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\uff0a\uff0a\uff0a<\/p>\n
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\u3010PMP\u306e\u539f\u56e0\u907a\u4f1d\u5b50\u3092\u767a\u898b\u3011 \u3010\u8ee2\u79fb\u3057\u3084\u3059\u3044\u8179\u819c\u30fb\u518d\u767a\u3057\u3084\u3059\u3044\u8179\u819c\u306e\u5b58\u5728\u3011 \u3010\u518d\u767a\u3092\u8d77\u3053\u3059\u78ba\u7387\uff08\u5b8c\u5168\u5207\u9664\u5f8c\uff09\u3011 \u3010\u518d\u767a\u518d\u5207\u9664\u3011 \u518d\u767a\u518d\u5207\u9664\u5f8c\u306e\u4e88\u5f8c\u306f\u3001Low grade\u306f\u826f\u3044\uff08\u518d\u518d\u767a\u3082\u5207\u9664\u3057\u3066\u3044\u304f\u3053\u3068\u3067\u826f\u597d\u306b\u4fdd\u3066\u308b\uff09\u3002High grade\u306f\u3084\u3084\u826f\u304f\u306a\u3044\u3002<\/p>\n \u3010\u8853\u5f8c\u5408\u4f75\u75c7\u3011 \u3010\u8179\u8154\u93e1\u306b\u3088\u308b\u8a3a\u65ad\u30fb\u6e29\u71b1\u7642\u6cd5\u30fb\u6cbb\u7642\u6cd5\u306e\u9078\u629e\u6cd5\u3011 \u60aa\u6027\u5ea6\u306b\u3088\u308a\u3001PCI=0\u306a\u3089\u7d4c\u904e\u89b3\u5bdf\uff08\u8a72\u5f53\u8005\u306f\u307b\u3068\u3093\u3069\u3044\u306a\u3044\u304c\uff09\u3002 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\n\u5148\u751f\u65b9\u306e\u7a4d\u6975\u7684\u306a\u767a\u8868\u3001\u8ad6\u6587
\n\u56fd\u969b\u8179\u819c\u64ad\u7a2e\u5b66\u4f1a\uff08\u7b2c9\u56de\uff09\u306e\u30c8\u30d4\u30c3\u30af\u30b9
\n\u2192\u3053\u308c\u307e\u3067High grade\u3068Low grade\u3057\u304b\u306a\u304b\u3063\u305fWHO\u306e\u75c5\u7406\u5206\u985e\u3092\u3001\u7121\u7d30\u80de\u6027\u7c98\u6db2\u3001High grade\u3001Low grade\u3001Signet\uff08\u5370\u9451\uff08\u74b0\uff1f\uff09\u7d30\u80de\u764c\uff09\u306e\uff14\u7a2e\u985e\u306e\u5206\u985e\u306b\u8a02\u6b63\u3059\u308b\u3053\u3068\u3092\u63d0\u8a00\u3002
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\n\u2192\u7279\u5b9a\u75be\u60a3\u304b\u3069\u3046\u304b\u306b\u91cd\u8981\u3002<\/p>\n
\n\u6297\u304c\u3093\u5264\u5358\u72ec\u3067\u306f\u8179\u819c\u64ad\u7a2e\u306f\u6cbb\u305b\u306a\u3044\u3002\uff08\u591a\u5264\u8010\u6027\u764c\u7d30\u80de\u306e\u5b58\u5728\u3001\u8840\u7ba1\u306e\u306a\u3044\u3068\u3053\u308d\u3067\u80b2\u3063\u305f\u764c\u7d30\u80de\u3001\u764c\u5e79\u7d30\u80de\u306e\u5b58\u5728\uff09
\n\u764c\u5e79\u7d30\u80de\u306e\u6cbb\u7642\u306f\u3001\u8179\u819c\u5207\u9664\u3068\u3001\u30b9\u30fc\u30d1\u30fc\u6e29\u71b1\u7642\u6cd5\uff0860\u5ea6\u4ee5\u4e0a\u306b\u3059\u308b\u3068\u764c\u304c\u6b7b\u306c\u3002\u5177\u4f53\u7684\u306b\u306f\u30dc\u30fc\u30eb\u30c1\u30c3\u30d7\u3084\u30a2\u30eb\u30b4\u30f3\u30d3\u30fc\u30e0\u3067\u713c\u304f\uff09\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3067\u6cbb\u7642\u52b9\u679c\u3002<\/p>\n
\n\uff15\u7a2e\u985e\u306e\u907a\u4f1d\u5b50\u3092\u898b\u51fa\u3057\u305f\uff08\u56fd\u969b\u7279\u8a31\u7533\u8acb\u4e2d\uff09
\nLow grade\u3001High grade\u306e\u3082\u306e\u306e\u307f\u3002<\/p>\n
\n\u30ea\u30f3\u30d1\u7ba1\u7db2\u306e\u8c4a\u5bcc\u306a\u8179\u819c\u304c\u8ee2\u79fb\u30fb\u518d\u767a\u3057\u3084\u3059\u3044\u3002
\n\u2192\u305d\u308c\u4ee5\u5916\u306e\u8179\u819c\u306f\u53d6\u3089\u306a\u304f\u3066\u826f\u3044\u3002\u307e\u305f\u3001\u305d\u3053\u306e\u8179\u819c\u306f\u518d\u767a\u4e88\u9632\u306e\u305f\u3081\u306b\u6700\u521d\u306e\u624b\u8853\u6642\u306b\u53d6\u308b\u3002<\/p>\n
\n\uff3b\u7d44\u7e54\u7684\u306b\u898b\u308b\u3068\uff3dHigh grade 33\uff05\u3001Low grade 19\uff05\u3001\u5370\u9451\u7d30\u80de\u764c 53\uff05
\n\uff3bHIPEC\uff3d\u306a\u3057 35\uff05\u3001\u3042\u308a 21\uff05\uff08HIPEC\u306f\u518d\u767a\u7387\u3092\u4e0b\u3052\u308b\u3002\u624b\u8853\u6642\u306bHIPEC\u65bd\u884c\u3059\u308b\u304c\u3001\u51fa\u8840\u91cf\u304c\u591a\u3044\u7b49\u3067\u3067\u304d\u306a\u3044\u3053\u3068\u3082\u3002\uff09
\n\uff3bPCI\uff3d9\u4ee5\u4e0b 12\uff05\u300110~19 31\uff05\u300120~29 36\uff05\u300130~39 38\uff05\uff08\u5b8c\u5168\u5207\u9664\u3067\u304d\u3066\u3044\u308c\u3070PCI\u304c\u9ad8\u304f\u3066\u3082\u4e00\u5b9a\u306e\u7387\u306b\u6291\u3048\u3089\u308c\u308b\u3002\uff09
\n\uff3b\u8853\u524d\u8840\u6e05CEA\uff3d10\u4ee5\u4e0a 38\uff05\u300110\u672a\u6e80 15\uff05
\n\uff3bCA19-9\uff3d\u9ad8\u5024 44\uff05\u3001\u6b63\u5e38\u5024 15\uff05
\n\u4e0a\u8a18\u3092\u81ea\u5206\u306e\u5834\u5408\u3068\u5f53\u3066\u306f\u3081\u308b\u3053\u3068\u3067\u3001\u518d\u767a\u30ea\u30b9\u30af\u304c\u308f\u304b\u308b\u3002<\/p>\n
\n\u518d\u767a\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u3068\u3053\u308d\u306f\u3001\u8179\u58c1\u3001\u5c3f\u7ba1\u306a\u3069\u3002\u52d5\u8108\u5468\u56f2\u306b\u898b\u3089\u308c\u308b\u50be\u5411\u3002
\n\u518d\u767a\u306e\u5371\u967a\u306f5\u5e74\u3061\u3087\u3063\u3068\u307e\u3067\u3042\u308b\u3002\uff08\u8981\u89b3\u5bdf\uff09
\n\u518d\u767a\u767a\u898b\u306e\u7d4c\u7def\u306f\u3001\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff0842\uff05\uff09\u3001\u816b\u760d\u30de\u30fc\u30ab\u30fc\uff0b\u753b\u50cf\u8a3a\u65ad\uff0826\uff05\uff09\u3001\u816b\u760d\u30de\u30fc\u30ab\u30fc\u306f\u6b63\u5e38\u3060\u3051\u3069\uff0b\u753b\u50cf\u8a3a\u65ad\uff0826\uff05\uff09\u3001\u9f20\u8e4a\u90e8\u7b49\u306b\u816b\u760d\u3092\u89e6\u308c\u308b\uff086\uff05\uff09\u3002
\n\uff08\u5c0f\u3055\u3044\u3082\u306e\u306fCT\u3001PET\u3067\u308f\u304b\u3089\u306a\u3044\u3002\u307e\u305f\u3001\u816b\u760d\u30de\u30fc\u30ab\u30fc\u306e\u898b\u65b9\u3068\u3057\u3066\u3001CEA\u304c20\u301c30\u4ee5\u4e0a\u3060\u3068\u518d\u767a\u306e\u53ef\u80fd\u6027\u300220\u4ee5\u4e0b\u3067\u89b3\u5bdf\u3057\u3066\u3044\u3066\u30b0\u30e9\u30d5\u304c\u92f8\u72b6\u306b\u306a\u308b\u5834\u5408\u306f\u9055\u3046\u3002\u30de\u30fc\u30ab\u30fc\u306e\u30b0\u30e9\u30d5\u304c\u53f3\u80a9\u4e0a\u304c\u308a\u306a\u3089\u518d\u767a\u3002\uff09<\/p>\n
\n65\u6b73\u4ee5\u4e0b\u306f\u8853\u5f8c\u5408\u4f75\u75c7\u304c\u5c11\u306a\u3044\u3002
\n\u5408\u4f75\u75c7\u306e\u56e0\u5b50\u3068\u3057\u3066\u3001PCI\u304c20\u4ee5\u4e0a\u3001\u624b\u8853\u6642\u9593\u304c5\u6642\u9593\u4ee5\u4e0a\u3001\u51fa\u8840\u91cf\u304c2.5L\u4ee5\u4e0a\u3002
\n\u8853\u524d\u6e29\u71b1\u5316\u5b66\u7642\u6cd5\u3092\u3059\u308b\u3053\u3068\u3067\u3001\u5408\u4f75\u75c7\u304c\u6e1b\u308b\u3002<\/p>\n
\n\u8179\u8154\u93e1\u3067\u3001\u751f\u98df\u6c34\u6d17\u6d44\u3092\u3057\u866b\u5782\u5207\u9664\u3042\u308b\u3044\u306f\u751f\u691c\u3067\u60aa\u6027\u5ea6\u306e\u8a55\u4fa1\u3092\u884c\u3046\u3002\u6e29\u71b1\u5316\u5b66\u7642\u6cd5\u3082\u884c\u3046\u3002\uff08\u5165\u9662\u65e5\u6570\u306f\u5e73\u574710\u65e5\uff09
\n\u8853\u524d\u6e29\u71b1\u5316\u5b66\u7642\u6cd5\u3067CEA\u304c\u4e0b\u304c\u308b\u3002<\/p>\n
\n\u7121\u7d30\u80de\u6027\u30fbLow grade\u306a\u3089\u30013~6\u304b\u6708\u3067\u8179\u819c\u5207\u9664\uff0bHIPEC\u3002
\n\u5b8c\u5168\u5207\u9664\u53ef\u80fd\u306aHigh grade\u30fb\u5370\u9451\u7d30\u80de\u306a\u3089\u3001\u65e9\u6025\u306b\u8179\u819c\u5207\u9664\uff0bHIPEC\u3002
\n\u5b8c\u5168\u5207\u9664\u4e0d\u53ef\u80fd\u306aHigh grade\u30fb\u5370\u9451\u7d30\u80de\u306a\u3089\u3001\u5168\u8eab\u5316\u5b66\u7642\u6cd5\uff08FOLFOX\/XELOX\u00d75\uff09\u3092\u3057\u30662\u304b\u6708\u5f8c\u306b\u8179\u819c\u5207\u9664\uff0bHIPEC\u3002<\/p>\n
\n\u30bc\u30ed\u30c3\u30af\u30b9\u304c\u6700\u3082\u6709\u52b9\u300130\uff05\u306e\u816b\u760d\u304c\u6d88\u3048\u308b\u3002
\nFOLFOX\u3082\u826f\u3044\u3002
\n\u2192High grade\u30fb\u5370\u9451\u7d30\u80de\u306b\u3002<\/p>\n
\n\u8179\u6c34\u6ffe\u904e\u51dd\u7e2e\u518d\u9759\u6ce8\u6cd5\u306f\u8179\u6c34\u306e\u75c7\u72b6\u7de9\u548c\u3001\u8179\u6c34\u30c9\u30ec\u30ca\u30fc\u30b8\u306e\u6b20\u70b9\u3092\u89e3\u6d88\u3002\u6297\u304c\u3093\u5264\u306e\u52b9\u679c\u304c\u4e0a\u304c\u308b\u3002
\n\u5916\u6765\u3067\u3084\u3063\u3066\u3044\u308b\u3002
\n\u526f\u7523\u7269\u3067\u96c6\u3081\u305f\u764c\u7d30\u80de\u3067\u3001\u85ac\u5264\u611f\u53d7\u6027\u8a66\u9a13\u304c\u3067\u304d\u308b\u3002\u6a39\u72b6\u7d30\u80de\u514d\u75ab\u7642\u6cd5\u306e\u6297\u539f\uff08\u81ea\u5206\u81ea\u8eab\u306e\u3082\u306e\u3067\u3067\u304d\u308b\uff09\u3068\u306a\u308b\u3002<\/p>\n
\n\u305f\u3060\u3057\u3001Low grade\u3067\u306f\u5149\u3089\u306a\u3044\u3002\u60aa\u6027\u5ea6\u304c\u9ad8\u3044\u3068\u5149\u308b\u7387\u304c\u9ad8\u3044\u3002<\/p>\n
\n7\u4eba\u306e\u60a3\u8005\u304c\u598a\u5a20\uff086\u540d\u306f\u5065\u5e38\u306a\u65b0\u751f\u5150\u3092\u51fa\u7523\u3001\u6b8b\u308a1\u540d\u306f\u598a\u5a2010\u9031\u76ee\uff09\u3002\u2190\u4e16\u754c\u3067\u4e00\u756a\u591a\u3044\u6570\uff08\u8349\u6d25\uff09\u3002
\n\u51fa\u7523\u3092\u8ae6\u3081\u306a\u304f\u3066\u3082\u826f\u3044\uff08Low grade\u306a\u3089PMP\u624b\u8853\u3092\u5ef6\u671f\u53ef\u80fd\u300241\u6b73\u4ee5\u4e0b\u306f\u6761\u4ef6\u4ed8\u304d\u3067\u5375\u5de3\u5b50\u5bae\u3068\u3082\u306b\u6e29\u5b58\u3067\u304d\u308b\u53ef\u80fd\u6027\u3042\u308a\uff09\u3002<\/p>\n
\nPMP\u95a2\u9023\u907a\u4f1d\u5b50\u7523\u7269;\u65b0\u3057\u3044\u816b\u760d\u30de\u30fc\u30ab\u30fc\u30fb\u5206\u5b50\u6a19\u7684\u85ac
\n\u8179\u8154\u5185\u5316\u5b66\u7642\u6cd5\u306e\u958b\u767a\uff08\u524d\u8ff0\u30c9\u30bb\u30bf\u30ad\u30bb\u30eb\uff3b\u30bf\u30ad\u30bd\u30c6\u30fc\u30eb\uff3d\u306e\u4ef6\uff09
\n\u514d\u75ab\u7642\u6cd5
\nIPS\u81ea\u5df1\u8179\u819c\u4e2d\u76ae\u7d30\u80de\u306e\u6a39\u7acb
\n\u5e73\u621026\u5e74\u5ea6\u539a\u751f\u79d1\u5b66\u7814\u7a76\u8cbb\u306e\u53d6\u5f97
\n\u96e3\u6cbb\u6027\u75be\u60a3\u306e\u56fd\u306e\u627f\u8a8d
\n\uff08\u3042\u3068\u3001\u7814\u4fee\u533b\u7642\u8005\u7d76\u8cdb\u52df\u96c6\u4e2d\u3089\u3057\u3044yo\uff01\uff09<\/p>\n
\n\u98df\u9053\u764c\uff08\u3068\u5148\u751f\u306f\u4ef0\u3063\u305f\u3068\u601d\u3046\uff09\u3067\u53e3\u8154\u30b1\u30a2\u3057\u305f\u4eba\u306f\u5408\u4f75\u75c7\u304c\u6e1b\u3063\u305f\u3068\u3044\u3046\u7d71\u8a08\u304c\u3042\u308b\u306e\u3067\u3001\u624b\u8853\u5f85\u6a5f\u671f\u9593\u306b\u866b\u6b6f\u6cbb\u7642\u30fb\u6b6f\u57a2\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u3059\u308b\u3068\u826f\u3044\u3002\u2190\u3084\u3063\u305fyo!
\n\u624b\u8853\u4e2d\u51fa\u8840\u304c\u591a\u3044\u3068\u8108\u62cd\u304c150\u307e\u3067\u4e0a\u304c\u308b\u306e\u3067\u3001\u8108\u62cd\u304c\u4e0a\u304c\u308b\u306e\u306b\u6163\u308c\u308b\u7df4\u7fd2\u3092\u3059\u308b\uff08\u3053\u3053\u3067\u7b11\u3044\u304c\u8d77\u304d\u305fyo\uff09\u3002\u8d70\u308b\u3068\u304b\u6e29\u6cc9\u5165\u308b\u3068\u304b\u3002\u2190\u3046\u308f\u3063\u3001\u3084\u3063\u3066\u306a\u3044yo\uff01 \u660e\u65e5\u3001\u8d70\u308b\u304b\uff1f\u3000\u3082\u3046\u3001\u51fa\u8840\u91cf\u304c\u5c11\u306a\u3044\u3088\u3046\u7948\u308b\u306e\u307f\u3002
\n\u98df\u4e8b\u7642\u6cd5\u306f\u3001\u6e08\u967d\u5148\u751f\u304c\u8a00\u3063\u3066\u3044\u308b\u304c\u3001\u65e5\u672c\u98df\u3067\u30d3\u30bf\u30df\u30f3C\u3092\u591a\u304f\u6442\u308b\u3002\u52d5\u7269\u6027\u8102\u80aa\u306f\u6442\u3089\u306a\u3044\u3002\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u6297\u304c\u3093\u5264\u304c\u52b9\u304d\u3084\u3059\u304f\u306a\u308b\u3002\u2190\u30d3\u30bf\u30df\u30f3C\u304b\u301c\u3002<\/p>\n