{"id":5303,"date":"2024-08-23T10:00:46","date_gmt":"2024-08-23T01:00:46","guid":{"rendered":"https:\/\/shinoharashinsha.co.jp\/?page_id=5303"},"modified":"2024-08-26T14:59:15","modified_gmt":"2024-08-26T05:59:15","slug":"%e4%b9%b3%e7%99%8c%e3%81%ae%e8%87%a8%e5%ba%8avol-26-no-2","status":"publish","type":"page","link":"https:\/\/shinoharashinsha.co.jp\/?page_id=5303","title":{"rendered":"\u4e73\u764c\u306e\u81e8\u5e8aVol.26 No.2"},"content":{"rendered":"\n

\u4e73\u764c\u306e\u81e8\u5e8aVol.26 No.2<\/font><\/p>\n\n\n\n

\u76ee\u6b21
\u7279\u96c6\u3000\u4e73\u817a\u306e\u7d30\u80de\u8a3a\u3068\u91dd\u751f\u691c\u306e\u73fe\u72b6\u3068\u554f\u984c\u70b9(2)<\/strong><\/p>\n\n\n\n

\u4e73\u817a\u75be\u60a3\u8a3a\u65ad\u306b\u304a\u3051\u308b\u7a7f\u524c\u5438\u5f15\u7d30\u80de\u8a3a\u3068\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u30de\u30f3\u30e2\u30c8\u30fc\u30e0\u751f\u691c\u306e\u6709\u7528\u6027\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\u7aaa\u7530\u667a\u884c\uff08\u7dcf\u5408\u4e0a\u98ef\u7530\u7b2c\u4e00\u75c5\u9662 \u4e73\u817a\u5916\u79d1\uff09\u3000139(5)<\/strong><\/p>\n\n\n\n

\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u30de\u30f3\u30e2\u30c8\u30fc\u30e0\u751f\u691c\u306e\u30dd\u30c6\u30f3\u30b7\u30e3\u30eb
\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>
\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\/\u5927\u962a\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7cfb\u7814\u7a76\u79d1\u4e73\u817a\u30fb\u5185\u5206\u6ccc\u5916\u79d1\u5b66\uff09\u30fb\u4ed6\u3000145(11)<\/strong><\/p>\n\n\n\n

\u4e73\u817a\u5fae\u5c0f\u691c\u4f53\u6a19\u672c5,361\u4f8b\u306e\u691c\u8a0e\u30fc\u305d\u306e\u60c5\u5831\u7279\u6027\u30fb\u5168\u5272\u6a19\u672c\u3068\u306e\u5bfe\u6bd4\u3092\u8e0f\u307e\u3048\u3066\u30fc<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u99d2\u6728\u5e79\u6b63\uff08\u30d6\u30ec\u30b9\u30c8\u30d4\u30a2\u306a\u3093\u3070\u75c5\u9662 \u4e73\u817a\u79d1\uff09\u30fb\u4ed6\u3000153(19)<\/strong><\/p>\n\n\n\n

\u4e73\u817a\u91dd\u751f\u691c\u306b\u304a\u3051\u308b\u75c5\u7406\u8a3a\u65ad\u306e\u73fe\u72b6\u3068\u554f\u984c\u70b9\u30fc\u4e73\u817a\u91dd\u751f\u691c\u8a3a\u65ad\u8b1b\u7fd2\u4f1a\u306e\u7d50\u679c\u304b\u3089\u30fc<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u539f\u7530\u5927<\/strong>
\uff08\u4e73\u817a\u75c5\u7406\u8a3a\u65ad\u7814\u7a76\u4f1a\/\u65e5\u672c\u533b\u79d1\u5927\u5b66\u4ed8\u5c5e\u75c5\u9662 \u75c5\u7406\u90e8\uff09\u30fb\u4ed6\u3000161 (27)<\/strong><\/p>\n\n\n\n

\u4e73\u817a\u7d4c\u76ae\u7684\u91dd\u751f\u691c\u306e\u7cbe\u5ea6<\/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\u4e00\u90ce\uff08\u8056\u30de\u30ea\u30a2\u30f3\u30ca\u533b\u79d1\u5927\u5b66 \u8a3a\u65ad\u75c5\u7406\u5b66\uff09\u30fb\u4ed6\u3000175(41)<\/strong><\/p>\n\n\n\n

\u7dcf\u8aac<\/strong>
\u4e73\u764c\u5316\u5b66\u7642\u6cd5\u306b\u5bfe\u3059\u308b\u5236\u5410\u7642\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\u7530\u6751\u548c\u592b\uff08\u798f\u5ca1\u5927\u5b66\u75c5\u9662 \u816b\u760d\u30fb\u8840\u6db2\u30fb\u611f\u67d3\u75c7\u5185\u79d1\uff09\u3000183(49)<\/strong><\/p>\n\n\n\n

\u8b1b\u5ea7<\/strong>
U.S. Preventive Services Task Force \u4e73\u764c\u691c\u8a3a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u6539\u8a02\u306e\u8003\u3048\u65b9\u3068\u65e5\u672c\u3078\u306e\u9069\u7528\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\u7956\u7236\u6c5f\u53cb\u5b5d<\/strong>
\uff08\u56fd\u7acb\u304c\u3093\u7814\u7a76\u30bb\u30f3\u30bf\u30fc \u304c\u3093\u5bfe\u7b56\u60c5\u5831\u30bb\u30f3\u30bf\u30fc\u304c\u3093\u60c5\u5831\u30fb\u7d71\u8a08\u90e8\uff09\u30fb\u4ed6\u3000193(59)<\/strong><\/p>\n\n\n\n

\u539f\u8457<\/strong>
\u9762\u75b1\u578b\u4e73\u7ba1\u5185\u764c\u5de3\u3092\u4f34\u3046\u6d78\u6f64\u6027\u4e73\u7ba1\u764c\u306e\u81e8\u5e8a\u75c5\u7406\u5b66\u7684\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\u8acf\u8a2a\u9999\uff08\u8056\u96b7\u6d5c\u677e\u75c5\u9662 \u4e73\u817a\u79d1\uff09\u30fb\u4ed6\u3000199(65)<\/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\u54e1\u9577,**\u526f\u7de8\u96c6\u59d4\u54e1\u9577<\/strong><\/p>\n\n\n\n

\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u306a\u3044\u5c0f\u816b\u7624\u5f84HER2\u967d\u6027\u4e73\u764c\u306e\u518d\u767a\u30ea\u30b9\u30af\u306b\u5bfe\u3059\u308b\u81e8\u5e8a\u533b\u306e\u6cbb\u7642\u30a4\u30e1\u30fc\u30b8\u3068,\u30aa\u30f3\u30e9\u30a4\u30f3\u30bd\u30d5\u30c8\u3067<\/strong>
\u7b97\u51fa\u3057\u305f\u518d\u767a\u5371\u967a\u5ea6\u3068\u306e\u4e56\u96e2\u306b\u3064\u3044\u3066
\u30fcTriple-negative \u4e73\u764c\u306b\u5bfe\u3059\u308b\u30a4\u30e1\u30fc\u30b8\u3068\u6bd4\u8f03\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\u5bae\u5185\u5145\uff08\u30d6\u30ec\u30b9\u30c8\u30b5\u30fc\u30d3\u30b9\u682a\u5f0f\u4f1a\u793e\uff09\u30fb\u4ed6\u3000207(73)<\/strong><\/p>\n\n\n\n

\u75c7\u4f8b
\u7537\u6027\u56a2\u80de\u5185\u4e73\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\u5c0f\u91ce\u4eae\u5b50\uff08\u798f\u5c71\u5e02\u6c11\u75c5\u9662 \u4e73\u817a\u7532\u72b6\u817a\u5916\u79d1\uff09\u30fb\u4ed6\u3000215(81)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u8ee2\u79fb\u5de3\u306b\u304a\u3051\u308b\u5de8\u5927\u76ae\u819a\u6f70\u760d\u304b\u3089\u306e\u81ed\u6c17\u306b\u5bfe\u3057\u30ab\u30c7\u30c3\u30af\u30b9\u00ae \u8edf\u818f\u3068\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u9320\u5185\u670d\u4f75\u7528\u304c\u594f\u52b9\u3057\u305f1\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\u5ddd\u4e95\u670b\u5b50\uff08\u675f\u4eac\u5973\u5b50\u533b\u79d1\u5927\u5b66\u75c5\u9662 \u85ac\u5264\u90e8\uff09\u30fb\u4ed6\u3000219(85)<\/strong><\/p>\n\n\n\n

\u814b\u7aa9\u306e\u58ca\u6b7b\u6027\u30ea\u30f3\u30d1\u7bc0\u708e\u304c\u4e73\u764c\u306b\u4f75\u5b58\u3057\u305f1\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\u5927\u8c37\u967d\u5b50\uff08\u5927\u962a\u8b66\u5bdf\u75c5\u9662 \u4e00\u822c\u5916\u79d1\uff09\u30fb\u4ed6\u3000225(91)<\/strong><\/p>\n\n\n\n

\u8840\u7ba1\u5468\u56f2\u6d78\u6f64(perivascular invasion)\u3092\u4f34\u3046\u6d78\u6f64\u6027\u5c0f\u8449\u764c\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\u677e\u6cbc\u4eae\u30fc\uff08\u764c\u7814\u6709\u660e\u75c5\u9662 \u4e73\u817a\u30bb\u30f3\u30bf\u30fc \u5916\u79d1\uff09\u30fb\u4ed6\u3000231 (97)<\/strong><\/p>\n\n\n\n

\u7537\u6027\u306eductal adenoma\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\u91d1\u4e38\u4ec1\uff08\u85e4\u679d\u5e02\u7acb\u7dcf\u5408\u75c5\u9662 \u5916\u79d1\uff09\u30fb\u4ed6\u3000237(103)<\/strong><\/p>\n\n\n\n

\u53f3\u4e73\u764c\u8853\u5f8c33\u5e74\u76ee\u306e\u80f8\u58c1\u518d\u767a\u306b\u5bfe\u3057\u3066\u80f8\u58c1\u5207\u9664\u30fb\u5e83\u80cc\u7b4b\u76ae\u5f01\u79fb\u690d\u306b\u3088\u308b\u80f8\u58c1\u518d\u5efa\u3092\u65bd\u884c\u3057\u305f1 \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\u670d\u90e8\u6b63\u55e3\uff08\u516c\u7acb\u9676\u751f\u75c5\u9662 \u5916\u79d1\uff09\u30fb\u4ed6\u3000243(109)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u306b\u5408\u4f75\u3057\u305f\u7d50\u6838\u6027\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u708e\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\u4e2d\u5c71\u7950\u6b21\u90ce\uff08\u304c\u3093\u30fb\u611f\u67d3\u75c7\u30bb\u30f3\u30bf\u30fc \u90fd\u7acb\u99d2\u8fbc\u75c5\u9662 \u5916\u79d1\uff09\u30fb\u4ed6\u3000249(115)<\/strong><\/p>\n\n\n\n

\u4e73\u623f\u5185\u306b\u767a\u75c7\u3057\u305f\u9593\u8cea\u8089\u816b\u306e2\u4f8b
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u5bae\u8778\u5343\u7d75\u5b50\uff08\u81ea\u6cbb\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u75c5\u9662 \u4e73\u817a\u30fb\u7dcf\u5408\u5916\u79d1\uff09\u30fb\u4ed6\u3000257(123)<\/strong><\/p>\n\n\n\n

\u4e73\u764c\u306e\u81e8\u5e8a\u8cde<\/strong>
\u7b2c\u4e94\u56de\u300c\u4e73\u764c\u306e\u81e8\u5e8a\u300d\u8cde\u6c7a\u5b9a<\/strong>
\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026263(129)<\/strong><\/p>\n\n\n\n

\u30a2\u30ca\u30a6\u30f3\u30b9\u30e1\u30f3\u30c8
\u7b2c3\u56de\u4e73\u817a\u75c5\u7406\u8a3a\u65ad\u7814\u7a76\u4f1a\u30bb\u30df\u30ca\u30fc\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/strong>267 (133<\/strong>)<\/p>\n\n\n\n

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