{"id":8806,"date":"2016-05-08T08:10:39","date_gmt":"2016-05-07T23:10:39","guid":{"rendered":"\/sawamura\/?p=8806"},"modified":"2022-04-09T13:12:28","modified_gmt":"2022-04-09T04:12:28","slug":"diffuseastrocytomapatho","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pathocase\/diffuseastrocytomapatho\/","title":{"rendered":"\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306e\u7d44\u7e54\u8a3a\u65ad diffuse astrocytoma"},"content":{"rendered":"<h4><strong>WHO 2021\u5e74\u3067\u306f\u3053\u306e\u75c5\u540d\u306f\u7121\u304f\u306a\u308a\u307e\u3057\u305f<\/strong><\/h4>\n<ul>\n<li>IDH\u907a\u4f1d\u5b50\u306e\u5909\u7570\u3068\u75c5\u7406\u7d44\u7e54\u8a3a\u65ad\u3067\u306e\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306e\u6240\u898b\u304c\u3042\u308b\u3068\uff0c<strong><span style=\"color: #ff0000;\">\u661f\u7d30\u80de\u816b IDH\u5909\u7570\u578b WHO\u30b0\u30ec\u30fc\u30c9\uff12<\/span><\/strong>\u3068\u3088\u3070\u308c\u307e\u3059<\/li>\n<li>IDH\u306b\u5909\u7570\u304c\u3042\u308aATRX\u6b20\u5931\u304c\u3042\u308b\u3073\u307e\u3093\u6027\u30b0\u30ea\u30aa\u30fc\u30de\u306f\u661f\u7d30\u80de\u816b\u3067\u3059\u304b\u3089\uff0c\u7d44\u7e54\u8a3a\u65ad\u3092\u3059\u308b\u5fc5\u8981\u30821p\/19q\u3092\u8abf\u3079\u3066\u4e4f\u7a81\u8d77\u81a0\u816b\u3068\u306e\u9451\u5225\u3092\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4><strong>WHO 2007\u5e74 \u7d44\u7e54\u8a3a\u65ad diffuse astrocytoma WHO grade 2<\/strong><\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong>fibrirally astrocytoma<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>gemistocytic astrocytoma<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>protoplasmic astrocytoma<\/strong><\/span><\/li>\n<\/ul>\n<p>\u75c5\u7406\u6240\u898b\u306f\u4e0a\u8a18\u306e3\u3064\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002\u7279\u306b\uff0c<span style=\"color: #000080;\"><strong>gemistocytic astrocytoma\u306f\u30b0\u30ec\u30fc\u30c93\u3042\u308b\u3044\u306f\u30b0\u30ec\u30fc\u30c94\u3078\u9032\u884c\uff08\u60aa\u6027\u8ee2\u5316\uff09\u3059\u308b\u6027\u8cea\u3092\u6709\u3057\u3066\u3044\u307e\u3059<\/strong><\/span>\u3002gemistcytes (\u597d\u9178\u6027\u80de\u4f53\u304c\u3068\u3066\u3082\u5927\u304d\u306a\u7d30\u80de\uff09\u304c20%\u4ee5\u4e0a\u3092\u5360\u3081\u308b\u6642\u306b\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n<h4><span style=\"color: #000080;\"><strong>WHO 2016\u5e74 \u907a\u4f1d\u5b50\u8a3a\u65ad\u3067\u306e\u5206\u985e grade 2<\/strong><\/span><\/h4>\n<ul>\n<li><span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" href=\"\/sawamura\/glioma\/diffuseastrocytoma\/\">Diffuse astrocytoma (grade II), IDH mutant\u3000\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b IDH\u5909\u7570\u3042\u308a<br \/>\n<\/a><\/strong><\/span>\u00a0 \u00a0\u00a0<a href=\"\/sawamura\/glioma\/diffuseastrocytoma\/\"><strong><span style=\"color: #000080;\">Gemistocytic astrocytoma, IDH mutant<\/span><\/strong><\/a><\/li>\n<li><i>Diffuse astrocytoma IDH wild-type<\/i><\/li>\n<li><a href=\"\/sawamura\/glioma\/diffuseastrocytoma\/\"><span style=\"color: #000080;\"><strong>Diffuse astrocyto<span style=\"color: #000080;\">ma<\/span><\/strong><strong>, NO<span style=\"color: #000080;\">S<\/span><\/strong><\/span><\/a><span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" href=\"\/sawamura\/glioma\/diffuseastrocytoma\/\">\u3000\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b<\/a><\/strong><\/span><\/li>\n<\/ul>\n<h4>\u5b9f\u969b\u7684\u306a\u8a3a\u65ad\u306f<\/h4>\n<ul>\n<li>IDH1 codon 132\u3068ATRX\u306e\u514d\u75ab\u67d3\u8272\u3092\u3057\u3066\u5909\u7570\u304c\u3042\u308c\u3070\u8a3a\u65ad\u304c\u3064\u304d\u307e\u3059<\/li>\n<li>\u5fc5\u8981\u3067\u3042\u308c\u3070\uff0cIDH2 codon 172 missense mutation\u3092\u307f\u307e\u3059<\/li>\n<li>\u75c5\u7406\u5f62\u614b\u5b66\u7684\u8a3a\u65ad\u3082\u3042\u308f\u305b\u3066\u6574\u5408\u6027\u3092\u78ba\u8a8d\u3057\u307e\u3059<\/li>\n<li>WHO\u306f\uff0c\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306e\u307b\u3068\u3093\u3069\u306bIDH\u5909\u7570\u304c\u3042\u308b\u3068\u3057\u3066\u3044\u307e\u3059<\/li>\n<li>\u9006\u306b\uff0c\u91ce\u751f\u578b wild-type\u306f\u307b\u3068\u3093\u3069\u306a\u3044<\/li>\n<li><span style=\"color: #000080;\"><strong>\u91ce\u751f\u578b\u3067\u3042\u3063\u305f\u5834\u5408\u306f\uff0c\u6700\u60aa\u306e\u81a0\u82bd\u816b<\/strong><\/span>\u3068\u3044\u3046\u3053\u3068\u3092\u5ff5\u982d\u306b\u5165\u308c\u3066\u6cbb\u7642\u3057\u307e\u3059<\/li>\n<li>\u307e\u305f\u9006\u306b\uff0c\u5909\u7570\u304c\u306a\u3051\u308c\u3070\uff0c\u795e\u7d4c\u7bc0\u81a0\u816b, \u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3068\u3044\u3046\u826f\u6027\u816b\u760d\u306e\u90e8\u5206\u50cf\u3092\u307f\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u4e4f\u7a81\u8d77\u81a0\u816b\u3068\u306e\u9451\u5225\u306e\u305f\u3081\u306b\uff0c<span style=\"color: #000080;\"><strong>ATRX\u907a\u4f1d\u5b50\u767a\u73fe\u304c\u306a\u3044<\/strong><\/span>\u3053\u3068\u3092\u514d\u75ab\u7d44\u7e54\u67d3\u8272\u3067\u78ba\u304b\u3081\u307e\u3059\uff0c<span style=\"color: #000080;\"><strong>ATRX\u6b20\u640d\u304c\u3042\u308c\u30701p\/19q\u67d3\u8272\u4f53\u3092\u8abf\u3079\u306a\u304f\u3066\u3082\u661f\u7d30\u80de\u7cfb\u816b\u760d<\/strong><\/span>\u3068\u8a3a\u65ad\u3067\u304d\u307e\u3059<\/li>\n<\/ul>\n<h5>\u30af\u30ea\u30c3\u30af\u3057\u3066\u3044\u304f\u3068\u62e1\u5927\u3067\u898b\u3048\u307e\u3059<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7034\" title=\"astrocytomakh1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1-300x227.jpg\" alt=\"\" width=\"300\" height=\"227\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1-300x227.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1-550x417.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7035\" title=\"astrocytomakh2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2-300x227.jpg\" alt=\"\" width=\"300\" height=\"227\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2-300x227.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2-550x417.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u661f\u7d30\u80de\u306b\u7279\u6709\u306e\u80de\u4f53\u3092\u6709\u3057\u30b0\u30ea\u30a2\u7dda\u7dad\u304c\u660e\u77ad\u306afibrirally astrocytoma\u3067\u3059<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8354\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt2-300x300.jpg\" alt=\"astrocytomayt2\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt2-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt2-550x552.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt2-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt2.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\u3053\u308c\u3082\u5178\u578b\u7684\u306a\u75c5\u7406\u50cf\u3067\u5c0f\u578b\u3067\u5747\u4e00\u306a\u6838\u3092\u6709\u3059\u308b\u816b\u760d\u7d30\u80de\u304c\u3073\u307e\u3093\u6027\u306b\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8356\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt1-300x297.jpg\" alt=\"astrocytomayt1\" width=\"300\" height=\"297\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt1-300x297.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt1-550x545.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomayt1.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\u816b\u760d\u6df1\u90e8\u306e\u5927\u8133\u57fa\u5e95\u6838\u304b\u3089\u63a1\u53d6\u3055\u308c\u305f\u7d44\u7e54\u3067\u3059\u3002\u5927\u578b\u306e\u795e\u7d4c\u7d30\u80de\u306e\u5468\u56f2\u306b\u6563\u5728\u6027\u306b\u816b\u760d\u7d30\u80de\u304c\u6d78\u6f64\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u90e8\u5206\u306fMRI\u3067\u306f\u816b\u760d\u3068\u3057\u3066\u6349\u3048\u3089\u308c\u307e\u305b\u3093\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astromucoiddegen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7638\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astromucoiddegen-300x255.jpg\" alt=\"OLYMPUS DIGITAL CAMERA\" width=\"310\" height=\"269\" \/><\/a>\u6bd4\u8f03\u7684\u7a00\u306a\u7d44\u7e54\u578b\u3067\u3042\u308bprotoplasmic astrocytoma\u306e\u7d44\u7e54\u50cf\u3067\u3059\u3002\u7d30\u80de\u9593\u306b\u306fmucoid degeneration\u3042\u308b\u3044\u306fmicrocyst formation\u3068\u547c\u3070\u308c\u308b\u9593\u9699\u304c\u3042\u308b\u306e\u304c\u7279\u5fb4\u7684\u3067\u3059\u3002\u591a\u304f\u306e\u5834\u5408\u306fMIB-1 LI\u304c\u4f4e\u304f\u3088\u308a\u826f\u6027\u306e\u7d4c\u904e\u3092\u305f\u3069\u308a\u307e\u3059\u3002\u5b50\u3069\u3082\u306b\u751f\u3058\u308b\u3068\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b pilocytic \/pilomyxoid astrocytoma\u3068\u306e\u9451\u5225\u304c\u96e3\u3057\u3044\u7d44\u7e54\u578b\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/astroGFAP.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" title=\"astroGFAP\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/astroGFAP-550x479.jpg\" alt=\"\" width=\"312\" height=\"293\" \/><\/a>\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306eGFAP\u67d3\u8272\u3002\u816b\u760d\u7d30\u80de\u306e\u80de\u4f53\u3068\u7a81\u8d77\u304c\u67d3\u8272\u3055\u308c\u3066\u3044\u307e\u3059\uff0c\u8718\u86db\u306e\u5de3\u3092\u306f\u308b\u3088\u3046\u306b\u7a81\u8d77\u304c\u5ef6\u3073\uff0c\u6b63\u5e38\u8133\u7d44\u7e54\u306e\u4e2d\u306b\u3057\u307f\u8fbc\u3080\u69d8\u306b\u6d78\u6f64\u3057\u307e\u3059<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astromib1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-4992\" title=\"astromib1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astromib1-550x486.jpg\" alt=\"\" width=\"315\" height=\"291\" \/><\/a>Ki-67\u3068\u3044\u3046\u6297\u4f53\u3092\u4f7f\u3063\u305f\u514d\u75ab\u7d44\u7e54\u67d3\u8272\u3067\u3059\u3002\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306e<span style=\"color: #ff0000;\"><strong>MIB-1 index\u306f\uff0c\u5e73\u5747\u30672.5%\u304f\u3089\u3044\uff0c\u9ad8\u304f\u3066\u30824\uff05<\/strong><\/span>\u3067\u3059\u3002\u305d\u308c\u4ee5\u4e0a\u306f\u30b0\u30ec\u30fc\u30c93\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002MIB-1\u67d3\u8272\u306f\uff0c\u816b\u760d\u7d30\u80de\u306e\u6838\u304c\u8584\u3044\u9752\u8272\u306b\u67d3\u8272\u3055\u308c\u3066\u3044\u3066\uff0c\u540c\u6642\u306b\u5897\u6b96\u671f\u306b\u3042\u308b\u7d30\u80de\u6838\u3060\u3051\u304cMIB-1\u3067\u9ed2\u8910\u8272\u306b\u67d3\u8272\u3055\u308c\u307e\u3059\u3002\u4e0a\u306e\u5199\u771f\u306eMIB-1\u306e\u67d3\u8272\u7387 labling index \u306f3.5%\u304f\u3089\u3044\u3067\uff0c\u30b0\u30ec\u30fc\u30c92\u306e\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u3068\u3057\u3066\u306f\u3084\u3084\u9ad8\u3044\u5024\u3067\u3059\u3002MIB-1\u67d3\u8272\u7387\u304c\u9ad8\u304f\u306a\u308b\u3068\u60aa\u6027\u5ea6\u304c\u9ad8\u3044\u50be\u5411\u306b\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n<h5>\u3053\u3053\u304b\u3089\u306f\u5c02\u9580\u7684\u306a\u77e5\u8b58<\/h5>\n<h4>\u9577\u5d8b\u548c\u90ce\u5148\u751f\u306e\u75c5\u7406\u6559\u5ba4\u00a0axonal retraction bulbs<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb.jpg\" rel=\"attachment wp-att-8667\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8667\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb-200x200.jpg\" alt=\"axonalbulb\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb2.jpg\" rel=\"attachment wp-att-8668\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-8668\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb2-200x200.jpg\" alt=\"axonalbulb2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalbulb2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u6570\u5e74\u306e\u7d4c\u904e\u3067\u308f\u305a\u304b\u306a\u5897\u5927\u50be\u5411\u3092\u793a\u3057\u305f\u306e\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u4ea4\u901a\u4e8b\u6545\u306b\u906d\u3063\u3066\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u75c5\u5909\u3067\u3001traumatic injury\u304c\u816b\u760d\u6d78\u6f64\u3067\u8106\u5f31\u3068\u306a\u3063\u305faxon\u306b\u5f71\u97ff\u3092\u304a\u3088\u3073\u3057\u305f\u53ef\u80fd\u6027\u304c\u793a\u5506\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb1.jpg\" rel=\"attachment wp-att-8659\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8659\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb1-300x225.jpg\" alt=\"axonalretractionbulb1\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb1-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb1-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb1.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\ndiffuse astrocytoma\u306e\u5927\u8133\u76ae\u8cea\u6d78\u6f64\u3067\u591a\u6570\u306ehomogenous pinc body\u304c\u898b\u3089\u308c\u307e\u3059 (arrows)\u3002\u3053\u306e\u5c0f\u4f53\u306f\u795e\u7d4c\u75c5\u7406\u3067\u306fspheroid\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u304c\u3001traumatic axonal injury\u3067\u898b\u3089\u308c\u308baxonal retraction bulb (ball) \u306b\u76f8\u5f53\u3059\u308b\u3082\u306e\u3067\u3059\u3002\u901a\u5e38\u3067\u306f\u7a00\u306a\u5c0f\u4f53\u3067\u3059\u304c\u3001\u672c\u4f8b\u3067\u591a\u6570\u898b\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb2.jpg\" rel=\"attachment wp-att-8660\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8660\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb2-300x225.jpg\" alt=\"axonalretractionbulb2\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb2-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb2-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb2.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nGFAP\u67d3\u8272\u3067astrocyte\u306f\u967d\u6027\u306b\u67d3\u307e\u308b\u304c\u3001axonal retraction bulb\u306f\u9670\u6027\u3067\u3059\u3002GFAP x200<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb3.jpg\" rel=\"attachment wp-att-8661\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8661\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb3-300x225.jpg\" alt=\"axonalretractionbulb3\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb3-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb3-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb3.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nAxonal retraction bulb\u306fsynaptophysin\u306b\u967d\u6027\u306b\u67d3\u307e\u308a\u307e\u3059\u3002Synaptophysin x200<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb4.jpg\" rel=\"attachment wp-att-8662\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8662\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb4-300x225.jpg\" alt=\"axonalretractionbulb4\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb4-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb4-550x413.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/axonalretractionbulb4.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nMIB-1 index\u306f\u4f4e\u5024\u3067\u30012%\u7a0b\u5ea6\u3067\u3059\u3002MIB-1 x200<\/p>\n<h4><strong>\u9650\u5c40\u6027\u306e\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b<\/strong><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh31.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7033 size-medium\" title=\"astrocytomakh3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh31-285x300.jpg\" alt=\"\" width=\"285\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh31-285x300.jpg 285w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh31-550x577.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh31.jpg 709w\" sizes=\"auto, (max-width: 285px) 100vw, 285px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh41.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7488\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh41-269x300.jpg\" alt=\"astrocytomakh4\" width=\"269\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh41-269x300.jpg 269w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh41-539x600.jpg 539w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh41.jpg 850w\" sizes=\"auto, (max-width: 269px) 100vw, 269px\" \/><\/a><\/p>\n<p>\u7121\u75c7\u72b6\u3067\u767a\u898b\u3055\u308c\u305f\u82e5\u5e74\u6210\u4eba\u306e\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\uff0c\u4e00\u3064\u306e\u8133\u56de\u306b\u9650\u5c40\u3059\u308b\u30bf\u30a4\u30d7\u3067<span style=\"color: #000080;\"><strong>single gyrus glioma<\/strong><\/span>\u3068\u3044\u3044\u307e\u3059<br \/>\n<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7034\" title=\"astrocytomakh1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1-300x227.jpg\" alt=\"\" width=\"300\" height=\"227\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1-300x227.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1-550x417.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh1.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7035\" title=\"astrocytomakh2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2-300x227.jpg\" alt=\"\" width=\"300\" height=\"227\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2-300x227.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2-550x417.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astrocytomakh2.jpg 1134w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u75c5\u7406\u306f\uff0c\u661f\u7d30\u80de\u306b\u7279\u6709\u306e\u80de\u4f53\u3092\u6709\u3057\u30b0\u30ea\u30a2\u7dda\u7dad\u304c\u660e\u77ad\u306a\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u3067\u3059<br \/>\n<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2013\/08\/astromm0411cor.jpg\"><br \/>\n<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>WHO 2021\u5e74\u3067\u306f\u3053\u306e\u75c5\u540d\u306f\u7121\u304f\u306a\u308a\u307e\u3057\u305f IDH\u907a\u4f1d\u5b50\u306e\u5909\u7570\u3068\u75c5\u7406\u7d44\u7e54\u8a3a\u65ad\u3067\u306e\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\u306e\u6240\u898b\u304c\u3042\u308b\u3068\uff0c\u661f\u7d30\u80de\u816b IDH\u5909\u7570\u578b WHO\u30b0\u30ec\u30fc\u30c9\uff12\u3068\u3088\u3070\u308c\u307e\u3059 IDH\u306b\u5909\u7570\u304c\u3042\u308aATRX\u6b20\u5931\u304c\u3042\u308b\u3073\u307e\u3093\u6027\u30b0\u30ea\u30aa [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-8806","post","type-post","status-publish","format-standard","hentry","category-pathocase"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/8806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=8806"}],"version-history":[{"count":9,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/8806\/revisions"}],"predecessor-version":[{"id":19280,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/8806\/revisions\/19280"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=8806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=8806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=8806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}