{"id":604,"date":"2024-10-30T00:55:32","date_gmt":"2024-10-29T15:55:32","guid":{"rendered":"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/?p=604"},"modified":"2024-10-30T00:55:47","modified_gmt":"2024-10-29T15:55:47","slug":"%e5%8c%96%e7%94%9f%e3%81%8c%e3%82%93","status":"publish","type":"post","link":"http:\/\/www.tokyo-breast-clinic.jp\/seminar\/approach\/%e5%8c%96%e7%94%9f%e3%81%8c%e3%82%93\/","title":{"rendered":"\u5316\u751f\u304c\u3093\uff08\u4e73\u304c\u3093\uff09\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u306b\u3064\u3044\u3066"},"content":{"rendered":"<article class=\"w-full text-token-text-primary focus-visible:outline-2 focus-visible:outline-offset-[-4px]\" dir=\"auto\" data-testid=\"conversation-turn-4\" data-scroll-anchor=\"false\">\n<div class=\"m-auto text-base py-[18px] px-3 md:px-4 w-full md:px-5 lg:px-4 xl:px-5\">\n<div class=\"mx-auto flex flex-1 gap-4 text-base md:gap-5 lg:gap-6 md:max-w-3xl lg:max-w-[40rem] xl:max-w-[48rem]\">\n<div class=\"group\/conversation-turn relative flex w-full min-w-0 flex-col\">\n<div class=\"flex-col gap-1 md:gap-3\">\n<div class=\"flex max-w-full flex-col flex-grow\">\n<div class=\"min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"user\" data-message-id=\"aaa22936-432e-4b4f-916b-9db6be5310be\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden items-end rtl:items-start\">\n<div class=\"relative max-w-[70%] rounded-3xl px-5 py-2.5 bg-[#f4f4f4] dark:bg-token-main-surface-secondary\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<article class=\"w-full text-token-text-primary focus-visible:outline-2 focus-visible:outline-offset-[-4px]\" dir=\"auto\" data-testid=\"conversation-turn-5\" data-scroll-anchor=\"true\">\n<div class=\"m-auto text-base py-[18px] px-3 md:px-4 w-full md:px-5 lg:px-4 xl:px-5\">\n<div class=\"mx-auto flex flex-1 gap-4 text-base md:gap-5 lg:gap-6 md:max-w-3xl lg:max-w-[40rem] xl:max-w-[48rem]\">\n<div class=\"flex-shrink-0 flex flex-col relative items-end\">\n<div>\n<div class=\"pt-0\">\n<div class=\"gizmo-bot-avatar flex h-8 w-8 items-center justify-center overflow-hidden rounded-full\">\n<div class=\"relative p-1 rounded-sm flex items-center justify-center bg-token-main-surface-primary text-token-text-primary h-8 w-8\">\u5316\u751f\u304c\u3093\uff08\u4e73\u304c\u3093\uff09\u306f\u3001\u4e73\u304c\u3093\u306e\u4e2d\u3067\u3082\u975e\u5e38\u306b\u7a00\u306a\u30bf\u30a4\u30d7\u3067\u3001\u901a\u5e38\u306e\u4e73\u304c\u3093\u3088\u308a\u3082\u7570\u306a\u308b\u5f62\u614b\u5b66\u7684\u7279\u5fb4\u3092\u6301\u3061\u3001\u6cbb\u7642\u304c\u96e3\u3057\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4ee5\u4e0b\u306b\u3001\u5316\u751f\u304c\u3093\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u306b\u3064\u3044\u3066\u307e\u3068\u3081\u307e\u3059\u3002<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"group\/conversation-turn relative flex w-full min-w-0 flex-col agent-turn\">\n<div class=\"flex-col gap-1 md:gap-3\">\n<div class=\"flex max-w-full flex-col flex-grow\">\n<div class=\"min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"6daf27ca-9426-4d62-97d9-085fc159e015\" data-message-model-slug=\"gpt-4o\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<hr \/>\n<h3>\u5316\u751f\u304c\u3093\u306e\u6982\u8981<\/h3>\n<p>\u5316\u751f\u304c\u3093\uff08\u30e1\u30bf\u30d7\u30e9\u30b9\u30c1\u30c3\u30af\u4e73\u304c\u3093\uff09\u306f\u3001\u4e73\u304c\u3093\u5168\u4f53\u306e1%\u672a\u6e80\u3068\u975e\u5e38\u306b\u307e\u308c\u306a\u30bf\u30a4\u30d7\u306e\u4e73\u304c\u3093\u3067\u3059\u3002\u3053\u306e\u304c\u3093\u306f\u3001\u591a\u69d8\u306a\u7d30\u80de\u6210\u5206\uff08\u4e0a\u76ae\u6027\u3068\u9593\u8449\u6027\u306e\u6210\u5206\uff09\u3092\u6301\u3064\u305f\u3081\u3001\u300c\u5316\u751f\uff08\u30e1\u30bf\u30d7\u30e9\u30b9\u30c1\u30c3\u30af\uff09\u300d\u3068\u3044\u3046\u540d\u524d\u304c\u3064\u3044\u3066\u3044\u307e\u3059\u3002\u901a\u5e38\u306e\u4e73\u304c\u3093\u3068\u7570\u306a\u308a\u3001\u5206\u5316\u304c\u4f4e\u304f\u3001\u6025\u901f\u306b\u6210\u9577\u3057\u3001\u65e9\u671f\u306b\u8ee2\u79fb\u3057\u3084\u3059\u3044\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h3>\u5316\u751f\u304c\u3093\u306e\u75c5\u7406\u7684\u7279\u5fb4<\/h3>\n<p>\u5316\u751f\u304c\u3093\u306f\u3001\u817a\u304c\u3093\u69d8\u7d30\u80de\u306b\u52a0\u3048\u3001\u9aa8\u3001\u8edf\u9aa8\u3001\u7b4b\u8089\u3001\u7d21\u9318\u5f62\u7d30\u80de\u306a\u3069\u3001\u591a\u69d8\u306a\u6210\u5206\u304c\u6df7\u5728\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u8a3a\u65ad\u304c\u96e3\u3057\u304f\u3001\u75c5\u7406\u5b66\u7684\u306a\u78ba\u8a8d\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u307e\u305f\u3001\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\uff08ER\u3001PR\uff09\u3084HER2\u304c\u9670\u6027\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u30c8\u30ea\u30d7\u30eb\u30cd\u30ac\u30c6\u30a3\u30d6\u4e73\u304c\u3093\u306e\u4e00\u7a2e\u3068\u307f\u306a\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3084\u5206\u5b50\u6a19\u7684\u7642\u6cd5\u304c\u52b9\u304d\u306b\u304f\u304f\u3001\u5316\u5b66\u7642\u6cd5\u304c\u6cbb\u7642\u306e\u4e3b\u8ef8\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<hr \/>\n<h3>\u8a3a\u65ad\u65b9\u6cd5<\/h3>\n<h4>1. \u753b\u50cf\u8a3a\u65ad<\/h4>\n<p>\u5316\u751f\u304c\u3093\u306f\u3001\u753b\u50cf\u8a3a\u65ad\u306b\u304a\u3044\u3066\u3082\u901a\u5e38\u306e\u4e73\u304c\u3093\u3068\u306f\u7570\u306a\u308b\u7279\u5fb4\u3092\u793a\u3059\u5834\u5408\u304c\u3042\u308a\u3001\u8a3a\u65ad\u304c\u96e3\u3057\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3<\/strong>\uff1a\u901a\u5e38\u306e\u4e73\u304c\u3093\u3068\u6bd4\u3079\u3066\u5883\u754c\u304c\u4e0d\u660e\u77ad\u3067\u3001\u5fae\u7d30\u77f3\u7070\u5316\u304c\u5c11\u306a\u3044\u305f\u3081\u3001\u4ed6\u306e\u816b\u760d\u3068\u533a\u5225\u3057\u306b\u304f\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/li>\n<li><strong>\u8d85\u97f3\u6ce2\u691c\u67fb<\/strong>\uff1a\u4e0d\u5747\u4e00\u306a\u30a8\u30b3\u30fc\u304c\u307f\u3089\u308c\u3001\u5468\u56f2\u3068\u306e\u5883\u754c\u304c\u4e0d\u9bae\u660e\u306a\u5834\u5408\u304c\u591a\u3044\u3067\u3059\u3002\u816b\u760d\u5185\u90e8\u306b\u56a2\u80de\u72b6\u306e\u69cb\u9020\u304c\u5b58\u5728\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u901a\u5e38\u306e\u4e73\u304c\u3093\u3068\u306f\u7570\u306a\u308b\u6240\u898b\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li><strong>MRI<\/strong>\uff1a\u816b\u760d\u306e\u5883\u754c\u304c\u4e0d\u660e\u77ad\u3067\u3042\u308a\u3001\u9020\u5f71\u5264\u306e\u5f37\u3044\u5897\u5f37\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002MRI\u306f\u3001\u4e73\u304c\u3093\u306e\u8a3a\u65ad\u306b\u304a\u3044\u3066\u88dc\u52a9\u7684\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3001\u7279\u306b\u5316\u751f\u304c\u3093\u306e\u3088\u3046\u306a\u7279\u6b8a\u306a\u30bf\u30a4\u30d7\u306e\u4e73\u304c\u3093\u306b\u5bfe\u3057\u3066\u6709\u7528\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>2. \u751f\u691c\u3068\u75c5\u7406\u8a3a\u65ad<\/h4>\n<p>\u753b\u50cf\u8a3a\u65ad\u306e\u307f\u3067\u306f\u8a3a\u65ad\u304c\u96e3\u3057\u3044\u305f\u3081\u3001\u7d44\u7e54\u751f\u691c\u304c\u5fc5\u8981\u3067\u3059\u3002\u7d30\u80de\u306e\u5f62\u614b\u304c\u591a\u69d8\u3067\u3042\u308a\u3001\u817a\u304c\u3093\u7d30\u80de\u306b\u52a0\u3048\u3066\u7d21\u9318\u5f62\u7d30\u80de\u3084\u8edf\u9aa8\u3001\u9aa8\u306e\u5f62\u6210\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\u514d\u75ab\u7d44\u7e54\u5316\u5b66\u67d3\u8272\u306b\u3088\u308a\u3001\u30db\u30eb\u30e2\u30f3\u53d7\u5bb9\u4f53\uff08ER\u3001PR\uff09\u3068HER2\u304c\u9670\u6027\u3067\u3042\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u308b\u3068\u3001\u5316\u751f\u304c\u3093\u306e\u8a3a\u65ad\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n<h4>3. \u5206\u5b50\u751f\u7269\u5b66\u7684\u691c\u67fb<\/h4>\n<p>\u5206\u5b50\u751f\u7269\u5b66\u7684\u306a\u7279\u5fb4\u3092\u628a\u63e1\u3059\u308b\u3053\u3068\u3082\u91cd\u8981\u3067\u3001\u7279\u306b\u5316\u751f\u304c\u3093\u304c\u30c8\u30ea\u30d7\u30eb\u30cd\u30ac\u30c6\u30a3\u30d6\u4e73\u304c\u3093\u306b\u5206\u985e\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3053\u3068\u304b\u3089\u3001BRCA1\/2\u907a\u4f1d\u5b50\u5909\u7570\u3084PD-L1\u767a\u73fe\u306a\u3069\u306e\u907a\u4f1d\u5b50\u691c\u67fb\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6cbb\u7642\u306e\u9078\u629e\u80a2\u304c\u5e83\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<hr \/>\n<h3>\u5316\u751f\u304c\u3093\u306e\u6cbb\u7642<\/h3>\n<p>\u5316\u751f\u304c\u3093\u306f\u3001\u4e00\u822c\u7684\u306a\u4e73\u304c\u3093\u3068\u7570\u306a\u308b\u305f\u3081\u3001\u6a19\u6e96\u6cbb\u7642\u3082\u7570\u306a\u308a\u307e\u3059\u3002\u4ee5\u4e0b\u306b\u6cbb\u7642\u6cd5\u3092\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n<h4>1. 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