{"id":5288,"date":"2024-08-22T11:24:05","date_gmt":"2024-08-22T02:24:05","guid":{"rendered":"https:\/\/shinoharashinsha.co.jp\/?page_id=5288"},"modified":"2024-08-26T15:01:08","modified_gmt":"2024-08-26T06:01:08","slug":"%e4%b9%b3%e7%99%8c%e3%81%ae%e8%87%a8%e5%ba%8avol-27-no-5","status":"publish","type":"page","link":"https:\/\/shinoharashinsha.co.jp\/?page_id=5288","title":{"rendered":"\u4e73\u764c\u306e\u81e8\u5e8aVol.27 No.5"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><font size=\"7\">\u4e73\u764c\u306e\u81e8\u5e8aVol.27 No.5<\/font><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u76ee\u6b21<br>\u7279\u96c6<br>DCIS\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u30fc\u6700\u65b0\u306e\u52d5\u5411\u30fc\uff081\uff09\u8a3a\u65ad\u7de8<br>\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\u89d2\u7530\u535a\u5b50\uff08\u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u653e\u5c04\u7dda\u79d1\uff09\u3000507 (5)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DCIS\u306e\u767a\u751f\u6a5f\u5e8f<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u9ad8\u672c\u3084\u3088\u3044<\/strong><br><strong>\uff08\u6176\u5fdc\u7fa9\u587e\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u90e8\u533b\u5b66\u7814\u7a76\u79d1 \u5148\u7aef\u79d1\u5b66\u7814\u7a76\u6240 \u907a\u4f1d\u5b50\u5236\u5fa1\u7814\u7a76\u90e8\u9580\uff09\u30fb\u4ed6\u3000509(7)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DCIS\u306e\u753b\u50cf\u8a3a\u65ad\u2460\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5bae\u57ce\u7531\u7f8e\uff08\u304c\u3093\u7814\u7a76\u4f1a\u6709\u660e\u75c5\u9662 \u4e73\u817a\u30bb\u30f3\u30bf\u30fc \u5916\u79d1\uff09\u30fb\u4ed6\u3000517(15)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DCIS\u306e\u753b\u50cf\u8a3a\u65ad\u2461\u8d85\u97f3\u6ce2<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6e21\u8fba\u9686\u7d00\uff08\u4ed9\u53f0\u533b\u7642\u30bb\u30f3\u30bf\u30fc \u4e73\u817a\u5916\u79d1\uff09\u3000529(27)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DCIS\u306e\u753b\u50cf\u8a3a\u65ad\u2462 MRI<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u30a6\u30c3\u30c9\u30cf\u30e0\u30b9\u73b2\u5b50\uff08\u5317\u91cc\u5927\u5b66\u533b\u5b66\u90e8 \u653e\u5c04\u7dda\u753b\u50cf\u8a3a\u65ad\u5b66\uff09\u3000543(4l)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DCIS\u306e\u75c5\u7406\u8a3a\u65ad\u30fc\u6700\u65b0\u52d5\u5411\u30fc<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u6d25\u7530\u5747\uff08\u56fd\u7acb\u304c\u3093\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u4e2d\u592e\u75c5\u9662 \u75c5\u7406\u79d1\uff09\u3000553(51)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u89e3\u8aac<\/strong><br><strong>\u4e73\u764c\u53d6\u6271\u3044\u898f\u7d04\u306e\u6539\u8a02\u306e\u30dd\u30a4\u30f3\u30c8<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5ca9\u702c\u62d3\u58eb\uff08\u304c\u3093\u7814\u7a76\u4f1a\u6709\u660e\u75c5\u9662 \u4e73\u817a\u30bb\u30f3\u30bf\u2015)\u3000563(61)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8b1b\u5ea7<\/strong><br><strong>\u4e73\u764c\u85ac\u7269\u7642\u6cd5\u306b\u304a\u3051\u308b\u652f\u6301\u7642\u6cd5\u2463<br>\u624b\u8db3\u75c7\u5019\u7fa4\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u7530\u53e3\u54f2\u4e5f<\/strong><br><strong>\uff08 \u4eac\u90fd\u5e9c\u7acb\u533b\u79d1\u5927\u5b66\u5927\u5b66\u9662 \u533b\u5b66\u7814\u7a76\u79d1 \u5185\u5206\u6ccc\u30fb\u4e73\u817a\u5916\u79d1\u5b66\uff09\u3000569(67)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u539f\u8457<\/strong><br><strong>\u4e73\u817aSolid-papillary carcinoma\u306e\u81e8\u5e8a\u50cf<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u8acf\u8a2a\u9999\uff08\u8056\u96b7\u6d5c\u677e\u75c5\u9662 \u4e73\u817a\u79d1\uff09\u30fb\u4ed6\u3000579(77)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u4e73\u764c\u306e\u8853\u524d\u5316\u5b66\u7642\u6cd5\u4f8b\u306b\u304a\u3051\u308b\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c\u306e\u75c5\u7406\u5b66\u7684\u691c\u8a0e<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u7acb\u77f3\u6587\u5b50\uff08\u8056\u30de\u30ea\u30a2\u30f3\u30ca\u533b\u79d1\u5927\u5b66 \u75c5\u7406\u5b66\uff09\u30fb\u4ed6\u3000589(87)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7de8\u96c6\u9867\u554f\uff1d\u83c5\u91ce\u6674\u592b\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<br>\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><br><strong>\u5897\u7530\u3057\u306e\u3076<br>*\u7de8\u96c6\u59d4\u54e1\u9577,**\u526f\u7de8\u96c6\u59d4\u54e1\u9577<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u75c7\u4f8b<\/strong><br><strong>\u4e73\u764c\u8853\u5f8c\u5b64\u7acb\u6027\u8133\u8ee2\u79fb\u306b\u5bfe\u3057\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u5358\u72ec\u6cbb\u7642\u306732\u30ab\u6708\u9593QOL \u3092\u7dad\u6301\u3067\u304d\u305f1\u4f8b<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5ca1\u7530\u660e\u5b50\uff08\u304c\u3093\u7814\u7a76\u4f1a\u6709\u660e\u75c5\u9662 \u4e73\u817a\u30bb\u30f3\u30bf\u30fc\uff09\u30fb\u4ed6\u3000597(95)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5\u5e74\u9593\u306e\u8853\u524d\u5185\u5206\u6ccc\u7642\u6cd5\u5f8c\u306b\u4e73\u623f\u6e29\u5b58\u624b\u8853\u3092\u65bd\u884c\u3057\u305f\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u4e73\u764c\u306e1\u4f8b<\/strong><br><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\u5d0e\u660e\u9999\uff08\u65b0\u6f5f\u770c\u7acb\u304c\u3093\u30bb\u30f3\u30bf\u30fc \u5916\u79d1\uff09\u30fb\u4ed6\u3000603(101)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8853\u524d\u5316\u5b66\u7642\u6cd5\u306b\u3088\u308a\u75c5\u7406\u5b66\u7684\u5b8c\u5168\u5bdb\u89e3(pCR) \u304c\u5f97\u3089\u308c\u308b\u3082\u6bd4\u8f03\u7684\u65e9\u671f\u306b\u8133\u8ee2\u79fb\u3092\u304d\u305f\u3057\u305fHER2\u967d\u6027\u4e73\u764c\u306e2\u4f8b<\/strong><br><strong>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u4e45\u4fdd\u7530\u4fee\uff08\u83ca\u5ddd\u5e02\u7acb\u7dcf\u5408\u75c5\u9662 \u5916\u79d1\uff09\u30fb\u4ed6\u3000611 (109)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u795e\u7d4c\u82bd\u816b\u306b\u5bfe\u3059\u308b\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u65e2\u5f80\u3092\u6709\u3059\u308b\u4e73\u764c\u306e1\u4f8b<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5c3e\u5c71\u4f73\u6c38\u5b50\uff08\u539a\u751f\u9023\u9ad8\u5ca1\u75c5\u9662 \u5916\u79d1\uff09\u30fb\u4ed6\u3000621 (119)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5e83\u7bc4\u76ae\u819a\u5207\u9664\u3092\u5fc5\u8981\u3068\u3057\u305f\u4e73\u623fPaget\u75c5\u306b\u5bfe\u3059\u308b\u4e73\u623f\u6e29\u5b58\u624b\u8853\u30fcAbdominal advancement flap\u3092\u7528\u3044\u305f\u4e73\u623f\u5f62\u6210\u8853\u30fc<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5c0f\u5ddd\u670b\u5b50\uff08\u4e09\u91cd\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662 \u4e73\u817a\u5916\u79d1\uff09\u30fb\u4ed6\u3000625(123)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>BRCA1\u80da\u7d30\u80de\u5909\u7570\u304c\u78ba\u8a8d\u3055\u308c\u305fbasal-like \u82e5\u5e74\u4e73\u764c\u306e1 \u4f8b<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u7247\u65b9\u76f4\u4eba\uff08\u661f\u7dcf\u5408\u75c5\u9662 \u5916\u79d1 \u4e73\u817a\u5916\u79d1\uff09\u30fb\u4ed6\u3000629(127)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u653e\u5c04\u7dda\u5316\u5b66\u7642\u6cd5\u304c\u6709\u52b9\u3067\u3042\u3063\u305f\u4e73\u817a\u554f\u8cea\u8089\u816b\u9aa8\u8ee2\u79fb\u306e1\u4f8b<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u52a0\u85e4\u9054\u53f2\uff08\u5927\u548c\u9ad8\u7530\u5e02\u7acb\u75c5\u9662 \u5916\u79d1\uff09\u30fb\u4ed6\u3000637(135)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8abf\u67fb\u5831\u544a<\/strong><br><strong>\u4e73\u764c\u8853\u5f8c\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u306e\u73fe\u72b6\u3068\u8ab2\u984c\u30fc\u962a\u795e\u5730\u533a\u3067\u306e\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u96c6\u8a08\u30fc<br>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5c0f\u5ddd\u4f73\u6210\uff08\u5927\u962a\u5e02\u7acb\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc \u4e73\u817a\u5916\u79d1\uff09\u30fb\u4ed6\u3000643(141)<\/strong><\/p>\n\n\n\n<p 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