{"id":3964,"date":"2026-03-30T17:57:16","date_gmt":"2026-03-30T08:57:16","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3964"},"modified":"2026-03-30T17:57:20","modified_gmt":"2026-03-30T08:57:20","slug":"case-records-of-the-massachusetts-general-hospital%e3%82%88%e3%82%8a-14","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3964","title":{"rendered":"Case Records of the Massachusetts General Hospital\u3088\u308a"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcpc2402495\">Case 2-2026: A 63-Year-Old Man with Pulmonary Nodules, Liver Mass, and Vision Loss<\/a><\/p>\n\n\n\n<p>\uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8074\u3044\u3066\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u3001\u753b\u50cf\u3084\u81e8\u5e8a\u691c\u67fb\u6240\u898b\u7b49\u306f\u5143\u6587\u732e\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3000AI\u3092\u4f7f\u7528\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u30cf\u30eb\u30b7\u30cd\u30fc\u30b7\u30e7\u30f3\u304c\u3042\u308b\u307b\u304b\u3001\u6f22\u5b57\u306e\u8aad\u307f\u66f8\u304d\u306e\u9593\u9055\u3044\u7b49\u304c\u3054\u3056\u3044\u307e\u3059\uff09<\/p>\n\n\n\n<p><strong>\u9ad8\u75c5\u539f\u6027\u30af\u30ec\u30d6\u30b7\u30a8\u30e9\u30fb\u30cb\u30e5\u30fc\u30e2\u30cb\u30a8<\/strong>\u306b\u3088\u308b\u64ad\u7a2e\u6027\u611f\u67d3\u75c7\u3092\u767a\u75c7\u3057\u305f63\u6b73\u7537\u6027\u306e\u75c7\u4f8b\u5831\u544a\u3067\u3059\u3002\u60a3\u8005\u306f\u5f53\u521d\u3001<strong>\u809d\u81bf\u760d<\/strong>\u3001<strong>\u591a\u767a\u6027\u80ba\u7d50\u7bc0<\/strong>\u3001\u304a\u3088\u3073\u8133\u75c5\u5909\u3092\u5448\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u5f8c\u3001\u6025\u901f\u306b\u53f3\u76ee\u306e\u8996\u529b\u3092\u5931\u3046<strong>\u5185\u56e0\u6027\u773c\u5185\u708e<\/strong>\u3092\u4f75\u767a\u3057\u307e\u3057\u305f\u3002\u533b\u5e2b\u305f\u3061\u306f\u7cbe\u5bc6\u306a\u753b\u50cf\u8a3a\u65ad\u3068<strong>\u30b9\u30c8\u30ea\u30f3\u30b0\u30c6\u30b9\u30c8<\/strong>\u306a\u3069\u306e\u5fae\u751f\u7269\u5b66\u7684\u691c\u67fb\u3092\u901a\u3058\u3066\u3001\u3053\u306e\u7279\u6b8a\u306a\u7d30\u83cc\u304c\u5168\u8eab\u306b\u8ee2\u79fb\u3057\u305f\u3053\u3068\u3092\u7a81\u304d\u6b62\u3081\u307e\u3057\u305f\u3002\u6cbb\u7642\u3067\u306f\u6297\u751f\u5264\u306e\u6295\u4e0e\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u304c\u3001\u53f3\u76ee\u306e\u611f\u67d3\u60aa\u5316\u306b\u3088\u308a\u6700\u7d42\u7684\u306b<strong>\u773c\u7403\u6458\u51fa\u8853<\/strong>\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u9577\u671f\u9593\u306e\u52a0\u7642\u306b\u3088\u308a\u809d\u81d3\u3084\u80ba\u3001\u8133\u306e\u75c5\u5909\u306f\u6539\u5584\u3057\u3001\u672c\u75c7\u4f8b\u306f\u65e9\u671f\u8a3a\u65ad\u3068\u8fc5\u901f\u306a\u591a\u89d2\u7684\u6cbb\u7642\u306e\u91cd\u8981\u6027\u3092\u5f37\u8abf\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1429\" src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-scaled.png\" alt=\"\" class=\"wp-image-3967\" srcset=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-scaled.png 2560w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-300x167.png 300w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-700x391.png 700w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-150x84.png 150w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-768x429.png 768w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-1536x857.png 1536w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-2048x1143.png 2048w, https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/unnamed-800x447.png 800w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/b5cc80d283881783aca2d121aa43f086.mp3\"><\/audio><\/figure>\n\n\n\n<p><\/p>\n<div class=\"powerpress_player\" id=\"powerpress_player_3310\"><audio class=\"wp-audio-shortcode\" id=\"audio-3964-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/b5cc80d283881783aca2d121aa43f086.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/b5cc80d283881783aca2d121aa43f086.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/b5cc80d283881783aca2d121aa43f086.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/b5cc80d283881783aca2d121aa43f086.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=3964-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2026\/03\/b5cc80d283881783aca2d121aa43f086.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"b5cc80d283881783aca2d121aa43f086.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>Case 2-2026: A 63-Year-Old Man with Pulmonary Nodules, Liver Mass, and Vision Loss \uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8074\u3044\u3066\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001&#8230;<\/p>\n","protected":false},"author":5,"featured_media":3848,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-3964","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-podcast"],"jetpack_featured_media_url":"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/07\/A-bright-and-cheerful-illustration-in-the-same-style-as-a-medical-education-website-showing-a-resea.png","jetpack_shortlink":"https:\/\/wp.me\/p9b6zl-11W","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3964"}],"version-history":[{"count":3,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3964\/revisions"}],"predecessor-version":[{"id":3970,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/3964\/revisions\/3970"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/media\/3848"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3964"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3964"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}