{"id":9678,"date":"2024-08-29T22:22:05","date_gmt":"2024-08-29T22:22:05","guid":{"rendered":"https:\/\/www.tcm-vet.com\/?p=9678"},"modified":"2024-08-29T22:22:15","modified_gmt":"2024-08-29T22:22:15","slug":"%e7%8a%ac%e3%81%ae%e7%b8%a6%e9%9a%94%e8%85%ab%e7%98%8d%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e8%a8%ba%e6%96%ad%e3%82%a2%e3%83%97%e3%83%ad%e3%83%bc%e3%83%81-%e7%8d%a3%e5%8c%bb%e5%b8%ab%e3%81%8c%e7%8a%b6","status":"publish","type":"post","link":"https:\/\/www.tcm-vet.com\/ja\/diagnostic-approaches-for-mediastinal-tumors-in-dogs-how-veterinarians-identify-the-condition\/","title":{"rendered":"\u72ac\u306e\u7e26\u9694\u816b\u760d\u306e\u8a3a\u65ad\u30a2\u30d7\u30ed\u30fc\u30c1\uff1a\u7363\u533b\u5e2b\u304c\u75c5\u72b6\u3092\u7279\u5b9a\u3059\u308b\u65b9\u6cd5"},"content":{"rendered":"

\u72ac\u306e\u7e26\u9694\u816b\u760d\u306f\u6df1\u523b\u306a\u5065\u5eb7\u554f\u984c\u3067\u3042\u308a\u3001\u52b9\u679c\u7684\u306a\u6cbb\u7642\u3092\u78ba\u5b9f\u306b\u884c\u3046\u305f\u3081\u306b\u306f\u8fc5\u901f\u306a\u8a3a\u65ad\u304c\u5fc5\u8981\u3067\u3059\u3002\u3053\u308c\u3089\u306e\u816b\u760d\u306f\u3001\u5fc3\u81d3\u3001\u98df\u9053\u3001\u4e3b\u8981\u8840\u7ba1\u306a\u3069\u306e\u91cd\u8981\u306a\u69cb\u9020\u7269\u3092\u542b\u3080\u80f8\u8154\u306e\u4e2d\u592e\u533a\u753b\u3067\u3042\u308b\u7e26\u9694\u3067\u767a\u751f\u3057\u307e\u3059\u3002\u6700\u9069\u306a\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3057\u3001\u72ac\u306e\u4e88\u5f8c\u3092\u6539\u5584\u3059\u308b\u306b\u306f\u3001\u6b63\u78ba\u306a\u8a3a\u65ad\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001\u7363\u533b\u304c\u72ac\u306e\u7e26\u9694\u816b\u760d\u3092\u7279\u5b9a\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3059\u308b\u3055\u307e\u3056\u307e\u306a\u8a3a\u65ad\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u7e26\u9694\u816b\u760d\u3092\u7406\u89e3\u3059\u308b<\/h4>\n\n\n\n

\u7e26\u9694\u816b\u760d\u306f\u3001\u7e26\u9694\u81ea\u4f53\u304b\u3089\u767a\u751f\u3059\u308b\u539f\u767a\u6027\u816b\u760d\u3068\u3001\u4f53\u306e\u4ed6\u306e\u90e8\u5206\u304b\u3089\u5e83\u304c\u308b\u7d9a\u767a\u6027\u816b\u760d\u306e\u3044\u305a\u308c\u304b\u3067\u3059\u3002\u72ac\u306e\u7e26\u9694\u816b\u760d\u306e\u4e00\u822c\u7684\u306a\u7a2e\u985e\u306b\u306f\u3001\u30ea\u30f3\u30d1\u816b\u3001\u80f8\u817a\u816b\u3001\u795e\u7d4c\u5185\u5206\u6ccc\u816b\u760d\u3001\u8102\u80aa\u816b\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u816b\u760d\u306e\u7a2e\u985e\u3054\u3068\u306b\u8a3a\u65ad\u3068\u6cbb\u7642\u306b\u72ec\u81ea\u306e\u8ab2\u984c\u304c\u3042\u308b\u305f\u3081\u3001\u3067\u304d\u308b\u3060\u3051\u65e9\u304f\u7279\u5b9a\u306e\u7a2e\u985e\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

Clinical Examination<\/h4>\n\n\n\n

\u8a3a\u65ad\u30d7\u30ed\u30bb\u30b9\u306f\u901a\u5e38\u3001\u5fb9\u5e95\u7684\u306a\u81e8\u5e8a\u691c\u67fb\u304b\u3089\u59cb\u307e\u308a\u307e\u3059\u3002\u7363\u533b\u5e2b\u306f\u72ac\u306e\u5168\u822c\u7684\u306a\u5065\u5eb7\u72b6\u614b\u3092\u8a55\u4fa1\u3057\u3001\u7570\u5e38\u306a\u8eab\u4f53\u7684\u5146\u5019\u304c\u306a\u3044\u304b\u78ba\u8a8d\u3057\u3001\u8a73\u7d30\u306a\u75c7\u72b6\u306e\u5c65\u6b74\u3092\u8abf\u3079\u307e\u3059\u3002\u691c\u67fb\u4e2d\u3001\u7363\u533b\u5e2b\u306f\u8074\u8a3a\u5668\u3067\u72ac\u306e\u80f8\u90e8\u3092\u805e\u304d\u3001\u816b\u760d\u306e\u5b58\u5728\u3092\u793a\u3059\u53ef\u80fd\u6027\u306e\u3042\u308b\u5fc3\u62cd\u306e\u920d\u5316\u3084\u547c\u5438\u5668\u7cfb\u306e\u554f\u984c\u306a\u3069\u306e\u7570\u5e38\u97f3\u3092\u691c\u51fa\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u30a4\u30e1\u30fc\u30b8\u30f3\u30b0\u6280\u8853<\/h4>\n\n\n\n
    \n
  1. X\u7dda\uff08\u30ec\u30f3\u30c8\u30b2\u30f3\u64ae\u5f71\uff09<\/strong> X \u7dda\u306f\u3001\u7e26\u9694\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u6700\u521d\u306b\u4f7f\u7528\u3055\u308c\u308b\u753b\u50cf\u8a3a\u65ad\u30c4\u30fc\u30eb\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u80f8\u8154\u306e 2 \u6b21\u5143\u753b\u50cf\u304c\u63d0\u4f9b\u3055\u308c\u308b\u305f\u3081\u3001\u7363\u533b\u5e2b\u306f\u816b\u7624\u3001\u5fc3\u81d3\u3084\u80ba\u306e\u5927\u304d\u3055\u306e\u5909\u5316\u3001\u80f8\u90e8\u306e\u69cb\u9020\u306e\u305a\u308c\u306a\u3069\u3092\u691c\u51fa\u3067\u304d\u307e\u3059\u3002X \u7dda\u3067\u306f\u816b\u760d\u306e\u5b58\u5728\u304c\u660e\u3089\u304b\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u816b\u760d\u306e\u6b63\u78ba\u306a\u6027\u8cea\u3084\u7bc4\u56f2\u306b\u95a2\u3059\u308b\u8a73\u7d30\u306a\u60c5\u5831\u304c\u5fc5\u305a\u3057\u3082\u5f97\u3089\u308c\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/li>\n\n\n\n
  2. \u8d85\u97f3\u6ce2\u691c\u67fb<\/strong> \u8d85\u97f3\u6ce2\u306f\u3001\u97f3\u6ce2\u3092\u4f7f\u7528\u3057\u3066\u80f8\u90e8\u306e\u5185\u90e8\u69cb\u9020\u306e\u8a73\u7d30\u306a\u753b\u50cf\u3092\u4f5c\u6210\u3059\u308b\u975e\u4fb5\u8972\u6027\u306e\u753b\u50cf\u5316\u6280\u8853\u3067\u3059\u3002\u56a2\u80de\u306a\u3069\u306e\u6db2\u4f53\u3067\u6e80\u305f\u3055\u308c\u305f\u816b\u7624\u3092\u7279\u5b9a\u3057\u305f\u308a\u3001\u7d30\u91dd\u5438\u5f15\u3084\u751f\u691c\u3092\u8a98\u5c0e\u3057\u305f\u308a\u3059\u308b\u306e\u306b\u7279\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002\u8d85\u97f3\u6ce2\u306f\u56fa\u5f62\u816b\u7624\u3068\u6db2\u4f53\u3067\u6e80\u305f\u3055\u308c\u305f\u816b\u7624\u3092\u533a\u5225\u3059\u308b\u306e\u306b\u3082\u5f79\u7acb\u3061\u3001\u816b\u760d\u306e\u7279\u5fb4\u306b\u95a2\u3059\u308b\u8a73\u7d30\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002<\/li>\n\n\n\n
  3. \u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u65ad\u5c64\u64ae\u5f71\uff08CT\u30b9\u30ad\u30e3\u30f3\uff09<\/strong> CT \u30b9\u30ad\u30e3\u30f3\u306f\u3001X \u7dda\u306b\u6bd4\u3079\u3066\u7e26\u9694\u306e\u3088\u308a\u8a73\u7d30\u306a 3 \u6b21\u5143\u753b\u50cf\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002\u3053\u306e\u753b\u50cf\u5316\u6280\u8853\u306f\u3001\u816b\u760d\u306e\u5927\u304d\u3055\u3001\u5f62\u72b6\u3001\u4f4d\u7f6e\u3001\u304a\u3088\u3073\u5468\u56f2\u306e\u69cb\u9020\u3068\u306e\u95a2\u4fc2\u3092\u8a55\u4fa1\u3059\u308b\u306e\u306b\u7279\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002CT \u30b9\u30ad\u30e3\u30f3\u306f\u3001\u5916\u79d1\u7684\u4ecb\u5165\u304c\u691c\u8a0e\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u306b\u3088\u304f\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002\u5916\u79d1\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u5c0e\u304f\u6b63\u78ba\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u3067\u3059\u3002<\/li>\n\n\n\n
  4. \u78c1\u6c17\u5171\u9cf4\u753b\u50cf\uff08MRI\uff09<\/strong> MRI \u306f\u3001\u7e26\u9694\u306e\u8a73\u7d30\u306a\u753b\u50cf\u3092\u63d0\u4f9b\u3059\u308b\u3082\u3046 1 \u3064\u306e\u9ad8\u5ea6\u306a\u753b\u50cf\u6280\u8853\u3067\u3059\u3002\u3053\u308c\u306f\u3001\u8edf\u90e8\u7d44\u7e54\u69cb\u9020\u3092\u8a55\u4fa1\u3057\u3001\u816b\u760d\u304c\u8fd1\u304f\u306e\u7d44\u7e54\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u7bc4\u56f2\u3092\u5224\u65ad\u3059\u308b\u306e\u306b\u7279\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002MRI \u306f\u3001\u816b\u760d\u304c\u795e\u7d4c\u7cfb\u3084\u305d\u306e\u4ed6\u306e\u91cd\u8981\u306a\u69cb\u9020\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u3092\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u5834\u5408\u306b\u3088\u304f\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ol>\n\n\n\n

    \u751f\u691c\u3068\u7d30\u80de\u8a3a<\/h4>\n\n\n\n

    \u753b\u50cf\u8a3a\u65ad\u6280\u8853\u306b\u3088\u308a\u816b\u760d\u306e\u5b58\u5728\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u3059\u304c\u3001\u78ba\u5b9a\u8a3a\u65ad\u306b\u306f\u751f\u691c\u3084\u7d30\u80de\u8a3a\u304c\u5fc5\u8981\u306b\u306a\u308b\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u691c\u67fb\u3067\u306f\u3001\u816b\u760d\u304b\u3089\u7d44\u7e54\u3084\u7d30\u80de\u306e\u30b5\u30f3\u30d7\u30eb\u3092\u63a1\u53d6\u3057\u3001\u305d\u308c\u3092\u9855\u5fae\u93e1\u3067\u8abf\u3079\u3066\u816b\u760d\u306e\u7a2e\u985e\u3092\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

      \n
    1. \u7a7f\u523a\u5438\u5f15\u7d30\u80de\u8a3a\uff08FNA\uff09<\/strong> FNA \u306f\u3001\u7d30\u3044\u91dd\u3092\u816b\u760d\u306b\u633f\u5165\u3057\u3066\u5c11\u91cf\u306e\u7d30\u80de\u30b5\u30f3\u30d7\u30eb\u3092\u63a1\u53d6\u3059\u308b\u4f4e\u4fb5\u8972\u624b\u8853\u3067\u3059\u3002\u3053\u306e\u6280\u8853\u3067\u306f\u3001\u91dd\u306e\u6b63\u78ba\u306a\u4f4d\u7f6e\u3092\u78ba\u8a8d\u3059\u308b\u305f\u3081\u306b\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u304c\u4f7f\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002\u63a1\u53d6\u3055\u308c\u305f\u7d30\u80de\u306f\u75c5\u7406\u533b\u306b\u3088\u3063\u3066\u5206\u6790\u3055\u308c\u3001\u816b\u760d\u304c\u826f\u6027\u304b\u60aa\u6027\u304b\u304c\u5224\u5b9a\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n
    2. \u30c8\u30a5\u30eb\u30fc\u30ab\u30c3\u30c8\u751f\u691c<\/strong> Tru-Cut \u751f\u691c\u3067\u306f\u3001\u7279\u6b8a\u306a\u91dd\u3092\u4f7f\u7528\u3057\u3066\u816b\u760d\u304b\u3089\u5c0f\u3055\u306a\u7d44\u7e54\u306e\u30b3\u30a2\u3092\u63a1\u53d6\u3057\u307e\u3059\u3002\u3053\u306e\u624b\u9806\u3067\u306f\u3001FNA \u3088\u308a\u3082\u5927\u304d\u304f\u3001\u3088\u308a\u4ee3\u8868\u7684\u306a\u30b5\u30f3\u30d7\u30eb\u304c\u5f97\u3089\u308c\u308b\u305f\u3081\u3001\u3088\u308a\u6b63\u78ba\u306a\u8a3a\u65ad\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002Tru-Cut \u751f\u691c\u306f\u3001FNA \u306e\u7d50\u679c\u304c\u6c7a\u5b9a\u7684\u3067\u306a\u3044\u5834\u5408\u306b\u7279\u306b\u6709\u52b9\u3067\u3059\u3002<\/li>\n\n\n\n
    3. \u5916\u79d1\u7684\u751f\u691c<\/strong> \u5834\u5408\u306b\u3088\u3063\u3066\u306f\u3001\u78ba\u5b9a\u8a3a\u65ad\u3092\u5f97\u308b\u305f\u3081\u306b\u5916\u79d1\u7684\u751f\u691c\u304c\u5fc5\u8981\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5916\u79d1\u7684\u751f\u691c\u3067\u306f\u3001\u901a\u5e38\u306f\u5168\u8eab\u9ebb\u9154\u4e0b\u3067\u306e\u5916\u79d1\u7684\u51e6\u7f6e\u306b\u3088\u308a\u816b\u760d\u306e\u4e00\u90e8\u3092\u5207\u9664\u3057\u307e\u3059\u3002\u5916\u79d1\u7684\u751f\u691c\u306f\u901a\u5e38\u3001\u3088\u308a\u4fb5\u8972\u6027\u306e\u4f4e\u3044\u65b9\u6cd5\u304c\u5b9f\u884c\u3067\u304d\u306a\u3044\u5834\u5408\u3001\u307e\u305f\u306f\u6b63\u78ba\u306a\u8a3a\u65ad\u306e\u305f\u3081\u306b\u3088\u308a\u5927\u304d\u306a\u7d44\u7e54\u30b5\u30f3\u30d7\u30eb\u304c\u5fc5\u8981\u306a\u5834\u5408\u306b\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n<\/ol>\n\n\n\n

      \u81e8\u5e8a\u691c\u67fb<\/h4>\n\n\n\n

      \u7363\u533b\u5e2b\u306f\u3001\u753b\u50cf\u8a3a\u65ad\u3084\u751f\u691c\u6280\u8853\u306b\u52a0\u3048\u3066\u3001\u7e26\u9694\u816b\u760d\u306e\u8a3a\u65ad\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u305f\u3081\u306b\u3055\u307e\u3056\u307e\u306a\u81e8\u5e8a\u691c\u67fb\u3092\u5b9f\u65bd\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u691c\u67fb\u306b\u306f\u3001\u816b\u760d\u306b\u95a2\u9023\u3059\u308b\u7570\u5e38\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u8840\u6db2\u691c\u67fb\u3084\u3001\u7279\u5b9a\u306e\u7a2e\u985e\u306e\u764c\u306e\u5b58\u5728\u3092\u793a\u3059\u7279\u5b9a\u306e\u30de\u30fc\u30ab\u30fc\u306e\u691c\u67fb\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

      \u72ac\u306e\u7e26\u9694\u816b\u760d\u306e\u8a3a\u65ad\u306b\u306f\u3001\u81e8\u5e8a\u691c\u67fb\u3001\u9ad8\u5ea6\u306a\u753b\u50cf\u6280\u8853\u3001\u7d44\u7e54\u30b5\u30f3\u30d7\u30eb\u306e\u63a1\u53d6\u306a\u3069\u304c\u5fc5\u8981\u3067\u3059\u3002\u65e9\u671f\u304b\u3064\u6b63\u78ba\u306a\u8a3a\u65ad\u306f\u3001\u6700\u9069\u306a\u6cbb\u7642\u6cd5\u3092\u6c7a\u5b9a\u3057\u3001\u72ac\u306e\u56de\u5fa9\u306e\u53ef\u80fd\u6027\u3092\u9ad8\u3081\u308b\u305f\u3081\u306b\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u547c\u5438\u56f0\u96e3\u3001\u54b3\u3001\u305d\u306e\u4ed6\u306e\u75c7\u72b6\u304c\u72ac\u306b\u898b\u3089\u308c\u308b\u5834\u5408\u306f\u3001\u3059\u3050\u306b\u7363\u533b\u306e\u8a3a\u5bdf\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u65e9\u671f\u767a\u898b\u3068\u4ecb\u5165\u306f\u3001\u7e26\u9694\u816b\u760d\u306e\u3042\u308b\u72ac\u306e\u6cbb\u7642\u7d50\u679c\u306b\u5927\u304d\u306a\u9055\u3044\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>","protected":false},"excerpt":{"rendered":"

      Mediastinal tumors in dogs are a serious health concern that require prompt diagnosis to ensure effective treatment. These tumors develop in the mediastinum, the central compartment of the thoracic cavity, which contains critical structures like the heart, esophagus, and major blood vessels. Accurate diagnosis is essential for determining the best course of treatment and improving your dog’s prognosis. In this article, we will explore the various diagnostic approaches veterinarians use to identify mediastinal tumors in dogs. Understanding Mediastinal Tumors Mediastinal tumors can be either primary, originating in the mediastinum itself, or secondary, spreading from other parts of the body. Common types of mediastinal tumors in dogs include lymphoma, thymoma, neuroendocrine 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