{"id":66,"date":"2025-12-20T09:05:50","date_gmt":"2025-12-20T00:05:50","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/?p=66"},"modified":"2025-12-20T09:06:42","modified_gmt":"2025-12-20T00:06:42","slug":"66","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/faq\/note\/66","title":{"rendered":"Q\/A\u3000\u30eb\u30df\u30ca\u30eb\u30bf\u30a4\u30d7\u4e73\u764c\u306e\u8853\u5f8c\u7642\u6cd5"},"content":{"rendered":"

\u79c1\u306f64\u6b73\u5973\u6027\u3000\u5de6\u4e73\u764c\u306e\u8a3a\u65ad\u306b\u3066\u3001\u4e73\u623f\u90e8\u5206\u5207\u9664\uff0b\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u4e73\u764c\u3001\u5375\u5de3\u764c\u306e\u5bb6\u65cf\u6b74\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u624b\u8853\u75c5\u7406\u7d50\u679c\u306b\u3066\u3001invasive solid papillary carcinoma\u3001\u6d78\u6f64\u5f8416\u00d78mm\uff0f\u4e73\u7ba1\u5185\u75c5\u5909\u3082\u542b\u3081\u305f\u816b\u760d\u5168\u4f5335mm\u3001pT1c,N0(sn),M0 Ly0\/V0\u3001\u4e73\u817a\u65ad\u7aef\u9670\u6027\u3001ER\u5f37\u967d\u6027(AS=8)\u3001PgR\u967d\u6027(AS=6)\u3001HER2(0)\u3001Ki67 15%\u3001Oncotype DX RS\u30b9\u30b3\u30a26\u70b9\uff0810\u5e74\u9060\u9694\u518d\u767a5%\uff09\u3001\u4eca\u5f8c\u306e\u6cbb\u7642\u3068\u3057\u3066\u5de6\u4e73\u623f\u7167\u5c04\uff1a42.5Gy\/16\u56de\uff0b\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\uff1a\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb5\u5e74\u9593\u5185\u670d\u3092\u63d0\u6848\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u3053\u3067\u8cea\u554f\u3067\u3059\u3002\u73fe\u5728\u306e\u79c1\u306e\u4e88\u5f8c\uff085\u5e74\u300110\u5e74\u306e\u518d\u767a\u7387\u3001\u751f\u5b58\u7387\u306a\u3069\uff09\u3001\u63d0\u6848\u3055\u308c\u305f\u6cbb\u7642\u306e\u59a5\u5f53\u6027\u3001\u4e88\u60f3\u3055\u308c\u308b\u526f\u4f5c\u7528\u3001\u307e\u305f\u61f8\u5ff5\u3055\u308c\u308b\u518d\u767a\u306e\u30d1\u30bf\u30fc\u30f3\u3001\u8853\u5f8c\u306e\u5b9a\u671f\u691c\u67fb\u306f\u3069\u306e\u7a0b\u5ea6\u304c\u59a5\u5f53\u304b\u6574\u7406\u3057\u3066\u6559\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/strong><\/h4>\n

\u533b\u5e2bA<\/strong><\/h2>\n

1) <\/strong>\u73fe\u5728\u306e\u4e88\u5f8c\uff08\u518d\u767a\u7387\u30fb\u751f\u5b58\u7387\u306e\u76ee\u5b89\uff09<\/strong><\/p>\n

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    \n
  • \u9060\u9694\u518d\u767a\uff08\u9aa8\u30fb\u80ba\u30fb\u809d\u306a\u3069\uff09<\/strong>
    \nTAILORx\u8a66\u9a13\u3067\u306f\u3001RS 0\u201310\u306e\u7fa4\u306f**\u5185\u5206\u6ccc\u7642\u6cd5\u306e\u307f\u3067\u9060\u9694\u518d\u767a\u304c5\u5e741%\u30019\u5e743%**\u3068\u975e\u5e38\u306b\u4f4e\u7387\u3067\u3057\u305f\u3002
    \n\u3042\u306a\u305f\u306eRS 6\u306f\u3053\u306e\u7bc4\u56f2\u306b\u5165\u308a\u3001\u63d0\u793a\u3055\u308c\u3066\u3044\u308b\u300c10\u5e74\u9060\u9694\u518d\u767a5%\u300d\u3068\u3044\u3046\u6570\u5b57\u3082\u6574\u5408\u7684\u3067\u3059\uff08\u8a66\u9a13\u3068\u500b\u5225\u30ec\u30dd\u30fc\u30c8\u306e\u7b97\u51fa\u6cd5\u306e\u9055\u3044\u3067\u82e5\u5e72\u5e45\u304c\u51fa\u307e\u3059\uff09\u3002<\/li>\n
  • \u5c40\u6240\u518d\u767a\uff08\u540c\u3058\u4e73\u623f\u30fb\u4e73\u623f\u5185\uff09<\/strong>
    \n\u4e73\u623f\u6e29\u5b58\uff0b\u653e\u5c04\u7dda\u7167\u5c04\uff0b\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3068\u3001\u5c40\u6240\u518d\u767a\u306f\u3055\u3089\u306b\u6291\u3048\u3089\u308c\u300110\u5e74\u3067\u6570\uff05\u7a0b\u5ea6<\/strong>\u306b\u53ce\u307e\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\uff08\u500b\u5225\u306e\u6b63\u78ba\u306a\uff05\u306f\u4e00\u5f8b\u306b\u65ad\u8a00\u3067\u304d\u307e\u305b\u3093\u304c\u3001\u65ad\u7aef\u9670\u6027\u30fb\u4f4eRS\u306f\u6709\u5229\uff09\u3002<\/li>\n
  • \u751f\u5b58\u7387<\/strong>
    \n\u3044\u308f\u3086\u308b\u300c\u5c40\u6240\uff08\u4e73\u623f\u5185\u306b\u9650\u5c40\uff09\u300d\u4e73\u764c\u306e5\u5e74\u76f8\u5bfe\u751f\u5b58\u7387\u306f\u975e\u5e38\u306b\u9ad8\u3044<\/strong>\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002
    \n\u305f\u3060\u3057\u76f8\u5bfe\u751f\u5b58\u7387\u306f\u96c6\u56e3\u7d71\u8a08\u3067\u3001\u6cbb\u7642\u5185\u5bb9\u3084\u80cc\u666f\u304c\u6df7\u3056\u308b\u70b9\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002\u3042\u306a\u305f\u306f\u305d\u306e\u4e2d\u3067\u3082\u751f\u7269\u5b66\u7684\u306b\u4f4e\u30ea\u30b9\u30af\u5074\u306a\u306e\u3067\u3001\u4e73\u764c\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af\u306f\u304b\u306a\u308a\u4f4e\u3044<\/strong>\u3068\u898b\u8fbc\u307e\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n

    \u52a0\u3048\u3066\u3001solid papillary carcinoma\u306f\u7a00\u306a\u30bf\u30a4\u30d7\u3067\u3059\u304c\u3001\u5831\u544a\u306e\u96c6\u7a4d\u3067\u306f\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u5c11\u306a\u304f\uff08\u7d043%\uff09\u3001\u5c40\u6240\u518d\u767a\u30fb\u9060\u9694\u8ee2\u79fb\u3082\u7a00<\/strong>\u3068\u3055\u308c\u3001\u5168\u4f53\u3068\u3057\u3066\u4e88\u5f8c\u826f\u597d\u306a\u816b\u760d\u306b\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\n

    2) <\/strong>\u63d0\u6848\u3055\u308c\u305f\u6cbb\u7642\u306e\u59a5\u5f53\u6027<\/strong><\/p>\n

    \u653e\u5c04\u7dda\u7167\u5c04\uff0842.5Gy\/16\u56de\uff09<\/strong><\/p>\n

    \u6e29\u5b58\u8853\u5f8c\u306e\u5168\u4e73\u623f\u7167\u5c04\u3068\u3057\u3066\u3001\u6a19\u6e96\u7684\u3067\u59a5\u5f53<\/strong>\u3067\u3059\u3002\u7c73\u56fd\u306eASTRO\u63a8\u5968\u3067\u3082\u3001\uff08\u30d6\u30fc\u30b9\u30c8\u3092\u5fc5\u9808\u3068\u3057\u306a\u3044\u5834\u5408\uff0942.5Gy\/16\u56de<\/strong>\u306f\u4ee3\u8868\u7684\u306a\u63a8\u5968\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3068\u3057\u3066\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002
    \n\u5de6\u4e73\u623f\u306a\u306e\u3067\u3001\u5fc3\u81d3\u306e\u88ab\u3070\u304f\u3092\u6e1b\u3089\u3059\u5de5\u592b\uff08\u6df1\u5438\u6c17\u606f\u6b62\u3081\uff1aDIBH\u306a\u3069\uff09\u304c\u53d6\u308c\u308b\u65bd\u8a2d\u3067\u306f\u3001\u305d\u306e\u4f75\u7528\u306b\u3088\u308a\u5fc3\u81d3\u7dda\u91cf\u304c\u4e0b\u304c\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

    \u30db\u30eb\u30e2\u30f3\u7642\u6cd5\uff08\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb5\u5e74\uff09<\/strong><\/p>\n

    \u9589\u7d4c\u5f8c\u30fbER\u5f37\u967d\u6027\u306e\u65e9\u671f\u4e73\u764c\u306b\u5bfe\u3059\u308b\u6a19\u6e96\u6cbb\u7642<\/strong>\u3067\u3059\u3002RS 6\u3068\u3044\u3046\u8d85\u4f4e\u30ea\u30b9\u30af\u3067\u306f\u3001\u5316\u5b66\u7642\u6cd5\u306e\u4e0a\u4e57\u305b\u5229\u76ca\u306f\u671f\u5f85\u3057\u306b\u304f\u304f\u3001\u5185\u5206\u6ccc\u7642\u6cd5\u4e2d\u5fc3\u304c\u5408\u7406\u7684\u3067\u3059\uff08TAILORx\u3067\u4f4eRS\u7fa4\u306e\u9060\u9694\u518d\u767a\u304c\u975e\u5e38\u306b\u4f4e\u3044\u3053\u3068\u304c\u6839\u62e0\u306e\u4e00\u90e8\uff09\u3002<\/p>\n

    3) <\/strong>\u4e88\u60f3\u3055\u308c\u308b\u526f\u4f5c\u7528\u3068\u5bfe\u7b56<\/strong><\/p>\n

    \u653e\u5c04\u7dda<\/strong><\/p>\n

      \n
    • \u6025\u6027\u671f\uff08\u7167\u5c04\u4e2d\u301c\u7d42\u4e86\u5f8c\u6570\u9031\uff09<\/strong>\uff1a\u76ae\u819a\u708e\uff08\u8d64\u307f\u30fb\u30d2\u30ea\u3064\u304d\uff09\u3001\u5026\u6020\u611f\u3001\u4e73\u623f\u306e\u816b\u308c\u30fb\u75db\u307f<\/li>\n
    • \u6669\u671f\uff08\u6570\u304b\u6708\u301c\u5e74\u5358\u4f4d\uff09<\/strong>\uff1a\u76ae\u819a\u8272\u7d20\u6c88\u7740\u3001\u786c\u3055\uff08\u7dda\u7dad\u5316\uff09\u3001\u7a00\u306b\u808b\u9aa8\u9aa8\u6298\u30fb\u80ba\u708e\uff08\u653e\u5c04\u7dda\u80ba\u81d3\u708e\uff09\u306a\u3069
      \n\u5de6\u4e73\u623f\u3067\u306f\u5fc3\u81d3\u7dda\u91cf\u3092\u4e0b\u3052\u308b\u5de5\u592b\u304c\u91cd\u8981\u3067\u3001DIBH\u7b49\u304c\u6709\u52b9\u3068\u3059\u308b\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n

      \u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\uff08AI\uff09<\/strong><\/p>\n

      \u4ee3\u8868\u7684\u306b\u306f\u3001**\u95a2\u7bc0\u75db\u30fb\u7b4b\u8089\u75db\u3001\u307b\u3066\u308a\u3001\u75b2\u52b4\u3001\u9aa8\u5bc6\u5ea6\u4f4e\u4e0b\uff08\u9aa8\u7c97\u9b06\u75c7\u30fb\u9aa8\u6298\u30ea\u30b9\u30af\uff09**\u306a\u3069\u3067\u3059\u3002
      \n\u5bfe\u7b56\u3068\u3057\u3066\u306f\u3001<\/p>\n

        \n
      • \u9aa8\u5bc6\u5ea6\uff08DXA\uff09\u3092\u958b\u59cb\u524d\u306b\u6e2c\u5b9a\u3057\u30011\u301c2\u5e74\u3054\u3068\u306b\u518d\u8a55\u4fa1<\/strong>\uff08\u5c02\u9580\u5bb6\u30d1\u30cd\u30eb\u3067\u63a8\u5968\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\uff09<\/li>\n
      • \u4f53\u91cd\u8ca0\u8377\u904b\u52d5\u3001\u305f\u3093\u3071\u304f\u30fbCa\/\u30d3\u30bf\u30df\u30f3D\u306e\u78ba\u4fdd\u3001\u5fc5\u8981\u306a\u3089\u9aa8\u7c97\u9b06\u75c7\u6cbb\u7642\u85ac\u306e\u691c\u8a0e<\/li>\n
      • \u95a2\u7bc0\u75db\u306f\u3001\u904b\u52d5\u7642\u6cd5\u3001\u93ae\u75db\u85ac\u3001\u85ac\u5264\u5909\u66f4\uff08\u540c\u7cfb\u7d71\u5185\u306e\u5909\u66f4\uff09\u306a\u3069\u3092\u4e3b\u6cbb\u533b\u3068\u76f8\u8ac7
        \n\u304c\u73fe\u5b9f\u7684\u3067\u3059\u3002<\/li>\n<\/ul>\n

        4) <\/strong>\u61f8\u5ff5\u3055\u308c\u308b\u518d\u767a\u30d1\u30bf\u30fc\u30f3\uff08\u8d77\u3053\u308a\u3084\u3059\u3044\u90e8\u4f4d\u30fb\u6642\u671f\uff09<\/strong><\/p>\n

        \u3042\u306a\u305f\u306e\u3088\u3046\u306aER\u967d\u6027\/HER2\u9670\u6027<\/strong>\u3067\u306f\u3001\u518d\u767a\u3059\u308b\u3068\u3057\u305f\u3089\u300c\u6025\u6027\u306b\u30c9\u30ab\u30f3\u300d\u3088\u308a\u3001\u5e74\u5358\u4f4d\u3067\u3086\u3063\u304f\u308a\uff08\u3068\u304f\u306b5\u5e74\u4ee5\u964d\u3082\uff09\u306e\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u90e8\u4f4d\u3068\u3057\u3066\u306f\u4e00\u822c\u306b\u9aa8<\/strong>\u304c\u6bd4\u8f03\u7684\u591a\u304f\u3001\u6b21\u3044\u3067\u80ba\u30fb\u809d\u306a\u3069\u304c\u5178\u578b\u3067\u3059\u3002\u5c40\u6240\u518d\u767a\u306f\u3001\u6e29\u5b58\u4e73\u623f\u5185\uff08\u624b\u8853\u90e8\u8fd1\u508d\uff09\u3084\u814b\u7aa9\u304c\u4e2d\u5fc3\u3067\u3059\u304c\u3001\u65ad\u7aef\u9670\u6027\u30fbN0\u30fb\u653e\u5c04\u7dda\uff0b\u5185\u5206\u6ccc\u7642\u6cd5\u3067\u30ea\u30b9\u30af\u306f\u4e0b\u304c\u308a\u307e\u3059\u3002
        \n\u307e\u305f\u300c\u518d\u767a\u300d\u3068\u306f\u5225\u306b\u3001**\u53cd\u5bfe\u5074\u4e73\u623f\u306e\u65b0\u3057\u3044\u539f\u767a\uff08\u65b0\u898f\u4e73\u764c\uff09**\u304c\u8d77\u3053\u308a\u5f97\u308b\u305f\u3081\u3001\u5b9a\u671f\u7684\u306a\u4e73\u623f\u753b\u50cf\u306f\u91cd\u8981\u3067\u3059\u3002<\/p>\n

        5) <\/strong>\u8853\u5f8c\u306e\u5b9a\u671f\u691c\u67fb\u306f\u3069\u306e\u7a0b\u5ea6\u304c\u59a5\u5f53\u304b<\/strong><\/p>\n

        \u904e\u5270\u691c\u67fb\uff08\u816b\u760d\u30de\u30fc\u30ab\u30fc\u3084\u5168\u8eabCT\/PET\u306e\u5b9a\u671f\u5b9f\u65bd\uff09\u306f\u3001\u7121\u75c7\u72b6\u3067\u306f\u5229\u76ca\u304c\u4e4f\u3057\u304f\u3001\u507d\u967d\u6027\u3084\u4e0d\u5b89\u5897\u5927\u306b\u3064\u306a\u304c\u308a\u5f97\u307e\u3059\u3002\u30d5\u30a9\u30ed\u30fc\u306f\u300c\u8a3a\u5bdf\uff0b\u30de\u30f3\u30e2\u300d\u304c\u57fa\u672c\u3067\u3059\u3002<\/p>\n

        ASCO\u306e\u63a8\u5968\u3067\u306f\u3001<\/p>\n

          \n
        • \u554f\u8a3a\u30fb\u8a3a\u5bdf\uff1a\u8853\u5f8c1\u301c3\u5e74\u306f3\u301c6\u304b\u6708\u3054\u3068\u30014\u301c5\u5e74\u306f6\u301c12\u304b\u6708\u3054\u3068\u3001\u305d\u306e\u5f8c\u306f\u5e741\u56de<\/strong><\/li>\n
        • \u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\uff1a\u5e741\u56de<\/strong>\uff08\u6e29\u5b58\u4e73\u623f\u30fb\u5bfe\u5074\u4e73\u623f\u306e\u8a55\u4fa1\uff09
          \n\u304c\u6a19\u6e96\u7684\u3067\u3059\u3002
          \n\u3053\u308c\u306b\u52a0\u3048\u3066\u3001\u3042\u306a\u305f\u306e\u5834\u5408\u306fAI\u5185\u670d\u306e\u305f\u3081\u3001\u9aa8\u5bc6\u5ea6\uff08DXA\uff09\u3092\u958b\u59cb\u524d\uff0b1\u301c2\u5e74\u3054\u3068<\/strong>\u3092\u76ee\u5b89\u306b\u7d44\u307f\u8fbc\u3080\u306e\u304c\u5b9f\u52d9\u7684\u3067\u3059\u3002<\/li>\n<\/ul>\n

          \u533b\u5e2bB<\/strong><\/h2>\n

          \u3054\u63d0\u793a\u3044\u305f\u3060\u3044\u305f\u8a73\u7d30\u306a\u75c5\u7406\u7d50\u679c\u3068\u6cbb\u7642\u65b9\u91dd\u3092\u62dd\u898b\u3057\u307e\u3057\u305f\u3002\u975e\u5e38\u306b\u65e9\u671f\u306e\u6bb5\u968e\u3067\u767a\u898b\u3055\u308c\u3066\u304a\u308a\u3001\u304b\u3064\u60aa\u6027\u5ea6\u3084\u518d\u767a\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u30bf\u30a4\u30d7\u3067\u3042\u308b\u3053\u3068\u3001\u305d\u3057\u3066\u63d0\u6848\u3055\u308c\u3066\u3044\u308b\u6cbb\u7642\u65b9\u91dd\u304c\u73fe\u4ee3\u306e\u6a19\u6e96\u6cbb\u7642\uff08\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09\u306b\u5b8c\u5168\u306b\u5408\u81f4\u3057\u305f\u9069\u5207\u306a\u3082\u306e\u3067\u3042\u308b\u3053\u3068\u304c\u8aad\u307f\u53d6\u308c\u307e\u3059\u3002<\/p>\n

          64\u6b73\u5973\u6027\u3001pT1c N0 M0\u3001\u30eb\u30df\u30ca\u30ebA\u30bf\u30a4\u30d7\uff08ER\u967d\u6027\u3001HER2\u9670\u6027\u3001\u4f4eKi67\uff09\u3001\u3055\u3089\u306bOncotype DX\u306e\u30b9\u30b3\u30a2\u304c6\u70b9\u3068\u3044\u3046\u6975\u3081\u3066\u826f\u597d\u306a\u7d50\u679c\u306b\u57fa\u3065\u304d\u3001\u3054\u8cea\u554f\u306e\u5404\u9805\u76ee\u306b\u3064\u3044\u3066\u6574\u7406\u3057\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n

            \n
          1. \u73fe\u5728\u306e\u4e88\u5f8c\uff08\u518d\u767a\u7387\u30fb\u751f\u5b58\u7387\uff09\u306b\u3064\u3044\u3066<\/strong><\/li>\n<\/ol>\n

            \u7d50\u8ad6\u304b\u3089\u7533\u3057\u4e0a\u3052\u307e\u3059\u3068\u3001\u4e88\u5f8c\u306f\u6975\u3081\u3066\u826f\u597d<\/strong>\u3067\u3059\u3002\u4e73\u764c\u306e\u4e2d\u3067\u3082\u6700\u3082\u6cbb\u308a\u3084\u3059\u3044\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n

              \n
            • \u30b9\u30c6\u30fc\u30b8\u5206\u985e:<\/strong>\u00a0\u6d78\u6f64\u5f84\u304c20mm\u4ee5\u4e0b\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306a\u3057\u3067\u3059\u306e\u3067**\u300c\u30b9\u30c6\u30fc\u30b8IA\u300d**\u3068\u306a\u308a\u307e\u3059\u3002<\/li>\n
            • \u30b5\u30d6\u30bf\u30a4\u30d7:<\/strong>\u00a0\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u304c\u5f37\u967d\u6027\u3001HER2\u9670\u6027\u3001Ki67\u304c\u4f4e\u5024\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u3001\u304a\u3068\u306a\u3057\u3044\u6027\u8cea\u306e**\u300c\u30eb\u30df\u30ca\u30ebA\u30bf\u30a4\u30d7\u300d**\u3068\u5224\u65ad\u3055\u308c\u307e\u3059\u3002<\/li>\n
            • \u7d44\u7e54\u578b:<\/strong>\u00a0\u300cInvasive solid papillary carcinoma\uff08\u5145\u5b9f\u6027\u4e73\u982d\u764c\uff09\u300d\u306f\u3001\u4e00\u822c\u7684\u306a\u4e73\u764c\uff08\u6d78\u6f64\u6027\u4e73\u7ba1\u764c\uff09\u306b\u6bd4\u3079\u3066\u4e88\u5f8c\u304c\u826f\u3044\u50be\u5411\u306b\u3042\u308b\u7279\u6b8a\u578b\u3067\u3059\u3002<\/li>\n
            • Oncotype DX:<\/strong>\u00a0\u518d\u767a\u30b9\u30b3\u30a2\uff08RS\uff09\u304c\u300c6\u70b9\u300d\u3068\u3044\u3046\u306e\u306f\u3001\u5316\u5b66\u7642\u6cd5\u306e\u52b9\u679c\u304c\u306a\u304f\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u5358\u72ec\u3067\u975e\u5e38\u306b\u9ad8\u3044\u52b9\u679c\u304c\u5f97\u3089\u308c\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n

              \u5177\u4f53\u7684\u306a\u6570\u5b57\u306e\u76ee\u5b89\uff08\u7d71\u8a08\u7684\u306a\u4e88\u6e2c\uff09\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n

                \n
              • 5<\/strong>\u5e74\u30fb10\u5e74\u751f\u5b58\u7387:<\/strong>\u00a0\u9069\u5207\u306a\u6cbb\u7642\u3092\u884c\u3063\u305f\u5834\u5408\u3001\u4e73\u764c\u81ea\u4f53\u306e\u751f\u5b58\u7387\u306f**95\u301c99%**\u3068\u63a8\u6e2c\u3055\u308c\u307e\u3059\u3002\u5929\u5bff\u3092\u5168\u3046\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u975e\u5e38\u306b\u9ad8\u3044\u72b6\u614b\u3067\u3059\u3002<\/li>\n
              • 10<\/strong>\u5e74\u9060\u9694\u518d\u767a\u7387:<\/strong>\u00a0Oncotype DX\u306e\u7d50\u679c\u306b\u3042\u308b\u901a\u308a\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u30925\u5e74\u9593\u884c\u3063\u305f\u5834\u5408\u306e10\u5e74\u4ee5\u5185\u306e\u9060\u9694\u8ee2\u79fb\u30ea\u30b9\u30af\u306f**\u7d045%\uff08\u3042\u308b\u3044\u306f\u305d\u308c\u4ee5\u4e0b\uff09**\u3067\u3059\u3002\u3064\u307e\u308a\u300195%\u4ee5\u4e0a\u306e\u78ba\u7387\u3067\u9060\u9694\u8ee2\u79fb\u306f\u8d77\u3053\u308a\u307e\u305b\u3093\u3002<\/li>\n<\/ul>\n
                  \n
                1. \u63d0\u6848\u3055\u308c\u305f\u6cbb\u7642\u306e\u59a5\u5f53\u6027<\/strong><\/li>\n<\/ol>\n

                  \u63d0\u6848\u3055\u308c\u3066\u3044\u308b\u6cbb\u7642\u65b9\u91dd\u306f\u3001**\u300c\u3053\u308c\u4ee5\u4e0a\u306a\u3044\u307b\u3069\u6a19\u6e96\u7684\u304b\u3064\u9069\u5207\u306a\u5185\u5bb9\u300d**\u3067\u3059\u3002<\/p>\n

                  \u2460 <\/strong>\u5de6\u4e73\u623f\u7167\u5c04\uff1a42.5Gy\/16\u56de\uff08\u5be1\u5206\u5272\u7167\u5c04\uff09<\/strong><\/p>\n

                    \n
                  • \u59a5\u5f53\u6027:<\/strong>\u00a0\u4e73\u623f\u90e8\u5206\u5207\u9664\uff08\u6e29\u5b58\u624b\u8853\uff09\u5f8c\u306f\u3001\u6b8b\u5b58\u4e73\u623f\u5185\u306e\u518d\u767a\u3092\u9632\u3050\u305f\u3081\u306b\u653e\u5c04\u7dda\u6cbb\u7642\u304c\u5fc5\u9808\u3067\u3059\u3002<\/li>\n
                  • \u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306e\u8a55\u4fa1:<\/strong>\u00a0\u4ee5\u524d\u306f25\u56de\uff085\u9031\u9593\uff09\u304b\u3051\u308b\u65b9\u6cd5\u304c\u4e3b\u6d41\u3067\u3057\u305f\u304c\u3001\u73fe\u5728\u306f**\u300c\u5be1\u5206\u5272\u7167\u5c04\uff08\u304b\u3076\u3093\u304b\u3064\u3057\u3087\u3046\u3057\u3083\uff09\u300d**\u3068\u547c\u3070\u308c\u308b\u30011\u56de\u3042\u305f\u308a\u306e\u7dda\u91cf\u3092\u5c11\u3057\u5897\u3084\u3057\u3066\u56de\u6570\u3092\u6e1b\u3089\u3059\uff0816\u56de\/3\u9031\u9593\u5f37\uff09\u65b9\u6cd5\u304c\u6a19\u6e96\u3067\u3059\u3002\u6cbb\u7642\u52b9\u679c\u306f\u5909\u308f\u3089\u305a\u3001\u901a\u9662\u671f\u9593\u304c\u77ed\u7e2e\u3055\u308c\u3001\u526f\u4f5c\u7528\u3082\u540c\u7b49\u304b\u3080\u3057\u308d\u8efd\u3044\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u300242.5Gy\/16\u56de\u306f\u3053\u306e\u6a19\u6e96\u7684\u306a\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3067\u3059\u3002<\/li>\n<\/ul>\n

                    \u2461 <\/strong>\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\uff1a\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\uff08\u30a2\u30ea\u30df\u30c7\u30c3\u30af\u30b9\u7b49\uff095\u5e74\u9593\u5185\u670d<\/strong><\/p>\n

                      \n
                    • \u85ac\u5264\u306e\u9078\u629e:<\/strong>\u00a0\u3042\u306a\u305f\u306f64\u6b73\uff08\u9589\u7d4c\u5f8c\uff09\u3067\u3059\u306e\u3067\u3001\u9589\u7d4c\u5f8c\u4e73\u764c\u6cbb\u7642\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u3067\u3042\u308b**\u300c\u30a2\u30ed\u30de\u30bf\u30fc\u30bc\u963b\u5bb3\u85ac\uff08\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\uff09\u300d**\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3088\u308a\u3082\u518d\u767a\u4e88\u9632\u52b9\u679c\u304c\u9ad8\u3044\u3053\u3068\u304c\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u3067\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n
                    • \u671f\u9593:<\/strong>\u00a0\u307e\u305a\u306f5\u5e74\u9593\u304c\u57fa\u672c\u3067\u3059\u30025\u5e74\u7d4c\u904e\u6642\u306b\u3001\u518d\u767a\u30ea\u30b9\u30af\u3084\u526f\u4f5c\u7528\uff08\u9aa8\u5bc6\u5ea6\u306a\u3069\uff09\u3092\u8a55\u4fa1\u3057\u3066\u3001\u3055\u3089\u306b5\u5e74\u5ef6\u9577\u3059\u308b\u304b\uff08\u30c8\u30fc\u30bf\u30eb10\u5e74\uff09\u3092\u691c\u8a0e\u3057\u307e\u3059\u304c\u3001\u73fe\u6642\u70b9\u3067\u306f\u300c\u307e\u305a5\u5e74\u300d\u3068\u3044\u3046\u65b9\u91dd\u3067\u9593\u9055\u3044\u3042\u308a\u307e\u305b\u3093\u3002<\/li>\n
                    • \u5316\u5b66\u7642\u6cd5\u306e\u7701\u7565:<\/strong>\u00a0Oncotype DX\u30b9\u30b3\u30a2\u304c6\u70b9\u3067\u3042\u308b\u305f\u3081\u3001\u6297\u304c\u3093\u5264\uff08\u5316\u5b66\u7642\u6cd5\uff09\u306e\u4e0a\u4e57\u305b\u52b9\u679c\u306f\u5168\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u6297\u304c\u3093\u5264\u3092\u7701\u7565\u3057\u3001\u526f\u4f5c\u7528\u306e\u30ea\u30b9\u30af\u3092\u56de\u907f\u3059\u308b\u5224\u65ad\u306f\u6975\u3081\u3066\u59a5\u5f53\u3067\u3059\u3002<\/li>\n<\/ul>\n
                        \n
                      1. \u4e88\u60f3\u3055\u308c\u308b\u526f\u4f5c\u7528<\/strong><\/li>\n<\/ol>\n

                        \u2460 <\/strong>\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u526f\u4f5c\u7528<\/strong><\/p>\n

                          \n
                        • \u76ae\u819a\u708e:<\/strong>\u00a0\u6cbb\u7642\u958b\u59cb2\u9031\u9593\u5f8c\u304f\u3089\u3044\u304b\u3089\u3001\u7167\u5c04\u90e8\u4f4d\u304c\u65e5\u713c\u3051\u306e\u3088\u3046\u306b\u8d64\u304f\u306a\u308a\u3001\u30d2\u30ea\u30d2\u30ea\u3057\u305f\u308a\u75d2\u304f\u306a\u3063\u305f\u308a\u3057\u307e\u3059\u3002\u6cbb\u7642\u7d42\u4e86\u5f8c1\u301c2\u9031\u9593\u3067\u30d4\u30fc\u30af\u3092\u8fce\u3048\u3001\u305d\u306e\u5f8c\u5f90\u3005\u306b\u8336\u8272\u304f\u306a\u3063\u3066\u6cbb\u308a\u307e\u3059\u3002\u4fdd\u6e7f\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n
                        • \u5026\u6020\u611f:<\/strong>\u00a0\u6cbb\u7642\u671f\u9593\u4e2d\u306b\u3060\u308b\u3055\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n
                        • \u653e\u5c04\u7dda\u80ba\u81d3\u708e:<\/strong>\u00a0\u307e\u308c\uff081%\u7a0b\u5ea6\uff09\u3067\u3059\u304c\u3001\u6cbb\u7642\u7d42\u4e86\u5f8c\u6570\u30f6\u6708\u4ee5\u5185\u306b\u54b3\u3084\u5fae\u71b1\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n

                          \u2461 <\/strong>\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\u306e\u526f\u4f5c\u7528<\/strong><\/p>\n

                            \n
                          • \u95a2\u7bc0\u75db\u30fb\u3053\u308f\u3070\u308a:<\/strong>\u00a0\u6700\u3082\u591a\u3044\u526f\u4f5c\u7528\u3067\u3059\u3002\u7279\u306b\u671d\u8d77\u304d\u305f\u6642\u306e\u624b\u306e\u6307\u306e\u3053\u308f\u3070\u308a\u3084\u3001\u819d\u30fb\u8170\u306e\u75db\u307f\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u904b\u52d5\u3084\u6f22\u65b9\u85ac\u306a\u3069\u3067\u5bfe\u51e6\u53ef\u80fd\u3067\u3059\u304c\u3001\u8f9b\u3044\u5834\u5408\u306f\u85ac\u5264\u5909\u66f4\u3082\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/li>\n
                          • \u9aa8\u5bc6\u5ea6\u306e\u4f4e\u4e0b\uff08\u9aa8\u7c97\u9b06\u75c7\uff09:<\/strong>\u00a0\u5973\u6027\u30db\u30eb\u30e2\u30f3\u3092\u9650\u308a\u306a\u304f\u30bc\u30ed\u306b\u3059\u308b\u305f\u3081\u3001\u9aa8\u304c\u5f31\u304f\u306a\u308a\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n
                          • \u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5:<\/strong>\u00a0\u30ab\u30fc\u30c3\u3068\u6691\u304f\u306a\u308b\u75c7\u72b6\u304c\u51fa\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u30bf\u30e2\u30ad\u30b7\u30d5\u30a7\u30f3\u3088\u308a\u306f\u983b\u5ea6\u306f\u5c11\u306a\u3044\u3067\u3059\u3002<\/li>\n
                          • \u8102\u8cea\u7570\u5e38:<\/strong>\u00a0\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u5024\u304c\u4e0a\u304c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n
                              \n
                            1. \u61f8\u5ff5\u3055\u308c\u308b\u518d\u767a\u306e\u30d1\u30bf\u30fc\u30f3<\/strong><\/li>\n<\/ol>\n

                              \u518d\u767a\u30ea\u30b9\u30af\u306f\u975e\u5e38\u306b\u4f4e\u3044\u3067\u3059\u304c\u3001\u77e5\u8b58\u3068\u3057\u3066\u6301\u3063\u3066\u304a\u304f\u3079\u304d\u30d1\u30bf\u30fc\u30f3\u306f\u4ee5\u4e0b\u306e2\u3064\u3067\u3059\u3002<\/p>\n

                                \n
                              • \u5c40\u6240\u518d\u767a\uff08\u4e73\u623f\u5185\u30fb\u30ea\u30f3\u30d1\u7bc0\uff09:<\/strong>\u00a0\u624b\u8853\u3057\u305f\u5074\u306e\u4e73\u623f\u3084\u3001\u8107\u306e\u4e0b\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u518d\u3073\u3057\u3053\u308a\u304c\u3067\u304d\u308b\u3053\u3068\u3002\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u3067\u3053\u306e\u30ea\u30b9\u30af\u306f\u5927\u5e45\u306b\u4e0b\u304c\u308a\u307e\u3059\u3002\u81ea\u5206\u3067\u89e6\u3063\u3066\u6c17\u3065\u304f\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n
                              • \u9060\u9694\u8ee2\u79fb:<\/strong>\u00a0\u8840\u6db2\u306b\u4e57\u3063\u3066\u4ed6\u306e\u81d3\u5668\u306b\u98db\u3076\u3053\u3068\u3002\u4e73\u764c\u306e\u5834\u5408\u306f**\u300c\u9aa8\u3001\u80ba\u3001\u809d\u81d3\u300d**\u304c\u597d\u767a\u90e8\u4f4d\u3067\u3059\u3002\n
                                  \n
                                • \u9aa8:<\/strong>\u00a0\u6301\u7d9a\u3059\u308b\u8170\u75db\u3084\u80cc\u90e8\u75db\u306a\u3069\u3002<\/li>\n
                                • \u80ba:<\/strong>\u00a0\u6cbb\u3089\u306a\u3044\u7a7a\u54b3\u3001\u606f\u5207\u308c\u306a\u3069\u3002<\/li>\n
                                • \u809d:<\/strong>\u00a0\u901a\u5e38\u306f\u7121\u75c7\u72b6\uff08\u8840\u6db2\u691c\u67fb\u3084\u30a8\u30b3\u30fc\u3067\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u591a\u3044\uff09\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                                  \u203b\u305f\u3060\u3057\u3001\u3042\u306a\u305f\u306e\u5834\u5408\u306fOncotype DX\u306e\u30b9\u30b3\u30a2\u304c\u975e\u5e38\u306b\u4f4e\u3044\u305f\u3081\u3001\u3053\u308c\u3089\u306e\u9060\u9694\u8ee2\u79fb\u304c\u8d77\u3053\u308b\u78ba\u7387\u306f\u6975\u3081\u3066\u4f4e\u3044\u3067\u3059\u3002\u904e\u5ea6\u306a\u5fc3\u914d\u306f\u4e0d\u8981\u3067\u3059\u3002<\/p>\n

                                    \n
                                  1. \u8853\u5f8c\u306e\u5b9a\u671f\u691c\u67fb\u306b\u3064\u3044\u3066\uff08\u59a5\u5f53\u306a\u983b\u5ea6\uff09<\/strong><\/li>\n<\/ol>\n

                                    \u904e\u5270\u306a\u691c\u67fb\u306f\u88ab\u66dd\u3084\u4e0d\u5b89\u3092\u5897\u3084\u3059\u3060\u3051\u3067\u3059\u306e\u3067\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u300c\u75c7\u72b6\u304c\u306a\u3044\u9650\u308a\u3001CT\u3084\u9aa8\u30b7\u30f3\u30c1\u306a\u3069\u306e\u753b\u50cf\u691c\u67fb\u3092\u983b\u7e41\u306b\u884c\u3046\u3053\u3068\u306f\u63a8\u5968\u3057\u306a\u3044\u300d\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4ee5\u4e0b\u304c\u4e00\u822c\u7684\u306a\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3067\u3059\u3002<\/p>\n

                                      \n
                                    • \u8a3a\u5bdf\uff08\u554f\u8a3a\u30fb\u8996\u89e6\u8a3a\uff09:<\/strong>\u00a0\u8853\u5f8c1\u301c2\u5e74\u306f3\u301c6\u30f6\u6708\u306b1\u56de<\/strong>\u3002\u305d\u306e\u5f8c\u306f\u534a\u5e74\u301c1\u5e74\u306b1\u56de\u7a0b\u5ea6\u3002\u4f53\u8abf\u306e\u5909\u5316\u3084\u85ac\u5264\u306e\u526f\u4f5c\u7528\u78ba\u8a8d\u3092\u884c\u3044\u307e\u3059\u3002<\/li>\n
                                    • \u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3:<\/strong>\u00a01<\/strong>\u5e74\u306b1\u56de<\/strong>\u3002\u624b\u8853\u3057\u305f\u5074\uff08\u6b8b\u5b58\u4e73\u623f\uff09\u306e\u518d\u767a\u30c1\u30a7\u30c3\u30af\u3068\u3001\u5bfe\u5074\uff08\u53f3\u4e73\u623f\uff09\u306e\u65b0\u898f\u767a\u75c7\u30c1\u30a7\u30c3\u30af\u306e\u305f\u3081\u5fc5\u9808\u3067\u3059\u3002\u8d85\u97f3\u6ce2\u691c\u67fb\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n
                                    • \u8840\u6db2\u691c\u67fb:<\/strong>\u00a0\u534a\u5e74\u306b1\u56de\u7a0b\u5ea6\u3002\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff08CEA, CA15-3\uff09\u3084\u3001\u85ac\u5264\u306b\u3088\u308b\u809d\u6a5f\u80fd\u30fb\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3078\u306e\u5f71\u97ff\u3092\u30c1\u30a7\u30c3\u30af\u3057\u307e\u3059\u3002<\/li>\n
                                    • \u9aa8\u5bc6\u5ea6\u691c\u67fb:<\/strong>\u00a0\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\u3092\u5185\u670d\u3059\u308b\u305f\u3081\u3001\u534a\u5e74\u306b1\u56de\u307e\u305f\u306f1\u5e74\u306b1\u56de<\/strong>\u306e\u30da\u30fc\u30b9\u3067\u6e2c\u5b9a\u3057\u3001\u9aa8\u7c97\u9b06\u75c7\u306e\u9032\u884c\u3092\u9632\u3050\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n

                                      \u7dcf\u62ec<\/strong><\/p>\n

                                      \u3054\u63d0\u793a\u3044\u305f\u3060\u3044\u305f\u30c7\u30fc\u30bf\u304b\u3089\u306f\u3001\u3042\u306a\u305f\u306e\u4e73\u764c\u306f**\u300c\u975e\u5e38\u306b\u305f\u3061\u304c\u826f\u304f\u3001\u65e9\u671f\u767a\u898b\u3055\u308c\u3001\u304b\u3064\u5b8c\u74a7\u306a\u624b\u8853\u304c\u884c\u308f\u308c\u305f\u72b6\u614b\u300d**\u3068\u8a00\u3048\u307e\u3059\u3002<\/p>\n

                                      \u75c5\u7406\u7d50\u679c\u306e\u300c\u65ad\u7aef\u9670\u6027\u300d\u300cLy0\/V0\uff08\u8108\u7ba1\u4fb5\u8972\u306a\u3057\uff09\u300d\u3068\u3044\u3046\u70b9\u3082\u975e\u5e38\u306b\u5b89\u5fc3\u6750\u6599\u3067\u3059\u3002\u518d\u767a\u306e\u30ea\u30b9\u30af\u3088\u308a\u3082\u3001\u6cbb\u7642\u306b\u3088\u308b\u526f\u4f5c\u7528\uff08\u7279\u306b\u95a2\u7bc0\u75db\u3084\u9aa8\u5bc6\u5ea6\uff09\u3068\u3046\u307e\u304f\u4ed8\u304d\u5408\u3063\u3066\u3044\u304f\u3053\u3068\u3001\u305d\u3057\u3066\u4e00\u822c\u691c\u8a3a\uff08\u80c3\u304c\u3093\u3084\u5927\u8178\u304c\u3093\u691c\u8a3a\u306a\u3069\uff09\u3082\u3057\u3063\u304b\u308a\u53d7\u3051\u3066\u5065\u5eb7\u5bff\u547d\u3092\u5ef6\u3070\u3059\u3053\u3068\u306e\u65b9\u304c\u3001\u4eca\u5f8c\u306e\u4eba\u751f\u306b\u304a\u3044\u3066\u306f\u91cd\u8981\u5ea6\u304c\u9ad8\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

                                      \u62c5\u5f53\u533b\u306e\u63d0\u6848\u306f\u4fe1\u983c\u3067\u304d\u308b\u3082\u306e\u3067\u3059\u306e\u3067\u3001\u5b89\u5fc3\u3057\u3066\u6cbb\u7642\u306b\u9032\u3093\u3067\u304f\u3060\u3055\u3044\u3002<\/p>\n

                                       <\/p>\n

                                       <\/p>\n

                                       <\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
                                      \u9805\u76ee<\/strong><\/td>\n\u5185\u5bb9<\/strong><\/td>\n<\/tr>\n
                                      \u60a3\u8005\u60c5\u5831<\/td>\n64\u6b73\u5973\u6027\u3001pT1c N0 M0\u3001\u30eb\u30df\u30ca\u30ebA\u30bf\u30a4\u30d7\uff08ER\u967d\u6027\u3001HER2\u9670\u6027\u3001\u4f4eKi67\uff09\u3001Oncotype DX\u30b9\u30b3\u30a26\u70b9<\/td>\n<\/tr>\n
                                      \u30b9\u30c6\u30fc\u30b8\u5206\u985e<\/td>\n\u30b9\u30c6\u30fc\u30b8IA\uff08\u6d78\u6f64\u5f8420mm\u4ee5\u4e0b\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306a\u3057\uff09<\/td>\n<\/tr>\n
                                      \u30b5\u30d6\u30bf\u30a4\u30d7<\/td>\n\u30eb\u30df\u30ca\u30ebA\u30bf\u30a4\u30d7\uff08\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u5f37\u967d\u6027\u3001HER2\u9670\u6027\u3001Ki67\u4f4e\u5024\uff09<\/td>\n<\/tr>\n
                                      \u7d44\u7e54\u578b<\/td>\nInvasive solid papillary carcinoma\uff08\u5145\u5b9f\u6027\u4e73\u982d\u764c\uff09<\/td>\n<\/tr>\n
                                      Oncotype DX<\/td>\n\u518d\u767a\u30b9\u30b3\u30a26\u70b9\u3001\u5316\u5b66\u7642\u6cd5\u52b9\u679c\u306a\u3057\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u5358\u72ec\u3067\u9ad8\u3044\u52b9\u679c<\/td>\n<\/tr>\n
                                      5\u5e74\u30fb10\u5e74\u751f\u5b58\u7387<\/td>\n95\u301c99%<\/td>\n<\/tr>\n
                                      10\u5e74\u9060\u9694\u518d\u767a\u7387<\/td>\n\u7d045%\uff08\u305d\u308c\u4ee5\u4e0b\uff09<\/td>\n<\/tr>\n
                                      \u6cbb\u7642\u65b9\u91dd<\/td>\n\u5de6\u4e73\u623f\u7167\u5c0442.5Gy\/16\u56de\uff08\u5be1\u5206\u5272\u7167\u5c04\uff09\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb5\u5e74\u9593\u3001\u5316\u5b66\u7642\u6cd5\u7701\u7565<\/td>\n<\/tr>\n
                                      \u653e\u5c04\u7dda\u6cbb\u7642\u526f\u4f5c\u7528<\/td>\n\u76ae\u819a\u708e\u3001\u5026\u6020\u611f\u3001\u653e\u5c04\u7dda\u80ba\u81d3\u708e\uff081%\u7a0b\u5ea6\uff09<\/td>\n<\/tr>\n
                                      \u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb\u526f\u4f5c\u7528<\/td>\n\u95a2\u7bc0\u75db\u30fb\u3053\u308f\u3070\u308a\u3001\u9aa8\u5bc6\u5ea6\u4f4e\u4e0b\u3001\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u3001\u8102\u8cea\u7570\u5e38<\/td>\n<\/tr>\n
                                      \u518d\u767a\u30d1\u30bf\u30fc\u30f3<\/td>\n\u5c40\u6240\u518d\u767a\uff08\u4e73\u623f\u5185\u30fb\u30ea\u30f3\u30d1\u7bc0\uff09\u3001\u9060\u9694\u8ee2\u79fb\uff08\u9aa8\u3001\u80ba\u3001\u809d\u81d3\uff09<\/td>\n<\/tr>\n
                                      \u9060\u9694\u8ee2\u79fb\u75c7\u72b6<\/td>\n\u9aa8\uff1a\u8170\u75db\u30fb\u80cc\u90e8\u75db\u3001\u80ba\uff1a\u7a7a\u54b3\u30fb\u606f\u5207\u308c\u3001\u809d\uff1a\u7121\u75c7\u72b6<\/td>\n<\/tr>\n
                                      \u5b9a\u671f\u691c\u67fb<\/td>\n\u8a3a\u5bdf3\u301c6\u30f6\u6708\u306b1\u56de\u2192\u534a\u5e74\u301c1\u5e74\u306b1\u56de\u3001\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a31\u5e74\u306b1\u56de\u3001\u8840\u6db2\u691c\u67fb\u534a\u5e74\u306b1\u56de\u3001\u9aa8\u5bc6\u5ea6\u534a\u5e74\u301c1\u5e74\u306b1\u56de<\/td>\n<\/tr>\n
                                      \u75c5\u7406\u7d50\u679c<\/td>\n\u65ad\u7aef\u9670\u6027\u3001Ly0\/V0\uff08\u8108\u7ba1\u4fb5\u8972\u306a\u3057\uff09<\/td>\n<\/tr>\n
                                      \u7dcf\u62ec<\/td>\n\u975e\u5e38\u306b\u305f\u3061\u304c\u826f\u304f\u3001\u65e9\u671f\u767a\u898b\u3001\u5b8c\u74a7\u306a\u624b\u8853\u3001\u518d\u767a\u30ea\u30b9\u30af\u4f4e\u3001\u526f\u4f5c\u7528\u5bfe\u7b56\u91cd\u8981<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

                                       <\/p>\n

                                       <\/p>\n","protected":false},"excerpt":{"rendered":"

                                      \u79c1\u306f64\u6b73\u5973\u6027\u3000\u5de6\u4e73\u764c\u306e\u8a3a\u65ad\u306b\u3066\u3001\u4e73\u623f\u90e8\u5206\u5207\u9664\uff0b\u30bb\u30f3\u30c1\u30cd\u30eb\u30ea\u30f3\u30d1\u7bc0\u751f\u691c\u3092\u53d7\u3051\u307e\u3057\u305f\u3002\u4e73\u764c\u3001\u5375\u5de3\u764c\u306e\u5bb6\u65cf\u6b74\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u624b\u8853\u75c5\u7406\u7d50\u679c\u306b\u3066\u3001invasive solid papillary carcinoma\u3001\u6d78\u6f64\u5f8416\u00d78mm\uff0f\u4e73\u7ba1\u5185\u75c5\u5909\u3082\u542b\u3081\u305f\u816b\u760d\u5168\u4f5335mm\u3001pT1c,N0(sn),M0 Ly0\/V0\u3001\u4e73\u817a\u65ad\u7aef\u9670\u6027\u3001ER\u5f37\u967d\u6027(AS=8)\u3001PgR\u967d\u6027(AS=6)\u3001HER2(0)\u3001Ki67 15%\u3001Oncotype DX RS\u30b9\u30b3\u30a26\u70b9\uff0810\u5e74\u9060\u9694\u518d\u767a5%\uff09\u3001\u4eca\u5f8c\u306e\u6cbb\u7642\u3068\u3057\u3066\u5de6\u4e73\u623f\u7167\u5c04\uff1a42.5Gy\/16\u56de\uff0b\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\uff1a\u30a2\u30ca\u30b9\u30c8\u30ed\u30be\u30fc\u30eb5\u5e74\u9593\u5185\u670d\u3092\u63d0\u6848\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u3053\u3067\u8cea\u554f\u3067\u3059\u3002\u73fe\u5728\u306e\u79c1\u306e\u4e88\u5f8c\uff085\u5e74\u300110\u5e74\u306e\u518d\u767a\u7387\u3001\u751f\u5b58\u7387\u306a\u3069\uff09\u3001\u63d0\u6848\u3055\u308c\u305f\u6cbb\u7642\u306e\u59a5\u5f53\u6027\u3001\u4e88\u60f3\u3055\u308c\u308b\u526f\u4f5c\u7528\u3001\u307e\u305f\u61f8\u5ff5\u3055\u308c\u308b\u518d\u767a\u306e\u30d1\u30bf\u30fc\u30f3\u3001\u8853\u5f8c\u306e\u5b9a\u671f\u691c\u67fb\u306f\u3069\u306e\u7a0b\u5ea6\u304c\u59a5\u5f53\u304b\u6574\u7406\u3057\u3066\u6559\u3048\u3066\u304f\u3060\u3055\u3044\u3002 \u533b\u5e2bA 1) \u73fe\u5728\u306e\u4e88\u5f8c\uff08\u518d\u767a\u7387\u30fb\u751f\u5b58\u7387\u306e\u76ee\u5b89\uff09 \u7d50\u8ad6\uff1a\u304b\u306a\u308a\u826f\u597d\u3067\u3059\u3002\u7406\u7531\u306f\u3001\u2460\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306a\u3057\u3001\u2461\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u304c\u5f37\u967d\u6027\u3001\u2462HER2\u9670\u6027\u3001\u2463\u8108\u7ba1\u4fb5\u8972\u306a\u3057\u3001\u2464Oncotype DX \u304c\u8d85\u4f4e\u5024\uff08RS6\uff09\u3067\u3001\u9060\u9694\u8ee2\u79fb\u30ea\u30b9\u30af\u304c\u6975\u3081\u3066\u4f4e\u3044\u3053\u3068\u3067\u3059\u3002 \u9060\u9694\u518d\u767a\uff08\u9aa8\u30fb\u80ba\u30fb\u809d\u306a\u3069\uff09 TAILORx\u8a66\u9a13\u3067\u306f\u3001RS 0\u201310\u306e\u7fa4\u306f**\u5185\u5206\u6ccc\u7642\u6cd5\u306e\u307f\u3067\u9060\u9694\u518d\u767a\u304c5\u5e741%\u30019\u5e743%**\u3068\u975e\u5e38\u306b\u4f4e\u7387\u3067\u3057\u305f\u3002 \u3042\u306a\u305f\u306eRS 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