{"id":39,"date":"2018-09-02T19:44:47","date_gmt":"2018-09-02T10:44:47","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/seminer\/?p=39"},"modified":"2024-10-20T14:11:42","modified_gmt":"2024-10-20T05:11:42","slug":"staging","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/approach\/staging\/","title":{"rendered":"\u4e73\u304c\u3093\u306e\u9032\u884c\u671f\u3068\u6027\u8cea"},"content":{"rendered":"<h2>\u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e\uff08\u30b9\u30c6\u30fc\u30b8\u30f3\u30b0\uff09\u306b\u3064\u3044\u3066<\/h2>\n<p>\u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e\uff08\u30b9\u30c6\u30fc\u30b8\u30f3\u30b0\uff09\u306f\u3001\u304c\u3093\u306e\u9032\u884c\u5ea6\u3084\u5e83\u304c\u308a\u3092\u8a55\u4fa1\u3057\u3001\u9069\u5207\u306a\u6cbb\u7642\u8a08\u753b\u3092\u7acb\u3066\u308b\u305f\u3081\u306e\u91cd\u8981\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3059\u3002\u4e73\u304c\u3093\u306e\u75c5\u671f\u306f\u3001\u56fd\u969b\u7684\u306b\u4f7f\u7528\u3055\u308c\u308b\u300cTNM\u5206\u985e\u300d\u306b\u57fa\u3065\u3044\u3066\u3044\u307e\u3059\u3002TNM\u5206\u985e\u3067\u306f\u3001\u816b\u760d\u306e\u5927\u304d\u3055\uff08T: Tumor\uff09\u3001\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u8ee2\u79fb\uff08N: Node\uff09\u3001\u9060\u9694\u8ee2\u79fb\u306e\u6709\u7121\uff08M: Metastasis\uff09\u306e3\u3064\u306e\u8981\u7d20\u306b\u57fa\u3065\u3044\u3066\u4e73\u304c\u3093\u306e\u9032\u884c\u5ea6\u304c\u6c7a\u5b9a\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u75c5\u671f\u5206\u985e\u306b\u3088\u308a\u30010\u671f\u304b\u3089IV\u671f\u307e\u3067\u306e5\u3064\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u5206\u985e\u3055\u308c\u3001\u5404\u30b9\u30c6\u30fc\u30b8\u3054\u3068\u306b\u7570\u306a\u308b\u7279\u5fb4\u3084\u6cbb\u7642\u65b9\u91dd\u304c\u5b9a\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n<p>\u4ee5\u4e0b\u306b\u3001\u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e\u3068\u305d\u306e\u7279\u5fb4\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n<h3>1. TNM\u5206\u985e\u306e\u6982\u8981<\/h3>\n<p>TNM\u5206\u985e\u306f\u3001\u4e73\u304c\u3093\u306e\u9032\u884c\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u308b\u4e3b\u8981\u306a\u57fa\u6e96\u3067\u3059\u3002\u305d\u308c\u305e\u308c\u306e\u8981\u7d20\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u898b\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<h4>1.1 T\uff08Tumor\uff09\uff1a\u816b\u760d\u306e\u5927\u304d\u3055\u3068\u5e83\u304c\u308a<\/h4>\n<p>T\u306f\u816b\u760d\u306e\u5927\u304d\u3055\u3084\u4e73\u623f\u5185\u3067\u306e\u5e83\u304c\u308a\u3092\u793a\u3057\u307e\u3059\u3002T\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>Tis\uff08Carcinoma in situ\uff09<\/strong>\uff1a\u975e\u6d78\u6f64\u6027\u306e\u304c\u3093\u3001\u3059\u306a\u308f\u3061\u4e73\u7ba1\u5185\u3084\u5c0f\u8449\u5185\u306b\u3068\u3069\u307e\u308a\u3001\u5468\u56f2\u306e\u7d44\u7e54\u306b\u306f\u5e83\u304c\u3063\u3066\u3044\u306a\u3044\u72b6\u614b\u3067\u3059\u3002\u3053\u308c\u306b\u306f\u3001\u4e73\u7ba1\u5185\u304c\u3093\uff08DCIS: Ductal Carcinoma In Situ\uff09\u3084\u5c0f\u8449\u5185\u304c\u3093\uff08LCIS: Lobular Carcinoma In Situ\uff09\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/li>\n<li><strong>T1<\/strong>\uff1a\u816b\u760d\u306e\u5927\u304d\u3055\u304c2cm\u4ee5\u4e0b\u3067\u3042\u308b\u5834\u5408\u3002T1\u306f\u3055\u3089\u306b\u7d30\u304b\u304f\u4ee5\u4e0b\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002\n<ul>\n<li>T1a\uff1a\u816b\u760d\u304c0.1cm\u4ee5\u4e0a\u30010.5cm\u4ee5\u4e0b<\/li>\n<li>T1b\uff1a\u816b\u760d\u304c0.5cm\u3092\u8d85\u3048\u30011cm\u4ee5\u4e0b<\/li>\n<li>T1c\uff1a\u816b\u760d\u304c1cm\u3092\u8d85\u3048\u30012cm\u4ee5\u4e0b<\/li>\n<\/ul>\n<\/li>\n<li><strong>T2<\/strong>\uff1a\u816b\u760d\u306e\u5927\u304d\u3055\u304c2cm\u3092\u8d85\u3048\u30015cm\u4ee5\u4e0b<\/li>\n<li><strong>T3<\/strong>\uff1a\u816b\u760d\u306e\u5927\u304d\u3055\u304c5cm\u3092\u8d85\u3048\u308b<\/li>\n<li><strong>T4<\/strong>\uff1a\u816b\u760d\u304c\u80f8\u58c1\u3084\u76ae\u819a\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u5834\u5408\u3002\u3053\u308c\u306b\u306f\u3001\u708e\u75c7\u6027\u4e73\u304c\u3093\uff08T4d\uff09\u3082\u542b\u307e\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>1.2 N\uff08Node\uff09\uff1a\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u6709\u7121<\/h4>\n<p>N\u306f\u3001\u304c\u3093\u7d30\u80de\u304c\u8fd1\u304f\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u793a\u3057\u307e\u3059\u3002\u4e73\u304c\u3093\u3067\u306f\u4e3b\u306b\u814b\u7aa9\uff08\u308f\u304d\u306e\u4e0b\uff09\u306e\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u8ee2\u79fb\u304c\u554f\u984c\u3068\u306a\u308a\u307e\u3059\u3002N\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>N0<\/strong>\uff1a\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u8ee2\u79fb\u304c\u8a8d\u3081\u3089\u308c\u306a\u3044\u5834\u5408<\/li>\n<li><strong>N1<\/strong>\uff1a\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u306f\u7652\u7740\u3057\u3066\u3044\u306a\u3044\u5834\u5408<\/li>\n<li><strong>N2<\/strong>\uff1a\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u304c\u7652\u7740\u3057\u3066\u3044\u308b\u3001\u307e\u305f\u306f\u5185\u80f8\u30ea\u30f3\u30d1\u7bc0\uff08\u80f8\u9aa8\u306e\u8fd1\u304f\uff09\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408<\/li>\n<li><strong>N3<\/strong>\uff1a\u9396\u9aa8\u4e0a\u30ea\u30f3\u30d1\u7bc0\u307e\u305f\u306f\u80f8\u9aa8\u306e\u5468\u56f2\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408<\/li>\n<\/ul>\n<h4>1.3 M\uff08Metastasis\uff09\uff1a\u9060\u9694\u8ee2\u79fb\u306e\u6709\u7121<\/h4>\n<p>M\u306f\u3001\u304c\u3093\u304c\u4e73\u623f\u3084\u30ea\u30f3\u30d1\u7bc0\u4ee5\u5916\u306e\u81d3\u5668\u3084\u7d44\u7e54\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>M0<\/strong>\uff1a\u9060\u9694\u8ee2\u79fb\u304c\u8a8d\u3081\u3089\u308c\u306a\u3044\u5834\u5408<\/li>\n<li><strong>M1<\/strong>\uff1a\u304c\u3093\u304c\u9aa8\u3001\u80ba\u3001\u809d\u81d3\u3001\u8133\u306a\u3069\u306e\u4ed6\u306e\u81d3\u5668\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u5834\u5408<\/li>\n<\/ul>\n<h3>2. \u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e<\/h3>\n<p>TNM\u5206\u985e\u3092\u3082\u3068\u306b\u3001\u4e73\u304c\u3093\u306f\u4ee5\u4e0b\u306e5\u3064\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002\u5404\u30b9\u30c6\u30fc\u30b8\u306f\u304c\u3093\u306e\u9032\u884c\u5ea6\u3092\u53cd\u6620\u3057\u3066\u304a\u308a\u3001\u305d\u308c\u305e\u308c\u306e\u6cbb\u7642\u65b9\u91dd\u3084\u4e88\u5f8c\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u307e\u3059\u3002<\/p>\n<h4>2.1 0\u671f\uff08\u30b9\u30c6\u30fc\u30b80\uff09<\/h4>\n<p><strong>0\u671f\u4e73\u304c\u3093<\/strong>\u306f\u3001\u304c\u3093\u304c\u4e73\u7ba1\u5185\u3084\u5c0f\u8449\u5185\u306b\u3068\u3069\u307e\u3063\u3066\u304a\u308a\u3001\u5468\u56f2\u306e\u4e73\u817a\u7d44\u7e54\u306b\u306f\u6d78\u6f64\u3057\u3066\u3044\u306a\u3044\u975e\u6d78\u6f64\u6027\u4e73\u304c\u3093\u3067\u3059\u3002\u3053\u306e\u6bb5\u968e\u306e\u304c\u3093\u306f\u3001\u307e\u3060\u30ea\u30f3\u30d1\u7bc0\u3084\u4ed6\u306e\u81d3\u5668\u306b\u306f\u8ee2\u79fb\u3057\u3066\u304a\u3089\u305a\u3001\u6bd4\u8f03\u7684\u4e88\u5f8c\u304c\u826f\u597d\u3067\u3059\u3002<\/p>\n<ul>\n<li><strong>\u4e73\u7ba1\u5185\u304c\u3093\uff08DCIS: Ductal Carcinoma In Situ\uff09<\/strong>\uff1a\u4e73\u7ba1\u5185\u3067\u767a\u751f\u3059\u308b\u975e\u6d78\u6f64\u6027\u304c\u3093\u3067\u3059\u3002\u65e9\u671f\u306b\u767a\u898b\u3055\u308c\u308b\u3068\u3001\u4e73\u623f\u6e29\u5b58\u624b\u8853\u3084\u5168\u6458\u624b\u8853\u3067\u5b8c\u6cbb\u3059\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059\u3002<\/li>\n<li><strong>\u5c0f\u8449\u5185\u304c\u3093\uff08LCIS: Lobular Carcinoma In Situ\uff09<\/strong>\uff1a\u4e73\u817a\u306e\u5c0f\u8449\u5185\u3067\u767a\u751f\u3059\u308b\u975e\u6d78\u6f64\u6027\u304c\u3093\u3067\u3001\u304c\u3093\u3068\u3044\u3046\u3088\u308a\u306f\u4e73\u304c\u3093\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u72b6\u614b\u3092\u793a\u3059\u3082\u306e\u3067\u3059\u3002LCIS\u81ea\u4f53\u304c\u9032\u884c\u3057\u3066\u6d78\u6f64\u304c\u3093\u306b\u306a\u308b\u3053\u3068\u306f\u5c11\u306a\u3044\u3067\u3059\u304c\u3001\u5c06\u6765\u7684\u306a\u4e73\u304c\u3093\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u305f\u3081\u3001\u5b9a\u671f\u7684\u306a\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>2.2 I\u671f\uff08\u30b9\u30c6\u30fc\u30b8I\uff09<\/h4>\n<p><strong>I\u671f\u4e73\u304c\u3093<\/strong>\u306f\u3001\u816b\u760d\u304c2cm\u4ee5\u4e0b\u3067\u3001\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u8ee2\u79fb\u304c\u306a\u3044\u3001\u307e\u305f\u306f\u5c11\u6570\u306e\u8ee2\u79fb\u304c\u3042\u308b\u6bb5\u968e\u3067\u3059\u3002\u3053\u306e\u30b9\u30c6\u30fc\u30b8\u3067\u306f\u304c\u3093\u304c\u65e9\u671f\u3067\u3042\u308b\u305f\u3081\u3001\u6cbb\u7642\u306b\u3088\u3063\u3066\u9ad8\u3044\u78ba\u7387\u3067\u6cbb\u7652\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u816b\u760d\u306f\u5c0f\u3055\u304f\u3001\u304c\u3093\u306f\u4e73\u623f\u5185\u306b\u5c40\u9650\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u306b\u306f\u3001\u4e73\u623f\u6e29\u5b58\u624b\u8853\u3084\u5168\u6458\u624b\u8853\u3001\u653e\u5c04\u7dda\u7642\u6cd5\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3001\u5316\u5b66\u7642\u6cd5\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/li>\n<li><strong>\u4e88\u5f8c<\/strong>\uff1a\u30b9\u30c6\u30fc\u30b8I\u306e\u4e73\u304c\u3093\u306f\u3001\u65e9\u671f\u767a\u898b\u3055\u308c\u308b\u3053\u3068\u3067\u6cbb\u7652\u7387\u304c\u975e\u5e38\u306b\u9ad8\u304f\u3001\u9069\u5207\u306a\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3053\u3068\u3067\u518d\u767a\u30ea\u30b9\u30af\u3082\u4f4e\u6e1b\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>2.3 II\u671f\uff08\u30b9\u30c6\u30fc\u30b8II\uff09<\/h4>\n<p><strong>II\u671f\u4e73\u304c\u3093<\/strong>\u306f\u3001\u816b\u760d\u304c\u3084\u3084\u5927\u304d\u304f\u306a\u308a\u3001\u307e\u305f\u306f\u816b\u760d\u304c\u5c0f\u3055\u3044\u304c\u8fd1\u304f\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u6bb5\u968e\u3067\u3059\u3002\u304c\u3093\u304c\u307e\u3060\u5c40\u6240\u7684\u3067\u3042\u308a\u3001\u624b\u8853\u3084\u88dc\u52a9\u7642\u6cd5\u306b\u3088\u308b\u6cbb\u7642\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<ul>\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u816b\u760d\u304c2cm\u3092\u8d85\u3048\u30015cm\u4ee5\u4e0b\u3067\u3042\u308b\uff08T2\uff09\u3001\u307e\u305f\u306f\u816b\u760d\u304c2cm\u4ee5\u4e0b\u3067\u3082\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u306b\u5c11\u6570\u306e\u8ee2\u79fb\u304c\u898b\u3089\u308c\u308b\u5834\u5408\uff08N1\uff09\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/li>\n<li><strong>\u6cbb\u7642<\/strong>\uff1a\u4e73\u623f\u6e29\u5b58\u624b\u8853\u307e\u305f\u306f\u5168\u6458\u624b\u8853\u306b\u52a0\u3048\u3001\u5316\u5b66\u7642\u6cd5\u3084\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3001HER2\u967d\u6027\u306e\u5834\u5408\u306f\u5206\u5b50\u6a19\u7684\u7642\u6cd5\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\u306b\u306f\u3001\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u306e\u90ed\u6e05\u3084\u653e\u5c04\u7dda\u7642\u6cd5\u3082\u4f75\u7528\u3055\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>2.4 III\u671f\uff08\u30b9\u30c6\u30fc\u30b8III\uff09<\/h4>\n<p><strong>III\u671f\u4e73\u304c\u3093<\/strong>\u306f\u3001\u5c40\u6240\u7684\u306b\u9032\u884c\u3057\u305f\u304c\u3093\u3067\u3001\u816b\u760d\u304c5cm\u3092\u8d85\u3048\u308b\u304b\u3001\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u5927\u898f\u6a21\u306a\u8ee2\u79fb\u304c\u8a8d\u3081\u3089\u308c\u308b\u6bb5\u968e\u3067\u3059\u3002\u307e\u305f\u3001\u80f8\u58c1\u3084\u76ae\u819a\u306b\u6d78\u6f64\u3057\u305f\u5834\u5408\u3082\u3053\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u542b\u307e\u308c\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u816b\u760d\u304c\u5927\u304d\u304f\u3001\u814b\u7aa9\u30ea\u30f3\u30d1\u7bc0\u3084\u9396\u9aa8\u4e0a\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u5e83\u304c\u3063\u3066\u3044\u308b\uff08N2\u307e\u305f\u306fN3\uff09\u3002\u304c\u3093\u306f\u307e\u3060\u9060\u9694\u8ee2\u79fb\u306f\u3057\u3066\u3044\u306a\u3044\u304c\u3001\u5c40\u6240\u7684\u306b\u9ad8\u5ea6\u306b\u9032\u884c\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n<li><strong>\u6cbb\u7642<\/strong>\uff1aIII\u671f\u4e73\u304c\u3093\u3067\u306f\u3001\u901a\u5e38\u3001\u624b\u8853\u524d\u306b\u5316\u5b66\u7642\u6cd5\uff08\u30cd\u30aa\u30a2\u30b8\u30e5\u30d0\u30f3\u30c8\u5316\u5b66\u7642\u6cd5\uff09\u3092\u884c\u3063\u3066\u816b\u760d\u3092\u7e2e\u5c0f\u3055\u305b\u3001\u305d\u306e\u5f8c\u3001\u624b\u8853\u3084\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u5b9f\u65bd\u3057\u307e\u3059\u3002\u5316\u5b66\u7642\u6cd5\u306b\u52a0\u3048\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3084\u5206\u5b50\u6a19\u7684\u7642\u6cd5\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<li><strong>\u4e88\u5f8c<\/strong>\uff1a\u6cbb\u7642\u306b\u3088\u3063\u3066\u5c40\u6240\u7684\u306a\u5236\u5fa1\u304c\u53ef\u80fd\u3067\u3059\u304c\u3001\u518d\u767a\u3084\u9060\u9694\u8ee2\u79fb\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u305f\u3081\u3001\u96c6\u4e2d\u7684\u306a\u6cbb\u7642\u3068\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u304c\u5fc5\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n<h4>2.5 IV\u671f\uff08\u30b9\u30c6\u30fc\u30b8IV\uff09<\/h4>\n<p><strong>IV\u671f\u4e73\u304c\u3093<\/strong>\u306f\u3001\u304c\u3093\u304c\u4e73\u623f\u3084\u30ea\u30f3\u30d1\u7bc0\u3092\u8d8a\u3048\u3066\u3001\u9060\u9694\u8ee2\u79fb\u3092\u8d77\u3053\u3057\u3066\u3044\u308b\u6bb5\u968e\u3067\u3059\u3002\u9060\u9694\u8ee2\u79fb\u306f\u3001\u9aa8\u3001\u80ba\u3001\u809d\u81d3\u3001\u8133\u306a\u3069\u306e\u81d3\u5668\u306b\u5e83\u304c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5168\u8eab\u6027\u306e\u75c5\u6c17\u3068\u3057\u3066\u6271\u308f\u308c\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>\u7279\u5fb4<\/strong>\uff1a\u304c\u3093\u304c\u4e73\u623f\u3084\u8fd1\u304f\u306e\u30ea\u30f3\u30d1\u7bc0\u3092\u8d85\u3048\u3066\u3001\u4f53\u306e\u4ed6\u306e\u90e8\u4f4d\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\uff08M1\uff09\u3002\u3053\u306e\u6bb5\u968e\u3067\u306f\u3001\u304c\u3093\u306f\u6cbb\u7652\u4e0d\u53ef\u80fd\u3068\u3055\u308c\u3001\u4e3b\u306b\u75c7\u72b6\u306e\u7de9\u548c\u3084\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u3092\u76ee\u6307\u3057\u305f\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n<li><strong>\u6cbb\u7642<\/strong>\uff1aIV\u671f\u4e73\u304c\u3093\u306e\u6cbb\u7642\u306f\u3001\u304c\u3093\u306e\u30bf\u30a4\u30d7\u3084\u8ee2\u79fb\u306e\u5834\u6240\u306b\u5fdc\u3058\u3066\u500b\u5225\u5316\u3055\u308c\u307e\u3059\u3002\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\u967d\u6027\u3067\u3042\u308c\u3070\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3001HER2\u967d\u6027\u3067\u3042\u308c\u3070\u5206\u5b50\u6a19\u7684\u7642\u6cd5\u304c\u7528\u3044\u3089\u308c\u3001\u3053\u308c\u306b\u52a0\u3048\u3066\u5316\u5b66\u7642\u6cd5\u3084\u653e\u5c04\u7dda\u7642\u6cd5\u3082\u884c\u308f\u308c\u307e\u3059\u3002\u6cbb\u7642\u306e\u4e3b\u306a\u76ee\u7684\u306f\u3001\u304c\u3093\u306e\u9032\u884c\u3092\u9045\u3089\u305b\u3001\u751f\u6d3b\u306e\u8cea\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/li>\n<li><strong>\u4e88\u5f8c<\/strong>\uff1aIV\u671f\u4e73\u304c\u3093\u306f\u5b8c\u5168\u306a\u6cbb\u7652\u306f\u96e3\u3057\u3044\u3067\u3059\u304c\u3001\u8fd1\u5e74\u306e\u6cbb\u7642\u6cd5\u306e\u9032\u6b69\u306b\u3088\u308a\u3001\u751f\u5b58\u671f\u9593\u306e\u5ef6\u9577\u3084\u751f\u6d3b\u306e\u8cea\u306e\u5411\u4e0a\u304c\u671f\u5f85\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<h3>3. \u75c5\u671f\u5206\u985e\u306b\u57fa\u3065\u304f\u6cbb\u7642\u65b9\u91dd<\/h3>\n<p>\u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e\u306b\u57fa\u3065\u3044\u3066\u3001\u500b\u5225\u5316\u3055\u308c\u305f\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u65e9\u671f\u306e\u75c5\u671f\u3067\u306f\u3001\u624b\u8853\u3084\u5c40\u6240\u7642\u6cd5\u304c\u4e2d\u5fc3\u3068\u306a\u308a\u3001\u9032\u884c\u3057\u305f\u75c5\u671f\u3067\u306f\u3001\u5168\u8eab\u7642\u6cd5\u304c\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002\u3069\u306e\u75c5\u671f\u306b\u304a\u3044\u3066\u3082\u3001\u6cbb\u7642\u5f8c\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u304c\u91cd\u8981\u3067\u3042\u308a\u3001\u518d\u767a\u30ea\u30b9\u30af\u306e\u7ba1\u7406\u3084\u60a3\u8005\u306e\u751f\u6d3b\u306e\u8cea\u306e\u5411\u4e0a\u3092\u76ee\u6307\u3057\u3066\u7d99\u7d9a\u7684\u306a\u30b1\u30a2\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n<h3>4. \u307e\u3068\u3081<\/h3>\n<p>\u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e\u306f\u3001\u304c\u3093\u306e\u9032\u884c\u5ea6\u3084\u5e83\u304c\u308a\u3092\u8a55\u4fa1\u3057\u3001\u9069\u5207\u306a\u6cbb\u7642\u8a08\u753b\u3092\u7acb\u3066\u308b\u305f\u3081\u306e\u91cd\u8981\u306a\u624b\u6bb5\u3067\u3059\u3002\u75c5\u671f\u306b\u3088\u3063\u3066\u6cbb\u7642\u65b9\u91dd\u306f\u5927\u304d\u304f\u7570\u306a\u308a\u3001\u500b\u5225\u5316\u3055\u308c\u305f\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u65e9\u671f\u767a\u898b\u3068\u9069\u5207\u306a\u6cbb\u7642\u306b\u3088\u308a\u3001\u4e73\u304c\u3093\u306e\u6cbb\u7652\u7387\u306f\u5411\u4e0a\u3057\u3066\u304a\u308a\u3001\u9032\u884c\u304c\u3093\u306b\u5bfe\u3057\u3066\u3082\u65b0\u3057\u3044\u6cbb\u7642\u6cd5\u306e\u958b\u767a\u304c\u9032\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<p>\u4ee5\u4e0a\u30012024\u5e7411\u6708\u4f5c\u6210<\/p>\n<hr \/>\n<div id=\"attachment_194\" style=\"width: 182px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-194\" class=\" wp-image-194\" src=\"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/wp-content\/uploads\/sites\/5\/2020\/06\/IMG-4966-300x225.jpg\" alt=\"\" width=\"172\" height=\"129\" srcset=\"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/wp-content\/uploads\/sites\/5\/2020\/06\/IMG-4966-300x225.jpg 300w, http:\/\/www.tokyo-breast-clinic.jp\/seminar\/wp-content\/uploads\/sites\/5\/2020\/06\/IMG-4966-768x576.jpg 768w, http:\/\/www.tokyo-breast-clinic.jp\/seminar\/wp-content\/uploads\/sites\/5\/2020\/06\/IMG-4966-560x420.jpg 560w, http:\/\/www.tokyo-breast-clinic.jp\/seminar\/wp-content\/uploads\/sites\/5\/2020\/06\/IMG-4966-467x350.jpg 467w, http:\/\/www.tokyo-breast-clinic.jp\/seminar\/wp-content\/uploads\/sites\/5\/2020\/06\/IMG-4966.jpg 1533w\" sizes=\"(max-width: 172px) 100vw, 172px\" \/><p id=\"caption-attachment-194\" class=\"wp-caption-text\">\u864e\u306e\u9580\u75c5\u9662<\/p><\/div>\n<h2>\u65e9\u671f\u304c\u3093\u306f\u2160\u671f\u307e\u3067<\/h2>\n<p>\u4e73\u304c\u3093\u306e\u6cbb\u7642\u6cd5\u306f\u3001\u304c\u3093\u306e\u9032\u884c\u671f\u3068\u4e73\u304c\u3093\u306e\u6027\u8cea\u306b\u3088\u3063\u3066\u6c7a\u307e\u3063\u3066\u304d\u307e\u3059\u3002<br \/>\n\u4ee5\u524d\u306f\u3001\u9032\u884c\u671f\u304c\u6cbb\u7642\u6cd5\u3092\u6c7a\u3081\u308b\u8981\uff20\u304b\u306a\u3081\uff20\u3067\u3057\u305f\u304c\u3001\u73fe\u5728\u306f\u4e73\u304c\u3093\u306e\u500b\u5225\u5316\u6cbb\u7642\u304c\u9032\u307f\u3001\u4e73\u304c\u3093\u306e\u6027\u8cea\u304c\u3088\u308a\u91cd\u8996\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\n\u8868\u306e\u3088\u3046\u306b\u3001\u4e73\u304c\u3093\u306f\u30b7\u30b3\u30ea\u306e\u5927\u304d\u3055\u3068\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u6709\u7121\u3001\u9060\u9694\u81d3\u5668\u3078\u306e\u8ee2\u79fb\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u3067\u3001\uff18\u3064\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u5206\u985e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br \/>\n\uff10\u671f\u306f\u4e73\u817a\u5185\u306b\u3068\u3069\u307e\u308b\u304c\u3093\u3067\u3001\u300c\u975e\u6d78\u6f64\u304c\u3093\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u30b7\u30b3\u30ea\u304c\uff12\u30bb\u30f3\u30c1\u4ee5\u4e0b\u3067\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u306a\u3044\u306e\u304c\u2160\u671f\u3067\u3059\u3002\u3053\u3053\u307e\u3067\u3092\u65e9\u671f\u304c\u3093\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br \/>\n\u2161\u671f\u306f\u3001\u30b7\u30b3\u30ea\u306e\u5927\u304d\u3055\u3068\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u6709\u7121\u3067\u2161A\u671f\u3068\u2161B\u671f\u306b\u5206\u304b\u308c\u307e\u3059\u3002\u2162\u671f\u306f\u5c40\u6240\u9032\u884c\u304c\u3093\u3067\u3059\u3002\u30b7\u30b3\u30ea\u306e\u5927\u304d\u3055\u304c\uff15\u30fb\uff11\u30bb\u30f3\u30c1\u4ee5\u4e0a\u3067\u3001\u8107\u306e\u4e0b\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u306e\u304c\u2162A\u671f\u3067\u3059\u3002B\u3001C\u671f\u306f\u3001\u30b7\u30b3\u30ea\u306e\u5927\u304d\u3055\u3068\u95a2\u4fc2\u306a\u304f\u3001\u3069\u306e\u90e8\u4f4d\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u304b\u3001\u304c\u3093\u304c\u76ae\u819a\u306a\u3069\u306b\u98df\u3044\u8fbc\u3093\u3067\u3044\u308b\u304b\u3069\u3046\u304b\u3067\u6c7a\u307e\u308a\u307e\u3059\u3002<br \/>\n\u2163\u671f\u306f\u3001\u80ba\u3084\u9aa8\u306a\u3069\u9060\u304f\u306e\u81d3\u5668\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u72b6\u614b\u3067\u3059\u3002<\/p>\n<h2>\u500b\u5225\u5316\u6cbb\u7642\u3068\u304c\u3093\u306e\u30b5\u30d6\u30bf\u30a4\u30d7<\/h2>\n<p>\u4e00\u65b9\u3001\u73fe\u5728\u3001\u6cbb\u7642\u306e\u4e0a\u3067\u6ce8\u76ee\u3055\u308c\u3066\u3044\u308b\u306e\u306f\u3001\u304c\u3093\u306e\u6027\u8cea\u3092\u3042\u3089\u308f\u3059\u30b5\u30d6\u30bf\u30a4\u30d7\u3068\u3044\u3046\u5206\u985e\u3067\u3059\u3002<br \/>\n\u5206\u5b50\u30ec\u30d9\u30eb\u3067\u304c\u3093\u306e\u7814\u7a76\u304c\u9032\u3093\u3060\u7d50\u679c\u3001\u4e73\u304c\u3093\u306f\u907a\u4f1d\u5b50\u30ec\u30d9\u30eb\u3067\uff15\u3064\u306e\u30bf\u30a4\u30d7\uff08\u578b\uff09\u306b\u5206\u304b\u308c\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002\u305f\u3060\u907a\u4f1d\u5b50\u691c\u67fb\u306f\u7169\u96d1\u3067\u5b9f\u7528\u7684\u3067\u306a\u3044\u305f\u3081\u514d\u75ab\u67d3\u8272\u3092\u7528\u3044\u3066\u7c21\u4fbf\u306b\uff15\u3064\u306e\u30b5\u30d6\u30bf\u30a4\u30d7\u306b\u5206\u985e\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u5206\u985e\u306b\u3088\u308a\u85ac\u7269\u7642\u6cd5\u306e\u52b9\u679c\u3092\u4e88\u6e2c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<br \/>\n\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306f\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u53d7\u5bb9\u4f53\u304c\u967d\u6027\u306a\u3089\u3070\u3001\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u85ac\u306e\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u306f\u3001\uff28\uff25\uff32\uff12\uff20\u30cf\u30fc\u30c4\u30fc\uff20\u53d7\u5bb9\u4f53\u304c\u967d\u6027\u306a\u3089\u3070\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n\u30eb\u30df\u30ca\u30eb\uff21\u578b\u306f\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u306f\u52b9\u304f\u306e\u3067\u3059\u304c\u3001\uff28\uff25\uff32\uff12\u53d7\u5bb9\u4f53\u304c\u9670\u6027\u306a\u306e\u3067\u3001\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u85ac\u306e\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u306f\u52b9\u304b\u306a\u3044\u30bf\u30a4\u30d7\u3067\u3059\u3002\u304c\u3093\u306f\u3001\u5143\u306e\u7d30\u80de\u306b\u8fd1\u3044\u9854\u3092\u3057\u3066\u3044\u308b\uff08\u9ad8\u5206\u5316\u578b\uff09\u307b\u3069\u30bf\u30c1\u304c\u3088\u3044\u3068\u3044\u308f\u308c\u307e\u3059\u3002\u30eb\u30df\u30ca\u30eb\uff21\u578b\u306f\u5206\u5316\u5ea6\u3082\u9ad8\u304f\u3001\u5168\u822c\u7684\u306b\u304c\u3093\u3068\u3057\u3066\u306f\u304a\u3068\u306a\u3057\u3044\u30bf\u30a4\u30d7\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u4e73\u304c\u3093\u60a3\u8005\u3055\u3093\u306e\u7d04\uff15\u5272\u306f\u3053\u306e\u30eb\u30df\u30ca\u30ebA\u578b\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<br \/>\n\u3053\u308c\u306b\u5bfe\u3057\u3066\u3001\u30eb\u30df\u30ca\u30eb\uff22\uff08HER2\u967d\u6027\uff09\u578b\u306f\u3069\u306e\u6cbb\u7642\u3082\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u3068\u3044\u3048\u3070\u3001\u975e\u5e38\u306b\u6cbb\u308a\u3084\u3059\u304f\u307f\u3048\u307e\u3059\u304c\u3001\u85ac\u7269\u6cbb\u7642\u304c\u306a\u3051\u308c\u3070\u6210\u7e3e\u306e\u60aa\u3044\u30bf\u30a4\u30d7\u3067\u3059\u304c\u9069\u5207\u306a\u6cbb\u7642\u3067\u6210\u7e3e\u306f\u826f\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u30eb\u30df\u30ca\u30eb\uff22\uff08HER2\u9670\u6027\uff09\u578b\u306f\u30eb\u30df\u30ca\u30ebA\u578b\u306b\u4f3c\u3066\u3044\u307e\u3059\u304c\u3001\u304c\u3093\u306e\u5897\u6b96\u80fd\u304c\u9ad8\u304f\u3001\u518d\u767a\u7387\u304c\u9ad8\u304f\u3001\u6297\u304c\u3093\u5264\u304c\u6709\u52b9\u3068\u3044\u3046\u7279\u5fb4\u3092\u6301\u3061\u307e\u3059\u3002\u30eb\u30df\u30ca\u30ebA\u3068B\u306fKi67\u3068\u3044\u3046\u5897\u6b96\u30de\u30fc\u30ab\u30fc\u306e\u30b9\u30b3\u30a2\u3067\u5206\u985e\u3057\u307e\u3059\u3002\uff11\uff14\uff05\u4ee5\u4e0b\u304cA\u578b\u3001\uff11\uff14\uff05\u3088\u308a\u9ad8\u5024\u3092B\u578b\u3068\u5206\u985e\u3057\u3066\u3044\u307e\u3059\u3002\uff08\uff12\uff10\uff11\uff11\u5e74\uff13\u6708\u30b6\u30f3\u30af\u30c8\u30ac\u30ec\u30f3\u56fd\u969b\u4f1a\u8b70\uff09<br \/>\n\uff28\uff25\uff32\uff12\u967d\u6027\u306e\u30bf\u30a4\u30d7\u306f\u3001\u4ee5\u524d\u306f\u975e\u5e38\u306b\u30bf\u30c1\u304c\u60aa\u3044\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u3044\u307e\u306f\u3053\u306e\u30bf\u30a4\u30d7\u306b\u52b9\u304f\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u304c\u3067\u304d\u305f\u306e\u3067\u3001\u304b\u306a\u308a\u6cbb\u7642\u6210\u7e3e\u304c\u3088\u304f\u306a\u308a\u307e\u3057\u305f\u3002<br \/>\n\u554f\u984c\u306f\u3001\u3069\u306e\u53d7\u5bb9\u4f53\u3082\u6301\u305f\u306a\u3044\u30c8\u30ea\u30d7\u30eb\u30cd\u30ac\u30c6\u30a3\u30d6\u578b\u3067\u3059\u3002\u3053\u306e\u30bf\u30a4\u30d7\u306f\u3001\u30db\u30eb\u30e2\u30f3\u5264\u3082\u30c8\u30e9\u30b9\u30c4\u30ba\u30de\u30d6\u3082\u52b9\u304b\u306a\u3044\u305f\u3081\u3001\u6cbb\u7642\u304c\u3080\u305a\u304b\u3057\u3044\u4e73\u304c\u3093\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u73fe\u5728\u3001\u4e16\u754c\u4e2d\u3067\u3053\u306e\u30c8\u30ea\u30d7\u30eb\u30cd\u30ac\u30c6\u30a3\u30d6\u306e\u4e73\u304c\u3093\u3092\u4f55\u3068\u304b\u3057\u3088\u3046\u3068\u7814\u7a76\u304c\u9032\u3093\u3067\u3044\u307e\u3059\uff08\u25cf\u30da\u30fc\u30b8\uff09\u3002<\/p>\n<h2>\u9032\u3080\u500b\u5225\u5316\u6cbb\u7642<\/h2>\n<p>\u524d\u8ff0\u306e\u7d30\u80de\u5897\u6b96\u306b\u95a2\u4e0e\u3059\u308bKi\uff16\uff17\u3068\u3044\u3046\u30bf\u30f3\u30d1\u30af\u306e\u767a\u73fe\u91cf\u306f\u3001\u4e73\u304c\u3093\u306e\u60aa\u6027\u5ea6\u3092\u898b\u308b\u6307\u6a19\u306b\u306a\u308b\u3068\u3068\u3082\u306b\u3001\u6297\u304c\u3093\u5264\u306e\u52b9\u679c\u4e88\u6e2c\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002\u304c\u3093\u7d30\u80de\u306e\u5206\u5316\u5ea6\u306a\u3069\u3082\u3001\u304c\u3093\u306e\u6027\u8cea\u3092\u77e5\u308b\u5927\u304d\u306a\u624b\u304c\u304b\u304b\u308a\u3067\u3059\u3002\u9589\u7d4c\u524d\u304b\u9589\u7d4c\u5f8c\u304b\u3001\u30ea\u30f3\u30d1\u7ba1\u3084\u8840\u7ba1\u306b\u6d78\u6f64\u3057\u3066\u3044\u308b\u304b\u3044\u306a\u3044\u304b\u3001\u8107\u306e\u4e0b\u306e\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u3001\u306a\u3069\u3082\u304c\u3093\u306e\u6027\u8cea\u3092\u77e5\u308b\u91cd\u8981\u306a\u30dd\u30a4\u30f3\u30c8\u3067\u3059\u3002<br \/>\n\u3053\u3046\u3057\u305f\u6027\u683c\u304b\u3089\u3001\u4e73\u304c\u3093\u3092\u3053\u307e\u304b\u304f\u5206\u985e\u3057\u3001\u305d\u308c\u305e\u308c\u306b\u5408\u3063\u305f\u6cbb\u7642\u6cd5\u3084\u6cbb\u7642\u85ac\u3092\u9078\u629e\u3059\u308b\u306e\u304c\u3001\u4e73\u304c\u3093\u306e\u500b\u5225\u5316\u6cbb\u7642\u3067\u3059\u3002\u7279\u306b\u3001\u907a\u4f1d\u5b50\u306b\u3088\u308b\u304c\u3093\u306e\u89e3\u6790\u304c\u9032\u307f\u3001\u4eca\u5f8c\u307e\u3059\u307e\u3059\u7d30\u5206\u5316\u3055\u308c\u3066\u3044\u304f\u3082\u306e\u3068\u601d\u308f\u308c\u307e\u3059\u3002<br \/>\n\u81ea\u5206\u306e\u304c\u3093\u306f\u3069\u306e\u30bf\u30a4\u30d7\u306a\u306e\u304b\u3001\u6cbb\u7642\u3092\u53d7\u3051\u308b\u306b\u3042\u305f\u3063\u3066\u304d\u3061\u3093\u3068\u7406\u89e3\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<br 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Node\uff09\u3001\u9060\u9694\u8ee2\u79fb\u306e\u6709\u7121\uff08M: Metastasis\uff09\u306e3\u3064\u306e\u8981\u7d20\u306b\u57fa\u3065\u3044\u3066\u4e73\u304c\u3093\u306e\u9032\u884c\u5ea6\u304c\u6c7a\u5b9a\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u75c5\u671f\u5206\u985e\u306b\u3088\u308a\u30010\u671f\u304b\u3089IV\u671f\u307e\u3067\u306e5\u3064\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u5206\u985e\u3055\u308c\u3001\u5404\u30b9\u30c6\u30fc\u30b8\u3054\u3068\u306b\u7570\u306a\u308b\u7279\u5fb4\u3084\u6cbb\u7642\u65b9\u91dd\u304c\u5b9a\u3081\u3089\u308c\u307e\u3059\u3002 \u4ee5\u4e0b\u306b\u3001\u4e73\u304c\u3093\u306e\u75c5\u671f\u5206\u985e\u3068\u305d\u306e\u7279\u5fb4\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002 1. 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