{"id":49,"date":"2025-01-12T10:56:57","date_gmt":"2025-01-12T01:56:57","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/?p=49"},"modified":"2025-01-12T13:11:40","modified_gmt":"2025-01-12T04:11:40","slug":"35%e6%ad%b3%e3%81%a7%e4%b9%b3%e7%99%8c%ef%bc%88%e3%83%ab%e3%83%9f%e3%83%8a%e3%83%ab%e3%82%bf%e3%82%a4%e3%83%97%ef%bc%89%e3%81%a8%e8%a8%ba%e6%96%ad%e3%81%95%e3%82%8c%e3%81%9f%e5%a0%b4%e5%90%88%e3%81%ae","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/note\/49","title":{"rendered":"35\u6b73\u3067\u4e73\u764c\uff08\u30eb\u30df\u30ca\u30eb\u30bf\u30a4\u30d7\uff09\u3068\u8a3a\u65ad\u3055\u308c\u305f\u5834\u5408\u306e\u907a\u4f1d\u6027\u306e\u53ef\u80fd\u6027\u3068\u85ac\u7269\u7642\u6cd5\u306e\u5c55\u671b"},"content":{"rendered":"<h4 data-pm-slice=\"1 1 []\">35\u6b73\u3067\u4e73\u764c\uff08\u30eb\u30df\u30ca\u30eb\u30bf\u30a4\u30d7\uff09\u3001T2N0M0 Stage\u2161A\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u6bcd\u308250\u4ee3\u524d\u534a\u3067\u4e73\u764c\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u4ed6\u306f\u4e73\u764c\u3001\u5375\u5de3\u764c\u306e\u5bb6\u65cf\u6b74\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u907a\u4f1d\u6027\u306e\u53ef\u80fd\u6027\u306f\u3069\u306e\u7a0b\u5ea6\u3042\u308a\u307e\u3059\u304b\uff1f\u3000\u307e\u305f\u85ac\u7269\u7642\u6cd5\u306b\u3064\u3044\u3066\u3001\u4eca\u5f8c\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u4e88\u60f3\u3055\u308c\u307e\u3059\u304b\uff1f<\/h4>\n<h3 data-pm-slice=\"1 1 []\">35\u6b73\u3067\u4e73\u764c\uff08\u30eb\u30df\u30ca\u30eb\u30bf\u30a4\u30d7\uff09\u3068\u8a3a\u65ad\u3055\u308c\u305f\u5834\u5408\u306e\u907a\u4f1d\u6027\u306e\u53ef\u80fd\u6027\u3068\u85ac\u7269\u7642\u6cd5\u306e\u5c55\u671b<\/h3>\n<h4>\u907a\u4f1d\u6027\u4e73\u764c\u306e\u53ef\u80fd\u6027\u306b\u3064\u3044\u3066<\/h4>\n<p>35\u6b73\u3067\u4e73\u764c\uff08T2N0M0\u3001Stage\u2161A\uff09\u3068\u8a3a\u65ad\u3055\u308c\u3001\u3055\u3089\u306b\u6bcd\u89aa\u304c50\u4ee3\u524d\u534a\u3067\u4e73\u764c\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u308b\u72b6\u6cc1\u3067\u306f\u3001\u907a\u4f1d\u6027\u4e73\u764c\u306e\u53ef\u80fd\u6027\u3092\u614e\u91cd\u306b\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u305d\u306e\u4ed6\u306e\u5bb6\u65cf\u6b74\uff08\u4e73\u764c\u3084\u5375\u5de3\u764c\uff09\u304c\u306a\u3044\u5834\u5408\u3001\u907a\u4f1d\u6027\u306e\u53ef\u80fd\u6027\u306f\u305d\u308c\u307b\u3069\u9ad8\u304f\u306a\u3044\u3068\u4e88\u60f3\u3055\u308c\u307e\u3059\u3002<\/p>\n<h5>\u907a\u4f1d\u6027\u4e73\u764c\u306e\u7279\u5fb4<\/h5>\n<p>\u907a\u4f1d\u6027\u4e73\u764c\u306f\u3001\u4ee5\u4e0b\u306e\u7279\u5fb4\u3092\u6301\u3064\u5834\u5408\u306b\u7591\u308f\u308c\u307e\u3059\uff1a<\/p>\n<ul data-spread=\"false\">\n<li>\u4e73\u764c\u306e\u767a\u75c7\u304c\u82e5\u5e74\uff0840\u6b73\u4ee5\u4e0b\uff09\u3067\u3042\u308b\u3002<\/li>\n<li>\u5bb6\u7cfb\u5185\u306b\u8907\u6570\u4eba\u306e\u4e73\u764c\u307e\u305f\u306f\u5375\u5de3\u764c\u306e\u60a3\u8005\u304c\u3044\u308b\u3002<\/li>\n<li>\u7537\u6027\u4e73\u764c\u3084\u81b5\u764c\u3001\u524d\u7acb\u817a\u764c\u3092\u542b\u3080\u4ed6\u306e\u764c\u304c\u5bb6\u7cfb\u5185\u306b\u591a\u3044\u3002<\/li>\n<\/ul>\n<p>\u3053\u306e\u3088\u3046\u306a\u7279\u5fb4\u304c\u3042\u308b\u5834\u5408\u3001BRCA1\u3084BRCA2\u306e\u907a\u4f1d\u5b50\u5909\u7570\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u907a\u4f1d\u6027\u4e73\u764c\u5375\u5de3\u764c\u75c7\u5019\u7fa4\uff08HBOC\uff09\u4ee5\u5916\u306b\u3082\u3001PALB2\u3084CHEK2\u306a\u3069\u306e\u907a\u4f1d\u5b50\u5909\u7570\u304c\u95a2\u9023\u3059\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5>\u907a\u4f1d\u6027\u4e73\u764c\u306e\u53ef\u80fd\u6027\u8a55\u4fa1<\/h5>\n<p>\u4eca\u56de\u306e\u30b1\u30fc\u30b9\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u8981\u56e0\u3092\u8003\u616e\u3057\u307e\u3059\uff1a<\/p>\n<ol start=\"1\" data-spread=\"false\">\n<li><strong>\u82e5\u5e74\u767a\u75c7\uff0835\u6b73\uff09<\/strong>\uff1a\u4e73\u764c\u60a3\u8005\u306e\u5e73\u5747\u5e74\u9f62\u3088\u308a\u3082\u82e5\u3044\u767a\u75c7\u3067\u3059\u3002<\/li>\n<li><strong>\u6bcd\u89aa\u306e\u4e73\u764c\u6b74<\/strong>\uff1a\u5bb6\u65cf\u5185\u3067\u8907\u6570\u4eba\u306e\u4e73\u764c\u60a3\u8005\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/li>\n<li><strong>\u305d\u306e\u4ed6\u306e\u5bb6\u65cf\u6b74<\/strong>\uff1a\u5375\u5de3\u764c\u3084\u4ed6\u306e\u764c\u304c\u306a\u3044\u305f\u3081\u3001\u53ef\u80fd\u6027\u306f\u4e2d\u7a0b\u5ea6\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/li>\n<\/ol>\n<h5>\u907a\u4f1d\u5b50\u691c\u67fb\u306e\u5fc5\u8981\u6027<\/h5>\n<p>\u907a\u4f1d\u6027\u4e73\u764c\u306e\u53ef\u80fd\u6027\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u3001\u4ee5\u4e0b\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u3092\u63a8\u5968\u3057\u307e\u3059\uff1a<\/p>\n<ul data-spread=\"false\">\n<li><strong>BRCA1\/BRCA2\u907a\u4f1d\u5b50\u691c\u67fb<\/strong>\uff1a\u967d\u6027\u306e\u5834\u5408\u3001\u4e73\u764c\u518d\u767a\u30ea\u30b9\u30af\u3084\u4e8c\u6b21\u764c\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u305f\u3081\u3001\u6cbb\u7642\u8a08\u753b\u304c\u5909\u66f4\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\uff08\u4fdd\u967a\u9069\u5fdc\u30676\u4e07\u5186\u7a0b\u5ea6\u304c\u691c\u67fb\u4ee3\u306b\u306a\u308a\u307e\u3059\uff09<\/li>\n<li><strong>\u591a\u907a\u4f1d\u5b50\u30d1\u30cd\u30eb\u691c\u67fb<\/strong>\uff1aBRCA\u4ee5\u5916\u306e\u907a\u4f1d\u5b50\u3082\u542b\u3081\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3067\u3001\u30ea\u30b9\u30af\u3092\u7db2\u7f85\u7684\u306b\u628a\u63e1\u3067\u304d\u307e\u3059\u3002\uff08\u81ea\u8cbb\u691c\u67fb\u306720\u4e07\u5186\u524d\u5f8c\u304c\u5fc5\u8981\u3067\u3059\uff09<\/li>\n<\/ul>\n<p><strong>BRCA1\/BRCA2\u907a\u4f1d\u5b50\u691c\u67fb\u306e<\/strong>\u7d50\u679c\u304c\u967d\u6027\u306e\u5834\u5408\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u4e88\u9632\u7684\u63aa\u7f6e\u304c\u63a8\u5968\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n<ul data-spread=\"false\">\n<li>\u4e21\u5074\u4e73\u623f\u306e\u4e88\u9632\u7684\u5207\u9664<\/li>\n<li>\u5375\u5de3\u6458\u51fa\u8853<\/li>\n<li>PARP\u963b\u5bb3\u5264\u306a\u3069\u306e\u6a19\u7684\u6cbb\u7642<\/li>\n<\/ul>\n<p>\u4e00\u65b9\u3067\u3001\u9670\u6027\u306e\u5834\u5408\u3067\u3082\u5bb6\u65cf\u6b74\u3092\u8003\u616e\u3057\u305f\u30ea\u30b9\u30af\u7ba1\u7406\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n<div>\n<hr \/>\n<\/div>\n<h4>\u85ac\u7269\u7642\u6cd5\u306b\u3064\u3044\u3066<\/h4>\n<p>\u30eb\u30df\u30ca\u30eb\u30bf\u30a4\u30d7\u4e73\u764c\uff08\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u3001HER2\u9670\u6027\uff09\u306f\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u6cbb\u7642\u304c\u6a19\u6e96\u7684\u3067\u3059\u3002T2N0M0\uff08Stage\u2161A\uff09\u3067\u306f\u3001\u8853\u5f8c\u88dc\u52a9\u7642\u6cd5\u3068\u3057\u3066\u4ee5\u4e0b\u306e\u6cbb\u7642\u304c\u4e00\u822c\u7684\u306b\u9078\u629e\u3055\u308c\u307e\u3059\u3002<\/p>\n<h5>1. \u30db\u30eb\u30e2\u30f3\u7642\u6cd5<\/h5>\n<p>\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u4e73\u764c\u306e\u57fa\u672c\u7684\u306a\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/p>\n<ul data-spread=\"false\">\n<li><strong>\u9589\u7d4c\u524d\u306e\u5834\u5408<\/strong>\uff1a\n<ul data-spread=\"false\">\n<li><strong>\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3<\/strong>\uff08\u6297\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u85ac\uff09\u3092\u670d\u7528\u3002<\/li>\n<li>\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u3001\u5375\u5de3\u6a5f\u80fd\u6291\u5236\u7642\u6cd5\uff08\u30b4\u30bb\u30ec\u30ea\u30f3\u3084\u30ea\u30e5\u30fc\u30d7\u30ed\u30ec\u30ea\u30f3\uff09\u3092\u4f75\u7528\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u6cbb\u7642\u671f\u9593<\/strong>\uff1a5\u5e74\u201310\u5e74\u3002<\/li>\n<li><strong>\u76ee\u7684<\/strong>\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306e\u4f5c\u7528\u3092\u6291\u3048\u308b\u3053\u3068\u3067\u3001\u518d\u767a\u30ea\u30b9\u30af\u3092\u5927\u5e45\u306b\u4f4e\u4e0b\u3055\u305b\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>2. \u5316\u5b66\u7642\u6cd5<\/h5>\n<p>\u816b\u760d\u306e\u7279\u6027\uff08Ki-67\u6307\u6570\u3001\u816b\u760d\u30b0\u30ec\u30fc\u30c9\u3001\u907a\u4f1d\u5b50\u30d7\u30ed\u30d5\u30a1\u30a4\u30ea\u30f3\u30b0\u691c\u67fb\u306e\u7d50\u679c\u306a\u3069\uff09\u306b\u3088\u3063\u3066\u306f\u3001\u8853\u5f8c\u306b\u5316\u5b66\u7642\u6cd5\u304c\u63a8\u5968\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<ul data-spread=\"false\">\n<li><strong>\u4e3b\u306a\u85ac\u5264<\/strong>\uff1a\n<ul data-spread=\"false\">\n<li>\u30a2\u30f3\u30b9\u30e9\u30b5\u30a4\u30af\u30ea\u30f3\u7cfb\uff08\u30c9\u30ad\u30bd\u30eb\u30d3\u30b7\u30f3\u3001\u30a8\u30d4\u30eb\u30d3\u30b7\u30f3\uff09<\/li>\n<li>\u30bf\u30ad\u30b5\u30f3\u7cfb\uff08\u30d1\u30af\u30ea\u30bf\u30ad\u30bb\u30eb\u3001\u30c9\u30bb\u30bf\u30ad\u30bb\u30eb\uff09<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u9069\u5fdc\u306e\u5224\u65ad\u57fa\u6e96<\/strong>\uff1a\n<ul data-spread=\"false\">\n<li>\u816b\u760d\u304c\u9ad8\u30b0\u30ec\u30fc\u30c9\u307e\u305f\u306fKi-67\u304c\u9ad8\u3044\u5834\u5408\u3001\u5316\u5b66\u7642\u6cd5\u306e\u9069\u5fdc\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>Oncotype DX\uff08\u8cbb\u7528\uff1a14\u4e07\u5186\u7a0b\u5ea6\uff09\u306a\u3069\u306e\u907a\u4f1d\u5b50\u767a\u73fe\u30d7\u30ed\u30d5\u30a1\u30a4\u30ea\u30f3\u30b0\u691c\u67fb\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u691c\u67fb\u3067\u518d\u767a\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3068\u5224\u5b9a\u3055\u308c\u305f\u5834\u5408\u3001\u5316\u5b66\u7642\u6cd5\u304c\u52e7\u3081\u3089\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h5>3. \u653e\u5c04\u7dda\u7642\u6cd5<\/h5>\n<ul data-spread=\"false\">\n<li><strong>\u9069\u5fdc<\/strong>\uff1a\u4e73\u623f\u6e29\u5b58\u8853\u3092\u53d7\u3051\u305f\u5834\u5408\u306b\u306f\u5fc5\u9808\u3002<\/li>\n<li><strong>\u76ee\u7684<\/strong>\uff1a\u5c40\u6240\u518d\u767a\u3092\u9632\u6b62\u3059\u308b\u3002<\/li>\n<\/ul>\n<h5>4. \u5375\u5de3\u6a5f\u80fd\u6291\u5236\u7642\u6cd5<\/h5>\n<p>\u9589\u7d4c\u524d\u5973\u6027\u3067\u306f\u3001\u5375\u5de3\u304b\u3089\u5206\u6ccc\u3055\u308c\u308b\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3092\u6291\u5236\u3059\u308b\u3053\u3068\u3067\u6cbb\u7642\u52b9\u679c\u3092\u9ad8\u3081\u308b\u65b9\u6cd5\u3067\u3059\u3002<\/p>\n<ul data-spread=\"false\">\n<li><strong>\u85ac\u5264<\/strong>\uff1a\u30b4\u30bb\u30ec\u30ea\u30f3\u3084\u30ea\u30e5\u30fc\u30d7\u30ed\u30ec\u30ea\u30f3\u3002<\/li>\n<li><strong>\u4f75\u7528\u7642\u6cd5<\/strong>\uff1a\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u307e\u305f\u306f\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u5264\uff08AI\uff09\u3068\u4f75\u7528\u3059\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h5>5. \u5206\u5b50\u6a19\u7684\u7642\u6cd5<\/h5>\n<p>\u30eb\u30df\u30ca\u30eb\u30bf\u30a4\u30d7\u3067HER2\u9670\u6027\u306e\u305f\u3081\u3001HER2\u963b\u5bb3\u85ac\uff08\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u306a\u3069\uff09\u306f\u9069\u5fdc\u5916\u3067\u3059\u3002\u8853\u5f8c\u306b\u30a2\u30d9\u30de\u30b7\u30af\u30ea\u30d6\u306e\u5185\u670d\u304c\u9069\u5fdc\u306b\u306a\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<div>\n<hr 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