{"id":6325,"date":"2020-03-10T11:50:50","date_gmt":"2020-03-10T02:50:50","guid":{"rendered":"http:\/\/www.hs-kyoto.net\/?p=6325"},"modified":"2026-04-28T11:43:17","modified_gmt":"2026-04-28T02:43:17","slug":"%e5%a4%a7%e8%b3%80%e3%81%95%e3%82%93%e3%81%ae%e5%8d%92%e6%a5%ad%e7%a0%94%e7%a9%b6%e3%81%8ccongenital-anomalies%e3%81%ab%e5%8f%97%e8%ab%be","status":"publish","type":"post","link":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/?p=6325","title":{"rendered":"\u9838\u90e8\u306e\u4e00\u904e\u6027\u816b\u8139\u3068\u9838\u9759\u8108\u30ea\u30f3\u30d1\u56a2\u306e\u767a\u9054"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u5927\u8cc0\u3055\u3093\u306f\u5352\u696d\u7814\u7a76\u3067\u3001\u30d2\u30c8\u80da\u3067<strong>Carnegie stage 21\u524d\u5f8c<\/strong>\u306b\u307f\u3089\u308c\u308b\u3053\u3068\u306e\u3042\u308b<strong>\u9838\u90e8\u306e\u3075\u304f\u3089\u307f<\/strong>\uff08vesicular swelling in the cervical region: VSC\uff09\u306b\u3064\u3044\u3066\u3001\u305d\u306e\u6210\u308a\u7acb\u3061\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u305f\u3081\u3001<strong>\u9838\u9759\u8108\u30ea\u30f3\u30d1\u56a2\uff08jugular lymph sac: JLS\uff09\u3068\u306e\u95a2\u4fc2\u3092\u89e3\u6790\u3057\u307e\u3057\u305f\u3002<br>\u305d\u306e\u7d50\u679c\u3001VSC\u306f\u4e3b\u306b\u76ae\u4e0b\u6d6e\u816b<\/strong>\u3068\u3001\u5834\u5408\u306b\u3088\u3063\u3066\u306f<strong>\u304f\u3082\u819c\u4e0b\u8154\u306e\u62e1\u5927<\/strong>\u306b\u3088\u3063\u3066\u751f\u3058\u3066\u304a\u308a\u3001\u540c\u3058\u6642\u671f\u306bJLS\u304c\u6025\u901f\u306b\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3057\u305f\u3002<br>JLS\u305d\u306e\u3082\u306e\u304c\u76f4\u63a5\u76ae\u4e0b\u3068\u4ea4\u901a\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001<strong>\u9838\u90e8\u306e\u30ea\u30f3\u30d1\u7cfb\u304c\u5927\u304d\u304f\u5909\u5316\u3059\u308b\u6642\u671f\u306e\u52d5\u614b\u304c\u3001VSC\u306e\u5f62\u6210\u306b\u95a2\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027<\/strong>\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u6210\u679c\u306f\u30012019\u5e745\u670818\u65e5\u306b\u516c\u958b\u3055\u308c\u307e\u3057\u305f\u3002\u00a0*\u540c\u53f7\u306e<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/epdf\/10.1111\/cga.12341\">\u8868\u7d19\u306b\u3082\u63a1\u7528\u3055\u308c\u307e\u3057\u305f\u3002<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7814\u7a76\u306e\u80cc\u666f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d2\u30c8\u80da\u3067\u306f\u3001\u767a\u751f\u306e\u3042\u308b\u6642\u671f\u306b<strong>\u9996\u306e\u5f8c\u308d\u304b\u3089\u5074\u9838\u90e8\u306b\u304b\u3051\u3066\u4e00\u6642\u7684\u306a\u3075\u304f\u3089\u307f<\/strong>\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<br>\u4eac\u90fd\u5927\u5b66\u306e\u80da\u6a19\u672c\u30b3\u30ec\u30af\u30b7\u30e7\u30f3\u3067\u3082\u3001<strong>CS21\u524d\u5f8c<\/strong>\u306e\u6a19\u672c\u3067\u3057\u3070\u3057\u3070\u89b3\u5bdf\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u6240\u898b\u306f\u3001\u4ee5\u524d\u306b\u306f<strong>nuchal bleb<\/strong>\u3068\u547c\u3070\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3057\u305f\u304c\u3001\u73fe\u5728\u3067\u306f\u75c5\u7684\u306a<strong>\u56a2\u80de\u6027\u30ea\u30f3\u30d1\u7ba1\u816b<\/strong>\u3068\u306e\u6df7\u540c\u3092\u907f\u3051\u308b\u305f\u3081\u3001\u672c\u7814\u7a76\u3067\u306f<strong>VSC<\/strong>\u3068\u3044\u3046\u7528\u8a9e\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u3002<br>\u3053\u3046\u3057\u305f\u9838\u90e8\u816b\u8139\u306f\u3001\u305d\u306e\u5f8c\u6b63\u5e38\u306b\u767a\u80b2\u3059\u308b\u80da\u306b\u3082\u307f\u3089\u308c\u308b\u4e00\u65b9\u3067\u3001\u982d\u9838\u90e8\u3084\u4e2d\u67a2\u795e\u7d4c\u7cfb\u306e\u7570\u5e38\u3068\u95a2\u9023\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u305d\u306e\u610f\u5473\u3065\u3051\u306f\u7c21\u5358\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u80ce\u5150\u8a3a\u65ad\u3067\u77e5\u3089\u308c\u308b<strong>nuchal translucency\uff08NT\uff09\u3084\u3001\u3088\u308a\u91cd\u3044\u9838\u90e8\u816b\u8139\u3067\u3042\u308bcystic hygroma<\/strong>\u3067\u306f\u3001\u30ea\u30f3\u30d1\u7cfb\u306e\u767a\u9054\u7570\u5e38\u304c\u95a2\u4fc2\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<br>\u305d\u3053\u3067\u672c\u7814\u7a76\u3067\u306f\u3001\u80da\u671f\u306e\u9838\u90e8\u816b\u8139\u3068\u3001\u9838\u90e8\u30ea\u30f3\u30d1\u7cfb\u306e\u539f\u57fa\u3067\u3042\u308b<strong>\u9838\u9759\u8108\u30ea\u30f3\u30d1\u56a2<\/strong>\u3068\u306e\u95a2\u4fc2\u306b\u7740\u76ee\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u7814\u7a76\u306e\u65b9\u6cd5<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"584\" src=\"https:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.49.41-610x584.png\" alt=\"\" class=\"wp-image-14620\" style=\"width:300px\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.49.41-610x584.png 610w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.49.41-313x300.png 313w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.49.41-115x110.png 115w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.49.41-768x735.png 768w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.49.41.png 1176w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u3067\u306f\u3001\u4eac\u90fd\u5927\u5b66\u306e<strong>\u4eac\u90fd\u30b3\u30ec\u30af\u30b7\u30e7\u30f3<\/strong>\u306b\u4fdd\u5b58\u3055\u308c\u3066\u3044\u308b<strong>CS20\u304a\u3088\u3073CS21\u306e\u30d2\u30c8\u80da14\u4f8b<\/strong>\u3092\u5bfe\u8c61\u306b\u89e3\u6790\u3092\u884c\u3044\u307e\u3057\u305f\u3002<br>\u6a19\u672c\u306eCRL\u306f<strong>16.5\u301c24.1 mm<\/strong>\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5404\u6a19\u672c\u306b\u3064\u3044\u3066\u3001<strong>\u9023\u7d9a\u7d44\u7e54\u5207\u7247<\/strong>\u3092\u30c7\u30b8\u30bf\u30eb\u5316\u3057\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9838\u9759\u8108\u30ea\u30f3\u30d1\u56a2\uff08JLS\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u9838\u9759\u8108<\/strong><\/li>\n\n\n\n<li><strong>\u5589\u982d\u30fb\u820c\u9aa8\u5468\u56f2\u306e\u69cb\u9020<\/strong><\/li>\n\n\n\n<li><strong>\u76ae\u4e0b\u7d44\u7e54<\/strong><\/li>\n\n\n\n<li><strong>\u304f\u3082\u819c\u4e0b\u8154<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u3069\u3092\u4e09\u6b21\u5143\u518d\u69cb\u7bc9\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u9838\u90e8\u816b\u8139\u306e\u7a0b\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u3001\u518d\u69cb\u6210\u753b\u50cf\u4e0a\u3067<strong>VSC\u306e\u6df1\u3055<\/strong>\u3092\u6e2c\u5b9a\u3057\u3001\u305d\u308c\u3092<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u76ae\u4e0b\u7d44\u7e54\u306e\u539a\u307f\uff08SCd\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u304f\u3082\u819c\u4e0b\u8154\u306e\u539a\u307f\uff08SAd\uff09<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u306b\u5206\u3051\u3066\u89e3\u6790\u3057\u307e\u3057\u305f\u3002<br>\u3055\u3089\u306b\u3001JLS\u306e<strong>\u4f53\u7a4d<\/strong>\u3084<strong>\u4f4d\u7f6e<\/strong>\u3092\u6e2c\u5b9a\u3057\u3001VSC\u3068\u306e\u95a2\u4fc2\u3092\u691c\u8a0e\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u4e3b\u306a\u7d50\u679c<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1. \u9838\u90e8\u306e\u3075\u304f\u3089\u307f\u306f\u3001\u4e3b\u306b\u76ae\u4e0b\u6d6e\u816b\u306b\u3088\u3063\u3066\u751f\u3058\u3066\u3044\u307e\u3057\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u89e3\u6790\u306e\u7d50\u679c\u3001\u5916\u304b\u3089\u89b3\u5bdf\u3067\u304d\u308bVSC\u304c\u3042\u308b\u6a19\u672c\u3067\u306f\u3001VSC\u306e\u6df1\u3055\u304c\u5927\u304d\u304f\u3001\u7279\u306b\u591a\u304f\u306e\u4f8b\u3067<strong>\u76ae\u4e0b\u7d44\u7e54\u306e\u539a\u307f\u306e\u5897\u52a0<\/strong>\u304c\u76ee\u7acb\u3063\u3066\u3044\u307e\u3057\u305f\u3002<br>\u3064\u307e\u308a\u3001VSC\u306e\u4e3b\u306a\u5b9f\u4f53\u306f<strong>\u76ae\u4e0b\u6d6e\u816b<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3067\u3001\u4e00\u90e8\u306e\u6a19\u672c\u3067\u306f<strong>\u304f\u3082\u819c\u4e0b\u8154\u306e\u62e1\u5927<\/strong>\u3082\u5bc4\u4e0e\u3057\u3066\u304a\u308a\u3001VSC\u306f\u5358\u4e00\u306e\u539f\u56e0\u3060\u3051\u3067\u306f\u8aac\u660e\u3067\u304d\u306a\u3044\u3053\u3068\u3082\u5206\u304b\u308a\u307e\u3057\u305f\u3002<br>\u3064\u307e\u308a\u3001\u9838\u90e8\u306e\u3075\u304f\u3089\u307f\u306b\u306f\u5c11\u306a\u304f\u3068\u3082<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u76ae\u4e0b\u306e\u6db2\u4f53\u8caf\u7559<\/strong><\/li>\n\n\n\n<li><strong>\u304f\u3082\u819c\u4e0b\u8154\u306e\u62e1\u5927<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3044\u30462\u3064\u306e\u8981\u7d20\u304c\u95a2\u308f\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. \u9838\u9759\u8108\u30ea\u30f3\u30d1\u56a2\u306f\u3001CS20\u304b\u3089CS21\u306b\u304b\u3051\u3066\u6025\u901f\u306b\u5927\u304d\u304f\u306a\u3063\u3066\u3044\u307e\u3057\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e09\u6b21\u5143\u518d\u69cb\u7bc9\u306e\u7d50\u679c\u3001JLS\u306f\u5de6\u53f3\u4e00\u5bfe\u3067\u3001<strong>\u7b2c1\u301c\u7b2c4\u9838\u690e\u30ec\u30d9\u30eb<\/strong>\u306b\u4f4d\u7f6e\u3057\u3066\u3044\u307e\u3057\u305f\u3002<br>\u305d\u306e\u5f62\u306f<strong>\u30d4\u30e9\u30df\u30c3\u30c9\u72b6<\/strong>\u3067\u3001\u9838\u9759\u8108\u306e\u8fd1\u304f\u306b\u5b58\u5728\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4f53\u7a4d\u3092\u6e2c\u5b9a\u3059\u308b\u3068\u3001JLS\u306f<strong>CS20\u304b\u3089CS21\u306b\u304b\u3051\u3066\u7d049\u500d<\/strong>\u306b\u5897\u52a0\u3057\u3066\u3044\u307e\u3057\u305f\u3002<br>\u3053\u308c\u306f\u3001\u3053\u306e\u6642\u671f\u304c\u9838\u90e8\u30ea\u30f3\u30d1\u7cfb\u306b\u3068\u3063\u3066\u975e\u5e38\u306b\u30c0\u30a4\u30ca\u30df\u30c3\u30af\u306a\u767a\u9054\u6bb5\u968e\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. JLS\u306fVSC\u306e\u3042\u308b\u80da\u3067\u3082\u306a\u3044\u80da\u3067\u3082\u307f\u3089\u308c\u3001\u76f4\u63a5\u76ae\u4e0b\u3068\u3064\u306a\u304c\u3063\u3066\u306f\u3044\u307e\u305b\u3093\u3067\u3057\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u8981\u306a\u70b9\u3068\u3057\u3066\u3001JLS\u306fVSC\u304c\u3042\u308b\u80da\u3067\u3082\u3001\u5916\u898b\u4e0aVSC\u304c\u306a\u3044\u80da\u3067\u3082\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<br>\u307e\u305f\u3001JLS\u306f<strong>\u76ae\u4e0b\u7d44\u7e54\u3084\u304f\u3082\u819c\u4e0b\u8154\u3068\u76f4\u63a5\u4ea4\u901a\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/strong>\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001JLS\u306e\u5e73\u5747\u4f53\u7a4d\u81ea\u4f53\u306f\u3001VSC\u306e\u3042\u308b\u7fa4\u3068\u306a\u3044\u7fa4\u3067\u5927\u304d\u304f\u306f\u5909\u308f\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<br>\u3064\u307e\u308a\u3001\u300c\u5927\u304d\u306aJLS\u304c\u305d\u306e\u307e\u307e\u76f4\u63a5\u3075\u304f\u3089\u307f\u3092\u3064\u304f\u3063\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u5358\u7d14\u306a\u69cb\u56f3\u3067\u306f\u306a\u3044\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. \u305d\u308c\u3067\u3082\u3001VSC\u306e\u6df1\u3055\u3068JLS\u4f53\u7a4d\u306b\u306f\u4e00\u5b9a\u306e\u95a2\u9023\u304c\u307f\u3089\u308c\u307e\u3057\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">JLS\u4f53\u7a4d\u306e\u7fa4\u9593\u5dee\u306f\u660e\u77ad\u3067\u306f\u306a\u304b\u3063\u305f\u3082\u306e\u306e\u3001\u5404\u6a19\u672c\u3092\u500b\u5225\u306b\u307f\u308b\u3068\u3001<strong>VSC\u304c\u6df1\u3044\u307b\u3069JLS\u4f53\u7a4d\u3082\u5927\u304d\u3044\u50be\u5411<\/strong>\u304c\u307f\u3089\u308c\u307e\u3057\u305f\u3002<br>CS20\u3067\u3082CS21\u3067\u3082\u3001\u4e21\u8005\u306e\u9593\u306b\u306f<strong>\u4e2d\u7b49\u5ea6\u306e\u76f8\u95a2<\/strong>\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3053\u3068\u304b\u3089\u3001JLS\u305d\u306e\u3082\u306e\u304c\u76f4\u63a5\u3075\u304f\u3089\u307f\u306e\u4e2d\u8eab\u306b\u306a\u3063\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3066\u3082\u3001<strong>\u9838\u90e8\u30ea\u30f3\u30d1\u7cfb\u306e\u6025\u901f\u306a\u767a\u9054\u3084\u30ea\u30f3\u30d1\u6db2\u52d5\u614b\u306e\u5909\u5316<\/strong>\u304c\u3001\u9838\u90e8\u6d6e\u816b\u306e\u5f62\u6210\u306b\u95a2\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. \u660e\u3089\u304b\u306a\u982d\u84cb\u30fb\u5fc3\u81d3\u30fb\u5927\u8840\u7ba1\u7570\u5e38\u306f\u898b\u3064\u304b\u308a\u307e\u305b\u3093\u3067\u3057\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7d44\u7e54\u5207\u7247\u3092\u8a73\u7d30\u306b\u89b3\u5bdf\u3057\u3066\u3082\u3001VSC\u3092\u76f4\u63a5\u8aac\u660e\u3067\u304d\u308b\u3088\u3046\u306a<strong>\u660e\u3089\u304b\u306a\u982d\u84cb\u5185\u7570\u5e38\u3001\u5fc3\u5947\u5f62\u3001\u5927\u8840\u7ba1\u7570\u5e38<\/strong>\u306f\u78ba\u8a8d\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<br>\u3064\u307e\u308a\u3001\u672c\u7814\u7a76\u306e\u5bfe\u8c61\u3068\u306a\u3063\u305fVSC\u306e\u591a\u304f\u306f\u3001\u5c11\u306a\u304f\u3068\u3082\u660e\u767d\u306a\u91cd\u7be4\u5947\u5f62\u306b\u3088\u308b\u4e8c\u6b21\u7684\u306a\u6240\u898b\u3067\u306f\u306a\u3055\u305d\u3046\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u3053\u306e\u7814\u7a76\u306e\u610f\u7fa9<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"504\" height=\"1024\" src=\"https:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-504x1024.png\" alt=\"\" class=\"wp-image-14621\" style=\"width:300px\" srcset=\"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-504x1024.png 504w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-148x300.png 148w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-57x115.png 57w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-768x1560.png 768w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-756x1536.png 756w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43-1008x2048.png 1008w, http:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/2020\/03\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2026-04-28-9.50.43.png 1020w\" sizes=\"auto, (max-width: 504px) 100vw, 504px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u306f\u3001\u30d2\u30c8\u80da\u3067\u307f\u3089\u308c\u308b\u9838\u90e8\u306e\u4e00\u904e\u6027\u816b\u8139\u306b\u3064\u3044\u3066\u3001<strong>\u305d\u306e\u5b9f\u4f53\u3068\u30ea\u30f3\u30d1\u7cfb\u767a\u9054\u3068\u306e\u95a2\u4fc2\u3092\u4e09\u6b21\u5143\u7684\u306b\u691c\u8a0e\u3057\u305f\u7814\u7a76<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u6210\u679c\u304b\u3089\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>VSC\u306f\u4e3b\u306b<strong>\u76ae\u4e0b\u6d6e\u816b<\/strong>\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u3053\u3068<\/li>\n\n\n\n<li>\u4e00\u90e8\u3067\u306f<strong>\u304f\u3082\u819c\u4e0b\u8154\u306e\u62e1\u5927<\/strong>\u3082\u95a2\u4e0e\u3059\u308b\u3053\u3068<\/li>\n\n\n\n<li>JLS\u306f<strong>CS20\u301c21\u3067\u6025\u901f\u306b\u767a\u9054<\/strong>\u3059\u308b\u3053\u3068<\/li>\n\n\n\n<li>JLS\u306fVSC\u3068\u76f4\u63a5\u3064\u306a\u304c\u3063\u3066\u306f\u3044\u306a\u3044\u304c\u3001<strong>\u305d\u306e\u767a\u9054\u52d5\u614b\u304cVSC\u5f62\u6210\u306b\u95a2\u9023\u3059\u308b\u53ef\u80fd\u6027<\/strong>\u304c\u3042\u308b\u3053\u3068<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306e\u77e5\u898b\u306f\u3001\u80da\u671f\u306e\u9838\u90e8\u816b\u8139\u304c\u3001\u3059\u3079\u3066\u76f4\u3061\u306b\u7570\u5e38\u3092\u610f\u5473\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001<strong>\u6b63\u5e38\u767a\u751f\u306e\u30c0\u30a4\u30ca\u30df\u30c3\u30af\u306a\u6db2\u4f53\u74b0\u5883\u306e\u5909\u5316\u306e\u4e00\u90e8\u3068\u3057\u3066\u73fe\u308c\u308b\u53ef\u80fd\u6027<\/strong>\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059\u3002<br>\u4e00\u65b9\u3067\u3001\u75c5\u7684\u306a\u9838\u90e8\u816b\u8139\u3068\u306e\u9055\u3044\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306b\u3082\u3001\u6b63\u5e38\u767a\u751f\u306e\u30c7\u30fc\u30bf\u3092\u84c4\u7a4d\u3059\u308b\u3053\u3068\u306f\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u5f8c\u306e\u5c55\u671b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001CS20\u301c21\u306e\u6a19\u672c\u3092\u5bfe\u8c61\u306b\u3057\u307e\u3057\u305f\u304c\u3001\u4eca\u5f8c\u306f\u3055\u3089\u306b<strong>CS22\u4ee5\u964d<\/strong>\u306e\u6a19\u672c\u3082\u89e3\u6790\u3057\u3001VSC\u304c\u305d\u306e\u5f8c\u3069\u306e\u3088\u3046\u306b\u5909\u5316\u30fb\u6d88\u5931\u3057\u3066\u3044\u304f\u306e\u304b\u3092\u8ffd\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<br>\u307e\u305f\u3001MRI\u3084\u4f4d\u76f8\u5deeX\u7ddaCT\u306a\u3069\u3001\u3088\u308a\u5927\u304d\u306a\u6a19\u672c\u306b\u3082\u9069\u7528\u3067\u304d\u308b\u753b\u50cf\u6cd5\u3092\u7528\u3044\u308c\u3070\u3001\u9838\u90e8\u306e\u6db2\u4f53\u52d5\u614b\u3084\u30ea\u30f3\u30d1\u7cfb\u767a\u751f\u3092\u3088\u308a\u9023\u7d9a\u7684\u306b\u7406\u89e3\u3067\u304d\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u308f\u308c\u308f\u308c\u306e\u7814\u7a76\u5ba4\u3067\u306f\u4eca\u5f8c\u3082\u3001\u30d2\u30c8\u80da\u306b\u304a\u3051\u308b\u30ea\u30f3\u30d1\u7cfb\u5f62\u6210\u3084\u4f53\u6db2\u74b0\u5883\u306e\u5909\u5316\u3092\u7acb\u4f53\u7684\u306b\u89e3\u6790\u3057\u3001\u6b63\u5e38\u767a\u751f\u3068\u767a\u751f\u7570\u5e38\u306e\u5883\u754c\u3092\u3088\u308a\u660e\u78ba\u306b\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u8ad6\u6587\u60c5\u5831<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8ad6\u6587\u30bf\u30a4\u30c8\u30eb<\/strong><br><em>Vesicular swelling in the cervical region with lymph sac formation in human embryos<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8457\u8005<\/strong><br>Ayako Ohga, Rino Sakamoto, Shigehito Yamada, Tetsuya Takakuwa<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u516c\u958b\u65e5<\/strong><br>2019\u5e745\u670818\u65e5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DOI<\/strong><br><a class=\"\" href=\"https:\/\/doi.org\/10.1111\/cga.12339\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1111\/cga.12339<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u3072\u3068\u3053\u3068<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u80da\u306e\u9996\u306e\u5f8c\u308d\u306b\u307f\u3089\u308c\u308b\u5c0f\u3055\u306a\u3075\u304f\u3089\u307f\u306f\u3001\u4e00\u898b\u3059\u308b\u3068\u7570\u5e38\u306e\u3088\u3046\u306b\u3082\u601d\u3048\u307e\u3059\u304c\u3001\u767a\u751f\u306e\u9014\u4e2d\u3067\u8d77\u3053\u308b\u4e00\u6642\u7684\u306a\u5909\u5316\u3067\u3042\u308b\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u3002<br>\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u305d\u306e\u80cc\u666f\u306b\u9838\u90e8\u30ea\u30f3\u30d1\u7cfb\u306e\u6025\u901f\u306a\u767a\u9054\u304c\u95a2\u308f\u3063\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3053\u3068\u304c\u898b\u3048\u3066\u304d\u307e\u3057\u305f\u3002<br>\u6b63\u5e38\u767a\u751f\u306e\u4e2d\u3067\u8d77\u3053\u308b\u201c\u3086\u3089\u304e\u201d\u3092\u4e01\u5be7\u306b\u7406\u89e3\u3059\u308b\u3053\u3068\u306f\u3001\u75c5\u7684\u5909\u5316\u3092\u6b63\u3057\u304f\u898b\u5206\u3051\u308b\u305f\u3081\u306b\u3082\u5927\u5207\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5927\u8cc0\u3055\u3093\u306f\u5352\u696d\u7814\u7a76\u3067\u3001\u30d2\u30c8\u80da\u3067Carnegie stage 21\u524d\u5f8c\u306b\u307f\u3089\u308c\u308b\u3053\u3068\u306e\u3042\u308b\u9838\u90e8\u306e\u3075\u304f\u3089\u307f\uff08vesicular swelling in the cervical region: VSC\uff09\u306b\u3064\u3044\u3066\u3001\u305d\u306e\u6210\u308a\u7acb\u3061 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6693,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-6325","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-20"],"_links":{"self":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts\/6325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6325"}],"version-history":[{"count":13,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts\/6325\/revisions"}],"predecessor-version":[{"id":14635,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/posts\/6325\/revisions\/14635"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=\/wp\/v2\/media\/6693"}],"wp:attachment":[{"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6325"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}