{"id":39882,"date":"2017-02-24T06:00:58","date_gmt":"2017-02-23T21:00:58","guid":{"rendered":"https:\/\/www.ishamachi.com\/?p=39882"},"modified":"2018-08-01T08:59:02","modified_gmt":"2018-07-31T23:59:02","slug":"%e3%82%b9%e3%83%86%e3%83%bc%e3%82%b8%e5%88%a5%e3%81%ab%e3%81%bf%e3%82%8b%e3%80%81%e8%83%83%e3%81%8c%e3%82%93%e3%81%ae%e6%b2%bb%e7%99%82%e6%b3%95%e3%81%a8%e4%ba%88%e5%be%8c%ef%bc%9a10%e5%b9%b4%e7%94%9f","status":"publish","type":"post","link":"https:\/\/www.ishamachi.com\/?p=39882","title":{"rendered":"\u30b9\u30c6\u30fc\u30b8\u5225\u306b\u307f\u308b\u3001\u80c3\u304c\u3093\u306e\u6cbb\u7642\u6cd5\u3068\u4e88\u5f8c\uff1a10\u5e74\u751f\u5b58\u7387\u306f\u3069\u306e\u304f\u3089\u3044\u5909\u308f\u308b\uff1f"},"content":{"rendered":"<h2>\u306f\u3058\u3081\u306b<\/h2>\n<p><a href=\"https:\/\/www.ishamachi.com\/?p=5460\">\u80c3\u304c\u3093<\/a>\u306f\u7279\u306b\u65e5\u672c\u4eba\u306b\u591a\u3044\u304c\u3093\u3067\u3001\u7f79\u60a3\u6570\u306f\u5927\u8178\u304c\u3093\u306b\u6b21\u3044\u3067\uff12\u756a\u76ee\u306b\u591a\u304f\u3001\u307e\u305f\u90e8\u4f4d\u5225\u304c\u3093\u6b7b\u4ea1\u8005\u6570\u3067\u306f\u80ba\u304c\u3093\u3001\u5927\u8178\u304c\u3093\u306b\u6b21\u3044\u3067\u7b2c3\u4f4d\u3092\u5360\u3081\u3066\u3044\u307e\u3059\u30022015\u5e74\u306e\u30c7\u30fc\u30bf\u3067\u306f\u3001\u80c3\u304c\u3093\u306b\u3088\u3063\u3066<strong>\u5e74\u9593<\/strong><strong>46,679<\/strong><strong>\u4eba<\/strong>\uff08\u7537\u5973\u5408\u8a08\uff09\u304c\u4ea1\u304f\u306a\u3063\u3066\u3044\u307e\u3059\uff08<a href=\"http:\/\/www.jcancer.jp\/about_cancer_and_checkup\/%E5%90%84%E7%A8%AE%E3%81%8C%E3%82%93%E3%81%AE%E5%9F%BA%E7%A4%8E%E7%9F%A5%E8%AD%98\/%E8%83%83%E3%81%8C%E3%82%93%E3%81%AE%E5%9F%BA%E7%A4%8E%E7%9F%A5%E8%AD%98\">\u65e5\u672c\u5bfe\u304c\u3093\u5354\u4f1a<\/a>\u3088\u308a\uff09\u3002<\/p>\n<p>\u65e9\u671f\u306e\u6bb5\u968e\u3067\u767a\u898b\u3055\u308c\u308c\u3070\u3001\u826f\u597d\u306a\u4e88\u5f8c\uff08\u7d4c\u904e\uff09\u304c\u671f\u5f85\u3067\u304d\u308b\u304c\u3093\u3067\u3059\u304c\u3001\u9032\u884c\u3057\u305f\u72b6\u614b\u3067\u898b\u3064\u304b\u308b\u3053\u3068\u3082\u591a\u3044\u306e\u304c\u73fe\u72b6\u3067\u3059\u3002\u80c3\u304c\u3093\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u306f\u624b\u8853\u304a\u3088\u3073\u85ac\u7269\u7642\u6cd5\uff08\u6297\u304c\u3093\u5264\u6cbb\u7642\uff09\u304c\u4e2d\u5fc3\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u5177\u4f53\u7684\u306a\u6cbb\u7642\u6cd5\u306f\u30b9\u30c6\u30fc\u30b8\u6bce\u306b\u7570\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4eca\u56de\u306f\u3001\u30b9\u30c6\u30fc\u30b8\u5225\u306e\u80c3\u304c\u3093\u6cbb\u7642\u304a\u3088\u3073\u4e88\u5f8c\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n<h2>\u80c3\u304c\u3093\u306e\u30b9\u30c6\u30fc\u30b8\u5206\u985e<\/h2>\n<img decoding=\"async\" style=\"width: 100%; height: auto;\" src=\"https:\/\/uploads-ishamachi-com.s3.amazonaws.com\/wp-content\/uploads\/2017\/02\/Gastric-cancer-2.jpeg\" alt=\"\u533b\u5e2b\u3068\u60a3\u8005\u3055\u3093-\u5199\u771f\" \/>\n<p>\u80c3\u304c\u3093\u306e\u30b9\u30c6\u30fc\u30b8\u306f\u3001\u304c\u3093\u304c\u80c3\u306e\u58c1\u306e\u3069\u306e\u6df1\u3055\u307e\u3067\u5e83\u304c\u3063\u3066\u3044\u308b\u304b<strong>\uff08<\/strong><strong>T<\/strong><strong>\u3001\u58c1\u6df1\u9054\u5ea6\uff09<\/strong>\u3001\u80c3\u306e\u5468\u56f2\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u4f55\u500b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u304b<strong>\uff08<\/strong><strong>N<\/strong><strong>\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u7a0b\u5ea6\uff09<\/strong>\u3001\u9060\u304f\u306e\u81d3\u5668\u306b\u307e\u3067\u8ee2\u79fb\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b<strong>\uff08\uff2d\u3001\u9060\u9694\u81d3\u5668\u3078\u306e\u8ee2\u79fb\u306e\u6709\u7121\uff09<\/strong>\u306e3\u3064\u306e\u9805\u76ee\u306e\u9032\u884c\u5177\u5408\u3092\u8003\u616e\u3057\u3066\u6c7a\u5b9a\u3057\u307e\u3059\u3002<\/p>\n<p>\u80c3\u764c\u53d6\u6271\u3044\u898f\u7d04\uff08\u7b2c14\u7248\uff09\u306b\u3088\u308b\u3068\u3001\u80c3\u304c\u3093\u306e\u30b9\u30c6\u30fc\u30b8\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b<strong>IA<\/strong><strong>\u3001IB<\/strong><strong>\u3001IIA<\/strong><strong>\u3001IIB<\/strong><strong>\u3001IIIA<\/strong><strong>\u3001IIIB<\/strong><strong>\u3001IIIC<\/strong><strong>\u3001IV<\/strong><strong>\u306e8<\/strong><strong>\u3064\u306b\u5206\u304b\u308c\u3066\u3044\u307e\u3059\uff08\u8868\u53c2\u7167\uff09\u3002<\/strong>\u3053\u306e\u3046\u3061IA\u304c\u6700\u3082\u65e9\u671f\u306e\u80c3\u304c\u3093\u3001\u2163\u304c\u6700\u3082\u9032\u3093\u3060\u80c3\u304c\u3093\u3067\u3059\u3002<\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"background-color: #bbd6f2;\"><strong>\u00a0<\/strong><\/td>\n<td style=\"background-color: #bbd6f2;\"><strong>N0<\/strong><\/td>\n<td style=\"background-color: #bbd6f2;\"><strong>N1<\/strong><\/td>\n<td style=\"background-color: #bbd6f2;\"><strong>N2<\/strong><\/td>\n<td style=\"background-color: #bbd6f2;\"><strong>N3<\/strong><\/td>\n<td style=\"background-color: #bbd6f2;\"><strong>M1<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2; width: 115px;\"><strong>T1a(M), T1b(SM)<\/strong><\/td>\n<td style=\"text-align: center;\">IA<\/td>\n<td style=\"text-align: center;\">IB<\/td>\n<td style=\"text-align: center;\">IIA<\/td>\n<td style=\"text-align: center;\">IIB<\/td>\n<td style=\"text-align: center; vertical-align: middle;\" rowspan=\"5\">IV<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\"><strong>T2(MP)<\/strong><\/td>\n<td style=\"text-align: center;\">IB<\/td>\n<td style=\"text-align: center;\">IIA<\/td>\n<td style=\"text-align: center;\">IIB<\/td>\n<td style=\"text-align: center;\">IIIA<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\"><strong>T3(SS)<\/strong><\/td>\n<td style=\"text-align: center;\">IIA<\/td>\n<td style=\"text-align: center;\">IIB<\/td>\n<td style=\"text-align: center;\">IIIA<\/td>\n<td style=\"text-align: center;\">IIIB<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\"><strong>T4a(SE)<\/strong><\/td>\n<td style=\"text-align: center;\">IIB<\/td>\n<td style=\"text-align: center;\">IIIA<\/td>\n<td style=\"text-align: center;\">IIIB<\/td>\n<td style=\"text-align: center;\">IIIC<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\"><strong>T4b(SI)<\/strong><\/td>\n<td style=\"text-align: center;\">IIIB<\/td>\n<td style=\"text-align: center;\">IIIB<\/td>\n<td style=\"text-align: center;\">IIIC<\/td>\n<td style=\"text-align: center;\">IIIC<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: right;\"><a href=\"http:\/\/jgca.jp\/guideline\/fourth\/category2-a.html#H2-A_1\">\u80c3\u764c\u53d6\u6271\u3044\u898f\u7d04<\/a>\uff08\u7b2c14\u7248\uff09\u3088\u308a<\/p>\n<h3>\u30b9\u30c6\u30fc\u30b8I<\/h3>\n<p>\u30b9\u30c6\u30fc\u30b8I\u306f\u3001<strong>IA<\/strong>\u3068<strong>IB<\/strong>\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>\u30b9\u30c6\u30fc\u30b8IA\u306f\u3001<strong>\u304c\u3093\u304c\u80c3\u306e\u7c98\u819c\u306b\u7559\u307e\u3063\u3066\u3044\u308b<\/strong>\u304b\u3001\u3082\u3057\u304f\u306f<strong>\u80c3\u306e\u7c98\u819c\u4e0b\u5c64\u306b\u9054\u3057\u3066\u3044\u308b\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306f\u7121\u3044<\/strong>\u3068\u3044\u3046\u72b6\u6cc1\u3067\u3059\u3002<\/p>\n<p>\u30b9\u30c6\u30fc\u30b8IB\u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e2\u3064\u306e\u30b1\u30fc\u30b9\u306b\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n<ol>\n<li>\u304c\u3093\u304c\u80c3\u306e\u7c98\u819c\u306b\u7559\u307e\u3063\u3066\u3044\u308b\u304b\u3001\u3082\u3057\u304f\u306f\u7c98\u819c\u4e0b\u5c64\u306b\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f1\uff5e2\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u80c3\u306e\u56fa\u6709\u7b4b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u3044\u308b\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u7121\u3044\u5834\u5408<\/li>\n<\/ol>\n<h3>\u30b9\u30c6\u30fc\u30b8II<\/h3>\n<p>\u30b9\u30c6\u30fc\u30b8II\u306f\u3001<strong>IIA<\/strong>\u3068<strong>IIB<\/strong>\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>\u30b9\u30c6\u30fc\u30b8IIA\u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e3\u3064\u306e\u30b1\u30fc\u30b9\u306b\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n<ol>\n<li>\u304c\u3093\u304c\u80c3\u306e\u7c98\u819c\u306b\u7559\u307e\u3063\u3066\u3044\u308b\u304b\u3001\u3082\u3057\u304f\u306f\u7c98\u819c\u4e0b\u5c64\u306b\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f3\uff5e6\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u80c3\u306e\u56fa\u6709\u7b4b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f1\uff5e2\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u4e0b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u3044\u308b\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306f\u7121\u3044\u5834\u5408<\/li>\n<\/ol>\n<p>\u30b9\u30c6\u30fc\u30b8IIB\u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e4\u3064\u306e\u30b1\u30fc\u30b9\u306b\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n<ol>\n<li>\u304c\u3093\u304c\u80c3\u306e\u7c98\u819c\u306b\u7559\u307e\u3063\u3066\u3044\u308b\u304b\u3001\u3082\u3057\u304f\u306f\u7c98\u819c\u4e0b\u5c64\u306b\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f7\u500b\u4ee5\u4e0a\uff09<\/li>\n<li>\u304c\u3093\u304c\u80c3\u306e\u56fa\u6709\u7b4b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f3\uff5e6\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u4e0b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306b\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f\u30011\uff5e2\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u80c3\u306e\u5916\u5074\u306b\u51fa\u3066\u3044\u308b\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306f\u7121\u3044\u5834\u5408<\/li>\n<\/ol>\n<h3>\u30b9\u30c6\u30fc\u30b8III<\/h3>\n<p>\u30b9\u30c6\u30fc\u30b8III\u306f\u3001<strong>IIIA<\/strong>\u3001<strong>IIIB<\/strong>\u3001<strong>IIIC<\/strong>\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>\u30b9\u30c6\u30fc\u30b8IIIA\u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e3\u3064\u306e\u30b1\u30fc\u30b9\u306b\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n<ol>\n<li>\u304c\u3093\u304c\u80c3\u306e\u56fa\u6709\u7b4b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f7\u500b\u4ee5\u4e0a\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u4e0b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f3\uff5e6\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u80c3\u306e\u5916\u5074\u306b\u51fa\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f1\uff5e2\u500b\uff09<\/li>\n<\/ol>\n<p>\u30b9\u30c6\u30fc\u30b8IIIB\u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e4\u3064\u306e\u30b1\u30fc\u30b9\u306b\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n<ol>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u4e0b\u5c64\u307e\u3067\u5230\u9054\u3057\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f7\u500b\u4ee5\u4e0a\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u80c3\u306e\u5916\u5074\u306b\u3067\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f3\uff5e6\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u4ed6\u306e\u81d3\u5668\u306b\u53ca\u3093\u3067\u3044\u308b\u304c\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u7121\u3044\u5834\u5408<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u4ed6\u306e\u81d3\u5668\u306b\u53ca\u3093\u3067\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f1\uff5e2\u500b\uff09<\/li>\n<\/ol>\n<p>\u30b9\u30c6\u30fc\u30b8IIIC\u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u5ea6\u5408\u3044\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e3\u3064\u306e\u30b1\u30fc\u30b9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<ol>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u80c3\u306e\u5916\u5074\u306b\u51fa\u3066\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f7\u500b\u4ee5\u4e0a\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u4ed6\u306e\u81d3\u5668\u306b\u53ca\u3093\u3067\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f3\uff5e6\u500b\uff09<\/li>\n<li>\u304c\u3093\u304c\u6f3f\u819c\u3092\u8d85\u3048\u3066\u4ed6\u306e\u81d3\u5668\u306b\u53ca\u3093\u3067\u304a\u308a\u3001\u80c3\u306e\u5468\u8fba\u306e\u30ea\u30f3\u30d1\u7bc0\u306b\u8ee2\u79fb\u304c\u3042\u308b\u5834\u5408\uff08\u8ee2\u79fb\u6570\u306f7\u500b\u4ee5\u4e0a\uff09<\/li>\n<\/ol>\n<h3>\u30b9\u30c6\u30fc\u30b8IV<\/h3>\n<p>\u30b9\u30c6\u30fc\u30b8IV\u306f\u3001\u80c3\u304c\u3093\u304c\u809d\u81d3\u3001\u80ba\u3001\u8179\u819c\u306a\u3069\u3001<strong>\u9060\u304f\u306b\u3042\u308b\u81d3\u5668\u306b\u307e\u3067\u8ee2\u79fb\uff08\u9060\u9694\u8ee2\u79fb\uff09<\/strong>\u3057\u3066\u3044\u308b\u72b6\u614b\u3067\u3059\u3002<\/p>\n<h2>\u80c3\u304c\u3093\u306e\u30b9\u30c6\u30fc\u30b8\u5225\u6cbb\u7642\u6cd5<\/h2>\n<p><strong>\u80c3\u304c\u3093\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u306f\u3001\u5185\u8996\u93e1\u6cbb\u7642\uff08ESD\/EMR<\/strong><strong>\uff09\u3001\u624b\u8853\uff08\u5916\u79d1\u6cbb\u7642\uff09\u3001\u53ca\u3073\u85ac\u7269\u6cbb\u7642\uff08\u5316\u5b66\u7642\u6cd5\uff09\u304c\u4e2d\u5fc3\u3067\u3001\u3053\u308c\u3089\u306e\u3046\u3061\u3069\u306e\u6cbb\u7642\u3092\u9078\u3076\u304b\uff08\u7d44\u307f\u5408\u308f\u305b\u308b\u304b\uff09\u306f\u3001\u30b9\u30c6\u30fc\u30b8\u306b\u57fa\u3065\u3044\u3066\u6c7a\u5b9a\u3055\u308c\u307e\u3059\uff08\u4e0b\u56f3\uff09\u3002<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>T1a(M)<\/strong><\/td>\n<td width=\"129\">IA<br \/>\nESD\/EMR\uff08\u4e00\u62ec\u5207\u9664\uff09<br \/>\n\uff3b\u5206\u5316\u578b\u30012cm\u4ee5\u4e0b\u3001UL(-)\uff3d<br \/>\n\u80c3\u5207\u9664D1\uff08\u4e0a\u8a18\u4ee5\u5916\uff09<\/td>\n<td rowspan=\"2\" width=\"132\">IB<br \/>\n\u5b9a\u578b\u624b\u8853<\/td>\n<td rowspan=\"2\" width=\"132\">IIA<br \/>\n\u5b9a\u578b\u624b\u8853<\/td>\n<td rowspan=\"2\" width=\"132\">IIB<br \/>\n\u5b9a\u578b\u624b\u8853<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>T1b(SM)<\/strong><\/td>\n<td width=\"129\">IA<br \/>\n\u80c3\u5207\u9664D1<br \/>\n\uff08\u5206\u5316\u578b\u30011.5cm\u4ee5\u4e0b\uff09<br \/>\n\u80c3\u5207\u9664D1+<br \/>\n\uff08\u4e0a\u8a18\u4ee5\u5916\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>T2(MP)<\/strong><\/td>\n<td width=\"129\">IB<br \/>\n\u5b9a\u578b\u624b\u8853<\/td>\n<td width=\"132\">IIA<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIA\uff09<\/td>\n<td width=\"132\">IIB<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIB\uff09<\/td>\n<td width=\"132\">IIIA<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIA\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>T3(SS)<\/strong><\/td>\n<td width=\"129\">IIA<br \/>\n\u5b9a\u578b\u624b\u8853<\/td>\n<td width=\"132\">IIB<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIB\uff09<\/td>\n<td width=\"132\">IIIA<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIA\uff09<\/td>\n<td width=\"132\">IIIB<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIB\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>T4a(SE)<\/strong><\/td>\n<td width=\"129\">IIB<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIB\uff09<\/td>\n<td width=\"132\">IIIA<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIA\uff09<\/td>\n<td width=\"132\">IIIB<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIB\uff09<\/td>\n<td width=\"132\">IIIC<br \/>\n\u5b9a\u578b\u624b\u8853<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIC\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>T4b(SI)<\/strong><\/td>\n<td width=\"129\">IIIB<br \/>\n\u5b9a\u578b\u624b\u8853\uff0b\u5408\u4f75\u5207\u9664<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIB\uff09<\/td>\n<td width=\"132\">IIIB<br \/>\n\u5b9a\u578b\u624b\u8853\uff0b\u5408\u4f75\u5207\u9664<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIB\uff09<\/td>\n<td width=\"132\">IIIC<br \/>\n\u5b9a\u578b\u624b\u8853\uff0b\u5408\u4f75\u5207\u9664<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIC\uff09<\/td>\n<td width=\"132\">IIIC<br \/>\n\u5b9a\u578b\u624b\u8853\uff0b\u5408\u4f75\u5207\u9664<br \/>\n\u88dc\u52a9\u5316\u7642\uff08pStage IIIC\uff09<\/td>\n<\/tr>\n<tr>\n<td style=\"background-color: #bbd6f2;\" width=\"60\"><strong>Any T\/N, M1<\/strong><\/td>\n<td style=\"text-align: center;\" colspan=\"4\" width=\"526\">IV<br \/>\n\u5316\u5b66\u7642\u6cd5\u3001\u653e\u5c04\u7dda\u6cbb\u7642\u3001\u7de9\u548c\u624b\u8853\u3001<a href=\"https:\/\/www.ishamachi.com\/?p=57917#symptomatictreatment\">\u5bfe\u75c7\u7642\u6cd5<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: right;\"><strong>\u00a0<\/strong><a href=\"http:\/\/jgca.jp\/guideline\/fourth\/category2-a.html#H2-A_1\">\u80c3\u764c\u53d6\u6271\u3044\u898f\u7d04<\/a>\uff08\u7b2c14\u7248\uff09\u3088\u308a<\/p>\n<p>\u4ee5\u4e0b\u306b\u3001\u30b9\u30c6\u30fc\u30b8\u5225\u306e\u6cbb\u7642\u6cd5\u304a\u3088\u3073\u4e88\u5f8c\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8IA<\/strong><strong>\u306b\u5bfe\u3057\u3066\u306f\u3001\u5185\u8996\u93e1\u6cbb\u7642\uff08<a href=\"https:\/\/www.ishamachi.com\/?p=20773\">\u80c3\u30ab\u30e1\u30e9<\/a>\u3067\u304c\u3093\u3092\u5207\u9664\u3059\u308b\uff09\u3084\u80c3\u5207\u9664\u8853\uff08\u30ea\u30f3\u30d1\u7bc0\u306e\u5207\u9664\u7bc4\u56f2\u304c\u72ed\u3044\u7e2e\u5c0f\u624b\u8853\uff09\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/strong><\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8IB<\/strong><strong>\u306b\u5bfe\u3057\u3066\u306f\u3001\u5b9a\u578b\u624b\u8853\uff08\u80c3\u306e2\/3<\/strong><strong>\u4ee5\u4e0a\u5207\u9664\u3068\u5e83\u3044\u7bc4\u56f2\u306e\u30ea\u30f3\u30d1\u7bc0\u5207\u9664\uff09\u304c\u884c\u308f\u308c\u307e\u3059<\/strong>\u3002\u624b\u8853\u5f8c\u306e\u75c5\u7406\u5b66\u7684\u691c\u67fb\uff08\u9855\u5fae\u93e1\u306b\u3088\u308b\u691c\u67fb\uff09\u306b\u3066\u30b9\u30c6\u30fc\u30b8I\u3067\u3042\u308b\u3053\u3068\u304c\u78ba\u5b9a\u3059\u308c\u3070\u3001\u8ffd\u52a0\u306e\u6cbb\u7642\uff08\u88dc\u52a9\u7642\u6cd5\uff09\u306f\u884c\u308f\u308c\u305a\u3001\u901a\u5e38\u306f\u7d4c\u904e\u89b3\u5bdf\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8I<\/strong><strong>\u306e\u4e88\u5f8c\u306f\u6975\u3081\u3066\u826f\u597d\u3067\u300110<\/strong><strong>\u5e74\u751f\u5b58\u7387\uff08\u304c\u3093\u3068\u8a3a\u65ad\u3055\u308c\u306610<\/strong><strong>\u5e74\u5f8c\u306b\u3082\u751f\u5b58\u3057\u3066\u3044\u308b\u78ba\u7387\uff09<\/strong><strong>\u306f95<\/strong><strong>\uff05\u3067\u3059<\/strong>\u3002<\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8II<\/strong><strong>\u306b\u5bfe\u3057\u3066\u306f\u3001\u5b9a\u578b\u624b\u8853\u304c\u884c\u308f\u308c\u307e\u3059<\/strong>\u3002\u307e\u305f\u3001\u624b\u8853\u5f8c\u306e\u75c5\u7406\u691c\u67fb\u3067\u30b9\u30c6\u30fc\u30b8II\u304c\u78ba\u5b9a\u3059\u308c\u3070\u3001\uff08\u304c\u3093\u304c\u7c98\u819c\u4e0b\u5c64\u307e\u3067\u306b\u3068\u3069\u307e\u308b\u4f8b\u3084\u3001\u6f3f\u819c\u4e0b\u5c64\u307e\u3067\u5230\u9054\u3059\u308b\u304c\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u306a\u3044\u4f8b\u3092\u9664\u304d\uff09<strong>\u8853\u5f8c\u306e\u88dc\u52a9\u5316\u5b66\u7642\u6cd5\uff08\u6297\u304c\u3093\u5264\u6cbb\u7642\uff09\u304c\u8ffd\u52a0\u3055\u308c\u307e\u3059<\/strong>\u3002<\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8II<\/strong><strong>\u306e10<\/strong><strong>\u5e74\u751f\u5b58\u7387\u306f63<\/strong><strong>\uff05<\/strong>\u3068\u6bd4\u8f03\u7684\u826f\u597d\u3067\u3059\u3002<\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8III<\/strong><strong>\u306b\u5bfe\u3057\u3066\u306f\u3001\u5b9a\u578b\u624b\u8853\uff08\u304c\u3093\u304c\u5468\u308a\u306e\u81d3\u5668\u306b\u9054\u3057\u3066\u3044\u308b\u4f8b\u3067\u306f\u3001\u4ed6\u81d3\u5668\u306e\u5408\u4f75\u5207\u9664\u3092\u8ffd\u52a0\uff09\u304c\u884c\u308f\u308c\u307e\u3059<\/strong>\u3002\u307e\u305f\u3001\u624b\u8853\u5f8c\u306e\u75c5\u7406\u691c\u67fb\u3067\u30b9\u30c6\u30fc\u30b8III\u304c\u78ba\u5b9a\u3059\u308c\u3070\u3001<strong>\u8853\u5f8c\u306e\u88dc\u52a9\u5316\u5b66\u7642\u6cd5\uff08<a href=\"https:\/\/www.ishamachi.com\/?p=15601\">\u6297\u304c\u3093\u5264<\/a>\u6cbb\u7642\uff09\u304c\u8ffd\u52a0\u3055\u308c\u307e\u3059<\/strong>\u3002<\/p>\n<p><strong>\u30b9\u30c6\u30fc\u30b8III<\/strong><strong>\u306e10<\/strong><strong>\u5e74\u751f\u5b58\u7387\u306f39<\/strong><strong>\uff05<\/strong>\u3068\u4f4e\u4e0b\u3057\u3066\u304d\u307e\u3059\u3002<\/p>\n<p>\u30b9\u30c6\u30fc\u30b8IV\u306e\u80c3\u304c\u3093\u306b\u5bfe\u3057\u3066\u306f\u3001\u304c\u3093\u3092\u5168\u3066\u53d6\u308a\u9664\u304f\u3053\u3068\u3092\u76ee\u6a19\u3068\u3059\u308b\u6839\u6cbb\u624b\u8853\u306f\u96e3\u3057\u3044\u3068\u8003\u3048\u3089\u308c\u308b\u305f\u3081\u3001<strong>\u85ac\u7269\u6cbb\u7642\uff08\u6297\u304c\u3093\u5264\u6cbb\u7642\uff09<\/strong>\u304c\u4e2d\u5fc3\u3068\u306a\u308a\u307e\u3059\u3002\u540c\u6642\u306b\u3001\u304c\u3093\u306b\u3088\u308b\u8f9b\u3044\u75c7\u72b6\u3092\u548c\u3089\u3052\u308b\u6cbb\u7642\uff08<a href=\"https:\/\/www.ishamachi.com\/?p=20534\"><strong>\u7de9\u548c\u30b1\u30a2<\/strong><\/a>\uff09\u3082\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001\u304c\u3093\u304b\u3089\u306e\u51fa\u8840\u3084\u72ed\u7a84\u306e\u305f\u3081\u306b\u98df\u4e8b\u304c\u5341\u5206\u306b\u6442\u308c\u306a\u3044\u3068\u304d\u306f\u3001\u9060\u9694\u8ee2\u79fb\u304c\u3042\u3063\u3066\u3082\u3001\u75c5\u5909\u90e8\u306e<strong>\u80c3\u3092\u5207\u9664<\/strong>\u3057\u305f\u308a\u3001\u98df\u7269\u306e\u901a\u308a\u9053\u3092\u4f5c\u308b<strong>\u30d0\u30a4\u30d1\u30b9\u624b\u8853<\/strong>\u304c\u884c\u308f\u308c\u305f\u308a\u3059\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u30b9\u30c6\u30fc\u30b8IV\u306e\u4e88\u5f8c\u306f\u4e0d\u826f\u3067\u300110\u5e74\u751f\u5b58\u7387\u306f7.5%\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h2>\u307e\u3068\u3081<\/h2>\n<p>\u80c3\u304c\u3093\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u306f\u3001\u30b9\u30c6\u30fc\u30b8\u306b\u3088\u3063\u3066\u7570\u306a\u308a\u307e\u3059\u3002\u30b9\u30c6\u30fc\u30b8I\u306b\u306f\u5185\u8996\u93e1\u6cbb\u7642\u307e\u305f\u306f\u80c3\u5207\u9664\u8853\u304c\u884c\u308f\u308c\u3001\u8853\u5f8c\u306f\u7d4c\u904e\u89b3\u5bdf\u3055\u308c\u307e\u3059\u3002\u30b9\u30c6\u30fc\u30b8II\uff5eIII\u3067\u306f\u5b9a\u578b\u624b\u8853\u304c\u884c\u308f\u308c\u3001\u4e00\u90e8\u3092\u9664\u3044\u3066\u8853\u5f8c\u88dc\u52a9\u5316\u5b66\u7642\u6cd5\u304c\u8ffd\u52a0\u3055\u308c\u307e\u3059\u3002\u30b9\u30c6\u30fc\u30b8IV\u3067\u306f\u85ac\u7269\u6cbb\u7642\u3001\u7de9\u548c\u30b1\u30a2\u304c\u4e2d\u5fc3\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u4e88\u5f8c\u306f\u30b9\u30c6\u30fc\u30b8\u306b\u3088\u3063\u3066\u5927\u304d\u304f\u7570\u306a\u308a\u3001\u30b9\u30c6\u30fc\u30b8I\u3001II\u3001III\u3001IV\u306e10\u5e74\u751f\u5b58\u7387\u306f\u305d\u308c\u305e\u308c95\uff05\u300163\uff05\u300139\uff05\u30017.5\uff05\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u306f\u3058\u3081\u306b \u80c3\u304c\u3093\u306f\u7279\u306b\u65e5\u672c\u4eba\u306b\u591a\u3044\u304c\u3093\u3067\u3001\u7f79\u60a3\u6570\u306f\u5927\u8178\u304c\u3093\u306b\u6b21\u3044\u3067\uff12\u756a\u76ee\u306b\u591a\u304f\u3001\u307e\u305f\u90e8\u4f4d\u5225\u304c\u3093\u6b7b\u4ea1\u8005\u6570\u3067\u306f\u80ba\u304c\u3093\u3001\u5927\u8178\u304c\u3093\u306b\u6b21\u3044\u3067\u7b2c3\u4f4d\u3092\u5360\u3081\u3066\u3044\u307e\u3059\u30022015\u5e74\u306e\u30c7\u30fc\u30bf\u3067\u306f\u3001\u80c3\u304c\u3093\u306b\u3088\u3063\u3066\u5e74\u959346,679\u4eba\uff08\u7537\u5973\u5408\u8a08\uff09 [&hellip;]<\/p>\n","protected":false},"author":65,"featured_media":39932,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[5998,1532],"tags":[4394,3316,5895,1580],"class_list":["post-39882","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cancer-and-mitigation","category-gastroenteritis","tag-4394","tag-3316","tag-gastroenterology","tag-gastric-cancer"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/posts\/39882","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/users\/65"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=39882"}],"version-history":[{"count":27,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/posts\/39882\/revisions"}],"predecessor-version":[{"id":87422,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/posts\/39882\/revisions\/87422"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=\/wp\/v2\/media\/39932"}],"wp:attachment":[{"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39882"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39882"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ishamachi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39882"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}