{"id":571,"date":"2024-12-08T10:57:01","date_gmt":"2024-12-08T01:57:01","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/exclusive\/?p=571"},"modified":"2025-01-11T11:44:41","modified_gmt":"2025-01-11T02:44:41","slug":"%e6%b5%b8%e6%bd%a4%e6%80%a7%e5%b0%8f%e8%91%89%e3%81%8c%e3%82%93%ef%bc%9a%e5%9f%ba%e7%a4%8e%e3%81%8b%e3%82%89%e6%9c%80%e6%96%b0%e7%a0%94%e7%a9%b6%e3%81%be","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/exclusive\/operation\/%e6%b5%b8%e6%bd%a4%e6%80%a7%e5%b0%8f%e8%91%89%e3%81%8c%e3%82%93%ef%bc%9a%e5%9f%ba%e7%a4%8e%e3%81%8b%e3%82%89%e6%9c%80%e6%96%b0%e7%a0%94%e7%a9%b6%e3%81%be\/","title":{"rendered":"\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08\u4e73\u304c\u3093\uff09\uff1a\u57fa\u790e\u304b\u3089\u6700\u65b0\u7814\u7a76\u307e\u3067"},"content":{"rendered":"<blockquote>\n<h2>\u7b2c1\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6982\u8981\u3068\u7279\u5fb4<\/h2>\n<ol>\n<li><strong>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u3068\u306f<\/strong>\n<ul>\n<li>\u4e73\u304c\u3093\u306e\u4e2d\u3067\u306e\u4f4d\u7f6e\u3065\u3051\u3068\u983b\u5ea6<\/li>\n<li>\u6d78\u6f64\u6027\u4e73\u7ba1\u304c\u3093\uff08IDC\uff09\u3068\u306e\u9055\u3044<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u7d44\u7e54\u5b66\u7684\u7279\u5fb4<\/strong>\n<ul>\n<li>\u5c0f\u8449\u304c\u3093\u306e\u9032\u5c55\u30d1\u30bf\u30fc\u30f3\uff08\u30a4\u30f3\u30c7\u30a3\u30a2\u30f3\u30d5\u30a1\u30a4\u30eb\u306e\u914d\u5217\u306a\u3069\uff09<\/li>\n<li>E\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u81e8\u5e8a\u7684\u7279\u5fb4<\/strong>\n<ul>\n<li>\u816b\u7624\u5f62\u6210\u304c\u4e0d\u660e\u77ad\u3067\u8a3a\u65ad\u304c\u96e3\u3057\u3044<\/li>\n<li>\u591a\u767a\u6027\u75c5\u5909\u3068\u4e21\u5074\u6027\u4e73\u304c\u3093<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u8a3a\u65ad\u65b9\u6cd5<\/strong>\n<ul>\n<li>\u753b\u50cf\u8a3a\u65ad\uff08\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\u3001\u8d85\u97f3\u6ce2\u691c\u67fb\u3001MRI\uff09<\/li>\n<li>\u75c5\u7406\u8a3a\u65ad\u3068E\u30ab\u30c9\u30d8\u30ea\u30f3\u67d3\u8272<\/li>\n<li>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u3068HER2\u691c\u67fb\u306e\u91cd\u8981\u6027<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<hr \/>\n<h2>\u7b2c2\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6cbb\u7642\u6226\u7565<\/h2>\n<ol>\n<li><strong>\u6cbb\u7642\u65b9\u91dd\u306e\u6982\u8981<\/strong>\n<ul>\n<li>\u75c5\u614b\u306b\u5fdc\u3058\u305f\u500b\u5225\u5316\u6cbb\u7642\u306e\u5fc5\u8981\u6027<\/li>\n<li>\u6a19\u6e96\u6cbb\u7642\u306e\u67a0\u7d44\u307f<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u624b\u8853\u7642\u6cd5<\/strong>\n<ul>\n<li>\u4e73\u623f\u6e29\u5b58\u8853\u3068\u4e73\u623f\u5168\u6458\u8853<\/li>\n<li>\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c\u306e\u91cd\u8981\u6027<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u85ac\u7269\u7642\u6cd5<\/strong>\n<ul>\n<li>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\uff08\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3001\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u5264\u3001SERDs\uff09<\/li>\n<li>\u5316\u5b66\u7642\u6cd5\uff08\u9069\u5fdc\u4f8b\u3001\u4e3b\u8981\u85ac\u5264\uff09<\/li>\n<li>\u5206\u5b50\u6a19\u7684\u6cbb\u7642\uff08HER2\u967d\u6027\u4f8b\u3078\u306e\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u306a\u3069\uff09<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u653e\u5c04\u7dda\u6cbb\u7642<\/strong>\n<ul>\n<li>\u4e73\u623f\u6e29\u5b58\u8853\u5f8c\u3084\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u4f8b\u306e\u9069\u5fdc<\/li>\n<li>\u8ee2\u79fb\u6291\u5236\u3084\u75c7\u72b6\u7de9\u548c\u306e\u5f79\u5272<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u6cbb\u7642\u6210\u7e3e\u306e\u5411\u4e0a\u3092\u76ee\u6307\u3057\u305f\u65b0\u898f\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong>\n<ul>\n<li>CDK4\/6\u963b\u5bb3\u5264\u3001PI3K\u963b\u5bb3\u5264\u306a\u3069\u306e\u4f75\u7528\u7642\u6cd5<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<hr \/>\n<h2>\u7b2c3\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u518d\u767a\u3001\u4e88\u5f8c\u3001\u6700\u65b0\u7814\u7a76<\/h2>\n<ol>\n<li><strong>\u518d\u767a\u30ea\u30b9\u30af<\/strong>\n<ul>\n<li>\u9045\u767a\u6027\u518d\u767a\u306e\u7279\u5fb4<\/li>\n<li>\u518d\u767a\u90e8\u4f4d\u306e\u50be\u5411\uff08\u9aa8\u3001\u8179\u819c\u3001\u6d88\u5316\u7ba1\u306a\u3069\uff09<\/li>\n<li>\u518d\u767a\u30ea\u30b9\u30af\u8a55\u4fa1\u306e\u65b9\u6cd5<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e88\u5f8c<\/strong>\n<ul>\n<li>\u4ed6\u306e\u4e73\u304c\u3093\u30b5\u30d6\u30bf\u30a4\u30d7\u3068\u306e\u6bd4\u8f03<\/li>\n<li>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u4f8b\u306e\u9577\u671f\u4e88\u5f8c<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u6700\u65b0\u306e\u7814\u7a76\u3068\u9032\u5c55<\/strong>\n<ul>\n<li>\u30b2\u30ce\u30e0\u89e3\u6790\u306b\u3088\u308b\u6cbb\u7642\u6a19\u7684\u306e\u7279\u5b9a<\/li>\n<li>\u514d\u75ab\u7642\u6cd5\uff08PD-1\/PD-L1\u963b\u5bb3\u5264\uff09\u306e\u53ef\u80fd\u6027<\/li>\n<li>\u8a3a\u65ad\u7cbe\u5ea6\u5411\u4e0a\u306e\u305f\u3081\u306eAI\u6280\u8853<\/li>\n<li>\u30ea\u30ad\u30c3\u30c9\u30d0\u30a4\u30aa\u30d7\u30b7\u30fc\u306e\u5fdc\u7528<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u9577\u671f\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7<\/strong>\n<ul>\n<li>\u5065\u5eb7\u7dad\u6301\u306e\u305f\u3081\u306e\u751f\u6d3b\u7fd2\u6163\u6539\u5584<\/li>\n<li>\u5fc3\u7406\u7684\u30b5\u30dd\u30fc\u30c8\u3068QOL\u5411\u4e0a\u306e\u91cd\u8981\u6027<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<\/blockquote>\n<h3><strong>\u7b2c1\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6982\u8981\u3068\u7279\u5fb4<\/strong><\/h3>\n<h4><strong>1.1\u00a0<\/strong><strong>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08ILC\uff09\u3068\u306f<\/strong><\/h4>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08Invasive Lobular Carcinoma, ILC\uff09\u306f\u3001\u4e73\u817a\u5c0f\u8449\u306e\u57fa\u5e95\u819c\u3092\u8d85\u3048\u3001\u5468\u56f2\u306e\u7d44\u7e54\u306b\u6d78\u6f64\u3057\u3066\u9032\u884c\u3059\u308b\u4e73\u304c\u3093\u306e\u4e00\u7a2e\u3067\u3059\u3002\u4e73\u304c\u3093\u5168\u4f53\u306e\u7d0410\uff5e15%\u3092\u5360\u3081\u3001\u6d78\u6f64\u6027\u4e73\u7ba1\u304c\u3093\uff08Invasive Ductal Carcinoma, IDC\uff09\u306b\u6b21\u3044\u3067\u983b\u5ea6\u304c\u9ad8\u3044\u4e73\u304c\u3093\u306e\u30b5\u30d6\u30bf\u30a4\u30d7\u3067\u3059\u3002<\/p>\n<p>ILC\u306f\u9032\u884c\u304c\u6bd4\u8f03\u7684\u7de9\u3084\u304b\u306a\u5834\u5408\u304c\u591a\u3044\u4e00\u65b9\u3067\u3001\u8a3a\u65ad\u6642\u306b\u5e83\u7bc4\u56f2\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u7279\u6709\u306e\u7ba1\u7406\u304c\u5fc5\u8981\u3067\u3059\u3002\u307e\u305f\u3001\u816b\u7624\u3092\u5f62\u6210\u305b\u305a\u3001\u3057\u3053\u308a\u3068\u3057\u3066\u89e6\u308c\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u305f\u3081\u3001\u65e9\u671f\u767a\u898b\u304c\u96e3\u3057\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n<h4><strong>1.2\u00a0<\/strong><strong>\u7d44\u7e54\u5b66\u7684\u7279\u5fb4<\/strong><\/h4>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306f\u3001\u7d44\u7e54\u5b66\u7684\u306b\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7279\u5fb4\u3092\u6301\u3061\u307e\u3059\u3002<\/p>\n<h5>\u30a4\u30f3\u30c7\u30a3\u30a2\u30f3\u30d5\u30a1\u30a4\u30eb\u306e\u914d\u5217<\/h5>\n<ul>\n<li>ILC\u306e\u304c\u3093\u7d30\u80de\u306f\u3001\u4e73\u817a\u9593\u8cea\u5185\u3067\u5358\u5217\u306b\u4e26\u3073\u3001\u6d78\u6f64\u3057\u3066\u3044\u304f\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u6d78\u6f64\u30d1\u30bf\u30fc\u30f3\u306f\u300c\u30a4\u30f3\u30c7\u30a3\u30a2\u30f3\u30d5\u30a1\u30a4\u30eb\u300d\u3068\u547c\u3070\u308c\u3001\u8a3a\u65ad\u306e\u91cd\u8981\u306a\u6307\u6a19\u3067\u3059\u3002<\/li>\n<\/ul>\n<p><strong>E<\/strong><strong>\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d<\/strong><\/p>\n<ul>\n<li>\u7d30\u80de\u63a5\u7740\u3092\u62c5\u3046E\u30ab\u30c9\u30d8\u30ea\u30f3\uff08E-cadherin\uff09\u3068\u3044\u3046\u30bf\u30f3\u30d1\u30af\u8cea\u304c\u6b20\u640d\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3001ILC\u306e\u9855\u8457\u306a\u7279\u5fb4\u3067\u3059\u3002\u3053\u306e\u6b20\u640d\u306b\u3088\u308a\u3001\u304c\u3093\u7d30\u80de\u306f\u4e92\u3044\u306b\u51dd\u96c6\u305b\u305a\u3001\u6563\u5728\u6027\u306b\u9032\u5c55\u3057\u307e\u3059\u3002E\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d\u306f\u3001\u514d\u75ab\u67d3\u8272\u306b\u3088\u308a\u78ba\u8a8d\u3055\u308c\u3001ILC\u3068IDC\u306e\u9451\u5225\u8a3a\u65ad\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u4f4e\u7570\u578b\u5ea6\u306e\u7d30\u80de<\/h5>\n<ul>\n<li>\u591a\u304f\u306e\u5834\u5408\u3001ILC\u306e\u7d30\u80de\u306f\u4f4e\u7570\u578b\u5ea6\u3067\u3001\u9032\u884c\u304c\u7de9\u3084\u304b\u3067\u3059\u304c\u3001\u307e\u308c\u306b\u9ad8\u7570\u578b\u5ea6\u3092\u793a\u3059\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>1.3\u00a0<\/strong><strong>\u81e8\u5e8a\u7684\u7279\u5fb4<\/strong><\/h4>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306f\u3001\u4ed6\u306e\u4e73\u304c\u3093\u3068\u306f\u7570\u306a\u308b\u81e8\u5e8a\u7684\u7279\u6027\u3092\u6301\u3061\u307e\u3059\u3002<\/p>\n<h5>\u8a3a\u65ad\u306e\u96e3\u3057\u3055<\/h5>\n<ul>\n<li>\u816b\u7624\u3092\u5f62\u6210\u305b\u305a\u3001\u3057\u3053\u308a\u3068\u3057\u3066\u89e6\u308c\u306b\u304f\u3044\u305f\u3081\u3001\u4e73\u623f\u81ea\u5df1\u691c\u8a3a\u3084\u81e8\u5e8a\u8a3a\u5bdf\u3067\u306f\u767a\u898b\u304c\u96e3\u3057\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u75c7\u72b6\u3068\u3057\u3066\u306f\u3001\u4e73\u623f\u306e\u5f62\u72b6\u306e\u5909\u5316\u3084\u76ae\u819a\u306e\u5f15\u304d\u3064\u308c\u3001\u786c\u5316\u611f\u306a\u3069\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u591a\u767a\u6027\u75c5\u5909\u3068\u4e21\u5074\u6027\u4e73\u304c\u3093<\/h5>\n<ul>\n<li>ILC\u306f\u3001\u540c\u4e00\u4e73\u623f\u5185\u306e\u8907\u6570\u7b87\u6240\u306b\u767a\u751f\u3059\u308b<strong>\u591a\u767a\u6027\u75c5\u5909<\/strong>\u3092\u8a8d\u3081\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u307e\u305f\u3001\u5bfe\u5074\u4e73\u623f\u306b\u3082\u304c\u3093\u304c\u767a\u751f\u3059\u308b<strong>\u4e21\u5074\u6027\u4e73\u304c\u3093<\/strong>\u306e\u30ea\u30b9\u30af\u304c\u3001\u4ed6\u306e\u4e73\u304c\u3093\u3088\u308a\u9ad8\u3044\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u8ee2\u79fb\u30d1\u30bf\u30fc\u30f3\u306e\u7279\u5fb4<\/h5>\n<ul>\n<li>\u9aa8\u8ee2\u79fb\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001ILC\u306f\u4ed6\u306e\u4e73\u304c\u3093\u3068\u7570\u306a\u308a\u3001<strong>\u8179\u819c<\/strong>\u3084<strong>\u6d88\u5316\u7ba1<\/strong>\u3078\u306e\u8ee2\u79fb\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6d88\u5316\u5668\u75c7\u72b6\u304c\u521d\u767a\u75c7\u72b6\u3068\u3057\u3066\u73fe\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>1.4\u00a0<\/strong><strong>\u8a3a\u65ad\u65b9\u6cd5<\/strong><\/h4>\n<p>ILC\u306e\u8a3a\u65ad\u306b\u306f\u3001\u753b\u50cf\u8a3a\u65ad\u3068\u75c5\u7406\u8a3a\u65ad\u304c\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002<\/p>\n<h5>\u753b\u50cf\u8a3a\u65ad<\/h5>\n<ul>\n<li><strong>\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc<\/strong>\uff1a\n<ul>\n<li>\u816b\u7624\u5f62\u6210\u304c\u4e0d\u660e\u77ad\u306a\u305f\u3081\u3001\u8a3a\u65ad\u7cbe\u5ea6\u304c\u4f4e\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002ILC\u306f\u77f3\u7070\u5316\u3092\u4f34\u308f\u306a\u3044\u3053\u3068\u304c\u591a\u304f\u3001\u5178\u578b\u7684\u306a\u4e73\u304c\u3093\u50cf\u304c\u898b\u3089\u308c\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e73\u817a\u8d85\u97f3\u6ce2<\/strong>\uff1a\n<ul>\n<li>\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u306f\u3001\u4e0d\u6574\u5f62\u306e\u4f4e\u30a8\u30b3\u30fc\u9818\u57df\u3068\u3057\u3066\u691c\u51fa\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u816b\u760d\u306e\u7bc4\u56f2\u3092\u6b63\u78ba\u306b\u628a\u63e1\u3059\u308b\u306e\u306f\u96e3\u3057\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>MRI<\/strong><strong>\uff08\u78c1\u6c17\u5171\u9cf4\u753b\u50cf\u6cd5\uff09<\/strong>\uff1a\n<ul>\n<li>ILC\u306e\u75c5\u5909\u7bc4\u56f2\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u975e\u5e38\u306b\u6709\u7528\u3067\u3059\u3002MRI\u306f\u3001\u591a\u767a\u6027\u75c5\u5909\u3084\u5bfe\u5074\u4e73\u623f\u306e\u8a55\u4fa1\u306b\u3082\u5f79\u7acb\u3061\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u75c5\u7406\u8a3a\u65ad<\/h5>\n<ul>\n<li><strong>\u91dd\u751f\u691c\uff08\u30b3\u30a2\u30cb\u30fc\u30c9\u30eb\u30d0\u30a4\u30aa\u30d7\u30b7\u30fc\uff09<\/strong>\uff1a\n<ul>\n<li>ILC\u306e\u78ba\u5b9a\u8a3a\u65ad\u306b\u306f\u3001\u816b\u760d\u7d44\u7e54\u3092\u63a1\u53d6\u3057\u3066\u75c5\u7406\u5b66\u7684\u306b\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>E<\/strong><strong>\u30ab\u30c9\u30d8\u30ea\u30f3\u67d3\u8272<\/strong>\uff1a\n<ul>\n<li>E\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d\u306f\u3001ILC\u306e\u75c5\u7406\u5b66\u7684\u8a3a\u65ad\u306e\u6c7a\u5b9a\u7684\u306a\u6307\u6a19\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u3068HER2\u691c\u67fb<\/h5>\n<ul>\n<li>ILC\u306e\u591a\u304f\u306f\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u53d7\u5bb9\u4f53\uff08ER\uff09\u967d\u6027\u3001\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u53d7\u5bb9\u4f53\uff08PR\uff09\u967d\u6027\u3001HER2\u9670\u6027\u3067\u3059\u3002<\/li>\n<li>\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u3001\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306b\u91cd\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>1.5\u00a0<\/strong><strong>\u6d78\u6f64\u6027\u4e73\u7ba1\u304c\u3093\uff08IDC\uff09\u3068\u306e\u6bd4\u8f03<\/strong><\/h4>\n<p>ILC\u3068IDC\u306f\u3001\u4e73\u304c\u3093\u306e\u4e3b\u8981\u306a\u30b5\u30d6\u30bf\u30a4\u30d7\u3068\u3057\u3066\u7570\u306a\u308b\u7279\u5fb4\u3092\u6301\u3061\u307e\u3059\u3002<\/p>\n<table>\n<thead>\n<tr>\n<td><strong>\u7279\u5fb4<\/strong><\/td>\n<td><strong>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08ILC\uff09<\/strong><\/td>\n<td><strong>\u6d78\u6f64\u6027\u4e73\u7ba1\u304c\u3093\uff08IDC\uff09<\/strong><\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>\u983b\u5ea6<\/strong><\/td>\n<td>\u7d0410\u301c15%<\/td>\n<td>\u7d0480%<\/td>\n<\/tr>\n<tr>\n<td><strong>\u816b\u7624\u5f62\u6210<\/strong><\/td>\n<td>\u4e0d\u660e\u77ad\u3067\u3057\u3053\u308a\u3092\u611f\u3058\u306b\u304f\u3044<\/td>\n<td>\u660e\u78ba\u306a\u3057\u3053\u308a\u3068\u3057\u3066\u89e6\u308c\u3084\u3059\u3044<\/td>\n<\/tr>\n<tr>\n<td><strong>E<\/strong><strong>\u30ab\u30c9\u30d8\u30ea\u30f3\u67d3\u8272<\/strong><\/td>\n<td>\u6b20\u640d\uff08\u9670\u6027\uff09<\/td>\n<td>\u4fdd\u6301\uff08\u967d\u6027\uff09<\/td>\n<\/tr>\n<tr>\n<td><strong>\u8ee2\u79fb\u90e8\u4f4d<\/strong><\/td>\n<td>\u9aa8\u3001\u8179\u819c\u3001\u6d88\u5316\u7ba1<\/td>\n<td>\u9aa8\u3001\u80ba\u3001\u809d\u81d3\u3001\u8133<\/td>\n<\/tr>\n<tr>\n<td><strong>\u591a\u767a\u6027\u30fb\u4e21\u5074\u6027<\/strong><\/td>\n<td>\u9ad8\u983b\u5ea6<\/td>\n<td>\u307e\u308c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5>\u307e\u3068\u3081<\/h5>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08ILC\uff09\u306f\u3001\u4e73\u304c\u3093\u306e\u4e2d\u3067\u3082\u72ec\u7279\u306e\u9032\u884c\u30d1\u30bf\u30fc\u30f3\u3068\u8a3a\u65ad\u306e\u96e3\u3057\u3055\u3092\u6301\u3064\u75c5\u578b\u3067\u3059\u3002\u816b\u760d\u304c\u3057\u3053\u308a\u3068\u3057\u3066\u89e6\u308c\u306b\u304f\u304f\u3001\u8a3a\u65ad\u6642\u306b\u306f\u5e83\u7bc4\u56f2\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u3001E\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d\u304cILC\u306e\u7279\u7570\u7684\u306a\u7279\u5fb4\u3067\u3042\u308a\u3001\u8a3a\u65ad\u306e\u91cd\u8981\u306a\u624b\u304c\u304b\u308a\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h3><strong>\u7b2c2\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6cbb\u7642\u6226\u7565<\/strong><\/h3>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08Invasive Lobular Carcinoma, ILC\uff09\u306e\u6cbb\u7642\u306f\u3001\u4e73\u304c\u3093\u306e\u4e00\u822c\u7684\u306a\u6cbb\u7642\u65b9\u91dd\u306b\u57fa\u3065\u304d\u3064\u3064\u3001ILC\u7279\u6709\u306e\u7279\u5fb4\u3092\u8003\u616e\u3057\u305f\u500b\u5225\u5316\u533b\u7642\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u672c\u30bb\u30af\u30b7\u30e7\u30f3\u3067\u306f\u3001ILC\u306e\u6cbb\u7642\u6226\u7565\u3092\u624b\u8853\u7642\u6cd5\u3001\u85ac\u7269\u7642\u6cd5\u3001\u653e\u5c04\u7dda\u6cbb\u7642\u3001\u65b0\u305f\u306a\u6cbb\u7642\u6cd5\u306e\u9032\u5c55\u306b\u5206\u3051\u3066\u8a73\u3057\u304f\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n<h4><strong>2.1\u00a0<\/strong><strong>\u6cbb\u7642\u65b9\u91dd\u306e\u57fa\u672c\u6982\u5ff5<\/strong><\/h4>\n<p>ILC\u306e\u6cbb\u7642\u65b9\u91dd\u306f\u3001\u4ee5\u4e0b\u306e\u8981\u7d20\u3092\u57fa\u306b\u6c7a\u5b9a\u3055\u308c\u307e\u3059\uff1a<\/p>\n<ol>\n<li><strong>\u816b\u760d\u306e\u751f\u7269\u5b66\u7684\u7279\u6027<\/strong>\uff1a\n<ul>\n<li>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\uff08ER\u3001PR\uff09\u304a\u3088\u3073HER2\u306e\u72b6\u614b\u3002<\/li>\n<li>\u75c5\u7406\u5b66\u7684\u7279\u5fb4\uff08E\u30ab\u30c9\u30d8\u30ea\u30f3\u6b20\u640d\u3001\u4f4e\u7570\u578b\u5ea6\u306a\u3069\uff09\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u75c5\u671f\u3068\u9032\u884c\u5ea6<\/strong>\uff1a\n<ul>\n<li>\u816b\u760d\u306e\u5927\u304d\u3055\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u3001\u9060\u9694\u8ee2\u79fb\u306e\u6709\u7121\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u60a3\u8005\u306e\u5168\u8eab\u72b6\u614b<\/strong>\uff1a\n<ul>\n<li>\u5e74\u9f62\u3001\u9589\u7d4c\u306e\u6709\u7121\u3001\u4f75\u5b58\u75be\u60a3\u306a\u3069\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u60a3\u8005\u306e\u5e0c\u671b<\/strong>\uff1a\n<ul>\n<li>\u4e73\u623f\u6e29\u5b58\u5e0c\u671b\u306e\u6709\u7121\u3084\u6cbb\u7642\u5f8c\u306e\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u3092\u91cd\u8996\u3057\u305f\u9078\u629e\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p>ILC\u306f\u816b\u760d\u304c\u6563\u5728\u6027\u306b\u6d78\u6f64\u3059\u308b\u50be\u5411\u304c\u3042\u308b\u305f\u3081\u3001\u8a3a\u65ad\u6642\u70b9\u3067\u306e\u75c5\u5909\u7bc4\u56f2\u3084\u591a\u767a\u6027\u75c5\u5909\u3001\u4e21\u5074\u4e73\u623f\u75c5\u5909\u306e\u6709\u7121\u3092\u6b63\u78ba\u306b\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n<h4><strong>2.2\u00a0<\/strong><strong>\u624b\u8853\u7642\u6cd5<\/strong><\/h4>\n<h5>\u4e73\u623f\u6e29\u5b58\u8853<\/h5>\n<ul>\n<li><strong>\u9069\u5fdc<\/strong>\uff1a\n<ul>\n<li>\u816b\u760d\u304c\u4e73\u623f\u5185\u306b\u9650\u5c40\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u9078\u629e\u3055\u308c\u307e\u3059\u3002<\/li>\n<li>\u8853\u524d\u306eMRI\u691c\u67fb\u3067\u75c5\u5909\u7bc4\u56f2\u3092\u6b63\u78ba\u306b\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u8ab2\u984c<\/strong>\uff1a\n<ul>\n<li>ILC\u306f\u816b\u760d\u5883\u754c\u304c\u4e0d\u660e\u77ad\u3067\u3042\u308b\u305f\u3081\u3001\u5207\u9664\u7bc4\u56f2\u304c\u4e0d\u5341\u5206\u3068\u306a\u308b\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u518d\u5207\u9664\u304c\u5fc5\u8981\u3068\u306a\u308b\u5272\u5408\u304c\u4ed6\u306e\u4e73\u304c\u3093\u306b\u6bd4\u3079\u3066\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u8853\u5f8c\u306e\u88dc\u52a9\u7642\u6cd5<\/strong>\uff1a\n<ul>\n<li>\u90e8\u5206\u5207\u9664\u5f8c\u306f\u518d\u767a\u30ea\u30b9\u30af\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u305f\u3081\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u4f75\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u4e73\u623f\u5168\u6458\u8853<\/h5>\n<ul>\n<li><strong>\u9069\u5fdc<\/strong>\uff1a\n<ul>\n<li>\u75c5\u5909\u304c\u5e83\u7bc4\u56f2\u306b\u53ca\u3076\u5834\u5408\u3084\u591a\u767a\u6027\u75c5\u5909\u3001\u4e21\u5074\u6027\u75c5\u5909\u304c\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u3002<\/li>\n<li>\u60a3\u8005\u304c\u518d\u767a\u30ea\u30b9\u30af\u3092\u6975\u529b\u6291\u3048\u305f\u3044\u3068\u5e0c\u671b\u3059\u308b\u5834\u5408\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e73\u623f\u518d\u5efa\u8853<\/strong>\uff1a\n<ul>\n<li>\u60a3\u8005\u306e\u5e0c\u671b\u306b\u5fdc\u3058\u3066\u3001\u4e73\u623f\u518d\u5efa\u8853\u3092\u540c\u6642\u307e\u305f\u306f\u5f8c\u65e5\u884c\u3046\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c<\/h5>\n<ul>\n<li><strong>\u76ee\u7684<\/strong>\uff1a\n<ul>\n<li>\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3059\u308b\u305f\u3081\u306b\u5b9f\u65bd\u3002<\/li>\n<li>\u8ee2\u79fb\u304c\u78ba\u8a8d\u3055\u308c\u305f\u5834\u5408\u3001\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong>2.3\u00a0<\/strong><strong>\u85ac\u7269\u7642\u6cd5<\/strong><\/h4>\n<p>ILC\u306f\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u304c\u6cbb\u7642\u306e\u4e2d\u5fc3\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u9ad8\u30ea\u30b9\u30af\u75c7\u4f8b\u3067\u306f\u5316\u5b66\u7642\u6cd5\u3084\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u304c\u88dc\u52a9\u7684\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n<h5>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5<\/h5>\n<ul>\n<li><strong>\u9069\u5fdc<\/strong>\uff1a\n<ul>\n<li>ER\u967d\u6027\u307e\u305f\u306fPR\u967d\u6027\u4f8b\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e3b\u8981\u85ac\u5264<\/strong>\uff1a\n<ul>\n<li><strong>\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3<\/strong>\uff08\u9589\u7d4c\u524d\u306e\u60a3\u8005\u306b\u4f7f\u7528\uff09\n<ul>\n<li>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u53d7\u5bb9\u4f53\u3092\u906e\u65ad\u3059\u308b\u3053\u3068\u3067\u304c\u3093\u7d30\u80de\u306e\u5897\u6b96\u3092\u6291\u5236\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u5264\uff08AI\uff09<\/strong>\uff08\u9589\u7d4c\u5f8c\u306e\u60a3\u8005\u306b\u4f7f\u7528\uff09\n<ul>\n<li>\u4f53\u5185\u306e\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u7523\u751f\u3092\u6291\u5236\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u9078\u629e\u7684\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u53d7\u5bb9\u4f53\u30c0\u30a6\u30f3\u30ec\u30ae\u30e5\u30ec\u30fc\u30bf\u30fc\uff08SERDs\uff09<\/strong>\n<ul>\n<li>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u62b5\u6297\u6027\u306e\u75c7\u4f8b\u306b\u4f7f\u7528\u3055\u308c\u308b\u65b0\u3057\u3044\u6cbb\u7642\u9078\u629e\u80a2\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u6cbb\u7642\u306e\u5f37\u5316<\/strong>\uff1a\n<ul>\n<li><strong>CDK4\/6<\/strong><strong>\u963b\u5bb3\u5264<\/strong>\uff08\u4f8b\uff1a\u30d1\u30eb\u30dc\u30b7\u30af\u30ea\u30d6\u3001\u30ea\u30dc\u30b7\u30af\u30ea\u30d6\uff09\n<ul>\n<li>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u62b5\u6297\u6027\u306e\u60a3\u8005\u306b\u4f7f\u7528\u3055\u308c\u3001\u7d30\u80de\u5468\u671f\u3092\u6291\u5236\u3059\u308b\u3053\u3068\u3067\u6cbb\u7642\u52b9\u679c\u3092\u5411\u4e0a\u3055\u305b\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u5316\u5b66\u7642\u6cd5<\/h5>\n<ul>\n<li><strong>\u9069\u5fdc<\/strong>\uff1a\n<ul>\n<li>\u9ad8\u30ea\u30b9\u30af\u4f8b\u3084\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u9670\u6027\u4f8b\u3002<\/li>\n<li>\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u3092\u4f34\u3046\u75c7\u4f8b\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e3b\u8981\u85ac\u5264<\/strong>\uff1a\n<ul>\n<li><strong>\u30a2\u30f3\u30c8\u30e9\u30b5\u30a4\u30af\u30ea\u30f3\u7cfb<\/strong>\uff08\u4f8b\uff1a\u30c9\u30ad\u30bd\u30eb\u30d3\u30b7\u30f3\uff09\n<ul>\n<li>\u5f37\u529b\u306a\u6297\u816b\u760d\u52b9\u679c\u3092\u6301\u3064\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u30bf\u30ad\u30b5\u30f3\u7cfb<\/strong>\uff08\u4f8b\uff1a\u30d1\u30af\u30ea\u30bf\u30ad\u30bb\u30eb\u3001\u30c9\u30bb\u30bf\u30ad\u30bb\u30eb\uff09\n<ul>\n<li>\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u306b\u6a19\u6e96\u7684\u306b\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u5206\u5b50\u6a19\u7684\u6cbb\u7642<\/h5>\n<ul>\n<li><strong>HER2<\/strong><strong>\u967d\u6027\u4f8b<\/strong>\uff1a\n<ul>\n<li><strong>\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\uff08\u30cf\u30fc\u30bb\u30d7\u30c1\u30f3\uff09\u3084\u30da\u30eb\u30c4\u30ba\u30de\u30d6<\/strong>\u304c\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>PIK3CA<\/strong><strong>\u5909\u7570\u4f8b<\/strong>\uff1a\n<ul>\n<li>**PI3K\u963b\u5bb3\u5264\uff08\u30a2\u30eb\u30da\u30ea\u30b7\u30d6\uff09**\u304c\u9069\u7528\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong>2.4\u00a0<\/strong><strong>\u653e\u5c04\u7dda\u6cbb\u7642<\/strong><\/h4>\n<p>\u653e\u5c04\u7dda\u6cbb\u7642\u306f\u3001\u624b\u8853\u5f8c\u306e\u5c40\u6240\u518d\u767a\u3092\u9632\u3050\u305f\u3081\u306b\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n<h5>\u9069\u5fdc<\/h5>\n<ul>\n<li>\u90e8\u5206\u5207\u9664\u8853\u5f8c\u306b\u5fc5\u9808\u3002<\/li>\n<li>\u4e73\u623f\u5168\u6458\u8853\u5f8c\u3067\u3082\u3001\u5927\u898f\u6a21\u306a\u816b\u760d\u3084\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\u306b\u306f\u9069\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u76ee\u7684<\/h5>\n<ul>\n<li>\u5c40\u6240\u518d\u767a\u3092\u4e88\u9632\u3002<\/li>\n<li>\u9aa8\u8ee2\u79fb\u3084\u80f8\u819c\u8ee2\u79fb\u306a\u3069\u306b\u5bfe\u3059\u308b\u75c7\u72b6\u7de9\u548c\u3068\u3057\u3066\u3082\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>2.5\u00a0<\/strong><strong>\u65b0\u3057\u3044\u6cbb\u7642\u6cd5\u306e\u9032\u5c55<\/strong><\/h4>\n<h5>\u514d\u75ab\u7642\u6cd5<\/h5>\n<ul>\n<li><strong>PD-1\/PD-L1<\/strong><strong>\u963b\u5bb3\u5264<\/strong>\u306e\u7814\u7a76\u304c\u9032\u884c\u4e2d\u3067\u3042\u308a\u3001ILC\u306b\u304a\u3051\u308b\u6709\u52b9\u6027\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u306e\u62e1\u5927<\/h5>\n<ul>\n<li>HER2\u9670\u6027ILC\u60a3\u8005\u306b\u304a\u3051\u308b**\u6297\u4f53\u85ac\u7269\u8907\u5408\u4f53\uff08ADC\uff09**\u306e\u4f7f\u7528\u53ef\u80fd\u6027\u304c\u7814\u7a76\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u30b2\u30ce\u30e0\u89e3\u6790\u306b\u57fa\u3065\u304f\u6cbb\u7642<\/h5>\n<ul>\n<li>\u6b21\u4e16\u4ee3\u30b7\u30fc\u30b1\u30f3\u30b7\u30f3\u30b0\uff08NGS\uff09\u306b\u3088\u308a\u3001\u60a3\u8005\u3054\u3068\u306e\u907a\u4f1d\u5b50\u5909\u7570\u306b\u5fdc\u3058\u305f\u500b\u5225\u5316\u6cbb\u7642\u304c\u9032\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u307e\u3068\u3081<\/h5>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6cbb\u7642\u6226\u7565\u306f\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3001\u5316\u5b66\u7642\u6cd5\u3001\u653e\u5c04\u7dda\u6cbb\u7642\u3001\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u3092\u7d44\u307f\u5408\u308f\u305b\u3001\u60a3\u8005\u306e\u75c5\u614b\u3084\u30cb\u30fc\u30ba\u306b\u5fdc\u3058\u305f\u500b\u5225\u5316\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002ILC\u7279\u6709\u306e\u8a3a\u65ad\u306e\u96e3\u3057\u3055\u3084\u816b\u760d\u306e\u9032\u5c55\u30d1\u30bf\u30fc\u30f3\u3092\u8e0f\u307e\u3048\u3001\u6b63\u78ba\u306a\u8a3a\u65ad\u3068\u7dbf\u5bc6\u306a\u6cbb\u7642\u8a08\u753b\u304c\u91cd\u8981\u3067\u3059\u3002\u307e\u305f\u3001\u65b0\u305f\u306a\u6cbb\u7642\u6cd5\u3084\u514d\u75ab\u7642\u6cd5\u306e\u9032\u5c55\u306b\u3088\u308a\u3001ILC\u60a3\u8005\u306e\u4e88\u5f8c\u6539\u5584\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h3><strong>\u7b2c3\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u518d\u767a\u3001\u4e88\u5f8c\u3001\u6700\u65b0\u7814\u7a76<\/strong><\/h3>\n<h4><strong>3.1\u00a0<\/strong><strong>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u518d\u767a<\/strong><\/h4>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08Invasive Lobular Carcinoma, ILC\uff09\u306f\u3001\u9045\u767a\u6027\u518d\u767a\u304c\u7279\u5fb4\u7684\u3067\u3042\u308a\u3001\u518d\u767a\u30ea\u30b9\u30af\u306e\u8a55\u4fa1\u3068\u9577\u671f\u7684\u306a\u7d4c\u904e\u89b3\u5bdf\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n<h5>\u518d\u767a\u306e\u7279\u5fb4<\/h5>\n<ul>\n<li><strong>\u9045\u767a\u6027\u518d\u767a<\/strong>\uff1a\n<ul>\n<li>ILC\u306f\u518d\u767a\u307e\u3067\u306e\u671f\u9593\u304c\u9577\u304f\u3001\u6cbb\u7642\u5f8c10\u5e74\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u304b\u3089\u518d\u767a\u304c\u78ba\u8a8d\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u518d\u767a\u90e8\u4f4d<\/strong>\uff1a\n<ul>\n<li><strong>\u9aa8\u8ee2\u79fb<\/strong>\uff1a\u6700\u3082\u591a\u304f\u3001\u7d0460\uff5e70%\u306e\u75c7\u4f8b\u3067\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002<\/li>\n<li><strong>\u8179\u819c\u30fb\u6d88\u5316\u7ba1\u8ee2\u79fb<\/strong>\uff1a\u4e73\u304c\u3093\u3067\u306f\u73cd\u3057\u3044\u8ee2\u79fb\u30d1\u30bf\u30fc\u30f3\u3067\u3059\u304c\u3001ILC\u3067\u306f\u6bd4\u8f03\u7684\u9ad8\u983b\u5ea6\u3002<\/li>\n<li><strong>\u80f8\u819c\u30fb\u80ba\u8ee2\u79fb<\/strong>\uff1a\u80f8\u6c34\u8caf\u7559\u306a\u3069\u306e\u75c7\u72b6\u304c\u73fe\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><strong>\u4e2d\u67a2\u795e\u7d4c\u7cfb<\/strong>\uff1a\u8133\u8ee2\u79fb\u306e\u983b\u5ea6\u306fIDC\uff08\u6d78\u6f64\u6027\u4e73\u7ba1\u304c\u3093\uff09\u3088\u308a\u4f4e\u3044\u3067\u3059\u304c\u3001\u9032\u884c\u4f8b\u3067\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u518d\u767a\u30ea\u30b9\u30af\u56e0\u5b50<\/h5>\n<ul>\n<li>\u816b\u760d\u306e\u5927\u304d\u3055\uff08T\u30b9\u30c6\u30fc\u30b8\uff09\u3084\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u6709\u7121\u3002<\/li>\n<li>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\uff08ER\u3001PR\uff09\u306e\u72b6\u614b\u3002<\/li>\n<li>HER2\u967d\u6027\u307e\u305f\u306f\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u62b5\u6297\u6027\u3002<\/li>\n<\/ul>\n<h4><strong>3.2\u00a0<\/strong><strong>\u4e88\u5f8c<\/strong><\/h4>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u4e88\u5f8c\u306f\u3001\u4e73\u304c\u3093\u5168\u4f53\u3068\u6bd4\u8f03\u3057\u3066\u3084\u3084\u7279\u6b8a\u3067\u3059\u3002<\/p>\n<h5>\u5168\u4f53\u7684\u306a\u4e88\u5f8c<\/h5>\n<ul>\n<li>ER\u967d\u6027\u306eILC\u3067\u306f\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u304c\u594f\u529f\u3057\u3084\u3059\u304f\u3001\u9577\u671f\u7684\u306a\u4e88\u5f8c\u306f\u6bd4\u8f03\u7684\u826f\u597d\u3067\u3059\u3002<\/li>\n<li>\u4e00\u65b9\u3067\u3001\u5e83\u7bc4\u56f2\u306a\u6d78\u6f64\u3084\u591a\u767a\u6027\u75c5\u5909\u304c\u3042\u308b\u5834\u5408\u3001\u6cbb\u7642\u304c\u96e3\u822a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u518d\u767a\u306b\u3088\u308b\u4e88\u5f8c\u306e\u5909\u5316<\/h5>\n<ul>\n<li>\u9060\u9694\u8ee2\u79fb\u304c\u78ba\u8a8d\u3055\u308c\u305f\u5834\u5408\u3001\u751f\u5b58\u671f\u9593\u306f\u7e2e\u5c0f\u3057\u307e\u3059\u304c\u3001\u9aa8\u8ee2\u79fb\u3067\u306f\u9577\u671f\u7684\u306a\u6cbb\u7642\u3068\u7ba1\u7406\u304c\u53ef\u80fd\u306a\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u8179\u819c\u8ee2\u79fb\u3084\u6d88\u5316\u7ba1\u8ee2\u79fb\u3067\u306f\u75c7\u72b6\u7ba1\u7406\u304c\u56f0\u96e3\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u4e88\u5f8c\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u3068HER2\u306e\u5f71\u97ff<\/h5>\n<ul>\n<li><strong>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u4f8b<\/strong>\uff1a\n<ul>\n<li>\u518d\u767a\u4e88\u9632\u306b\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u304c\u6709\u52b9\u3067\u3042\u308a\u3001\u4e88\u5f8c\u306f\u6539\u5584\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>HER2<\/strong><strong>\u967d\u6027\u4f8b<\/strong>\uff1a\n<ul>\n<li>HER2\u306b\u5bfe\u3059\u308b\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u306b\u3088\u308a\u3001\u8fd1\u5e74\u306e\u4e88\u5f8c\u306f\u5927\u5e45\u306b\u5411\u4e0a\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong>3.3\u00a0<\/strong><strong>\u518d\u767a\u4e88\u9632\u3068\u7d4c\u904e\u89b3\u5bdf<\/strong><\/h4>\n<h5>\u518d\u767a\u4e88\u9632<\/h5>\n<ul>\n<li><strong>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5<\/strong>\uff1a\n<ul>\n<li>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306f\u518d\u767a\u30ea\u30b9\u30af\u3092\u4f4e\u6e1b\u3059\u308b\u305f\u3081\u306e\u4e3b\u8981\u306a\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3084\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u5264\u304c\u6a19\u6e96\u7684\u306b\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<li>\u518d\u767a\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u60a3\u8005\u3067\u306f\u3001\u6cbb\u7642\u671f\u9593\u30925\u5e74\u304b\u308910\u5e74\u306b\u5ef6\u9577\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u5316\u5b66\u7642\u6cd5\u3068\u5206\u5b50\u6a19\u7684\u6cbb\u7642<\/strong>\uff1a\n<ul>\n<li>\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u306b\u306f\u88dc\u52a9\u7684\u306b\u5316\u5b66\u7642\u6cd5\u3084\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u7d4c\u904e\u89b3\u5bdf\u306e\u91cd\u8981\u6027<\/h5>\n<ul>\n<li>\u5b9a\u671f\u7684\u306a\u8a3a\u5bdf\u3068\u753b\u50cf\u691c\u67fb\uff08\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\u3001MRI\u3001\u9aa8\u30b9\u30ad\u30e3\u30f3\u306a\u3069\uff09\u306f\u3001\u518d\u767a\u306e\u65e9\u671f\u767a\u898b\u306b\u6b20\u304b\u305b\u307e\u305b\u3093\u3002<\/li>\n<li>\u8840\u6db2\u691c\u67fb\u3067\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff08\u4f8b\uff1aCA15-3\uff09\u3092\u6e2c\u5b9a\u3059\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>3.4\u00a0<\/strong><strong>\u6700\u65b0\u306e\u7814\u7a76\u3068\u9032\u5c55<\/strong><\/h4>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u7814\u7a76\u306f\u3001\u8a3a\u65ad\u6280\u8853\u3084\u6cbb\u7642\u306e\u9032\u6b69\u306b\u3088\u308a\u3001\u500b\u5225\u5316\u533b\u7642\u304c\u3055\u3089\u306b\u9032\u5c55\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5>\u30b2\u30ce\u30e0\u89e3\u6790\u3068\u5206\u5b50\u30d7\u30ed\u30d5\u30a1\u30a4\u30ea\u30f3\u30b0<\/h5>\n<ul>\n<li><strong>E<\/strong><strong>\u30ab\u30c9\u30d8\u30ea\u30f3\u907a\u4f1d\u5b50\uff08CDH1\uff09\u5909\u7570<\/strong>\uff1a\n<ul>\n<li>ILD\u7279\u6709\u306e\u7279\u5fb4\u3067\u3042\u308a\u3001E\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d\u304c\u816b\u760d\u9032\u5c55\u306b\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>PIK3CA<\/strong><strong>\u5909\u7570<\/strong>\uff1a\n<ul>\n<li>ILD\u3067\u9ad8\u983b\u5ea6\u306b\u8a8d\u3081\u3089\u308c\u308b\u907a\u4f1d\u5b50\u5909\u7570\u3067\u3042\u308a\u3001PI3K\u963b\u5bb3\u5264\uff08\u30a2\u30eb\u30da\u30ea\u30b7\u30d6\uff09\u306a\u3069\u306e\u65b0\u898f\u6cbb\u7642\u6cd5\u304c\u7814\u7a76\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u65b0\u898f\u85ac\u5264\u306e\u958b\u767a<\/h5>\n<ul>\n<li><strong>\u514d\u75ab\u7642\u6cd5<\/strong>\uff1a\n<ul>\n<li>PD-1\/PD-L1\u963b\u5bb3\u5264\u3092\u542b\u3080\u514d\u75ab\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8\u963b\u5bb3\u5264\u306e\u52b9\u679c\u304c\u691c\u8a0e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u6297\u4f53\u85ac\u7269\u8907\u5408\u4f53\uff08<\/strong><strong>ADC<\/strong><strong>\uff09<\/strong>\uff1a\n<ul>\n<li>HER2\u4f4e\u767a\u73fe\u4f8b\u306b\u5bfe\u3059\u308b\u65b0\u305f\u306a\u6cbb\u7642\u9078\u629e\u80a2\u3068\u3057\u3066\u3001\u30a8\u30f3\u30cf\u30fc\u30c4\uff08DS-8201\uff09\u306a\u3069\u304c\u81e8\u5e8a\u8a66\u9a13\u3067\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>\u8a3a\u65ad\u6280\u8853\u306e\u9032\u6b69<\/h5>\n<ul>\n<li><strong>AI<\/strong><strong>\u652f\u63f4\u8a3a\u65ad<\/strong>\uff1a\n<ul>\n<li>MRI\u3084\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\u753b\u50cf\u3092AI\u3067\u89e3\u6790\u3057\u3001ILC\u306e\u8a3a\u65ad\u7cbe\u5ea6\u3092\u5411\u4e0a\u3055\u305b\u308b\u6280\u8853\u304c\u9032\u5316\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u30ea\u30ad\u30c3\u30c9\u30d0\u30a4\u30aa\u30d7\u30b7\u30fc<\/strong>\uff1a\n<ul>\n<li>\u8840\u6db2\u4e2d\u306e\u5faa\u74b0\u816b\u760dDNA\uff08ctDNA\uff09\u3092\u7528\u3044\u305f\u518d\u767a\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u304c\u3001\u4fb5\u8972\u6027\u306e\u4f4e\u3044\u65b9\u6cd5\u3068\u3057\u3066\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong>3.5\u00a0<\/strong><strong>\u60a3\u8005\u652f\u63f4\u3068\u9577\u671f\u7684\u306a\u30b1\u30a2<\/strong><\/h4>\n<h5>\u5fc3\u7406\u7684\u30b5\u30dd\u30fc\u30c8<\/h5>\n<ul>\n<li>\u518d\u767a\u3084\u9032\u884c\u306b\u5bfe\u3059\u308b\u4e0d\u5b89\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u3001\u5fc3\u7406\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3084\u60a3\u8005\u652f\u63f4\u30b0\u30eb\u30fc\u30d7\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n<h5>\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584<\/h5>\n<ul>\n<li>\u9069\u5ea6\u306a\u904b\u52d5\u3001\u30d0\u30e9\u30f3\u30b9\u306e\u826f\u3044\u98df\u4e8b\u3001\u7981\u7159\u304c\u518d\u767a\u30ea\u30b9\u30af\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u4f53\u5236<\/h5>\n<ul>\n<li>\u6cbb\u7642\u5f8c\u3082\u60a3\u8005\u3068\u306e\u7d99\u7d9a\u7684\u306a\u5bfe\u8a71\u3092\u901a\u3058\u3066\u3001\u6cbb\u7642\u8a08\u753b\u3092\u8abf\u6574\u3057\u306a\u304c\u3089\u6700\u5584\u306eQOL\u3092\u76ee\u6307\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>\u307e\u3068\u3081<\/h5>\n<p>\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08ILC\uff09\u306f\u3001\u9045\u767a\u6027\u518d\u767a\u3084\u7279\u7570\u7684\u306a\u8ee2\u79fb\u30d1\u30bf\u30fc\u30f3\u3092\u6301\u3064\u305f\u3081\u3001\u9577\u671f\u7684\u306a\u7d4c\u904e\u89b3\u5bdf\u3068\u500b\u5225\u5316\u6cbb\u7642\u304c\u91cd\u8981\u3067\u3059\u3002\u518d\u767a\u30ea\u30b9\u30af\u3092\u4f4e\u6e1b\u3059\u308b\u305f\u3081\u306e\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3084\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u306e\u9032\u6b69\u306b\u52a0\u3048\u3001\u30b2\u30ce\u30e0\u89e3\u6790\u3084AI\u8a3a\u65ad\u306a\u3069\u306e\u6280\u8853\u9769\u65b0\u304cILC\u306e\u6cbb\u7642\u6210\u7e3e\u3092\u5411\u4e0a\u3055\u305b\u3066\u3044\u307e\u3059\u3002\u60a3\u8005\u652f\u63f4\u3068\u751f\u6d3b\u7fd2\u6163\u6539\u5584\u3092\u542b\u3080\u5305\u62ec\u7684\u306a\u30b1\u30a2\u306b\u3088\u308a\u3001ILC\u60a3\u8005\u306e\u4e88\u5f8c\u3068\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u306e\u3055\u3089\u306a\u308b\u5411\u4e0a\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7b2c1\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6982\u8981\u3068\u7279\u5fb4 \u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u3068\u306f \u4e73\u304c\u3093\u306e\u4e2d\u3067\u306e\u4f4d\u7f6e\u3065\u3051\u3068\u983b\u5ea6 \u6d78\u6f64\u6027\u4e73\u7ba1\u304c\u3093\uff08IDC\uff09\u3068\u306e\u9055\u3044 \u7d44\u7e54\u5b66\u7684\u7279\u5fb4 \u5c0f\u8449\u304c\u3093\u306e\u9032\u5c55\u30d1\u30bf\u30fc\u30f3\uff08\u30a4\u30f3\u30c7\u30a3\u30a2\u30f3\u30d5\u30a1\u30a4\u30eb\u306e\u914d\u5217\u306a\u3069\uff09 E\u30ab\u30c9\u30d8\u30ea\u30f3\u306e\u6b20\u640d \u81e8\u5e8a\u7684\u7279\u5fb4 \u816b\u7624\u5f62\u6210\u304c\u4e0d\u660e\u77ad\u3067\u8a3a\u65ad\u304c\u96e3\u3057\u3044 \u591a\u767a\u6027\u75c5\u5909\u3068\u4e21\u5074\u6027\u4e73\u304c\u3093 \u8a3a\u65ad\u65b9\u6cd5 \u753b\u50cf\u8a3a\u65ad\uff08\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u30fc\u3001\u8d85\u97f3\u6ce2\u691c\u67fb\u3001MRI\uff09 \u75c5\u7406\u8a3a\u65ad\u3068E\u30ab\u30c9\u30d8\u30ea\u30f3\u67d3\u8272 \u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u3068HER2\u691c\u67fb\u306e\u91cd\u8981\u6027 \u7b2c2\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6cbb\u7642\u6226\u7565 \u6cbb\u7642\u65b9\u91dd\u306e\u6982\u8981 \u75c5\u614b\u306b\u5fdc\u3058\u305f\u500b\u5225\u5316\u6cbb\u7642\u306e\u5fc5\u8981\u6027 \u6a19\u6e96\u6cbb\u7642\u306e\u67a0\u7d44\u307f \u624b\u8853\u7642\u6cd5 \u4e73\u623f\u6e29\u5b58\u8853\u3068\u4e73\u623f\u5168\u6458\u8853 \u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c\u306e\u91cd\u8981\u6027 \u85ac\u7269\u7642\u6cd5 \u30db\u30eb\u30e2\u30f3\u7642\u6cd5\uff08\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3001\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u5264\u3001SERDs\uff09 \u5316\u5b66\u7642\u6cd5\uff08\u9069\u5fdc\u4f8b\u3001\u4e3b\u8981\u85ac\u5264\uff09 \u5206\u5b50\u6a19\u7684\u6cbb\u7642\uff08HER2\u967d\u6027\u4f8b\u3078\u306e\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u306a\u3069\uff09 \u653e\u5c04\u7dda\u6cbb\u7642 \u4e73\u623f\u6e29\u5b58\u8853\u5f8c\u3084\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u4f8b\u306e\u9069\u5fdc \u8ee2\u79fb\u6291\u5236\u3084\u75c7\u72b6\u7de9\u548c\u306e\u5f79\u5272 \u6cbb\u7642\u6210\u7e3e\u306e\u5411\u4e0a\u3092\u76ee\u6307\u3057\u305f\u65b0\u898f\u30a2\u30d7\u30ed\u30fc\u30c1 CDK4\/6\u963b\u5bb3\u5264\u3001PI3K\u963b\u5bb3\u5264\u306a\u3069\u306e\u4f75\u7528\u7642\u6cd5 \u7b2c3\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u518d\u767a\u3001\u4e88\u5f8c\u3001\u6700\u65b0\u7814\u7a76 \u518d\u767a\u30ea\u30b9\u30af \u9045\u767a\u6027\u518d\u767a\u306e\u7279\u5fb4 \u518d\u767a\u90e8\u4f4d\u306e\u50be\u5411\uff08\u9aa8\u3001\u8179\u819c\u3001\u6d88\u5316\u7ba1\u306a\u3069\uff09 \u518d\u767a\u30ea\u30b9\u30af\u8a55\u4fa1\u306e\u65b9\u6cd5 \u4e88\u5f8c \u4ed6\u306e\u4e73\u304c\u3093\u30b5\u30d6\u30bf\u30a4\u30d7\u3068\u306e\u6bd4\u8f03 \u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u4f8b\u306e\u9577\u671f\u4e88\u5f8c \u6700\u65b0\u306e\u7814\u7a76\u3068\u9032\u5c55 \u30b2\u30ce\u30e0\u89e3\u6790\u306b\u3088\u308b\u6cbb\u7642\u6a19\u7684\u306e\u7279\u5b9a \u514d\u75ab\u7642\u6cd5\uff08PD-1\/PD-L1\u963b\u5bb3\u5264\uff09\u306e\u53ef\u80fd\u6027 \u8a3a\u65ad\u7cbe\u5ea6\u5411\u4e0a\u306e\u305f\u3081\u306eAI\u6280\u8853 \u30ea\u30ad\u30c3\u30c9\u30d0\u30a4\u30aa\u30d7\u30b7\u30fc\u306e\u5fdc\u7528 \u9577\u671f\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7 \u5065\u5eb7\u7dad\u6301\u306e\u305f\u3081\u306e\u751f\u6d3b\u7fd2\u6163\u6539\u5584 \u5fc3\u7406\u7684\u30b5\u30dd\u30fc\u30c8\u3068QOL\u5411\u4e0a\u306e\u91cd\u8981\u6027 \u7b2c1\u90e8\uff1a\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\u306e\u6982\u8981\u3068\u7279\u5fb4 1.1\u00a0\u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08ILC\uff09\u3068\u306f \u6d78\u6f64\u6027\u5c0f\u8449\u304c\u3093\uff08Invasive Lobular Carcinoma, 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