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<meta name="description" content="細胞診において「まず何を見て，次にどこに注目し，診断を絞り込むか」という道筋を学べる1冊．総論では検鏡の際に心がける点を解説．各論では，現場で診る機会の多い，必ずおさえておきたい疾患について，細胞・構造を評価する際に基本となる判定ポイントを，チェックリストでスコア化．続く症例Q&amp;Aでは，全体像から細胞詳細へ迫る2stepに沿って実際の症例を解くことで，鑑別の勘どころが段階的に身につきます．初学者か">

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		<h1 class="catchCopy">もう迷わない！ チェックリストと症例Q&Aで身につく，「細胞を診る」ための確かな実践力！</h1>
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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">細胞診において「まず何を見て，次にどこに注目し，診断を絞り込むか」という道筋を学べる1冊．総論では検鏡の際に心がける点を解説．各論では，現場で診る機会の多い，必ずおさえておきたい疾患について，細胞・構造を評価する際に基本となる判定ポイントを，チェックリストでスコア化．続く症例Q&Aでは，全体像から細胞詳細へ迫る2stepに沿って実際の症例を解くことで，鑑別の勘どころが段階的に身につきます．初学者から後進を指導するベテランまで幅広く活用できる，待望の新たな指南書．</section><section class="indexes">執筆者一覧<br>序文<br>目次<br>本書の使い方<br> <br>総論　 細胞診を検鏡する際に心がける点<br>　はじめに<br>　顕微鏡の取り扱い<br>　検鏡の基本<br>　写真撮影<br> <br>各論❶　婦人科（子宮頸部）<br>　はじめに<br>　標本の種類と特徴<br>　各病変の判定ポイント<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　不正出血の検査時に出現した異型細胞<br>　Question 2　月経不順で受診した際にみられた異型細胞<br>　Question 3　びらんを指摘された検診時の異型細胞<br>　Question 4　子宮頸がん検診受診時にみられた異型細胞<br>　Question 5　ASC-US経過観察中に出現した異型細胞<br>　Question 6　子宮頸がん検診で出現した異型細胞<br>　Question 7　帯下を主訴として受診した際に出現した異型細胞<br> <br>各論❷　婦人科（子宮内膜）<br>　はじめに<br>　対象となる症状，病態<br>　年齢（閉経状況）をふまえた標本の見方<br>　性周期と細胞像<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question1　過多月経でみられた細胞<br>　Question 2　閉経後にみられた細胞<br>　Question 3　閉経後の不正出血でみられた細胞①<br>　Question 4　閉経後の不正出血でみられた細胞②<br>　Question 5　閉経後の不正出血でみられた細胞③<br> <br>各論❸　呼吸器<br>　はじめに<br>　対象となる患者<br>　対象となる疾患<br>　検体の種類と特徴<br>　判定区分<br>　判定すべきポイント<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　化学療法中に出現した異型細胞<br>　Question 2　画像で境界明瞭な陰影を示す腫瘤<br>　Question 3　乳頭状構造を示す異型細胞集塊<br>　Question 4　集塊辺縁に細胞質の突出がみられる異型細胞<br>　Question 5　N/C比の高い小型の異型細胞<br>　Question 6　術中迅速の捺印で認められた，類円形で均一な細胞からなる腫瘍<br>　Question 7　柵状配列を示す異型細胞集塊<br>　Question 8　免疫不全患者の気管支洗浄液に出現した泡沫状物質<br> <br>各論❹　乳腺<br>　はじめに<br>　対象となる病変<br>　代表的な超音波画像<br>　検体の種類と細胞採取・標本作製<br>　判定すべきポイント<br>　検鏡時のポイント<br>　弱拡大/中～強拡大チェックリスト<br>　Question 1　若い女性の境界明瞭限局型腫瘤<br>　Question 2　乳頭分泌物を伴った囊胞内腫瘤<br>　Question 3　検診を契機に発見された非触知病変<br>　Question 4　血性乳頭分泌物が主訴の高齢患者<br>　Question 5　辺縁粗造，縦長の形状を呈する腫瘤<br>　Question 6　硬結として触知された低エコー域病変<br>　Question 7　ゼリー状の検体からなる等エコー腫瘤<br> <br>各論❺　甲状腺 鈴木彩菜<br>　はじめに<br>　対象となる主な疾患<br>　甲状腺細胞診報告様式<br>　検体適正基準<br>　判定すべきポイント<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　橋本病患者にみられた結節性病変<br>　Question 2　甲状腺腫患者にみられた結節性病変<br>　Question 3　境界明瞭な充実性結節<br>　Question 4　形状不整な充実性結節<br>　Question 5　カルシトニン高値を伴う結節性病変<br>　Question 6　急速に増大した結節性病変<br> <br>各論❻　唾液腺<br>　はじめに<br>　対象となる患者<br>　対象となる疾患<br>　解剖学的部位別にみた唾液腺病変の発生頻度<br>　判定すべきポイント<br>　唾液腺細胞診ミラノシステム（MSRSGC）<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　悪性も否定できない耳下腺腫瘤<br>　Question 2　耳下腺腫瘤に認められた形質細胞様細胞<br>　Question 3　基底膜様物質を伴う顎下腺腫瘤<br>　Question 4　PET集積を認めた耳下腺腫瘤<br>　Question 5　球状硝子体を伴う顎下部腫瘤<br>　Question 6　粘液を背景とした軟口蓋腫瘤<br>　Question 7　顔面神経麻痺を伴う耳下腺腫脹<br> <br>各論❼　胆道・膵臓<br>　はじめに<br>　対象となる患者，症例<br>　対象となる疾患<br>　検体の種類と特徴<br>　判定すべきポイント<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　黄疸を呈した患者の胆汁細胞診<br>　Question 2　検診で発見された胆管狭窄症例に対する擦過細胞診<br>　Question 3　膵頭部腫瘤を認めた患者の膵EUS-FNA細胞診<br>　Question 4　膵多血性腫瘤に対するEUS-FNA細胞診<br>　Question 5　膵管狭窄症例における連続膵液細胞診<br> <br>各論❽　体腔液（心囊水，胸水，腹水）<br>　はじめに<br>　国際体腔液細胞診報告システム（TIS） 判定カテゴリーと定義<br>　対象となる患者<br>　対象となる疾患<br>　検体の種類と特徴<br>　判定すべきポイント（体腔ドレナージ液と体腔洗浄液を除く）<br>　検鏡時のポイント（体腔ドレナージ液と体腔洗浄液を除く）<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　肺炎で入院中に両側胸水を認めた症例<br>　Question 2　肺炎疑いで入院中，胸水の改善がみられない症例<br>　Question 3　大量の滲出性胸水の症例<br>　Question 4　胸膜プラークの経過観察中に胸水を認めた症例<br>　Question 5　肺癌治療中の胸水に異型細胞を認めた症例<br> <br>各論❾　泌尿器（尿）<br>　はじめに<br>　対象となる患者<br>　対象となる疾患<br>　検体の種類と特徴<br>　判定すべきポイント<br>　検鏡時のポイント<br>　弱～中拡大/強拡大チェックリスト<br>　Question 1　血尿・尿蛋白患者にみられた異型細胞<br>　Question 2　血尿患者にみられた異型細胞<br>　Question 3　腎盂内に病変を指摘された尿管カテーテル尿<br>　Question 4　慢性腎臓病患者にみられた尿中異型細胞<br>　Question 5　前立腺癌患者の尿中異型細胞<br>　Question 6　多発肝転移患者の尿中異型細胞<br> <br>各論❿　リンパ節・髄液<br>　はじめに<br>　対象となる患者<br>　対象となる疾患<br>　検体の種類と特徴<br>　判定すべきポイント<br>　検鏡時のポイント<br>　低～中拡大/強拡大チェックリスト<br>　Question 1若年者に無痛性リンパ節腫大を認めた症例<br>　Question 2　若年女性の頸部に痛みを伴うリンパ節腫大を認めた症例<br>　Question 3　B症状を示す高齢者の腹腔内にリンパ節腫大を認めた症例<br>　Question 4　中高年者の腹腔内にリンパ節腫大を認めた症例<br>　Question 5　若年者に連続性に出現した頸部リンパ節腫大および縦隔腫瘤を認めた症例<br>　Question 6　HTLV-1抗体陽性および全身リンパ節腫大を認めた症例<br><br>文献<br>索引<br><br><br>掲載疾患（Answer）の目次<br><br>各論①　婦人科（子宮頸部）<br>　低悪性度扁平上皮内病変（LSIL〔CIN1〕）/軽度異形成・HPV感染<br>　上皮内癌<br>　頸部腺癌<br>　高度異形成<br>　中等度異形成<br>　頸部上皮内腺癌<br>　非角化型扁平上皮癌<br><br>各論②　婦人科（子宮内膜）<br>　増殖期子宮内膜<br>　萎縮内膜<br>　類内膜癌G1<br>　類内膜癌G3<br>　漿液性癌<br><br>各論③　呼吸器<br>　反応性気管支上皮細胞<br>　硬化性肺胞上皮腫<br>　腺癌<br>　非角化型扁平上皮癌<br>　小細胞癌<br>　カルチノイド腫瘍<br>　大腸癌の転移，腸型腺癌<br>　ニューモシスチス肺炎<br><br>各論④　乳腺<br>　線維腺腫<br>　乳管内乳頭腫<br>　非浸潤性乳管癌 低異型度（low-grade DCIS）<br>　充実乳頭癌（solid papillary carcinoma：SPC）（SPC in situ，SPC with invasion）<br>　浸潤性乳管癌<br>　浸潤性小葉癌<br>　粘液癌B型<br><br>各論⑤　甲状腺<br>　慢性甲状腺炎<br>　腺腫様甲状腺腫<br>　濾胞性腫瘍<br>　乳頭癌<br>　髄様癌<br>　未分化癌<br><br>各論⑥　唾液腺<br>　多形腺腫<br>　ワルチン腫瘍<br>　腺様囊胞癌<br>　粘表皮癌<br>　唾液腺導管癌<br><br>各論⑦　胆道・膵臓<br>　腺癌細胞<br>　反応性上皮細胞，良性腫瘍細胞<br>　腺癌細胞（膵管癌）<br>　神経内分泌腫瘍細胞<br>　high-grade PanIN<br><br>各論⑧　体腔液（心囊水，胸水，腹水）<br>　反応性中皮細胞<br>　原発性肺腺癌<br>　胸膜上皮様中皮腫<br>　原発性肺扁平上皮癌<br><br>各論⑨　泌尿器（尿）<br>　尿細管上皮細胞<br>　ウイルス感染/高異型度尿路上皮癌陰性（NHGUC）<br>　低異型度尿路上皮癌（LGUC）<br>　高異型度尿路上皮癌（HGUC）<br>　前立腺癌<br>　神経内分泌腫瘍（小細胞癌）<br><br>各論⑩　リンパ節・髄液<br>　反応性濾胞過形成<br>　菊池・藤本病<br>　びまん性大細胞型B細胞リンパ腫（DLBCL）<br>　濾胞性リンパ腫<br>　Hodgkinリンパ腫<br>　T細胞リンパ腫</section></article>
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