{"id":5270,"date":"2024-08-21T14:22:16","date_gmt":"2024-08-21T05:22:16","guid":{"rendered":"https:\/\/shinoharashinsha.co.jp\/?page_id=5270"},"modified":"2024-08-26T15:00:23","modified_gmt":"2024-08-26T06:00:23","slug":"%e4%b9%b3%e7%99%8c%e3%81%ae%e8%87%a8%e5%ba%8avol-27-no-1","status":"publish","type":"page","link":"https:\/\/shinoharashinsha.co.jp\/?page_id=5270","title":{"rendered":"\u4e73\u764c\u306e\u81e8\u5e8aVol.27 No.1"},"content":{"rendered":"\n

\u4e73\u764c\u306e\u81e8\u5e8aVol.27 No.1<\/font><\/p>\n\n\n\n

\u76ee\u6b21
\u7279\u96c6<\/strong>
\u4e73\u764c\u306eOncoplastic Surgery
\u5e8f\u6587\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u7389\u6728\u5eb7\u535a<\/strong>
\uff08\u5927\u962a\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7cfb\u7814\u7a76\u79d1 \u4e73\u817a\u5185\u5206\u6ccc\u5916\u79d1\uff09\u30fb\u4ed6\u30005(5)<\/strong><\/p>\n\n\n\n

\u4e73\u623f\u5168\u6458\u8853\u5f8c\u306e\u81ea\u5bb6\u7d44\u7e54\u306b\u3088\u308b\u518d\u5efa
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u77e2\u91ce\u5065\u4e8c<\/strong>
\uff08\u5927\u962a\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7cfb\u7814\u7a76\u79d1 \u4e73\u623f\u518d\u751f\u533b\u5b66\u5bc4\u9644\u8b1b\u5ea7\uff09\u30007 (7)<\/strong><\/p>\n\n\n\n

\u4e73\u623f\u5168\u6458\u8853\u5f8c\u306e\u4eba\u5de5\u7269\u3092\u7528\u3044\u305f\u518d\u5efa<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u524d\u7530\u62d3\u6469\uff08\u304c\u3093\u7814\u6709\u660e\u75c5\u9662 \u5f62\u6210\u5916\u79d1\uff09\u30fb\u4ed6\u300015(15)<\/strong><\/p>\n\n\n\n

Skin Sparing Mastectomy\u3068Nipple Sparing Mastectomy\u306e\u9069\u5fdc\u3068\u624b\u6280\u30fc\u4e73\u817a\u5185\u8996\u93e1\u624b\u8853\u3092\u4e2d\u5fc3\u3068\u3057\u3066\u30fc
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u798f\u9593\u82f1\u7950\uff08\u4e80\u7530\u30e1\u30c7\u30a3\u30ab\u30eb\u30bb\u30f3\u30bf\u30fc \u4e73\u817a\u30bb\u30f3\u30bf\u30fc\uff09\u30fb\u4ed6\u300027(27)<\/strong><\/p>\n\n\n\n

\u4e73\u623f\u6e29\u5b58\u624b\u8853\u5f8c\u306e\u6b20\u640d\u90e8\u88dc\u586b\u6cd5<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6dfa\u91ce\u88d5\u5b50\uff08\u5e1d\u4eac\u5927\u5b66\u75c5\u9662 \u5f62\u6210\u30fb\u30ed\u8154\u984e\u9854\u9762\u5916\u79d1\uff09\u300037(37)<\/strong><\/p>\n\n\n\n

\u65e9\u671f\u4e73\u764c\u75c7\u4f8b\u306b\u5bfe\u3059\u308b\u4e73\u623f\u7e2e\u5c0f\u8853\u3092\u5fdc\u7528\u3057\u305fOncoplnstic Surgery
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u559c\u5cf6\u7950\u5b50<\/strong>
\uff08\u9e7f\u5150\u5cf6\u5927\u5b66\u5927\u5b66\u9662 \u816b\u760d\u5b66\u8b1b\u5ea7 \u6d88\u5316\u5668\u30fb\u4e73\u817a\u7532\u72b6\u817a\u5916\u79d1\uff09\u30fb\u4ed6\u300045(45)<\/strong><\/p>\n\n\n\n

\u8b1b\u5ea7<\/strong>
\u8a3a\u7642\u306e\u8cea\u3092\u9ad8\u3081\u308b\u305f\u3081\u306e\u75c5\u7406\u5b66\u7684\u77e5\u8b58\u2462
\u5831\u544a\u66f8\u306e\u8aad\u307f\u65b9<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5800\u4e95\u7406\u7d75\uff08\u516c\u76ca\u8ca1\u56e3\u6cd5\u4eba \u304c\u3093\u7814\u7a76\u4f1a \u304c\u3093\u7814\u6709\u660e\u75c5\u9662 \u75c5\u7406\u90e8\uff09\u300057(57)<\/strong><\/p>\n\n\n\n

\u539f\u8457<\/strong>
\u4e73\u817a\u5206\u6ccc\u764c8\u75c7\u4f8b\u306e\u691c\u8a0e<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u677e\u7530\u4f73\u4e5f\uff08\u65ed\u5ddd\u533b\u79d1\u5927\u5b66 \u547c\u5438\u5668\u30bb\u30f3\u30bf\u30fc\uff09 \u30fb\u4ed6\u300063(63)<\/strong><\/p>\n\n\n\n

\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u4e0a\u69cb\u7bc9\u306e\u4e71\u308c\u3092\u793a\u3059\u4e73\u764c\u306e\u7279\u5fb4<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u795e\u5d0e\u6b63\u592b\uff08\u795e\u5d0e\u5916\u79d1\u30af\u30ea\u30cb\u30c3\u30af\uff09\u30fb\u4ed6\u300071 (71)<\/strong><\/p>\n\n\n\n

\u75c7\u4f8b
\u5c3f\u5931\u7981\u3092\u5951\u6a5f\u306b\u6307\u6458\u3055\u308c\u305f\u4e73\u764c\u30fb\u8180\u80f1\u8ee2\u79fb\u306e1\u4f8b
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u767d\u7fbd\u6839\u5065\u543e\uff08\u4e5d\u5dde\u5927\u5b66\u533b\u5b66\u7814\u7a76\u9662 \u81e8\u5e8a\u30fb\u816b\u760d\u5916\u79d1\uff09\u30fb\u4ed6\u300077(77)<\/strong><\/p>\n\n\n\n

\u6025\u6fc0\u306b\u5897\u5927\u3057\u305f\u6241\u5e73\u4e0a\u76ae\u764c\u306e1\u4f8b<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u7e41\u6c38\u793c\u5948\uff08\u662d\u548c\u5927\u5b66 \u4e73\u817a\u5916\u79d1\uff09\u30fb\u4ed6\u300083(83)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u814b\u7aa9\u90ed\u6e05\u8853\u5f8cAxillary Web Syndrome (AWS\uff1a\u814b\u7aa9\u30ea\u30f3\u30d1\u7ba1\u7dda\u7dad\u5316\u75c7\u5019\u7fa4\uff09\u3092\u767a\u75c7\u3057\u305f\u75c7\u4f8b\u3092\u7d4c\u9a13\u3057\u3066
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6c60\u7aef\u6842\u5b50<\/strong>
\uff08\u793e\u4f1a\u533b\u7642\u6cd5\u4eba\u535a\u611b\u4f1a\u76f8\u826f\u75c5\u9662 \u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u5ba4\uff09\u30fb\u4ed6\u300089(89)<\/strong><\/p>\n\n\n\n

\u5e83\u7bc4\u306a\u975e\u6d78\u6f64\u6027\u5c0f\u8449\u764c\u306b\u3088\u308b\u5e83\u304c\u308a\u3068\u7c98\u6db2\u764c\u3092\u5408\u4f75\u3057\u305f\u6d78\u6f64\u6027\u5c0f\u8449\u764c\u306el\u4f8b
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u83ca\u5730\u5948\u592e\uff08\u9806\u5929\u5802\u5927\u5b66 \u653e\u5c04\u7dda\u533b\u5b66\u8b1b\u5ea7\uff09\u30fb\u4ed6\u300093(93)<\/strong><\/p>\n\n\n\n

\u7de8\u96c6\u9858\u554f\uff1d\u83c5\u91ce\u6674\u592b\uff0f\u68ee\u4e98\uff0f\u963f\u90e8\u4ee4\u5f66\uff0f\u59b9\u5c3e\u4e98\u660e\uff0f\u6cc9\u96c4\u52dd\uff0f\u5c0f\u5c71\u535a\u8a18\uff0f\u7530\u5cf6\u77e5\u90ce\uff0f\u5742\u5143\u543e\u5049\uff0f\u971e\u5bcc\u58eb\u96c4\uff0f\u5712\u5c3e\u535a\u53f8
\u7de8\u96c6\u59d4\u54e1\uff1d\u79cb\u5c71\u592a**\uff0f\u6c60\u7530\u6b63\uff0f\u4f0a\u85e4\u826f\u5247*\uff0f\u5ca9\u702c\u62d3\u58eb\uff0f\u5c0f\u53e3\u6b63\u5f66\uff0f\u6d25\u5ddd\u6d69\u4e00\u90ce\uff0f\u89d2\u7530\u535a\u5b50\uff0f\u4e2d\u6751\u6e05\u543e**\uff0f\u91ce\u53e3\u771e\u4e09\u90ce\uff0f<\/strong>
\u5897\u7530\u3057\u306e\u3076
*\u7de8\u96c6\u59d4\u8c9d\u9577,**\u526f\u7de8\u96c6\u59d4\u54e1\u9577<\/strong><\/p>\n\n\n\n

\u5b66\u4f1a\u30c8\u30d4\u30c3\u30af\u30b9<\/strong>
\u9aa8\u30b7\u30f3\u30c1CAD\u30bd\u30d5\u30c8\u3092\u7528\u3044\u305f\u4e73\u764c\u306e\u9aa8\u8ee2\u79fb\u6cbb\u7642\u52b9\u679c\u5224\u5b9a\u306b\u3064\u3044\u3066
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u4e95\u4e0a\u8ce2\u4e00\uff08\u57fc\u7389\u770c\u7acb\u304c\u3093\u30bb\u30f3\u30bf\u30fc \u4e73\u817a\u816b\u760d\u5185\u79d1\uff09\u3000100(100)<\/strong><\/p>\n\n\n\n

\u770b\u8b77\u5e2b\u306b\u3088\u308b\u9762\u8ac7\u4ecb\u5165\u304c\u5185\u5206\u6ccc\u7642\u6cd5\u3092\u53d7\u3051\u308b\u60a3\u8005\u306b\u3082\u305f\u3089\u3059\u66f4\u5e74\u671f\u75c7\u72b6\u306e\u5909\u5316<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6751\u4e0a\u4e9c\u77e2\uff08JA \u5c90\u961c\u539a\u751f\u9023 \u6771\u6fc3\u539a\u751f\u75c5\u9662 \u770b\u8b77\u90e8\uff09\u30fb\u4ed6\u3000102(102)<\/strong><\/p>\n\n\n\n

\u8853\u5074\u304c\u5229\u304d\u624b\u304b\u975e\u5229\u304d\u624b\u304b\u306e\u9055\u3044\u304c\u80a9\u95a2\u7bc0\u53ef\u52d5\u57df\u306e\u56de\u5fa9\u306b\u53ca\u307c\u3059\u5f71\u97ff
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5ca9\u677e\u5e0c\u7f8e<\/strong>
\uff08\u533b\u7642\u6cd5\u4eba\u793e\u56e3\u88fd\u9244\u8a18\u5ff5\u516b\u5e61\u75c5\u9662 \u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u90e8\uff09\u30fb\u4ed6\u3000104(104)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u5316\u5b66\u7642\u6cd5\u306b\u3088\u308b\u8131\u6bdb\u306e\u5b9f\u614b\u8abf\u67fb\u3068\u8ab2\u984c<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6c38\u5409\u9999\u7e54\uff08\u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u770b\u8b77\u90e8\uff09\u30fb\u4ed6\u3000106(106)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u60a3\u8005\u306e\u7709\u6bdb\u306e\u8131\u6bdb\u306b\u95a2\u3059\u308b\u610f\u8b58\u8abf\u67fb\u30fc\u7f8e\u5bb9\u306b\u95a2\u3059\u308b\u30cb\u30fc\u30ba\u3092\u77e5\u308a,\u770b\u8b77\u30b1\u30a2\u3092\u8003\u3048\u308b<\/strong>\u30fc
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u91ce\u4e2d\u3072\u308d\u307f<\/strong>
\uff08\u72ec\u7acb\u884c\u653f\u6cd5\u4eba\u56fd\u7acb\u75c5\u9662\u6a5f\u69cb \u4e5d\u5dde\u304c\u3093\u30bb\u30f3\u30bf\u30fc\uff09\u30fb\u4ed6\u3000108(108)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u60a3\u8005\u306e\u5fc3\u306e\u30b1\u30a2\u30fc\u8853\u524d\u5f8c\u306e\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\uff1a\u3046\u3064\u72b6\u614b\u306f30.8%\u30fc
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5ddd\u702c\u548c\u7f8e\uff08\u6771\u4eac\u6148\u6075\u4f1a\u533b\u79d1\u5927\u5b66 \u4e73\u817a\u5185\u5206\u6ccc\u5916\u79d1\uff09\u30fb\u4ed6\u3000110(110)<\/strong><\/p>\n\n\n\n

\u518d\u767a\u4e73\u764c\u60a3\u8005\u3078\u306e\u30b5\u30dd\u30fc\u30c8\u30ea\u30bd\u30fc\u30b9\u306e\u73fe\u72b6\u3068\u767a\u5c55\u7684\u53ef\u80fd\u6027
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6e21\u908a\u77e5\u6620\uff08\u662d\u548c\u5927\u5b66\u4e73\u817a\u5916\u79d1 \u30d6\u30ec\u30b9\u30c8\u30bb\u30f3\u30bf\u30fc\uff09\u30fb\u4ed6\u3000112(112)<\/strong><\/p>\n\n\n\n

\u518d\u767a\u4e73\u764c\u60a3\u8005\u3092\u652f\u3048\u308b\u9662\u5185\u5916\u306e\u9023\u643a\u3082\u542b\u3081\u305f\u30c1\u30fc\u30e0\u533b\u7642
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5927\u5cf6\u5f70<\/strong>
\uff08\u72ec\u7acb\u884c\u653f\u6cd5\u4eba\u56fd\u7acb\u75c5\u9662\u6a5f\u69cb \u4e5d\u5dde\u304c\u3093\u30bb\u30f3\u30bf\u30fc \u30b5\u30a4\u30b3\u30aa\u30f3\u30b3\u30ed\u30b8\u30fc\u79d1\uff09\u30fb\u4ed6\u3000114(114)<\/strong><\/p>\n\n\n\n

\u4e73\u304c\u3093\u8a3a\u7642\u5730\u57df\u9023\u643a\u30d1\u30b9\u306e\u904b\u7528\u3068\u5b9f\u969b\u30fc\u8a3a\u7642\u6240\u306e\u7acb\u5834\u304b\u3089\u30fc
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