{"id":53,"date":"2025-11-03T10:33:28","date_gmt":"2025-11-03T01:33:28","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/?p=53"},"modified":"2025-11-03T11:44:03","modified_gmt":"2025-11-03T02:44:03","slug":"30%e4%bb%a3%e3%80%8140%e4%bb%a3%e5%a5%b3%e6%80%a7%e3%81%ae%e9%9d%9e%e6%b5%b8%e6%bd%a4%e6%80%a7%e4%b9%b3%e3%81%8c%e3%82%93%e3%81%ae%e6%b2%bb%e7%99%82%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6%e3%80%80","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/note\/53","title":{"rendered":"30\u4ee3\u300140\u4ee3\u5973\u6027\u306e\u975e\u6d78\u6f64\u6027\u4e73\u304c\u3093\u306e\u6cbb\u7642\u306b\u3064\u3044\u3066\u3000\uff08\u8cea\u7591 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style=\"width: 253px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.tokyo-breast-clinic.jp\/exclusive\/wp-content\/uploads\/sites\/4\/2018\/08\/DCIS-HE-300x225.jpg\" alt=\"\u975e\u6d78\u6f64\u6027\u4e73\u7ba1\u764c\" width=\"243\" height=\"182\" \/><p class=\"wp-caption-text\">\u975e\u6d78\u6f64\u6027\u4e73\u7ba1\u764c<\/p><\/div>\n<h4><strong>2) <\/strong><strong>\u624b\u8853\u8853\u5f0f\u306e\u9078\u629e\u80a2\uff08\u4e73\u623f\u30fb\u814b\u7aa9\uff09<\/strong><\/h4>\n<p><strong>\u4e73\u623f\u5074<\/strong><\/p>\n<ul>\n<li><strong>\u4e73\u623f\u6e29\u5b58\u624b\u8853\uff08\u90e8\u5206\u5207\u9664\uff09\uff0b\u8853\u5f8c\u653e\u5c04\u7dda<\/strong>\uff1aDCIS\u3067\u6700\u3082\u6a19\u6e96\u7684\u3002\u6574\u5bb9\u6027\u3068\u5c40\u6240\u5236\u5fa1\u306e\u30d0\u30e9\u30f3\u30b9\u826f\u597d\u3002\n<ul>\n<li>\u76ee\u6a19\u306f<strong>\u9670\u6027\u65ad\u7aef\uff08\u4e00\u822c\u306b2mm\u4ee5\u4e0a\u304c\u63a8\u5968\u306e\u76ee\u5b89\uff09<\/strong>\u3002\u65ad\u7aef\u304c\u8fd1\u63a5\/\u967d\u6027\u306a\u3089**\u8ffd\u52a0\u5165\u7dda\uff08re-excision\uff09**\u3092\u691c\u8a0e\u3002<\/li>\n<li>\u5e83\u7bc4\u56f2\u30fb\u591a\u767a\u30fb\u4e73\u8f2a\u76f4\u4e0b\u5e83\u304c\u308a\u7b49\u3067\u306f\u6e29\u5b58\u304c\u96e3\u3057\u304f\u3001<strong>\u5168\u6458<\/strong>\u304c\u73fe\u5b9f\u7684\u306a\u5834\u5408\u3042\u308a\u3002<\/li>\n<\/ul>\n<\/li>\n<li><strong>\u4e73\u623f\u5168\u5207\u9664\uff08\u76ae\u819a\u6e29\u5b58\/\u4e73\u982d\u6e29\u5b58\u3092\u542b\u3080\uff09\uff0b\u518d\u5efa<\/strong>\uff1a\n<ul>\n<li>\u75c5\u5909\u304c\u5e83\u3044\u3001\u5e83\u304f\u6563\u5728\u3001\u518d\u767a\u4f8b\u3001\u6574\u5bb9\u6027\u78ba\u4fdd\u304c\u56f0\u96e3\u3001\u653e\u5c04\u7dda\u56de\u907f\u5e0c\u671b\u306a\u3069\u3067\u9078\u629e\u3002<\/li>\n<li>\u540c\u6642\u518d\u5efa\u306f<strong>\u30c6\u30a3\u30c3\u30b7\u30e5\u30a8\u30ad\u30b9\u30d1\u30f3\u30c0\u30fc\u2192\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8<\/strong>\u3001\u307e\u305f\u306f<strong>\u81ea\u5bb6\u7d44\u7e54\u518d\u5efa<\/strong>\uff08\u5e83\u80cc\u7b4b\u76ae\u5f01\u7b49\uff09\u3002\u4e73\u982d\u6e29\u5b58\u306f\u816b\u760d\u304b\u3089\u306e\u8ddd\u96e2\u30fb\u75c5\u7406\u3092\u614e\u91cd\u8a55\u4fa1\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>\u814b\u7aa9\u5074\uff08\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c, SLNB\uff09<\/strong><\/p>\n<ul>\n<li>DCIS\u5358\u72ec\u306a\u3089<strong>\u539f\u5247\u4e0d\u8981<\/strong>\u3002\u305f\u3060\u3057\n<ul>\n<li><strong>\u5168\u6458\u3092\u884c\u3046\u5834\u5408<\/strong>\uff08\u5f8c\u304b\u3089SLNB\u304c\u3067\u304d\u306a\u304f\u306a\u308b\u305f\u3081\u306e\u4fdd\u967a\uff09<\/li>\n<li><strong>\u5fae\u5c0f\u6d78\u6f64\u304c\u5f37\u304f\u7591\u308f\u308c\u308b\u5834\u5408<\/strong>\u3001\u5927\u75c5\u5909\u30fb\u9ad8\u30b0\u30ec\u30fc\u30c9\u30fb\u5e83\u7bc4\u58ca\u6b7b\u3001\u30de\u30b9\u5f62\u6210\u306a\u3069<br \/>\n\u3067\u306f<strong>\u540c\u6642\u306bSLNB\u3092\u65bd\u884c<\/strong>\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u6e29\u5b58\u3067DCIS\u78ba\u5b9a\u306a\u3089\u7701\u7565\u53ef\u80fd\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong>3) <\/strong><strong>\u8853\u5f8c\u6cbb\u7642\u306e\u898b\u901a\u3057<\/strong><\/h4>\n<p><strong>\u653e\u5c04\u7dda\u6cbb\u7642\uff08RT\uff09<\/strong><\/p>\n<ul>\n<li>\u4e73\u623f\u6e29\u5b58\u5f8c\u306f<strong>\u5168\u4e73\u623f\u7167\u5c04<\/strong>\u304c\u6a19\u6e96\u3002\u5c40\u6240\u518d\u767a\uff08\u7279\u306b\u6d78\u6f64\u518d\u767a\uff09\u3092\u6709\u610f\u306b\u6e1b\u3089\u3057\u307e\u3059\u3002<\/li>\n<li>\u5206\u5272\u306f<strong>\u4f4e\u5206\u5272\uff083\u301c4\u9031\u9593\u7a0b\u5ea6\uff09\u304c\u4e3b\u6d41\u3002\u9ad8\u30ea\u30b9\u30af\uff08\u82e5\u5e74\u3001\u9ad8\u30b0\u30ec\u30fc\u30c9\u3001\u65ad\u7aef\u8fd1\u63a5\u306a\u3069\uff09\u3067\u306f\u30d6\u30fc\u30b9\u30c8\u7167\u5c04<\/strong>\u3092\u8ffd\u52a0\u691c\u8a0e\u3002<\/li>\n<li>\u5168\u6458\u4f8b\u3067\u306f<strong>\u901a\u5e38RT\u4e0d\u8981<\/strong>\u3067\u3059\u304c\u3001\u5207\u9664\u65ad\u7aef\u967d\u6027\u30fb\u80f8\u58c1\u30cf\u30a4\u30ea\u30b9\u30af\u7b49\u3067\u306f\u500b\u5225\u306b\u691c\u8a0e\u3002<\/li>\n<\/ul>\n<p><strong>\u5185\u5206\u6ccc\u7642\u6cd5<\/strong><\/p>\n<ul>\n<li><strong>ER<\/strong><strong>\u967d\u6027DCIS<\/strong>\u3067\u306f\u3001<strong>\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3<\/strong>\uff08\u9589\u7d4c\u524d\/\u5f8c\uff09\u307e\u305f\u306f<strong>\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u85ac<\/strong>\uff08\u9589\u7d4c\u5f8c\uff09\u3092\u691c\u8a0e\u3002\u76ee\u7684\u306f<strong>\u540c\u5074\u30fb\u5bfe\u5074\u306e\u65b0\u898f\u75c5\u5909\/\u518d\u767a\u4e88\u9632<\/strong>\u3002<\/li>\n<li>\u82e5\u5e74\u4f8b\u3067\u306f\u526f\u4f5c\u7528\uff08\u8840\u6813\u3001\u5185\u819c\u3001\u307b\u3066\u308a\u3001\u6708\u7d4c\u30fb\u598a\u5b55\u6027\u3078\u306e\u914d\u616e\uff09\u3092\u8aac\u660e\u3057\u3001<strong>\u5e0c\u671b\u3084\u30e9\u30a4\u30d5\u30d7\u30e9\u30f3<\/strong>\u306b\u5408\u308f\u305b\u3066\u6c7a\u5b9a\u3002<\/li>\n<\/ul>\n<p><strong>\u5316\u5b66\u7642\u6cd5<\/strong><\/p>\n<ul>\n<li><strong>DCIS<\/strong><strong>\u5358\u72ec\u306b\u306f\u4e0d\u8981<\/strong>\u3002\u6d78\u6f64\u6210\u5206\u304c\u51fa\u73fe\u3057\u3001\u6d78\u6f64\u764c\u3068\u3057\u3066\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u5834\u5408\u306e\u307f\u5225\u9014\u691c\u8a0e\u3002<\/li>\n<\/ul>\n<p><strong>\u81e8\u5e8a\u8a66\u9a13\/\u7d4c\u904e\u89b3\u5bdf\u306e\u9078\u629e\u80a2<\/strong><\/p>\n<ul>\n<li>\u4f4e\u30ea\u30b9\u30afDCIS\u306e<strong>\u6cbb\u7642\u4f4e\u6e1b<\/strong>\uff08\u653e\u5c04\u7dda\u7701\u7565\u3084\u76e3\u8996\uff09\u3092\u691c\u8a3c\u3059\u308b\u8a66\u9a13\u304c\u9032\u884c\u4e2d\u3067\u3059\u304c\u3001<strong>\u73fe\u6642\u70b9\u306e\u6a19\u6e96\u306f\u6e29\u5b58\uff0bRT<\/strong>\uff08ER+\u306a\u3089\u5185\u5206\u6ccc\u8ffd\u52a0\uff09\u3067\u3059\u3002\u6cbb\u7642\u7701\u7565\u306f<strong>\u81e8\u5e8a\u8a66\u9a13\u4e0b<\/strong>\u3084\u53b3\u5bc6\u306a\u9078\u5225\u3067\u3002<\/li>\n<\/ul>\n<h4><strong>4) <\/strong><strong>\u4e88\u5f8c\u306e\u898b\u901a\u3057<\/strong><\/h4>\n<ul>\n<li>DCIS\u306f<strong>\u9060\u9694\u8ee2\u79fb\u3092\u8d77\u3053\u3055\u306a\u3044\u6bb5\u968e<\/strong>\u306e\u4e73\u7ba1\u5185\u75c5\u5909\u3067\u3001<strong>\u4e73\u764c\u7279\u7570\u7684\u751f\u5b58\u7387\u306f\u6975\u3081\u3066\u9ad8\u304f\uff08\u7d0498\u201399%\uff09<\/strong>\u3002<\/li>\n<li>\u8ab2\u984c\u306f<strong>\u5c40\u6240\u518d\u767a<\/strong>\uff08\u540c\u5074\u518d\u767a\uff09\u3002\u7121\u6cbb\u7642\u30fb\u653e\u5c04\u7dda\u7701\u7565\u3067\u306f<strong>10\u201320%\u7a0b\u5ea6<\/strong>\u304c\u5831\u544a\u3055\u308c\u3001<strong>\u653e\u5c04\u7dda\u8ffd\u52a0\u3067\u7d04\u534a\u6e1b<\/strong>\u3002\u3055\u3089\u306bER\u967d\u6027\u3067\u5185\u5206\u6ccc\u7642\u6cd5\u3092\u52a0\u3048\u308b\u3068<strong>\u540c\u5074\u30fb\u5bfe\u5074\u518d\u767a\u3068\u3082\u306b\u8ffd\u52a0\u3067\u4f4e\u6e1b<\/strong>\u3057\u307e\u3059\u3002<\/li>\n<li><strong>\u82e5\u5e74\uff08\u226450\u6b73\uff09\u30fb\u9ad8\u30b0\u30ec\u30fc\u30c9\u30fb\u58ca\u6b7b\u3042\u308a\u30fb\u5927\u304d\u3044\u75c5\u5909\u30fb\u65ad\u7aef\u8fd1\u63a5\/\u967d\u6027<\/strong>\u306f\u518d\u767a\u30ea\u30b9\u30af\u304c\u9ad8\u3081\u3002\u9006\u306b\u5c0f\u75c5\u5909\u30fb\u4f4e\u30b0\u30ec\u30fc\u30c9\u30fb\u660e\u77ad\u306a\u9670\u6027\u65ad\u7aef\u3067\u306f\u30ea\u30b9\u30af\u306f\u4f4e\u304f\u4fdd\u3066\u307e\u3059\u3002<\/li>\n<li>\u5168\u6458\u306e\u5c40\u6240\u518d\u767a\u7387\u306f\u4f4e\u3044\u4e00\u65b9\u3067\u3001<strong>\u4e21\u5074\u767a\u75c7\u30ea\u30b9\u30af\u3084\u9577\u671f\u6574\u5bb9\u30fb\u611f\u899a<\/strong>\u3068\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u7dcf\u5408\u5224\u65ad\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4><strong>5) <\/strong><strong>\u8853\u5f8c\u30d5\u30a9\u30ed\u30fc\u3068\u751f\u6d3b\u9762<\/strong><\/h4>\n<ul>\n<li><strong>\u30d5\u30a9\u30ed\u30fc<\/strong>\uff1a\u8a3a\u5bdf\u30fb\u8996\u89e6\u8a3a\u3001<strong>\u5e741\u56de\u30de\u30f3\u30e2<\/strong>\uff08\u4e73\u817a\u6fc3\u5ea6\u3084\u5e74\u9f62\u3067US\u4f75\u7528\uff09\u3092\u57fa\u672c\u306b\u3001\u8853\u5f8c1\u20132\u5e74\u306f\u77ed\u3081\u9593\u9694\u3067\u958b\u59cb\u3002<\/li>\n<li><strong>\u598a\u5a20\/\u6388\u4e73<\/strong>\uff1a\u5c06\u6765\u7684\u306a\u598a\u5a20\u306f\u53ef\u80fd\u3002\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u5185\u670d\u4e2d\u306f<strong>\u78ba\u5b9f\u306a\u907f\u598a<\/strong>\u304c\u5fc5\u8981\u3067\u3001\u598a\u5a20\u5e0c\u671b\u306f\u4e3b\u6cbb\u533b\u3068<strong>\u6cbb\u7642\u671f\u9593\u3084\u4f11\u85ac\u6642\u671f<\/strong>\u3092\u4e8b\u524d\u306b\u76f8\u8ac7\u3002<\/li>\n<li><strong>\u6574\u5bb9\u6027<\/strong>\uff1a\u6e29\u5b58\u3067\u306f\u5207\u9664\u7bc4\u56f2\u3068\u653e\u5c04\u7dda\u3067\u5f62\u614b\u5909\u5316\u304c\u3042\u308a\u5f97\u307e\u3059\u3002\u5f62\u6210\u5916\u79d1\u7684\u624b\u6280\uff08\u30aa\u30f3\u30b3\u30d7\u30e9\u30b9\u30c6\u30a3\u30c3\u30af\uff09\u3067\u6574\u5bb9\u6027\u6539\u5584\u304c\u53ef\u80fd\u3002<\/li>\n<\/ul>\n<h4><strong>\u307e\u3068\u3081\uff08\u5b9f\u884c\u30d7\u30e9\u30f3\u306e\u4e00\u4f8b\uff09<\/strong><\/h4>\n<ol>\n<li><strong>\u4e73\u623fMRI<\/strong>\u3067\u5e83\u304c\u308a\u6700\u7d42\u8a55\u4fa1 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50\u6b73\u4ee5\u4e0b\u306e\u5973\u6027\u3067\u975e\u6d78\u6f64\u6027\u4e73\u7ba1\u764c\uff08DCIS\uff09\u3067\u4e73\u623f\u6e29\u5b58\uff08BCT\uff09\u304c\u8996\u91ce\u306b\u5165\u3063\u3066\u3044\u308b\u65b9\u306b\u5411\u3051\u3066\u3001\u73fe\u6642\u70b9\u3067\u8003\u3048\u308b\u3079\u304d\u8ffd\u52a0\u691c\u67fb\u3001\u624b\u8853\u306e\u9078\u629e\u80a2\u3001\u8853\u5f8c\u6cbb\u7642\u306e\u898b\u901a\u3057\u3001\u4e88\u5f8c\u3092\u8981\u70b9\u6574\u7406\u3067\u307e\u3068\u3081\u307e\u3059\u3002 1) \u8ffd\u52a0\u3067\u691c\u8a0e\u3059\u3079\u304d\u691c\u67fb \u75c5\u5909\u306e\u5e83\u304c\u308a\u8a55\u4fa1 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