{"id":10012,"date":"2019-12-25T18:54:44","date_gmt":"2019-12-25T09:54:44","guid":{"rendered":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/?p=10012"},"modified":"2022-04-14T11:37:28","modified_gmt":"2022-04-14T02:37:28","slug":"%e3%80%90%e8%83%b8%e9%83%a8%e3%80%91tips%e7%97%87%e4%be%8b43","status":"publish","type":"post","link":"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/archives\/10012","title":{"rendered":"\u3010\u80f8\u90e8\u3011TIPS\u75c7\u4f8b43"},"content":{"rendered":"<h4><span id=\"i\">\u3010\u80f8\u90e8\u3011TIPS\u75c7\u4f8b43<\/span><\/h4>\n<p><strong>\u3010\u75c7\u4f8b\u301150\u6b73\u4ee3\u5973\u6027<br \/>\n\u3010\u4e3b\u8a34\u3011\u7279\u306b\u306a\u3057<br \/>\n\u3010\u73fe\u75c5\u6b74\u3011\u8077\u5834\u5065\u8a3a\u3067p53\u6297\u4f53\u4e0a\u6607\u3092\u6307\u6458\u3055\u308c\u3001\u7cbe\u67fb\u76ee\u7684\u3067\u53d7\u8a3a\u3002\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0CT\u304c\u65bd\u884c\u3055\u308c\u305f\u3002<br \/>\n\u3010\u65e2\u5f80\u6b74\u3011\u6c17\u7ba1\u652f\u5598\u606f<\/strong><\/p>\n<p>\u753b\u50cf\u306f\u3053\u3061\u3089<\/p>\n<ul>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/cCUPk3Ev\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/EtdbEq6q\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09thin slice<\/a><\/li>\n<li><a href=\"https:\/\/imaging-diagnosis.com\/view\/NNDVAxcY\" target=\"_blank\" rel=\"noopener\">CT\uff08\u6a2a\u65ad\u50cf\uff09thin slice\u3000\u62e1\u5927<\/a><\/li>\n<\/ul>\n<p>\u7570\u5e38\u6240\u898b\u306f\uff1f\u305d\u306e\u5f8c1\u30f6\u6708\u5f8c\u306bCT\u304c\u518d\u691c\u3055\u308c\u307e\u3057\u305f\u304c\u3001\u8457\u5909\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u4eca\u5f8c\u306e\u65b9\u91dd\u306f\uff1f<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS1.png\" alt=\"\" width=\"660\" height=\"320\" class=\"aligncenter wp-image-10140\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS1.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS1-300x146.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS1-768x372.png 768w\" sizes=\"auto, (max-width: 660px) 100vw, 660px\" \/><\/p>\n<p>\u307c\u301c\u3063\u3068\u3057\u3066\u308b\u3068\u898b\u843d\u3068\u3057\u305d\u3046\u3067\u3059\u304c\u3001\u5de6\u4e0a\u8449\u306b\u3059\u308a\u30ac\u30e9\u30b9\u7d50\u7bc0\u3092\u8a8d\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4e2d\u5fc3\u90e8\u4f4d\u306e\u6fc3\u5ea6\u304c\u3084\u3084\u9ad8\u304f\u5145\u5b9f\u90e8\u4f4d\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<p>\u8584\u5c64\u30b9\u30e9\u30a4\u30b9\uff08thin slice\uff09\u306eCT\u3067\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS2.png\" alt=\"\" width=\"665\" height=\"336\" class=\"aligncenter wp-image-10141\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS2.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS2-300x152.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS2-768x388.png 768w\" sizes=\"auto, (max-width: 665px) 100vw, 665px\" \/><\/p>\n<p>\u78ba\u8a8d\u3059\u308b\u3068\u4e2d\u5fc3\u90e8\u306b\u3084\u306f\u308a\u5145\u5b9f\u90e8\u4f4d\u3092\u8a8d\u3081\u3066\u3044\u308b\u3059\u308a\u30ac\u30e9\u30b9\u5f71\u3067\u3042\u308a\u3001\u3044\u308f\u3086\u308b<\/p>\n<p><span style=\"font-size: 20px;\"><strong>part-solid nodule\u3084<\/strong><\/span><span style=\"font-size: 20px;\"><strong>mixed GGN\u3068\u547c\u3070\u308c\u308b\u30bf\u30a4\u30d7<\/strong><\/span><\/p>\n<p>\u306e\u80ba\u7d50\u7bc0\u3067\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS4.png\" alt=\"\" width=\"664\" height=\"301\" class=\"aligncenter wp-image-10147\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS4.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS4-300x136.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/mixed-GGN-AIS4-768x349.png 768w\" sizes=\"auto, (max-width: 664px) 100vw, 664px\" \/><\/p>\n<p>\u30b5\u30a4\u30ba\u3068\u8a08\u6e2c\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<p>\u9577\u5f84\u304c8.6mm\u3001\u5145\u5b9f\u90e8\u4f4d\u304c2mm\u5927\u3067\u3059\u3002<\/p>\n<p>\u300c<a href=\"https:\/\/www.jscts.org\/pdf\/guideline\/gls5thfig201710.pdf\" target=\"_blank\" rel=\"noopener\">\u4f4e\u7dda\u91cfCT\u306b\u3088\u308b\u80ba\u304c\u3093\u691c\u8a3a\uff1a\u80ba\u7d50\u7bc0\u306e\u5224\u5b9a\u3068\u7d4c\u904e\u89b3\u5bdf \u7b2c5\u7248\u3000\u00a9\u65e5\u672cCT\u691c\u8a3a\u5b66\u4f1a<\/a>\u300d\u306b\u3088\u308b\u3068\u3053\u306e\u30bf\u30a4\u30d7\u306f\u3059\u308a\u30ac\u30e9\u30b9\u90e8\u4f4d\u304c6mm\u3092\u8d85\u3048\u308b\u3082\u306e\u306f\u30013\u30f6\u6708\u5f8c\uff08\u4ee5\u5185\uff09\u306e\u8584\u5c64\u30b9\u30e9\u30a4\u30b9\uff08thin slice\uff09\u306b\u3088\u308b\u518d\u691c\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><strong>\u4eca\u56de1\u30f6\u6708\u5f8c\u3067\u8457\u5909\u304c\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/strong><\/p>\n<p>\u3053\u306e\u5834\u5408\u306f\u3001<span style=\"font-size: 20px;\"><b>\u521d\u56de\u304b\u3089(3),12,24\u30f6\u6708\u5f8c<\/b><\/span>\uff08\u304a\u3088\u3073\u305d\u306e\u5f8c\u3082\uff09\u306bCT\u3067\u306e\u30d5\u30a9\u30ed\u30fc\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u203b\u305f\u3060\u3057\u4eca\u56de\u306f\u5358\u306a\u308b\u691c\u8a3a\u3067\u306f\u306a\u304fp53\u9ad8\u5024\u306e\u7cbe\u67fb\u3067\u3059\u306e\u3067\u3001\u3082\u3063\u3068\u77ed\u3044\u671f\u9593\u3067\u30d5\u30a9\u30ed\u30fc\u3055\u308c\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>\u8a3a\u65ad\uff1a\u5de6\u4e0a\u8449\u306bpart-solid nodule(mixed type GGN)\u3042\u308a\u3002\u9577\u5f846mm\u3092\u8d85\u3048\u3066\u304a\u308a1\u30f6\u6708\u5f8c\u306e\u518d\u691c\u3067\u8457\u5909\u3092\u8a8d\u3081\u305a\u3001\u5f15\u304d\u7d9a\u304d\u30d5\u30a9\u30ed\u30fc\u304c\u5fc5\u8981\u3002<\/strong><\/span><\/p>\n<p>\u203b<a href=\"https:\/\/www.haigan.gr.jp\/guideline\/2017\/jo\/17002017ha00.html\" target=\"_blank\" rel=\"noopener\">\u80ba\u764c\u53d6\u6271\u3044\u898f\u7d04\u306e\u7b2c8\u7248<\/a>\u3067\u306f\u3001<\/p>\n<p>\u90e8\u5206\u7684\u306b\u5145\u5b9f\u90e8\u4f4d\u3092\u793a\u3057\u3001\u5145\u5b9f\u6210\u5206\u5f84\u22660.5cm\u304b\u3064\u75c5\u5909\u5168\u4f53\u5f84\u22663cm\u306e\u3082\u306e\u306f\u3001\u5fae\u5c0f\u6d78\u6f64\u6027\u817a\u764c\u3067T\u5206\u985e\u306f<strong>T1mi<\/strong>\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u304a\u308a\u4eca\u56de\u306f\u3053\u308c\u306b\u76f8\u5f53\u3057\u307e\u3059\u3002<\/p>\n<p>\u203b2017\u5e74\u306b\u6539\u8a02\u3055\u308c\u305f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4e0a\u306f\u30d5\u30a9\u30ed\u30fc\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u624b\u8853\u304c\u65bd\u884c\u3055\u308c\u307e\u3057\u305f\u3002\uff08\u3053\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3082\u4ee5\u524d\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3053\u306e\u30b1\u30fc\u30b9\u306f\u624b\u8853\u3084\u751f\u691c\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u307e\u305f\u65bd\u8a2d\u3084\u533b\u5e2b\u306b\u3088\u3063\u3066\u7d4c\u904e\u89b3\u5bdf\u65b9\u6cd5\u3084\u6cbb\u7642\u65b9\u91dd\u306e\u9055\u3044\u3082\u3042\u308b\u304b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002\uff09<\/p>\n<p><strong>\u75c5\u7406\u8a3a\u65ad<\/strong><\/p>\n<p><span style=\"font-size: 20px;\"><strong>Adenocarcinoma in situ\uff08\u4e0a\u76ae\u5185\u817a\u764c\uff09<\/strong><\/span><\/p>\n<p>\u03c68mm\u306e\u9818\u57df\u3067\u80ba\u80de\u4e0a\u76ae\u7d30\u80de\u306e\u5897\u6b96\u304c\u898b\u3089\u308c\u308b\u3002\u7d30\u80de\u7570\u578b\u306f\u8efd\u5ea6\u3067\u3042\u308b\u304c\u3001\u7d30\u80de\u5bc6\u5ea6\u304c\u5468\u56f2\u306e\u6570\u500d\u306b\u5897\u52a0\u3057\u3066\u304a\u308a\u3001\u4e00\u69d8\u306a\u75c5\u5909\u3067\u3042\u308a\u3001\u5883\u754c\u660e\u77ad\u3067\u3042\u308a\u3001\u816b\u760d\u6027\u75c5\u5909\u3068\u601d\u308f\u308c\u308b\u3002\u80ba\u80de\u306f\u7834\u58ca\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001<strong>\u4e0a\u76ae\u5185\u817a\u764c\uff08AIS\uff09<\/strong>\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px;\"><strong>\u6700\u7d42\u8a3a\u65ad\uff1a\u5de6\u4e0a\u8449\u306b\u4e0a\u76ae\u5185\u817a\u764c\uff08AIS\uff09<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>\u80ba\u817a\u764c\u306e\u6d78\u6f64\u5ea6\u306b\u3088\u308b\u5206\u985e\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/adenocarcinoma.png\" alt=\"\" width=\"639\" height=\"397\" class=\"aligncenter wp-image-10143\" srcset=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/adenocarcinoma.png 1000w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/adenocarcinoma-300x186.png 300w, https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/uploads\/2019\/12\/adenocarcinoma-768x477.png 768w\" sizes=\"auto, (max-width: 639px) 100vw, 639px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u95a2\u9023\uff1a<\/p>\n<ul>\n<li><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/8038\" target=\"_blank\" rel=\"noopener\">CT\u3067\u80ba\u7d50\u7bc0\u3092\u898b\u3064\u3051\u305f\uff01\u3069\u3046\u30d5\u30a9\u30ed\u30fc\u3059\u308c\u3070\u3044\u3044\uff1f\u4f55\u30f6\u6708\u5f8c\uff1f<\/a><\/li>\n<li class=\"entry_title\" itemprop=\"headline\"><a href=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/archives\/8066\" target=\"_blank\" rel=\"noopener\">\u3059\u308a\u30ac\u30e9\u30b9\u7d50\u7bc0\u3092\u898b\u305f\u3068\u304d\u306eCT\u6240\u898b\u306e\u8a18\u8f09\u306e\u4ed5\u65b9\u3001\u65b0\u3057\u3044\u80ba\u817a\u764c\u306e\u5206\u985e\u306e\u8981\u70b9<\/a><\/li>\n<\/ul>\n<h5>\u3010\u80f8\u90e8\u3011TIPS\u75c7\u4f8b43\u306e\u52d5\u753b\u89e3\u8aac<\/h5>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"564\" src=\"https:\/\/player.vimeo.com\/video\/384391204\" frameborder=\"0\" allow=\"autoplay; fullscreen\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h5>CT\u3066\u3099\u80ba\u7d50\u7bc0\u3092\u898b\u3064\u3051\u305f\u3068\u304d\u306e\u53d6\u308a\u6271\u3044\u65b9\u6cd5\u6700\u65b0\u7248\uff08\u7b2c5\u7248\uff09<\/h5>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"564\" src=\"https:\/\/player.vimeo.com\/video\/384617193\" frameborder=\"0\" allow=\"autoplay; fullscreen\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div class=\"sb-type-std\">\n\t<div class=\"sb-subtype-b\">\n\t\t<div class=\"sb-speaker\">\n\t\t\t<div class=\"sb-icon\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/xn--o1qq22cjlllou16giuj.jp\/training\/wp-content\/plugins\/speech-bubble\/img\/goro1.png\" class=\"sb-icon\">\n\t\t\t<\/div>\n\t\t\t<div class=\"sb-name\"><\/div>\n\t\t<\/div>\n\t\t<div class=\"sb-content\">\n\t\t\t<div class=\"sb-speech-bubble\"><\/p>\n<p>\u304a\u75b2\u308c\u69d8\u3067\u3057\u305f\u3002<\/p>\n<p>\u4eca\u65e5\u306f\u4ee5\u4e0a\u3067\u3059\u3002<\/p>\n<p>\u4eca\u56de\u306e\u6c17\u3065\u304d\u3084\u611f\u60f3\u306a\u3069\u3092\u4e0b\u306e\u30b3\u30e1\u30f3\u30c8\u6b04\u306b\u304a\u9858\u3044\u3057\u307e\u3059\u3002<\/p>\n<p><\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>\u3010\u80f8\u90e8\u3011TIPS\u75c7\u4f8b43 \u3010\u75c7\u4f8b\u301150\u6b73\u4ee3\u5973\u6027 \u3010\u4e3b\u8a34\u3011\u7279\u306b\u306a\u3057 \u3010\u73fe\u75c5\u6b74\u3011\u8077\u5834\u5065\u8a3a\u3067p53\u6297\u4f53\u4e0a\u6607\u3092\u6307\u6458\u3055\u308c\u3001\u7cbe\u67fb\u76ee\u7684\u3067\u53d7\u8a3a\u3002\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0CT\u304c\u65bd\u884c\u3055\u308c\u305f\u3002 \u3010\u65e2\u5f80\u6b74\u3011\u6c17\u7ba1\u652f\u5598\u606f \u753b\u50cf\u306f\u3053\u3061\u3089 CT\uff08\u6a2a\u65ad\u50cf\uff09 CT\uff08 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