd\u982d\u816b\u3070\u304b\u308a\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u624b\u8853\u3092\u771f\u4f3c\u3059\u308c\u3070\uff0c\u3042\u308b\u7a0b\u5ea6\u306e\u78ba\u7387\u3067\u4e8b\u6545\u306f\u751f\u3058\u307e\u3057\u3087\u3046\u3057\uff0c\u307e\u305f\u540c\u69d8\u306a\u30b5\u30a4\u30ba\u3092\u5168\u6458\u51fa\u3067\u304d\u308b\u3068\u306f\u601d\u308f\u306a\u3044\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<\/div>\n<h4 class=\"setumei\">\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\u306e\u624b\u8853<\/h4>\n<p>Gerganov V, et al.: Microsurgical resection of extensive craniopharyngiomas using a frontolateral approach: operative technique and outcome. J Neurosurg 120:559-570, 2014<br \/>\n4cm\u4ee5\u4e0a\u306e\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\u306b\u5bfe\u3057\u3066\u306e\u524d\u982d\u5074\u982d\u958b\u982d\u8853\u306e\u624b\u6280\u3092\u8a18\u8f09\u3057\u305f\u5916\u79d1\u8ad6\u6587\u3067\u3059\u300216\u4eba\u4e2d\u306e14\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067\u5168\u6458\u51fa\u304c\u6210\u529f\u3057\u305f\u3068\u3044\u3046\u306e\u3067\uff0c\u304b\u306a\u308a\u7a4d\u6975\u7684\u306a\u624b\u8853\u3068\u8a00\u3048\u307e\u3059\u3002\u624b\u6280\u3068\u3057\u3066\u306f\u76ee\u65b0\u3057\u3044\u3082\u306e\u306f\u7121\u304f\uff0c\u5f93\u524d\u306e\u4e21\u5074\u524d\u982d\u8449\u4e0b\u3068\u8776\u5f62\u9aa8\u7e01\u6cd5\u306e\u7d44\u307f\u5408\u308f\u305b\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u300215\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u306e\u4f4e\u4e0b\u304c\u751f\u3058\uff0c1\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067\u4e21\u8033\u5074\u534a\u76f2\u306e\u60aa\u5316\u304c\u3042\u3063\u305f\u3051\u308c\u3069\u3082\uff0c\u4ed6\u306e\u795e\u7d4c\u5b66\u7684\u306a\u76ee\u7acb\u3064\u5408\u4f75\u75c7\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3059\u3070\u3089\u3057\u3044\u6210\u7e3e\u3067\u3059\u3002\u30e8\u30fc\u30ed\u30c3\u30d1\u3067\u306f\uff0c\u3053\u306e\u3088\u3046\u306a\u5927\u304d\u306a\u982d\u84cb\u54bd\u982d\u816b\u3092\u304b\u306a\u308a\u7a4d\u6975\u7684\u306b\u6458\u51fa\u306b\u884c\u304f\u306e\u3060\u306a\u3068\u3044\u3046\u611f\u60f3\u3092\u3044\u3060\u304d\u307e\u3059\u3002<\/p>\n<h5>\u6587\u732e<\/h5>\n<\/div>\n<\/div>\n<div class=\"setumei\">\n<div class=\"setumei\">\n<ul>\n<li>Pan LS: The effect of growth hormone replacement therapy on craniopharyngioma recurrence: a systematic review and meta-analysis. Pituitary 2025<\/li>\n<li>Cohen M, et al.: Trends in treatment and outcomes of pediatric craniopharyngioma, 1975\u20132011 Neuro-Oncol 15: 767-774, 2013<\/li>\n<li>De Vile CJ, et al: Management of childhood craniopharyngioma: can the morbidity of radical surgery be predicted? J Neurosurg 85:73\u201381, 1996<\/li>\n<\/ul>\n<ul>\n<li>Gerganov V, et al.: Microsurgical resection of extensive craniopharyngiomas using a frontolateral approach: operative technique and outcome. J Neurosurg 120:559-570, 2014<\/li>\n<li>Honegger J, Tatagiba M: Craniopharyngioma surgery. Pituitary 11: 361-373, 2008<\/li>\n<li>Hukin et al.: Intracystic bleomycin therapy for craniopharyngioma in children: the Canadian experience. Caner 109: 2124-31, 2007<\/li>\n<li>Klimo P Jr, et al.: Recurrent craniopharyngioma after conformal radiation in children and the burden of treatment. J Neurosurg Pediatr 15:499-505, 2015<\/li>\n<li>Mortini P, et al.: Surgical strategies and modern therapeutic options in the treatment of craniopharyngiomas. Crit Rev Oncol Hematol 88: 514-529, 2013<\/li>\n<li>Muller HL, et al: Functional capacity, obesity and hypothalamic involvement: cross-sectional study on 212 patients with childhood craniopharyngioma. Klin Padiatr 215:310\u2013314, 2003<\/li>\n<li>Zacharia BE, et al.: Incidence, treatment and survival of patients with craniopharyngioma in the surveillance, epidemiology and end results program. Neuro Oncol 1070-1078, 2012<\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u624b\u8853\u3067\u53d6\u308c\u3066\u3057\u307e\u3048\u3070\u6cbb\u308b\u306e\u3067\u3059\u304c\uff0c\u624b\u8853\u304c\u96e3\u3057\u3044\u3053\u3068\u304c\u6700\u5927\u306e\u7279\u5fb4\u3067\u3059 \u533b\u5b66\u7528\u8a9e\u3067craniopharyngioma\u306a\u306e\u3067\uff0c\u696d\u754c\u7528\u8a9e\u3067\u30af\u30e9\u30cb\u30aa\u3068\u547c\u3070\u308c\u307e\u3059 \u75c5\u7406\u5b66\u7684\u306b\u306f\u826f\u6027\u306e\u816b\u760d\u3067\u3059\u3057\u3001\u8ee2\u79fb\u3057\u305f\u308a\u306f\u3057\u307e\u305b\u3093 \u5b50\u4f9b\u305f\u3061\u3068\u6210\u4eba\u3068 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,4],"tags":[],"class_list":["post-86","post","type-post","status-publish","format-standard","hentry","category-pediattumor","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/86","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=86"}],"version-history":[{"count":189,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/86\/revisions"}],"predecessor-version":[{"id":23700,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/86\/revisions\/23700"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=86"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=86"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}