noguchi thyroid clinic and hospital foundation...
TRANSCRIPT
![Page 1: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/1.jpg)
解 説
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 2: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/2.jpg)
《回答》
濾胞腺腫
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 3: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/3.jpg)
《エコー所見》
結節a
N T C Noguchi Thyroid Clinic and Hospital Foundation
結節a: 形状一部不整 充実性優位 結節b: 形状整 嚢胞性優位 推定病変:腺種様甲状腺腫
![Page 4: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/4.jpg)
Pap染色 4倍
判定区分:悪性 推定病変:乳頭癌
Pap染色 40倍
《細胞診》
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 5: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/5.jpg)
《術前診断》
悪性甲状腺腫
《術式》
右葉切除
気管周囲リンパ節郭清
N T C Noguchi Thyroid Clinic and Hospital Foundation
結節a
結節b
![Page 6: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/6.jpg)
N T C Noguchi Thyroid Clinic and Hospital Foundation
術中迅速組織診断:乳頭癌
HE染色 4倍 HE染色 10倍
《術中迅速標本》
![Page 7: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/7.jpg)
18x15mm
20x18mm 濾胞腺腫
《組織割面》
N T C Noguchi Thyroid Clinic and Hospital Foundation
結節a
結節b
![Page 8: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/8.jpg)
Noguchi Thyroid Clinic and Hospital Foundation N T C
HE染色 1.25倍 HE染色 10倍
《結節a:組織像》
![Page 9: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/9.jpg)
N T C Noguchi Thyroid Clinic and Hospital Foundation HE染色 40倍 乳頭癌
![Page 10: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/10.jpg)
N T C Noguchi Thyroid Clinic and Hospital Foundation
:陽性 甲状腺
ペルオキシダーゼ
HBME-1:陰性 :0.18% MIB-1
Labeling index
HE
![Page 11: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/11.jpg)
<病理組織診断>
濾胞腺腫
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 12: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/12.jpg)
Pap染色 10倍 Pap染色 4倍
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 13: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/13.jpg)
Pap染色 40倍 Pap染色 40倍
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 14: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/14.jpg)
N T C Noguchi Thyroid Clinic and Hospital Foundation
Pap染色 40倍
![Page 15: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/15.jpg)
《どうして乳頭癌と思ったか》
配列が乳頭状に見えた
核異型がある
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 16: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/16.jpg)
《どうして乳頭癌と思ったか》
配列が乳頭状に見えた
核異型がある
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 17: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/17.jpg)
本症例 乳頭癌
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 18: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/18.jpg)
本症例 乳頭癌
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 19: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/19.jpg)
《どうして乳頭癌と思ったか》
配列が乳頭状に見えた
核異型がある
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 20: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/20.jpg)
重畳核 微細顆粒状クロマチン
核内細胞質封入体 核溝
乳頭癌の特徴的核所見
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 21: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/21.jpg)
本症例 乳頭癌
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 22: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/22.jpg)
本症例 乳頭癌 濾胞腺腫
N T C Noguchi Thyroid Clinic and Hospital Foundation
《乳頭癌と濾胞腺腫との比較》
![Page 23: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/23.jpg)
濾胞腺腫 乳頭癌
参考文献:甲状腺癌 編 集 :坂本穆彦先生 廣川満良先生
本症例
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 24: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/24.jpg)
《まとめ》
・本症例は構造,核異型から 乳頭癌を
推定した.
・他の多くの意見も参考にしたいと思い,
本症例を提示した.
N T C Noguchi Thyroid Clinic and Hospital Foundation
![Page 25: Noguchi Thyroid Clinic and Hospital Foundation Csaiboushin-oita.com/keisai/2015.11.28-1A.pdf2015/11/28 · Noguchi Thyroid Clinic and Hospital Foundation N C T 《まとめ》 ・本症例は構造,核異型から](https://reader035.vdocuments.mx/reader035/viewer/2022071214/6041fd45e43b7712fe6aa38d/html5/thumbnails/25.jpg)