{"id":11071,"date":"2017-09-04T18:53:04","date_gmt":"2017-09-04T18:53:04","guid":{"rendered":"https:\/\/cytologystuff1.wpengine.com\/gyn-atlas-table-of-contents\/endometrial-adenocarcinoma\/"},"modified":"2017-11-15T10:40:57","modified_gmt":"2017-11-15T10:40:57","slug":"endometrial-adenocarcinoma","status":"publish","type":"page","link":"https:\/\/dev.cytologystuff.com\/ja\/gyn-atlas-table-of-contents\/endometrial-adenocarcinoma\/","title":{"rendered":"\u4e0a\u76ae\u7d30\u80de\u306e\u7570\u5e38"},"content":{"rendered":"

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\u4e0a\u76ae\u7d30\u80de\u306e\u7570\u5e38<\/p>\n

\u5b50\u5bae\u5185\u819c\u817a\u764c <\/strong>
\nLuis A. Diaz-Rosario, MD<\/em><\/p>\n

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\u7d30\u80de\u5b66\u7684\u306b\u30bf\u30a4\u30d7I\u306e\u816b\u760d\u306f\u3001\u6210\u719f\u5ea6\u6307\u6570\u4e0a\u6607\u3092\u80cc\u666f\u3068\u3057\u3066\u7570\u578b\u6027\u3084\u60aa\u6027\u306e\u5b50\u5bae\u5185\u819c\u7d30\u80de\u304c\u898b\u3089\u308c\u307e\u3059\u3002\u5bfe\u7167\u7684\u306b\u3001\u30bf\u30a4\u30d7II\u306e\u816b\u760d\u306f\u901a\u5e38\u3001\u840e\u7e2e\u6027\u3092\u80cc\u666f\u3068\u3057\u3066\u898b\u3089\u308c\u307e\u3059\u3002ThinPrep\u6cd5\u3067\u306f\u5b50\u5bae\u5185\u819c\u7d30\u80de\u306e\u4fdd\u5b58\u72b6\u614b\u304c\u3088\u304f\u3001\u7d30\u80de\u3092\u307b\u3068\u3093\u3069\u542b\u307e\u306a\u3044\u5c0f\u3055\u306a\u5e73\u9762\u306e\u30b7\u30fc\u30c8\u72b6\u306b\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308c\u3070\u3001\u5927\u5c0f\u3055\u307e\u3056\u307e\u306a\u7d30\u80de\u7acb\u4f53\u7684\u306a\u96c6\u584a\u306b\u898b\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002 \u901a\u5e38\u898b\u3089\u308c\u308b\u7d30\u80de\u306f\u6b63\u5e38\u7d30\u80de\u3088\u308a\u3082\u5927\u304d\u304f\u3001\u3053\u306e\u30b0\u30eb\u30fc\u30d7\u306f\u6ed1\u3089\u304b\u3067\u3001\u4e73\u982d\u7d44\u7e54\u3092\u5f62\u6210\u3059\u308b\u6ce2\u578b\u306e\u3078\u308a\u304c\u3042\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002 \u7d30\u80de\u8cea\u306f\u5fae\u7d30\u307e\u305f\u306f\u96e2\u6563\u7684\u306b\u7a7a\u80de\u5316\u3057\u3066\u304a\u308a\u3001\u6838\u304c\u7d30\u80de\u306e\u7247\u5074\u306b\u62bc\u3055\u308c\u3066\u3067\u304d\u308b\u5927\u304d\u306a\u7a7a\u80de\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u591a\u6838\u767d\u8840\u7403\u306e\u53d6\u308a\u8fbc\u307f\u50cf\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u6838\u306e\u7279\u5fb4\u306f\u816b\u760d\u306e\u60aa\u6027\u5ea6\u306b\u3088\u308a\u5909\u308f\u308a\u307e\u3059\u3002\u901a\u5e38\u3001\u816b\u760d\u304c\u8b58\u5225\u3067\u304d\u306a\u304f\u306a\u308b\u306b\u3064\u308c\u3001\u6838\u9762\u7a4d\uff08\u03bcm2\uff09\u304c\u6f38\u6b21\u5897\u5927\u3057\u3001 \u5c0f\u4f53\u306e\u5927\u304d\u3055\u3068\u6570\u3001, \u30af\u30ed\u30de\u30c1\u30f3\u306e\u5206\u5e03\u306e\u4e0d\u898f\u5247\u6027\u304a\u3088\u3073\u7c97\u3055 \u304a\u3088\u3073\u6838\u819c\u306e\u80a5\u539a\u5316\u306b\u3088\u308a\u6838\u306f\u5186\u5f62\u306b\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

<\/a><\/p>\n

<\/a>
\nThinPrep\u6cd5\u306b\u304a\u3051\u308b\u5b50\u5bae\u5185\u819c\u817a\u764c\u306e\u7d30\u80de\u5b66\u7684\u57fa\u6e96\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002 <\/strong><\/p>\n

\u6ce8\uff1a\u753b\u50cf\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u62e1\u5927\u3057\u307e\u3059\u3002<\/strong><\/p>\n

\n\"Image<\/a><\/p>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u7d30\u80de\u306f\u539f\u5247\u7684\u306b\u4fdd\u5b58\u72b6\u614b\u304c\u826f\u597d\u3067\u3001\u5927\u304d\u3055\u306e\u7570\u306a\u308b\u7d30\u80de\u306e\u7acb\u4f53\u7684\u96c6\u584a\u306f\u4fdd\u5b58\u3055\u308c\u3001\u6838\u306e\u5927\u5c0f\u4e0d\u540c\u304a\u3088\u3073\u6838\u306e\u91cd\u8907\uff08\u96c6\u584a\uff09\u3001\u5358\u96e2\u3057\u305f\u7d30\u80de\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u7d30\u80de\u306f\u539f\u5247\u7684\u306b\u4fdd\u5b58\u72b6\u614b\u304c\u826f\u597d\u3067\u3001\u5927\u304d\u3055\u306e\u7570\u306a\u308b\u7d30\u80de\u306e\u7acb\u4f53\u7684\u96c6\u584a\u306f\u4fdd\u5b58\u3055\u308c\u3001\u6838\u306e\u5927\u5c0f\u4e0d\u540c\u304a\u3088\u3073\u6838\u306e\u91cd\u8907\uff08\u96c6\u584a\uff09\u3001\u5358\u96e2\u3057\u305f\u7d30\u80de\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u7d30\u80de\u8cea\u306f\u5fae\u7d30\u307e\u305f\u306f\u3070\u3089\u3070\u3089\u306b\u7a7a\u80de\u304c\u898b\u3089\u308c\u3001\u5927\u304d\u306a\u7a7a\u80de\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u7d30\u80de\u8cea\u306f\u5fae\u7d30\u307e\u305f\u306f\u3070\u3089\u3070\u3089\u306b\u7a7a\u80de\u304c\u898b\u3089\u308c\u3001\u5927\u304d\u306a\u7a7a\u80de\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u591a\u6838\u767d\u8840\u7403\u306f\u7d30\u80de\u8cea\u306b\u56f2\u307e\u308c\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u591a\u6838\u767d\u8840\u7403\u306f\u7d30\u80de\u8cea\u306b\u56f2\u307e\u308c\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u7d30\u80de\u5168\u4f53\u306e\u5927\u304d\u3055\u306f\u3001\u6b63\u5e38\u306a\u7d30\u80de\u3088\u308a\u3082\u5927\u304d\u3044\u306e\u304c\u666e\u901a\u3067\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
\u5b50\u5bae\u5185\u819c\u817a\u764c
\n<\/strong>
\n\u7d30\u80de\u5168\u4f53\u306e\u5927\u304d\u3055\u306f\u3001\u6b63\u5e38\u306a\u7d30\u80de\u3088\u308a\u3082\u5927\u304d\u3044\u306e\u304c\u666e\u901a\u3067\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n

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ThinPrep\u6cd5\u3092\u7528\u3044\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u3053\u306e\u75c5\u5909\u306e\u80cc\u666f\u306b\u898b\u3089\u308c\u308b\u72b6\u6cc1\u306e\u624b\u304c\u304b\u308a\u3092\u4fdd\u3064\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002 \u5f93\u6765\u578b\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c\u3067\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u691c\u67fb\u3067\u306e\u6c34\u69d8\u58ca\u6b7b\u80cc\u666f\u3068\u3057\u3066\u6700\u3082\u591a\u304f\u898b\u3089\u308c\u308b\u816b\u760d\u58ca\u6b7b\u306e\u7279\u8cea\u306f\u3001Thin Prep\u00ae<\/sup>\u6cd5\u3067\u306e\u9846\u7c92\u72b6\u3067\u96c6\u584a\u3057\u305f\u7834\u7247\u3067\u3042\u308b\u305f\u3081\u3001\u7d30\u80de\u306e\u8a73\u7d30\u306f\u4e0d\u660e\u77ad\u3067\u306f\u306a\u3044\u3002<\/p>\n

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 <\/p>\n


\n\"Image<\/a><\/p>\n
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<\/div>\n

\n\"Image<\/a><\/p>\n
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<\/div>\n

\n\"Image<\/a><\/p>\n
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<\/div>\n

<\/a>\u53c2\u8003\u6587\u732e<\/strong><\/p>\n

    \n
  1. DeMay RM: The Art & Science of Cytopathology. Chicago, IL. ASCP Press, 1996, pp 122-127.<\/li>\n
  2. Guidos BJ et al: Detection of endometrial adenocarcinoma with the ThinPrep Pap test. Acta Cytol 1999; 43(5): 903.<\/li>\n
  3. Johnson JE et al: Endocervical glandular neoplasia and its mimics in ThinPrep Pap tests. A descriptive study. Acta Cytol 1999;43(3):369-75.<\/li>\n
  4. Papillo J et al: Increased specificity in the detection of glandular lesions: Decreased false positive AGUS with ThinPrep Pap tests. Acta Cytol 1999; 43(5): 902.<\/li>\n
  5. Tao L-C: Cytopathology of the Endometrium Direct Intrauterine Sampling. Chicago, IL. ASCP Press, 1993, pp 71-107.<\/li>\n<\/ol>\n

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