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<title>甲状腺癌 | 株式会社文光堂</title>


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<meta name="description" content="甲状腺癌は，予後良好な乳頭癌・濾胞癌から，きわめて増殖スピードが速く，有効な治療のない未分化癌にいたるまで，さまざまな生物学的態度を示す病態がある．本書は，取扱い規約やWHO分類を読んだだけではわかりづらい実際の取り扱い，診断のポイントとコツをわかりやすく記載するほか，低分化癌やCASTLEなどの新しい疾患概念の解説，依然として重要な課題である濾胞癌と濾胞腺腫の鑑別，穿刺吸引細胞診についても盛り込">

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		<h1 class="catchCopy">甲状腺癌の病理診断のスタンダードをめざした腫瘍病理鑑別診断アトラス！</h1>
		

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					編集：坂本穆彦（杏林大学教授）
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					<span class="transparent">編集</span>　廣川満良（隈病院科長）
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">甲状腺癌は，予後良好な乳頭癌・濾胞癌から，きわめて増殖スピードが速く，有効な治療のない未分化癌にいたるまで，さまざまな生物学的態度を示す病態がある．本書は，取扱い規約やWHO分類を読んだだけではわかりづらい実際の取り扱い，診断のポイントとコツをわかりやすく記載するほか，低分化癌やCASTLEなどの新しい疾患概念の解説，依然として重要な課題である濾胞癌と濾胞腺腫の鑑別，穿刺吸引細胞診についても盛り込んだ．<br>☆図版28点，表組43点，カラー写真460点，モノクロ写真27点</section><section class="indexes">第１部　検鏡前の確認事項<br>　I．取扱い規約分類とWHO組織分類 <br>　　１．取扱い規約の意義 <br>　　２．現行取扱い規約刊行までの変遷<br>　　３．WHO組織分類の推移<br>　　４．細胞診の扱い<br>　II．病理標本の取扱い方<br>　　１．生検材料の取扱い<br>　　２．手術材料の取扱い<br>　　３．固定法の実際と取扱い規約に沿った切り出し法<br>第２部　組織型と診断の実際<br>　I．悪性腫瘍<br>　　１．乳頭癌<br>　　２．濾胞癌<br>　　３．低分化癌<br>　　４．未分化癌<br>　　５．髄様癌（C細胞癌）<br>　　６．悪性リンパ腫<br>　　７．その他の原発性悪性腫瘍<br>　　　１．胸腺様分化を示す癌（ITET/CASTLE）<br>　　　２．胸腺様分化を伴う紡錘形細胞腫瘍（SETTLE）<br>　　　３．粘表皮癌<br>　　　４．扁平上皮癌 <br>　　　５．平滑筋肉腫<br>　　８．転移性腫瘍<br>　II．その他の腫瘍および関連病変<br>　　１．濾胞腺腫<br>　　２．好酸性細胞腫瘍<br>　　３．硝子化索状腫瘍<br>　　４．腺腫様甲状腺腫<br>　　５．その他<br>　　　１．奇形腫<br>　　　２．傍神経節腫<br>　　　３．神経鞘腫<br>　　　４．甲状腺内（異所性）胸腺腫<br>第３部　鑑別ポイント<br>　I．核内細胞質封入体・すりガラス状核・核の溝<br>　II．扁平上皮化生とモルラ<br>　III．脈管侵襲<br>　IV．被膜浸潤<br>　V．被膜形成を伴う病変<br>　VI．明細胞の評価<br>　VII．囊胞の評価<br>　VIII．微小癌<br>　IX．異所性甲状腺組織<br>　X．診断に有用な免疫染色<br>　　１．甲状腺腫瘍の診断に用いられる主な抗体<br>　　２．甲状腺の転写因子<br>　　３．甲状腺ホルモン関連抗体<br>　　４．C細胞ホルモン関連抗体<br>　　５．細胞骨格線維<br>　　６．細胞接着因子関連抗体<br>　　７．細胞膜表面抗原抗体<br>　　８．細胞増殖，細胞死関連抗体<br>　　９．脈管抗原<br>　　10．甲状腺癌の分化度と免疫染色で検出される分化形質<br>第４部　臨床との連携<br>　I．臨床診断のアルゴリズムと治療<br>　　１．甲状腺悪性腫瘍の診断<br>　　２．甲状腺悪性腫瘍の治療<br>　II．放射線被曝と甲状腺癌<br>　　１．医療被曝と甲状腺癌<br>　　２．原爆被爆と甲状腺癌<br>　　３．チェルノブイリ原発事故と小児甲状腺癌<br>　　４．動物実験での放射線誘発甲状腺腫瘍<br>　　５．甲状腺癌とヨードの影響<br>　　６．放射線誘発甲状腺癌の遺伝子異常<br>　　７．放射線の胎児への影響<br>　　８．核実験場と甲状腺癌<br>　III．甲状腺機能検査と甲状腺腫瘍<br>　　１．サイログロブリン（Tg）<br>　　２．TgAb，抗甲状腺ペルオキシダーゼ抗体（TPOAb）<br>　　３．遊離T4，遊離T3 <br>　　４．甲状腺刺激ホルモン（TSH） <br>　　５．TSH受容体抗体（TRAb）<br>　　６．今後の展望<br>　IV．遺伝性甲状腺癌<br>　　１．Cowden症候群<br>　　２．家族性大腸ポリポーシス<br>　　３．Werner症候群<br>　　４．多発性内分泌腫瘍症<br>　　５．その他の症候群に関連する甲状腺腫瘍<br>　　６．症候群非関連の家族性非髄様癌性甲状腺癌<br>　V．術前診断における穿刺吸引細胞診の意義<br>　　１．細胞診で甲状腺悪性腫瘍との診断のインパクト<br>　　２．転移の診断<br>　　３．細胞診で良性との診断のインパクト<br>　VI．術中迅速診断の適応と限界<br>　　１．腫瘍の術前評価法<br>　　２．腫瘍の手術法<br>　　３．術中迅速診断の適応<br>　VII．病理診断報告書の記載<br>　　１．甲状腺組織検体に関する病理診断報告書<br>　　２．甲状腺穿刺細胞診検体に関する病理診断報告書<br>索引</section></article>
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