{"id":56,"date":"2025-11-03T11:42:48","date_gmt":"2025-11-03T02:42:48","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/?p=56"},"modified":"2025-11-03T11:42:48","modified_gmt":"2025-11-03T02:42:48","slug":"37%e6%ad%b3%e5%a5%b3%e6%80%a7%e3%80%80stage%e2%85%b1a%e3%80%80her2%e9%99%bd%e6%80%a7%e3%82%bf%e3%82%a4%e3%83%97%e3%81%ae%e4%b9%b3%e3%81%8c%e3%82%93%e3%81%ae%e6%b2%bb%e7%99%82%e3%81%ab%e3%81%a4","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/note\/56","title":{"rendered":"37\u6b73\u5973\u6027\u3000Stage\u2161A\u3000HER2\u967d\u6027\u30bf\u30a4\u30d7\u306e\u4e73\u304c\u3093\u306e\u6cbb\u7642\u306b\u3064\u3044\u3066\uff08\u8cea\u75911-2)"},"content":{"rendered":"

37\u6b73\u5973\u6027\u3001T2N0M0 Stage\u2161A, HER2\u967d\u6027\u30bf\u30a4\u30d7\u306e\u4e73\u764c\uff08ER- PgR- HER2(3+))\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u8853\u524d\u85ac\u7269\u7642\u6cd5\u304c\u5fc5\u81f3\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u5c06\u6765\u306e\u598a\u5a20\u5e0c\u671b\u304c\u3042\u308a\u307e\u3059\u3002\u8853\u524d\u3001\u8853\u5f8c\u306e\u85ac\u7269\u7642\u6cd5\u306e\u4e88\u60f3\u3055\u308c\u308b\u5185\u5bb9\u3001\u598a\u5b55\u6027\u6e29\u5b58\u3001\u982d\u76ae\u51b7\u5374\u7642\u6cd5\u3082\u542b\u3081\u3066\u3001\u4eca\u5f8c\u306e\u6cbb\u7642\u5185\u5bb9\u3001\u4e88\u60f3\u3055\u308c\u308b\u4e88\u5f8c\u306b\u3064\u3044\u3066\u307e\u3068\u3081\u3066\u4e0b\u3055\u3044\u3002<\/h3>\n

\u00a0<\/strong>\u4ee5\u4e0b\u306f\u3001\u73fe\u5728\u5f97\u3089\u308c\u3066\u3044\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u3082\u3068\u3065\u304f\u300cHER2\u967d\u6027\uff08ER\u9670\u6027\uff0fPgR\u9670\u6027\uff09T2N0M0\u30fbStage\u2161A\u300137\u6b73\u3001\u8853\u524d\u85ac\u7269\u7642\u6cd5\u3092\u4e88\u5b9a\u300d\u30b1\u30fc\u30b9\u306e\u6a19\u6e96\u7684\u306a\u6d41\u308c\u3068\u30dd\u30a4\u30f3\u30c8\u306e\u6574\u7406\u3092\u3057\u307e\u3057\u305f\u3002<\/p>\n

1) <\/strong>\u8853\u524d\uff08\u30cd\u30aa\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\uff09\u6cbb\u7642\u306e\u57fa\u672c<\/strong><\/h4>\n

\u76ee\u7684\u306f\u816b\u760d\u7e2e\u5c0f\u3068pCR\uff08\u75c5\u7406\u5b66\u7684\u5b8c\u5168\u594f\u52b9\uff09\u9054\u6210\u3067\u3059\u3002HER2\u4e8c\u91cd\u6a19\u7684\u7642\u6cd5\uff08\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\uff0b\u30da\u30eb\u30c4\u30ba\u30de\u30d6\uff1aH+P\uff09\u306b\u30bf\u30ad\u30b5\u30f3\u7cfb\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u5316\u5b66\u7642\u6cd5\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u306e\u304c\u6a19\u6e96\u3067\u3059\u3002\u4ee3\u8868\u4f8b\u306f<\/p>\n

    \n
  • TCHP<\/strong>\uff1a\u30c9\u30bb\u30bf\u30ad\u30bb\u30eb\uff0b\u30ab\u30eb\u30dc\u30d7\u30e9\u30c1\u30f3\uff0bH+P\u30923\u9031\u6bce\u00d76\u30b3\u30fc\u30b9
    \npCR\u7387\u306f4\u301c6\u5272\u53f0\u304c\u5831\u544a\u3055\u308c\u3001\u4e8c\u91cd\u6a19\u7684\u7642\u6cd5\u4f75\u7528\u3067\u7279\u306b\u9ad8\u307e\u308a\u307e\u3059\u3002pCR\u3092\u5f97\u3089\u308c\u305f\u7fa4\u306f\u9577\u671f\u6210\u7e3e\u304c\u826f\u597d\u3067\u3059\u3002<\/li>\n<\/ul>\n

    \u6cbb\u7642\u4e2d\u306f**\u5fc3\u6a5f\u80fd\uff08LVEF\uff09**\u306e\u5b9a\u671f\u30c1\u30a7\u30c3\u30af\uff08\u5fc3\u30a8\u30b3\u30fc\u7b49\uff09\u3092\u884c\u3044\u307e\u3059\u3002H\u7cfb\u85ac\u5264\u306e\u5fc3\u6bd2\u6027\u5bfe\u7b56\u3068\u3057\u3066\u91cd\u8981\u3067\u3059\uff08\u88fd\u54c1\u60c5\u5831\u306e\u6ce8\u610f\u306b\u6e96\u62e0\uff09\u3002<\/p>\n

    2) <\/strong>\u624b\u8853\u3068\u8853\u5f8c\uff08\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\uff09\u6cbb\u7642<\/strong><\/h4>\n
      \n
    • pCR<\/strong>\u9054\u6210\u6642\uff08\u6d78\u6f64\u764c\u6b8b\u5b58\u306a\u3057\uff09<\/strong>
      \n\u8853\u5f8c\u306fH+P\u3042\u308b\u3044\u306fH\u5358\u5264<\/strong>\u3092\u7d99\u7d9a\u3057\u3001\u901a\u7b971\u5e74\u9593<\/strong>\u306e\u6297HER2\u7642\u6cd5\u5b8c\u9042\u304c\u57fa\u672c\u3067\u3059\u3002N0\u75c7\u4f8b\u3067\u306fH\u5358\u5264\u3067\u5b8c\u9042\u3059\u308b\u65bd\u8a2d\u3082\u3042\u308a\u307e\u3059\u304c\u3001pCR\u3067\u3082H+P\u7d99\u7d9a\u3092\u9078\u3076\u65bd\u8a2d\u3082\u3042\u308a\u307e\u3059\uff08\u65bd\u8a2d\u65b9\u91dd\u306b\u4f9d\u5b58\uff09\u3002<\/li>\n
    • \u6b8b\u5b58\u6d78\u6f64\u764c\u3042\u308a<\/strong>
      \nT-DM1\uff08\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6 \u30a8\u30e0\u30bf\u30f3\u30b7\u30f3\uff09\u3078\u5207\u66ff\u3048\u300114\u30b3\u30fc\u30b9\u304c\u6a19\u6e96\u3002KATHERINE\u8a66\u9a13\u3067\u4fb5\u8972\u6027\u518d\u767a\u30fb\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u7d0450%\u4f4e\u6e1b<\/strong>\u3057\u307e\u3057\u305f\uff08\u9577\u671f\u8ffd\u8de1\u3067\u3082\u512a\u8d8a\u6027\u6301\u7d9a\uff09\u3002<\/li>\n<\/ul>\n

      \u203b\u30ea\u30f3\u30d1\u7bc0\u967d\u6027\u9ad8\u30ea\u30b9\u30af\u3067\u306f\u3001APHINITY\u8a66\u9a13\u306b\u3088\u308a\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\u306eH+P\u8ffd\u52a0\u304c\u9577\u671f\u3067OS\u6539\u5584<\/strong>\u3092\u793a\u3057\u307e\u3057\u305f\uff08\u8853\u524d\u8853\u5f8c\u306e\u5168\u4f53\u6226\u7565\u3092\u8003\u3048\u308b\u8cc7\u6599\uff09\u3002\u672c\u75c7\u4f8b\u306fN0\u3067\u3059\u304c\u3001\u4e8c\u91cd\u6a19\u7684\u306e\u4fa1\u5024\u3092\u793a\u3059\u6839\u62e0\u3068\u3057\u3066\u6319\u3052\u307e\u3059\u3002<\/p>\n

      3) <\/strong>\u653e\u5c04\u7dda\u6cbb\u7642<\/strong><\/h4>\n
        \n
      • \u4e73\u623f\u6e29\u5b58<\/strong>\u306a\u3089\u5168\u4e73\u623f\u7167\u5c04\u304c\u57fa\u672c\u3002<\/li>\n
      • \u5168\u6458\uff0bN0<\/strong>\u3067\u816b\u760d\u5f84T2\u306e\u5834\u5408\u3001\u8853\u5f8c\u7167\u5c04\u306f\u591a\u304f\u306e\u65bd\u8a2d\u3067\u539f\u5247\u4e0d\u8981<\/strong>\u3067\u3059\u304c\u3001\u65ad\u7aef\u72b6\u6cc1\u30fb\u75c5\u7406\u6240\u898b\u3067\u500b\u5225\u5224\u65ad\u3002<\/li>\n<\/ul>\n

        4) <\/strong>\u4e88\u5f8c\u306e\u898b\u901a\u3057<\/strong><\/h4>\n

        HER2\u967d\u6027\u3067\u3082\u4e8c\u91cd\u6a19\u7684\uff0b\u9069\u5207\u306a\u30d1\u30b9\u30cd\u30aa\u6226\u7565\u306b\u3088\u308a\u518d\u767a\u30ea\u30b9\u30af\u306f\u5927\u5e45\u306b\u4f4e\u4e0b<\/strong>\u3002pCR\u9054\u6210\u4f8b\u3067\u306f5\u5e74DFS\u304c90\uff05\u524d\u5f8c<\/strong>\u3068\u826f\u597d\u3067\u3059\u3002\u6b8b\u5b58\u3042\u308a\u3067\u3082T-DM1\u3067\u3055\u3089\u306a\u308b\u518d\u767a\u6291\u5236\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n

        5) <\/strong>\u598a\u5b55\u6027\u6e29\u5b58\u3068\u598a\u5a20\u306e\u30bf\u30a4\u30df\u30f3\u30b0<\/strong><\/h4>\n

        \u958b\u59cb\u524d<\/strong>\u306b\u30ea\u30d7\u30ed\u5916\u6765\u3078\u3000\u81f3\u6025\u7d39\u4ecb<\/strong>\u304c\u91cd\u8981\u3002\u6a19\u6e96\u306f<\/p>\n

          \n
        • \u80da\u51cd\u7d50\uff0f\u672a\u53d7\u7cbe\u5375\uff08\u5375\u5b50\uff09\u51cd\u7d50<\/strong>\uff1a\u6708\u7d4c\u5468\u671f\u306b\u304b\u304b\u308f\u3089\u305a\u300c\u30e9\u30f3\u30c0\u30e0\u30b9\u30bf\u30fc\u30c8\u523a\u6fc0\u300d\u3067\u591a\u304f\u306f2\u9031\u9593\u5f31<\/strong>\u3067\u5b9f\u65bd\u53ef\u80fd\u3002\u56fd\u969b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3082\u6700\u6709\u529b\u3067\u3059\u3002<\/li>\n
        • \u5375\u5de3\u7d44\u7e54\u51cd\u7d50<\/strong>\uff1a\u63a1\u5375\u304c\u96e3\u3057\u3044\u5834\u5408\u306e\u9078\u629e\u80a2\u3068\u3057\u3066\u666e\u53ca\u304c\u9032\u5c55\u3002<\/li>\n<\/ul>\n

          \u5316\u5b66\u7642\u6cd5\u4e2d\u306eGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\uff08\u4f8b\uff1a\u30b4\u30bb\u30ec\u30ea\u30f3\uff09\u4f75\u7528<\/strong>\u306f\u3001\u65e9\u671f\u9589\u7d4c\u30ea\u30b9\u30af\u4f4e\u6e1b\u3068\u598a\u5a20\u7387\u5411\u4e0a<\/strong>\u3092\u793a\u3057\uff08\u7279\u306b\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u9670\u6027\u7fa4\u3067\u6709\u52b9\u6027\u304c\u660e\u78ba\uff09\u3001\u751f\u5b58\u306b\u60aa\u5f71\u97ff\u3092\u4e0e\u3048\u306a\u3044<\/strong>\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u78ba\u7acb\u6cd5\uff08\u51cd\u7d50\uff09\u3092\u7f6e\u304d\u63db\u3048\u308b\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u4f75\u7528\u3067\u4e0a\u4e57\u305b<\/strong>\u3059\u308b\u767a\u60f3\u3067\u3059\u3002<\/p>\n

          \u907f\u598a\u671f\u9593<\/strong>\uff1a\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\uff0f\u30da\u30eb\u30c4\u30ba\u30de\u30d6\uff0fT-DM1\/\u30c8\u30e9\u30b9\u30c8\u30a5\u30ba\u30de\u30d6 \u30c7\u30eb\u30af\u30b9\u30c6\u30ab\u30f3\u7b49\u306e\u6297HER2\u85ac\u306f\u598a\u5a20\u7981\u5fcc<\/strong>\u3002\u6cbb\u7642\u4e2d\u3068\u6700\u7d42\u6295\u4e0e\u5f8c\u5c11\u306a\u304f\u3068\u30827\u304b\u6708<\/strong>\u306f\u907f\u598a\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\uff08\u4e3b\u8981\u30ec\u30fc\u30d9\u30eb\u30fb\u516c\u5b9a\u8cc7\u6599\uff09\u3002\u3088\u3063\u3066\u3001\u598a\u5a20\u306f\u8853\u5f8c\u306e\u6297HER2\u7642\u6cd5\u5b8c\u9042\u304b\u3089\u22657\u304b\u6708\u4ee5\u964d<\/strong>\u306b\u691c\u8a0e\u304c\u5b89\u5168\u3067\u3059\u3002<\/p>\n

          6) <\/strong>\u982d\u76ae\u51b7\u5374\uff08\u8131\u6bdb\u4e88\u9632\uff09<\/strong><\/h4>\n

          \u56fa\u5f62\u816b\u760d\u306e\u5316\u5b66\u7642\u6cd5\u3067\u306f\u5b9f\u65bd\u53ef<\/strong>\u3002NCCN\u3067\u3082\u300c\u8003\u616e\u300d\u63a8\u5968\u304c\u8a18\u8f09\u3055\u308c\u3001\u6709\u5bb3\u4e8b\u8c61\u306f\u591a\u304f\u304c\u8efd\u5ea6\uff08\u5bd2\u51b7\u611f\u30fb\u982d\u75db\u306a\u3069\uff09<\/strong>\u3002\u9020\u8840\u5668\u816b\u760d\u306a\u3069\u7981\u5fcc\u9818\u57df<\/strong>\u304c\u3042\u308b\u70b9\u306b\u7559\u610f\u3002\u5ef6\u9577\u51b7\u5374\u306f\u6709\u52b9\u6027\u3092\u5fc5\u305a\u3057\u3082\u9ad8\u3081\u306a\u3044<\/strong>\u3068\u3044\u3046\u30c7\u30fc\u30bf\u3082\u3042\u308a\u307e\u3059\u3002\u5c0e\u5165\u53ef\u5426\u3084\u88c5\u7f6e\uff08\u30ad\u30e3\u30c3\u30d7\uff09\u9078\u629e\u3001\u81ea\u5df1\u8ca0\u62c5\u306e\u6709\u7121\u3092\u65bd\u8a2d\u3067\u78ba\u8a8d\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n

          7) <\/strong>\u4ee3\u8868\u7684\u306a\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u4f8b\uff08\u76ee\u5b89\uff09<\/strong><\/h4>\n
            \n
          1. \u598a\u5b55\u6027\u6e29\u5b58<\/strong>\uff1a\u8a3a\u65ad\u76f4\u5f8c\u301c2\u9031\u9593\u7a0b\u5ea6<\/strong>\u3067\u63a1\u5375\u30fb\u51cd\u7d50\uff08\u53ef\u80fd\u306a\u3089\uff09\u3002\u540c\u6642\u306bGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u958b\u59cb<\/strong>\u3002<\/li>\n
          2. \u8853\u524dTCHP\u00d76<\/strong>\uff08\u7d044.5\u304b\u6708\uff09\u2192\u753b\u50cf\u518d\u8a55\u4fa1<\/strong><\/li>\n
          3. \u4e73\u623f\u624b\u8853<\/strong>\uff08\u6e29\u5b58\u307e\u305f\u306f\u5168\u6458\uff0bSLNB\uff09<\/li>\n
          4. \u75c5\u7406\u7d50\u679c\u3067\u5206\u5c90<\/strong>
            \n\u30fbpCR\u2192H\u00b1P<\/strong>\u3067\u7dcf\u6cbb\u76421\u5e74\u306b\u5230\u9054<\/strong>
            \n\u30fb\u6b8b\u5b58\u2192T-DM1\u00d714<\/strong><\/li>\n
          5. \u653e\u5c04\u7dda<\/strong>\uff1a\u6e29\u5b58\u306a\u3089\u65bd\u884c\uff0f\u5168\u6458N0\u306f\u539f\u5247\u4e0d\u8981\uff08\u500b\u5225\u5224\u65ad\uff09<\/li>\n
          6. \u5b8c\u9042\u5f8c<\/strong>\uff1a\u6700\u7d42\u6295\u4e0e\u304b\u30897\u304b\u6708\u4ee5\u964d\u306b\u598a\u5a20\u89e3\u7981<\/strong>\u3092\u4e3b\u6cbb\u533b\u3068\u76f8\u8ac7\u3002<\/li>\n<\/ol>\n

            8) <\/strong>\u3088\u304f\u3042\u308b\u526f\u4f5c\u7528\u3068\u5bfe\u7b56\uff08\u8981\u70b9\uff09<\/strong><\/h4>\n
              \n
            • H+P<\/strong>\u95a2\u9023<\/strong>\uff1a\u4e0b\u75e2\u3001\u76ae\u75b9\u3001\u5fc3\u6a5f\u80fd\u4f4e\u4e0b\u2192\u5b9a\u671f\u5fc3\u30a8\u30b3\u30fc\u3001\u4e0b\u75e2\u5bfe\u7b56\u85ac\u306e\u65e9\u671f\u5c0e\u5165\u3002<\/li>\n
            • \u30bf\u30ad\u30b5\u30f3\uff0f\u30ab\u30eb\u30dc\u30d7\u30e9\u30c1\u30f3<\/strong>\uff1a\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\u3001\u597d\u4e2d\u7403\u6e1b\u5c11\u2192G-CSF\u4e00\u6b21\u4e88\u9632\u3084\u7528\u91cf\u8abf\u6574\u3002<\/li>\n
            • T-DM1<\/strong>\uff1a\u8840\u5c0f\u677f\u6e1b\u5c11\u3001\u809d\u6a5f\u80fd\u969c\u5bb3\u2192\u63a1\u8840\u30e2\u30cb\u30bf\u3002<\/li>\n<\/ul>\n

              \u307e\u3068\u3081<\/strong><\/h4>\n
                \n
              • \u8853\u524d\uff1aTCHP\u304c\u672c\u547d<\/strong>\u3002pCR\u7387\u304c\u9ad8\u304f\u3001pCR\u306a\u3089\u4e88\u5f8c\u306f\u975e\u5e38\u306b\u826f\u597d<\/strong>\u3002<\/li>\n
              • pCR<\/strong>\u975e\u9054\u6210\u306a\u3089T-DM1<\/strong>\u3067\u518d\u767a\u6291\u5236\u3092\u56f3\u308b\u3002<\/li>\n
              • \u598a\u5b55\u6027\u306f\u4eca\u3059\u3050\u5bfe\u5fdc<\/strong>\uff1a\u63a1\u5375\u51cd\u7d50\uff08\u80da\uff0f\u5375\u5b50\uff09\uff0bGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u4f75\u7528\u3092\u691c\u8a0e\u3002<\/li>\n
              • \u982d\u76ae\u51b7\u5374\u306f\u65bd\u884c\u53ef\u80fd<\/strong>\uff08\u7981\u5fcc\u306b\u6ce8\u610f\uff09\u3002<\/li>\n
              • \u598a\u5a20\u306f\u6cbb\u7642\u5b8c\u9042\u5f8c\u3001\u6700\u7d42\u6297HER2\u85ac\u304b\u3089\u22657\u304b\u6708<\/strong>\u304c\u5b89\u5168\u57df\u3002<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                37\u6b73\u5973\u6027\u3001T2N0M0 Stage\u2161A, HER2\u967d\u6027\u30bf\u30a4\u30d7\u306e\u4e73\u764c\uff08ER- PgR- HER2(3+))\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002\u8853\u524d\u85ac\u7269\u7642\u6cd5\u304c\u5fc5\u81f3\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u5c06\u6765\u306e\u598a\u5a20\u5e0c\u671b\u304c\u3042\u308a\u307e\u3059\u3002\u8853\u524d\u3001\u8853\u5f8c\u306e\u85ac\u7269\u7642\u6cd5\u306e\u4e88\u60f3\u3055\u308c\u308b\u5185\u5bb9\u3001\u598a\u5b55\u6027\u6e29\u5b58\u3001\u982d\u76ae\u51b7\u5374\u7642\u6cd5\u3082\u542b\u3081\u3066\u3001\u4eca\u5f8c\u306e\u6cbb\u7642\u5185\u5bb9\u3001\u4e88\u60f3\u3055\u308c\u308b\u4e88\u5f8c\u306b\u3064\u3044\u3066\u307e\u3068\u3081\u3066\u4e0b\u3055\u3044\u3002 \u00a0\u4ee5\u4e0b\u306f\u3001\u73fe\u5728\u5f97\u3089\u308c\u3066\u3044\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u3082\u3068\u3065\u304f\u300cHER2\u967d\u6027\uff08ER\u9670\u6027\uff0fPgR\u9670\u6027\uff09T2N0M0\u30fbStage\u2161A\u300137\u6b73\u3001\u8853\u524d\u85ac\u7269\u7642\u6cd5\u3092\u4e88\u5b9a\u300d\u30b1\u30fc\u30b9\u306e\u6a19\u6e96\u7684\u306a\u6d41\u308c\u3068\u30dd\u30a4\u30f3\u30c8\u306e\u6574\u7406\u3092\u3057\u307e\u3057\u305f\u3002 1) \u8853\u524d\uff08\u30cd\u30aa\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\uff09\u6cbb\u7642\u306e\u57fa\u672c \u76ee\u7684\u306f\u816b\u760d\u7e2e\u5c0f\u3068pCR\uff08\u75c5\u7406\u5b66\u7684\u5b8c\u5168\u594f\u52b9\uff09\u9054\u6210\u3067\u3059\u3002HER2\u4e8c\u91cd\u6a19\u7684\u7642\u6cd5\uff08\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\uff0b\u30da\u30eb\u30c4\u30ba\u30de\u30d6\uff1aH+P\uff09\u306b\u30bf\u30ad\u30b5\u30f3\u7cfb\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u5316\u5b66\u7642\u6cd5\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u306e\u304c\u6a19\u6e96\u3067\u3059\u3002\u4ee3\u8868\u4f8b\u306f TCHP\uff1a\u30c9\u30bb\u30bf\u30ad\u30bb\u30eb\uff0b\u30ab\u30eb\u30dc\u30d7\u30e9\u30c1\u30f3\uff0bH+P\u30923\u9031\u6bce\u00d76\u30b3\u30fc\u30b9 pCR\u7387\u306f4\u301c6\u5272\u53f0\u304c\u5831\u544a\u3055\u308c\u3001\u4e8c\u91cd\u6a19\u7684\u7642\u6cd5\u4f75\u7528\u3067\u7279\u306b\u9ad8\u307e\u308a\u307e\u3059\u3002pCR\u3092\u5f97\u3089\u308c\u305f\u7fa4\u306f\u9577\u671f\u6210\u7e3e\u304c\u826f\u597d\u3067\u3059\u3002 \u6cbb\u7642\u4e2d\u306f**\u5fc3\u6a5f\u80fd\uff08LVEF\uff09**\u306e\u5b9a\u671f\u30c1\u30a7\u30c3\u30af\uff08\u5fc3\u30a8\u30b3\u30fc\u7b49\uff09\u3092\u884c\u3044\u307e\u3059\u3002H\u7cfb\u85ac\u5264\u306e\u5fc3\u6bd2\u6027\u5bfe\u7b56\u3068\u3057\u3066\u91cd\u8981\u3067\u3059\uff08\u88fd\u54c1\u60c5\u5831\u306e\u6ce8\u610f\u306b\u6e96\u62e0\uff09\u3002 2) \u624b\u8853\u3068\u8853\u5f8c\uff08\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\uff09\u6cbb\u7642 pCR\u9054\u6210\u6642\uff08\u6d78\u6f64\u764c\u6b8b\u5b58\u306a\u3057\uff09 \u8853\u5f8c\u306fH+P\u3042\u308b\u3044\u306fH\u5358\u5264\u3092\u7d99\u7d9a\u3057\u3001\u901a\u7b971\u5e74\u9593\u306e\u6297HER2\u7642\u6cd5\u5b8c\u9042\u304c\u57fa\u672c\u3067\u3059\u3002N0\u75c7\u4f8b\u3067\u306fH\u5358\u5264\u3067\u5b8c\u9042\u3059\u308b\u65bd\u8a2d\u3082\u3042\u308a\u307e\u3059\u304c\u3001pCR\u3067\u3082H+P\u7d99\u7d9a\u3092\u9078\u3076\u65bd\u8a2d\u3082\u3042\u308a\u307e\u3059\uff08\u65bd\u8a2d\u65b9\u91dd\u306b\u4f9d\u5b58\uff09\u3002 \u6b8b\u5b58\u6d78\u6f64\u764c\u3042\u308a T-DM1\uff08\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6 \u30a8\u30e0\u30bf\u30f3\u30b7\u30f3\uff09\u3078\u5207\u66ff\u3048\u300114\u30b3\u30fc\u30b9\u304c\u6a19\u6e96\u3002KATHERINE\u8a66\u9a13\u3067\u4fb5\u8972\u6027\u518d\u767a\u30fb\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u7d0450%\u4f4e\u6e1b\u3057\u307e\u3057\u305f\uff08\u9577\u671f\u8ffd\u8de1\u3067\u3082\u512a\u8d8a\u6027\u6301\u7d9a\uff09\u3002 \u203b\u30ea\u30f3\u30d1\u7bc0\u967d\u6027\u9ad8\u30ea\u30b9\u30af\u3067\u306f\u3001APHINITY\u8a66\u9a13\u306b\u3088\u308a\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\u306eH+P\u8ffd\u52a0\u304c\u9577\u671f\u3067OS\u6539\u5584\u3092\u793a\u3057\u307e\u3057\u305f\uff08\u8853\u524d\u8853\u5f8c\u306e\u5168\u4f53\u6226\u7565\u3092\u8003\u3048\u308b\u8cc7\u6599\uff09\u3002\u672c\u75c7\u4f8b\u306fN0\u3067\u3059\u304c\u3001\u4e8c\u91cd\u6a19\u7684\u306e\u4fa1\u5024\u3092\u793a\u3059\u6839\u62e0\u3068\u3057\u3066\u6319\u3052\u307e\u3059\u3002 3) \u653e\u5c04\u7dda\u6cbb\u7642 \u4e73\u623f\u6e29\u5b58\u306a\u3089\u5168\u4e73\u623f\u7167\u5c04\u304c\u57fa\u672c\u3002 \u5168\u6458\uff0bN0\u3067\u816b\u760d\u5f84T2\u306e\u5834\u5408\u3001\u8853\u5f8c\u7167\u5c04\u306f\u591a\u304f\u306e\u65bd\u8a2d\u3067\u539f\u5247\u4e0d\u8981\u3067\u3059\u304c\u3001\u65ad\u7aef\u72b6\u6cc1\u30fb\u75c5\u7406\u6240\u898b\u3067\u500b\u5225\u5224\u65ad\u3002 4) \u4e88\u5f8c\u306e\u898b\u901a\u3057 HER2\u967d\u6027\u3067\u3082\u4e8c\u91cd\u6a19\u7684\uff0b\u9069\u5207\u306a\u30d1\u30b9\u30cd\u30aa\u6226\u7565\u306b\u3088\u308a\u518d\u767a\u30ea\u30b9\u30af\u306f\u5927\u5e45\u306b\u4f4e\u4e0b\u3002pCR\u9054\u6210\u4f8b\u3067\u306f5\u5e74DFS\u304c90\uff05\u524d\u5f8c\u3068\u826f\u597d\u3067\u3059\u3002\u6b8b\u5b58\u3042\u308a\u3067\u3082T-DM\u30fb\u30fb\u30fb<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7,1],"tags":[8],"class_list":["post-56","post","type-post","status-publish","format-standard","hentry","category-her2","category-note","tag-her2"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/posts\/56"}],"collection":[{"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/comments?post=56"}],"version-history":[{"count":1,"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/posts\/56\/revisions"}],"predecessor-version":[{"id":57,"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/posts\/56\/revisions\/57"}],"wp:attachment":[{"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/media?parent=56"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/categories?post=56"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/wp-json\/wp\/v2\/tags?post=56"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}