{"id":907,"date":"2025-04-08T09:24:47","date_gmt":"2025-04-08T00:24:47","guid":{"rendered":"https:\/\/tanaka-naika-cl.jp\/blog\/?p=907"},"modified":"2025-04-08T09:45:58","modified_gmt":"2025-04-08T00:45:58","slug":"post-907","status":"publish","type":"post","link":"https:\/\/tanaka-naika-cl.jp\/blog\/post-907\/","title":{"rendered":"\u4ed6\u4eba\u4e8b\u3067\u306f\u306a\u3044\u98df\u9053\u304c\u3093 &#8211; \u77f3\u6a4b\u8cb4\u660e\u3055\u3093\u306e\u516c\u8868\u3092\u53d7\u3051\u3066\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u75c7\u72b6\u30fb\u539f\u56e0\u3068\u65e9\u671f\u767a\u898b\u306e\u91cd\u8981\u6027"},"content":{"rendered":"\n<p>\u3053\u3093\u306b\u3061\u306f\u3002<\/p>\n\n\n\n<p>\u5175\u5eab\u770c\u660e\u77f3\u5e02\u306eJR\u5927\u4e45\u4fdd\u99c5\u3059\u3050\u306e\u300c\u305f\u306a\u304b\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u300d\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5148\u65e5\u3001\u304a\u7b11\u3044\u30b3\u30f3\u30d3\u300c\u3068\u3093\u306d\u308b\u305a\u300d\u306e\u77f3\u6a4b\u8cb4\u660e\u3055\u3093\u304c\u3001\u521d\u671f\u306e\u98df\u9053\u304c\u3093\u3092\u60a3\u3063\u3066\u3044\u305f\u3053\u3068\u3092\u516c\u8868\u3055\u308c\u307e\u3057\u305f\u3002\u5e78\u3044\u65e9\u671f\u306b\u767a\u898b\u3055\u308c\u3001\u6cbb\u7642\u3092\u53d7\u3051\u3089\u308c\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u30cb\u30e5\u30fc\u30b9\u3092\u304d\u3063\u304b\u3051\u306b\u3001\u300c\u98df\u9053\u304c\u3093\u300d\u306b\u3064\u3044\u3066\u95a2\u5fc3\u3092\u6301\u305f\u308c\u305f\u65b9\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n\n\n\n<p><br>\u8fd1\u5e74\u3001\u98df\u751f\u6d3b\u306e\u6b27\u7c73\u5316\u3084\u55ab\u7159\u30fb\u98f2\u9152\u7fd2\u6163\u306a\u3069\u306b\u3088\u308a\u3001\u65e5\u672c\u3067\u3082\u98df\u9053\u304c\u3093\u306e\u7f79\u60a3\u7387\u304c\u5897\u52a0\u50be\u5411\u306b\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u98df\u9053\u304c\u3093\u306f\u3001\u521d\u671f\u6bb5\u968e\u3067\u306f\u81ea\u899a\u75c7\u72b6\u304c\u307b\u3068\u3093\u3069\u306a\u304f\u3001\u6c17\u3065\u3044\u305f\u6642\u306b\u306f\u9032\u884c\u3057\u3066\u3044\u308b\u30b1\u30fc\u30b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u65e9\u671f\u306b\u767a\u898b\u3057\u9069\u5207\u306a\u6cbb\u7642\u3092\u884c\u3048\u3070\u3001\u6839\u6cbb\u3082\u5341\u5206\u306b\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001\u98df\u9053\u304c\u3093\u306e\u30ea\u30b9\u30af\u3001\u75c7\u72b6\u3001\u691c\u67fb\u3001\u305d\u3057\u3066\u6cbb\u7642\u6cd5\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002\u3054\u81ea\u8eab\u306e\u5065\u5eb7\u3092\u5b88\u308b\u305f\u3081\u3001\u305d\u3057\u3066\u5927\u5207\u306a\u4eba\u306e\u305f\u3081\u306b\u3001\u98df\u9053\u304c\u3093\u306b\u3064\u3044\u3066\u306e\u6b63\u3057\u3044\u77e5\u8b58\u3092\u6df1\u3081\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u98df\u9053\u304c\u3093\u306e\u4e3b\u306a\u539f\u56e0<\/strong><\/h2>\n\n\n\n<p>\u98df\u9053\u304c\u3093\u306e\u767a\u751f\u306b\u306f\u3001\u3044\u304f\u3064\u304b\u306e\u8981\u56e0\u304c\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u7279\u306b\u91cd\u8981\u306a\u306e\u304c<strong>\u98f2\u9152<\/strong>\u3068<strong>\u55ab\u7159<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u98f2\u9152\u3068\u55ab\u7159<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-5.png\" alt=\"\" class=\"wp-image-908\" srcset=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-5.png 800w, https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-5-400x225.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u3053\u308c\u3089\u306f\u98df\u9053\u304c\u3093\u306e2\u5927\u30ea\u30b9\u30af\u56e0\u5b50\u3067\u3042\u308a\u3001\u4e21\u65b9\u306e\u7fd2\u6163\u304c\u3042\u308b\u65b9\u306f\u3001\u30ea\u30b9\u30af\u304c\u76f8\u4e57\u7684\u306b\u9ad8\u307e\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u307e\u3059\u3002\u3042\u308b\u7814\u7a76\u30c7\u30fc\u30bf\u306b\u3088\u308b\u3068\u3001\u98f2\u9152\u3082\u55ab\u7159\u3082\u3057\u306a\u3044\u4eba\u306b\u6bd4\u3079\u3066\u3001\u30ea\u30b9\u30af\u304c\u3069\u308c\u3060\u3051\u9ad8\u307e\u308b\u304b\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u4e0b\u54bd\u982d\u3001\u98df\u9053\u764c\u306e\u30ea\u30b9\u30af\u3068\u98f2\u9152\u3001\u55ab\u7159\u7fd2\u6163<\/strong><\/h3>\n\n\n\n<p>\uff08\u51fa\u5178\uff1aTakezaki et al., Cancer Causes Control 11:597-608, 2000\uff09<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-pale-cyan-blue-background-color has-background\"><tbody><tr><td><strong>&nbsp;<\/strong><\/td><td><strong>\u55ab\u7159\u7fd2\u6163\u306a\u3057<\/strong><strong><\/strong><\/td><td><strong>30<\/strong><strong>\u7bb1-year\u4ee5\u4e0a\u306e\u9ad8\u5ea6\u55ab\u7159\u7fa4<\/strong><strong><\/strong><\/td><\/tr><tr><td><strong>\u98f2\u9152\u7fd2\u6163\u306a\u3057<\/strong><\/td><td>1\u500d<\/td><td>3.9\u500d\uff081.3\uff5e11.8\uff09<\/td><\/tr><tr><td><strong>\u65e5\u672c\u9152\u63db\u7b971\u65e5\u3042\u305f\u308a1.5\u5408\u4ee5\u4e0a\u306e\u98f2\u9152<\/strong><\/td><td>8.2\u500d\uff082.4\uff5e27.7\uff09<\/td><td>29.9\u500d\uff0810.9\uff5e81.9\uff09<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u6570\u5024\u306f\u30aa\u30c3\u30ba\u6bd4 (95%\u4fe1\u983c\u533a\u9593)<\/p>\n\n\n\n<p>\u3053\u306e\u30c7\u30fc\u30bf\u304b\u3089\u3082\u5206\u304b\u308b\u3088\u3046\u306b\u30011\u65e5\u306b\u65e5\u672c\u9152\u63db\u7b97\u30671.5\u5408\u4ee5\u4e0a\u98f2\u9152\u3057\u3001\u304b\u3064\u30d8\u30d3\u30fc\u30b9\u30e2\u30fc\u30ab\u30fc\uff0830\u7bb1-year\u4ee5\u4e0a\u203b\uff09\u306e\u65b9\u306f\u3001\u3069\u3061\u3089\u306e\u7fd2\u6163\u3082\u306a\u3044\u4eba\u306b\u6bd4\u3079\u3066\u98df\u9053\u304c\u3093\u306e\u30ea\u30b9\u30af\u304c\u7d0430\u500d\u306b\u3082\u8df3\u306d\u4e0a\u304c\u308b\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p>\uff08\u203b\u7bb1-year\uff1a1\u65e5\u306e\u55ab\u7159\u7bb1\u6570 \u00d7 \u55ab\u7159\u5e74\u6570\uff09<\/p>\n\n\n\n<p>\u304a\u9152\u3092\u98f2\u3080\u3068\u9854\u304c\u8d64\u304f\u306a\u308b\u30bf\u30a4\u30d7\uff08\u30d5\u30e9\u30c3\u30b7\u30e3\u30fc\uff09\u306e\u65b9\u306f\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u306e\u5206\u89e3\u9175\u7d20\u306e\u50cd\u304d\u304c\u5f31\u304f\u3001\u767a\u304c\u3093\u6027\u7269\u8cea\u3067\u3042\u308b\u30a2\u30bb\u30c8\u30a2\u30eb\u30c7\u30d2\u30c9\u304c\u4f53\u5185\u306b\u6e9c\u307e\u308a\u3084\u3059\u3044\u305f\u3081\u3001\u7279\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u305d\u306e\u4ed6\u306e\u30ea\u30b9\u30af\u56e0\u5b50<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-pale-cyan-blue-background-color has-background\"><tbody><tr><td>\u30fb<strong>\u71b1\u3044\u98f2\u98df\u7269\u306e\u6442\u53d6<\/strong>\uff1a\u71b1\u3044\u304a\u8336\u3084\u98df\u3079\u7269\u3092\u983b\u7e41\u306b\u6442\u308b\u7fd2\u6163\u306f\u3001\u98df\u9053\u306e\u7c98\u819c\u3092\u7e70\u308a\u8fd4\u3057\u50b7\u3064\u3051\u3001\u304c\u3093\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br><strong>\u30fb\u98df\u7fd2\u6163\uff1a<\/strong>\u91ce\u83dc\u3084\u679c\u7269\u306e\u6442\u53d6\u4e0d\u8db3\u3082\u30ea\u30b9\u30af\u56e0\u5b50\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br>\u30fb<strong>\u9006\u6d41\u6027\u98df\u9053\u708e\uff1a<\/strong>\u80c3\u9178\u304c\u98df\u9053\u3078\u9006\u6d41\u3059\u308b\u72b6\u614b\u304c\u9577\u304f\u7d9a\u304f\u3068\u3001\u98df\u9053\u7c98\u819c\u304c\u708e\u75c7\u3092\u8d77\u3053\u3057\uff08\u30d0\u30ec\u30c3\u30c8\u98df\u9053\uff09\u3001\u304c\u3093\u5316\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u98df\u9053\u304c\u3093\u306e\u75c7\u72b6<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-10.png\" alt=\"\" class=\"wp-image-913\" srcset=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-10.png 800w, https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-10-400x267.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u98df\u9053\u304c\u3093\u306e\u6700\u3082\u5384\u4ecb\u306a\u70b9\u306f\u3001<strong>\u521d\u671f\u306b\u306f\u307b\u3068\u3093\u3069\u81ea\u899a\u75c7\u72b6\u304c\u306a\u3044<\/strong>\u3053\u3068\u3067\u3059\u3002<br>\u304c\u3093\u304c\u9032\u884c\u3059\u308b\u306b\u3064\u308c\u3066\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-pale-cyan-blue-background-color has-background\"><tbody><tr><td>\u30fb\u98df\u3079\u7269\u3092\u98f2\u307f\u8fbc\u3093\u3060\u6642\u306e\u9055\u548c\u611f\u3001\u3064\u304b\u3048\u611f<br>\u30fb\u80f8\u306e\u5965\uff08\u80f8\u9aa8\u306e\u5f8c\u308d\u3042\u305f\u308a\uff09\u306e\u75db\u307f\u3001\u3057\u307f\u308b\u611f\u3058<br>\u30fb\u58f0\u306e\u304b\u3059\u308c\uff08\u55c4\u58f0\uff1a\u3055\u305b\u3044\uff09 <br>\u30fb\u54b3<br>\u30fb\u4f53\u91cd\u6e1b\u5c11<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u3001\u98df\u9053\u304c\u3093\u4ee5\u5916\u306e\u75c5\u6c17\u3067\u3082\u8d77\u3053\u308a\u3048\u307e\u3059\u304c\u3001\u601d\u3044\u5f53\u305f\u308b\u75c7\u72b6\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u6c7a\u3057\u3066\u653e\u7f6e\u305b\u305a\u3001\u65e9\u3081\u306b\u6d88\u5316\u5668\u5185\u79d1\u3084\u5c02\u9580\u533b\u3092\u53d7\u8a3a\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u98df\u9053\u304c\u3093\u306e\u691c\u67fb\u30fb\u8a3a\u65ad<\/strong><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-6.png\" alt=\"\" class=\"wp-image-910\" srcset=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-6.png 800w, https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-6-400x225.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u98df\u9053\u304c\u3093\u306e\u767a\u898b\u30fb\u8a3a\u65ad\u306b\u6700\u3082\u91cd\u8981\u306a\u691c\u67fb\u306f<strong>\u80c3\u30ab\u30e1\u30e9\uff08\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u691c\u67fb\uff09<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u80c3\u30ab\u30e1\u30e9\u691c\u67fb:<\/strong> \u53e3\u307e\u305f\u306f\u9f3b\u304b\u3089\u7d30\u3044\u30ab\u30e1\u30e9\u3092\u633f\u5165\u3057\u3001\u98df\u9053\u3001\u80c3\u3001\u5341\u4e8c\u6307\u8178\u306e\u7c98\u819c\u3092\u76f4\u63a5\u89b3\u5bdf\u3057\u307e\u3059\u3002\u304c\u3093\u304c\u7591\u308f\u308c\u308b\u90e8\u4f4d\u304c\u3042\u308c\u3070\u3001\u7d44\u7e54\u306e\u4e00\u90e8\u3092\u63a1\u53d6\uff08\u751f\u691c\uff09\u3057\u3001\u75c5\u7406\u691c\u67fb\u3067\u304c\u3093\u7d30\u80de\u306e\u6709\u7121\u3092\u78ba\u5b9a\u8a3a\u65ad\u3057\u307e\u3059\u3002\u7279\u6b8a\u306a\u5149\uff08NBI\u306a\u3069\uff09\u3092\u7528\u3044\u3066\u5fae\u7d30\u306a\u75c5\u5909\u3092\u898b\u3064\u3051\u3084\u3059\u304f\u3059\u308b\u6280\u8853\u3082\u9032\u6b69\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u305d\u306e\u4ed6\u306e\u691c\u67fb:<\/strong> \u304c\u3093\u306e\u5e83\u304c\u308a\u3084\u8ee2\u79fb\u306e\u6709\u7121\u3092\u8abf\u3079\u308b\u305f\u3081\u306b\u3001\u30d0\u30ea\u30a6\u30e0\u3092\u7528\u3044\u305f\u98df\u9053\u9020\u5f71\u691c\u67fb\u3001CT\u691c\u67fb\u3001PET\u691c\u67fb\u306a\u3069\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u98df\u9053\u304c\u3093\u306e\u9032\u884c\u5ea6\uff08\u30b9\u30c6\u30fc\u30b8\uff09<\/strong><\/h2>\n\n\n\n<p>\u304c\u3093\u306e\u9032\u884c\u5ea6\u306f\u3001\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3059\u308b\u4e0a\u3067\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u98df\u9053\u304c\u3093\u306e\u9032\u884c\u5ea6\u306f\u3001\u4e3b\u306b\u4ee5\u4e0b\u306e3\u3064\u306e\u8981\u7d20\u3067\u6c7a\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>\u6df1\u9054\u5ea6:<\/strong> \u304c\u3093\u304c\u98df\u9053\u306e\u58c1\u306e\u3069\u306e\u6df1\u3055\u307e\u3067\u9054\u3057\u3066\u3044\u308b\u304b\u3002<\/li>\n\n\n\n<li><strong>\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb:<\/strong> \u98df\u9053\u306e\u5468\u308a\u306b\u3042\u308b\u30ea\u30f3\u30d1\u7bc0\u3078\u306e\u8ee2\u79fb\u304c\u3042\u308b\u304b\u3002<\/li>\n\n\n\n<li><strong>\u9060\u9694\u8ee2\u79fb:<\/strong> \u80ba\u3084\u809d\u81d3\u306a\u3069\u3001\u98df\u9053\u304b\u3089\u96e2\u308c\u305f\u81d3\u5668\u3078\u306e\u8ee2\u79fb\u304c\u3042\u308b\u304b\u3002<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u3010\u304c\u3093\u306e\u6df1\u3055\u3068\u65e9\u671f\u304c\u3093\u30fb\u9032\u884c\u304c\u3093\u3011<\/strong><\/h3>\n\n\n\n<p>\u98df\u9053\u306e\u58c1\u306f\u3001\u5185\u5074\u304b\u3089\u7c98\u819c\u5c64\uff08\u7c98\u819c\u4e0a\u76ae\uff1aEP\u3001\u7c98\u819c\u56fa\u6709\u5c64\uff1aLPM\u3001\u7c98\u819c\u7b4b\u677f\uff1aMM\uff09\u3001\u7c98\u819c\u4e0b\u5c64\u3001\u56fa\u6709\u7b4b\u5c64\u3001\u5916\u819c\u3068\u3044\u3046\u5c64\u69cb\u9020\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u65e9\u671f\u304c\u3093:<\/strong> \u304c\u3093\u304c\u7c98\u819c\u5c64\u307e\u305f\u306f\u7c98\u819c\u4e0b\u5c64\u306b\u3068\u3069\u307e\u3063\u3066\u3044\u308b\u72b6\u614b\u3002<\/li>\n\n\n\n<li><strong>\u9032\u884c\u304c\u3093:<\/strong> \u304c\u3093\u304c\u56fa\u6709\u7b4b\u5c64\u3088\u308a\u6df1\u304f\u9054\u3057\u3066\u3044\u308b\u3001\u307e\u305f\u306f\u30ea\u30f3\u30d1\u7bc0\u3084\u4ed6\u306e\u81d3\u5668\u306b\u8ee2\u79fb\u3057\u3066\u3044\u308b\u72b6\u614b\u3002<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"367\" src=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-7.png\" alt=\"\" class=\"wp-image-909\" srcset=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-7.png 689w, https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-7-400x213.png 400w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><\/figure>\n<\/div>\n\n\n<p>EP\uff1aepithelium<br>LPM\uff1alamina propria mucosae<br>MM\uff1amuscularis mucosae<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u3010\u5185\u8996\u93e1\u6cbb\u7642\u306e\u53ef\u80fd\u6027\u3011<\/strong><\/h3>\n\n\n\n<p>\u65e9\u671f\u304c\u3093\u306e\u4e2d\u3067\u3082\u3001\u7279\u306b\u304c\u3093\u304c<strong>\u7c98\u819c\u4e0a\u76ae\uff08EP: Epithelium\uff09\u307e\u305f\u306f\u7c98\u819c\u56fa\u6709\u5c64\uff08LPM: lamina propria mucosae\uff09<\/strong>\u307e\u3067\u306b\u3068\u3069\u307e\u3063\u3066\u304a\u308a\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u53ef\u80fd\u6027\u304c\u6975\u3081\u3066\u4f4e\u3044\u3068\u8003\u3048\u3089\u308c\u308b\u5834\u5408\uff08\u30b9\u30c6\u30fc\u30b80\u3084\u4e00\u90e8\u306e\u30b9\u30c6\u30fc\u30b8I\uff09\u3001\u5185\u8996\u93e1\uff08\u80c3\u30ab\u30e1\u30e9\uff09\u306b\u3088\u308b\u5207\u9664\u3067\u304c\u3093\u3092\u5b8c\u5168\u306b\u53d6\u308a\u9664\u304d\u3001\u6839\u6cbb\u3092\u76ee\u6307\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u3044\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3064\u307e\u308a\u3001\u3044\u304b\u306b\u65e9\u304f\u3001\u6d45\u3044\u6bb5\u968e\u3067\u304c\u3093\u3092\u767a\u898b\u3067\u304d\u308b\u304b\u304c\u3001\u6cbb\u7642\u6cd5\u306e\u9078\u629e\u3084\u4e88\u5f8c\u306b\u5927\u304d\u304f\u95a2\u308f\u3063\u3066\u304f\u308b\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u98df\u9053\u304c\u3093\u306e\u6cbb\u7642\u6cd5<\/strong><\/h2>\n\n\n\n<p>\u98df\u9053\u304c\u3093\u306e\u6cbb\u7642\u306f\u3001\u304c\u3093\u306e\u9032\u884c\u5ea6\uff08\u30b9\u30c6\u30fc\u30b8\uff09\u3001\u60a3\u8005\u3055\u3093\u306e\u5168\u8eab\u72b6\u614b\u3001\u5e74\u9f62\u306a\u3069\u3092\u8003\u616e\u3057\u3066\u7dcf\u5408\u7684\u306b\u6c7a\u5b9a\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5185\u8996\u93e1\u6cbb\u7642\uff08ESD\u306a\u3069\uff09:<\/strong> \u4e0a\u8a18\u306e\u3088\u3046\u306b\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u306e\u306a\u3044\u65e9\u671f\u304c\u3093\uff08\u4e3b\u306b\u6df1\u9054\u5ea6\u304cEP\u3001LPM\u307e\u3067\uff09\u304c\u5bfe\u8c61\u3067\u3059\u3002\u53e3\u3084\u9f3b\u304b\u3089\u633f\u5165\u3057\u305f\u5185\u8996\u93e1\u3092\u4f7f\u3063\u3066\u3001\u304c\u3093\u3092\u542b\u3080\u7c98\u819c\u3092\u5265\u304e\u53d6\u308a\u307e\u3059\u3002\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u304f\u3001\u98df\u9053\u3092\u6e29\u5b58\u3067\u304d\u308b\u30e1\u30ea\u30c3\u30c8\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5916\u79d1\u624b\u8853:<\/strong> \u304c\u3093\u304c\u5185\u8996\u93e1\u6cbb\u7642\u306e\u9069\u5fdc\u3092\u8d85\u3048\u3066\u9032\u884c\u3057\u3066\u3044\u308b\u5834\u5408\u3084\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u304c\u3042\u308b\uff08\u307e\u305f\u306f\u7591\u308f\u308c\u308b\uff09\u5834\u5408\u306e\u6a19\u6e96\u7684\u306a\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u98df\u9053\u3068\u80c3\u306e\u4e00\u90e8\u3092\u5207\u9664\u3057\u3001\u30ea\u30f3\u30d1\u7bc0\u3082\u90ed\u6e05\uff08\u5207\u9664\uff09\u3057\u307e\u3059\u3002\u518d\u5efa\u624b\u8853\u3082\u540c\u6642\u306b\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5316\u5b66\u7642\u6cd5\uff08\u6297\u304c\u3093\u5264\u6cbb\u7642\uff09:<\/strong> \u6297\u304c\u3093\u5264\u3092\u7528\u3044\u3066\u304c\u3093\u7d30\u80de\u3092\u653b\u6483\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u624b\u8853\u524d\u5f8c\u306e\u88dc\u52a9\u7642\u6cd5\u3084\u3001\u5207\u9664\u4e0d\u80fd\u306a\u9032\u884c\u304c\u3093\u3001\u518d\u767a\u304c\u3093\u306b\u5bfe\u3057\u3066\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u653e\u5c04\u7dda\u6cbb\u7642:<\/strong> \u9ad8\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u653e\u5c04\u7dda\u3092\u304c\u3093\u306b\u7167\u5c04\u3057\u3066\u3001\u304c\u3093\u7d30\u80de\u3092\u7834\u58ca\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u5358\u72ec\u3067\u884c\u308f\u308c\u308b\u307b\u304b\u3001\u5316\u5b66\u7642\u6cd5\u3068\u7d44\u307f\u5408\u308f\u305b\u3066\uff08\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\uff09\u884c\u308f\u308c\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059\u3002\u624b\u8853\u304c\u96e3\u3057\u3044\u5834\u5408\u3084\u3001\u624b\u8853\u5f8c\u306e\u518d\u767a\u4e88\u9632\u3068\u3057\u3066\u3082\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5:<\/strong> \u5316\u5b66\u7642\u6cd5\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u540c\u6642\u306b\u884c\u3046\u6cbb\u7642\u6cd5\u3067\u3001\u624b\u8853\u3092\u3057\u306a\u3044\u5834\u5408\u306e\u6839\u6cbb\u3092\u76ee\u6307\u3059\u6cbb\u7642\u3084\u3001\u624b\u8853\u524d\u306e\u88dc\u52a9\u7642\u6cd5\u3068\u3057\u3066\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u4e88\u9632\u3068\u65e9\u671f\u767a\u898b\u306e\u305f\u3081\u306b<\/strong><\/h2>\n\n\n\n<p>\u98df\u9053\u304c\u3093\u3092\u4e88\u9632\u3057\u3001\u4e07\u304c\u4e00\u304b\u304b\u3063\u3066\u3057\u307e\u3063\u305f\u5834\u5408\u3067\u3082\u65e9\u671f\u306b\u767a\u898b\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u70b9\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7981\u7159\u30fb\u7bc0\u9152:<\/strong> \u6700\u5927\u306e\u30ea\u30b9\u30af\u56e0\u5b50\u3067\u3042\u308b\u55ab\u7159\u3068\u904e\u5ea6\u306a\u98f2\u9152\u3092\u63a7\u3048\u308b\u3053\u3068\u304c\u6700\u3082\u52b9\u679c\u7684\u306a\u4e88\u9632\u7b56\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>\u98df\u751f\u6d3b\u306e\u898b\u76f4\u3057:<\/strong> \u30d0\u30e9\u30f3\u30b9\u306e\u53d6\u308c\u305f\u98df\u4e8b\u3092\u5fc3\u304c\u3051\u3001\u91ce\u83dc\u3084\u679c\u7269\u3092\u5341\u5206\u306b\u6442\u53d6\u3057\u307e\u3057\u3087\u3046\u3002\u71b1\u3059\u304e\u308b\u98f2\u98df\u7269\u3092\u983b\u7e41\u306b\u6442\u308b\u306e\u306f\u907f\u3051\u307e\u3057\u3087\u3046\u3002<\/li>\n\n\n\n<li><strong>\u5b9a\u671f\u7684\u306a\u691c\u8a3a:<\/strong> 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srcset=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-8.png 800w, https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-8-400x267.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u304a\u5fd9\u3057\u3044\u65b9\u306b\u3082\u691c\u67fb\u3092\u53d7\u3051\u3066\u3044\u305f\u3060\u304d\u3084\u3059\u3044\u3088\u3046\u3001\u5e73\u65e5\u306f18\u6642\u9803\u307e\u3067\u306e\u691c\u67fb\u4e88\u7d04\u3092\u627f\u3063\u3066\u304a\u308a\u307e\u3059\u306e\u3067\u3001\u304a\u4ed5\u4e8b\u5e30\u308a\u306b\u3082\u304a\u7acb\u3061\u5bc4\u308a\u3044\u305f\u3060\u3051\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u7279\u9577\uff14\uff0e\u80c3\u30ab\u30e1\u30e9\u3068\u5927\u8178\u30ab\u30e1\u30e9\u306e\u540c\u65e5\u691c\u67fb<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-11.png\" alt=\"\" class=\"wp-image-914\" srcset=\"https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-11.png 800w, https:\/\/tanaka-naika-cl.jp\/blog\/wp-content\/uploads\/2025\/04\/image-11-400x267.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" 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