{"id":1849,"date":"2017-07-31T17:48:13","date_gmt":"2017-07-31T17:48:13","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/atypical-squamous-cells\/"},"modified":"2017-11-15T06:21:14","modified_gmt":"2017-11-15T06:21:14","slug":"atypical-squamous-cells","status":"publish","type":"page","link":"https:\/\/cytologystuff.com\/ja\/gyn-atlas-table-of-contents\/atypical-squamous-cells\/","title":{"rendered":"\u6241\u5e73\u4e0a\u76ae\u7d30\u80de"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”\u6241\u5e73\u4e0a\u76ae\u7d30\u80de” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row el_id=”acknowledgements”][vc_column width=”2\/3″][vc_column_text]<\/p>\n

\u6241\u5e73\u4e0a\u76ae\u7d30\u80de<\/p>\n

\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de<\/strong>
\nRichard A. Smith, MD, PhD<\/em><\/p>\n

\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\uff08ASC\uff09\u306f\u8a3a\u65ad\u5206\u985e\u3067\u6700\u3082\u8b70\u8ad6\u306e\u3042\u308b\u3068\u3053\u308d\u3067\u3059\u30022001\u5e74\u306e\u30d9\u30bb\u30b9\u30c0\u30b7\u30b9\u30c6\u30e0\uff08TBS\uff09\u306e\u6539\u5b9a\u306b\u3088\u308a\u3001\u65b0\u3057\u3044\u7528\u8a9e\u304c\u3067\u304d\u307e\u3057\u305f\u3002TBS\u306f\u3001\u53cd\u5fdc\u6027\u306e\u5909\u5316\u306b\u8d77\u56e0\u3059\u308b\u3082\u306e\u3088\u308a\u3082\u8457\u660e\u306a\u7570\u5e38\u6241\u5e73\u4e0a\u76ae\u304c\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u3001ASC\u30ab\u30c6\u30b4\u30ea\u30fc\u3092\u8a3a\u65ad\u8003\u616e\u3059\u308b\u3079\u304d\u3067\u3042\u308b\u304c\u3001\u8efd\u5ea6\u307e\u305f\u306f\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u306e\u8a3a\u65ad\u57fa\u6e96\u304c\u5b9a\u91cf\u7684\u307e\u305f\u306f\u5b9a\u6027\u7684\u306b\u4e0d\u8db3\u3057\u3066\u3044\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001TBS\u306f\u3001\u300c\u660e\u3089\u304b\u306b\u3055\u308c\u3066\u3044\u306a\u3044\u6709\u610f\u6027\uff08\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e\uff09\u300d\u307e\u305f\u306f\u300c\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u306e\u53ef\u80fd\u6027\u3092\u9664\u5916\u3067\u304d\u306a\u3044\uff08\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3092\u9664\u5916\u3067\u304d\u305a\uff09\u300d\u3068\u3044\u3046\u8a3a\u65ad\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3059\u3053\u3068\u306e\u91cd\u8981\u6027\u3092\u5f37\u8abf\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

ASC\u306e\u5f62\u614b\u5b66\u4e0a\u57fa\u6e96\u3092\u793a\u3059\u7ae0\u3092\u57f7\u7b46\u3057\u3066\u3044\u308b\u7d30\u80de\u691c\u67fb\u58eb\u304a\u3088\u3073\u75c5\u7406\u533b\u304cASC\u3092\u9069\u5207\u306b\u5206\u985e\u3057\u3066\u3001\u3053\u306e\u89e3\u91c8\u306b\u4e3b\u89b3\u6027\u3092\u4e0e\u3048\u3088\u3046\u3068\u3057\u3066\u3044\u307e\u3059\u3002TBS\u306e\u5c0e\u5165\u4ee5\u6765\u3001\u5f93\u6765\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c\u3092\u89e3\u91c8\u3057\u3066\u3044\u308b\u7d30\u80de\u75c5\u7406\u95a2\u4fc2\u8005\u306f\u3001\u3053\u306e\u5206\u985e\u304c\u56f0\u96e3\u306a\u75c7\u4f8b\u3092\u300c\u4f55\u3067\u3082\u307b\u308a\u8fbc\u3081\u308b\u30b4\u30df\u7bb1\u7684\u300d\u306a\u30ab\u30c6\u30b4\u30ea\u30fc\u3068\u3057\u3066\u5229\u7528\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u4e7e\u71e5\u307e\u305f\u306f\u90e8\u5206\u7684\u306b\u4e0d\u660e\u69d8\u306a\u7d30\u80de\u306a\u3069\u306e\u5f93\u6765\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c\u306b\u3042\u308a\u304c\u3061\u306a\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306b\u3088\u308a\u3001ASC\u3068\u8a3a\u65ad\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u53cd\u5fdc\u6027\u7d30\u80de\u306e\u660e\u3089\u304b\u306a\u7570\u578b\u6027\u306e\u5ea6\u5408\u3044\u3082\u4e7e\u71e5\u307e\u305f\u306f\u6a19\u672c\u4f5c\u88fd\u306e\u3057\u304b\u305f\u306b\u3088\u3063\u3066\u5f37\u304f\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u7591\u308f\u3057\u3044\u7d30\u80de\u306e\u6838\u6240\u898b\u306e\u8a73\u7d30\u3092\u9069\u5207\u306b\u898b\u308b\u3059\u308b\u3053\u3068\u304c\u96e3\u3057\u3044\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306f\u3001\u7d30\u80de\u691c\u67fb\u58eb\u304a\u3088\u3073\u75c5\u7406\u533b\u304c\u78ba\u5b9a\u8a3a\u65ad\u3092\u4e0b\u305b\u306a\u3044\u7d50\u679c\u306b\u7d42\u308f\u308a\u307e\u3059\u3002<\/p>\n

ThinPrep\u30d7\u30ed\u30bb\u30b9\u3067\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u6e7f\u56fa\u5b9a\u306b\u3088\u308a\u3001\u75c5\u7406\u533b\u304a\u3088\u3073\u7d30\u80de\u691c\u67fb\u58eb\u304cASC\u3092\u300c\u3059\u3079\u3066\u53d6\u308a\u8fbc\u3080\u300d\u3053\u3068\u3092\u907f\u3051\u3001\u53cd\u5fdc\u306b\u3088\u308b\u7d30\u80de\u5909\u5316\u3001\u660e\u3089\u304b\u306a\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u304a\u3088\u3073\u7570\u578b\u75c5\u5909\u306b\u3088\u308b\u7d30\u80de\u306e\u5909\u5316\u3092\u8b58\u5225\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002ThinPrep Pap Test\u306e\u5c0e\u5165 \u306b\u3088\u308a\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306e\u89e3\u91c8\u304c\u9664\u5916\u3055\u308c\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u30e9\u30dc\u30b9\u30bf\u30c3\u30d5\u304c\u81ea\u5206\u305f\u3061\u306e\u5f62\u614b\u5b66\u7684\u57fa\u6e96\u3092\u6539\u3081\u3001\u4e0d\u9069\u5207\u306a\u6a19\u672c\u306b\u3088\u308b\u300c\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u300d\u75c7\u4f8b\u3092\u9664\u5916\u3057\u3001\u771f\u306e\u7570\u5e38\u75c7\u4f8b\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u6a5f\u4f1a\u3067\u3059\u3002<\/p>\n

<\/a><\/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
\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c\u5f93\u6765\u6cd5\uff08\u5f93\u6765\u6cd5\uff09<\/strong>
\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/div>\n<\/div>\n
\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u67d3\u8272\u6a19\u672c\u5f93\u6765\u6cd5\uff08\u5f93\u6765\u6cd5\uff09<\/strong>
\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ThinPrep Pap \u6cd5<\/strong>
\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e
\n\u540c\u4e00\u60a3\u8005\u3001\u5272\u308a\u898b\u672c<\/div>\n<\/div>\n
ThinPrep Pap \u6cd5<\/strong>
\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e
\n\u540c\u4e00\u60a3\u8005\u3001\u5272\u308a\u898b\u672c<\/div>\n<\/div>\n
<\/div>\n

<\/a>
\nThinPrep Pap Test\u00ae<\/sup>\u306f\u3001\u5857\u62b9\u6a19\u672c\u304a\u3088\u3073\u30b9\u30d7\u30ec\u30fc\u56fa\u5b9a\u3067\u306e\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u306b\u7279\u6709\u306e\u30c8\u30e9\u30d6\u30eb\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u6838\u6240\u898b\u304c\u660e\u77ad\u306b\u306a\u308a\u3001\u8a3a\u65ad\u304c\u3088\u308a\u78ba\u5b9f\u306b\u306a\u308a\u307e\u3059\u3002\u901a\u5e38\u3001\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u5206\u985e\u3055\u308c\u308b\u4e0a\u76ae\u7d30\u80de\u306f\u3001\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u307e\u305f\u306f\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u306e\u8a3a\u65ad\u306b\u81f3\u3089\u306a\u3044\u5909\u5316\u3092\u898b\u305b\u308b\u6210\u719f\u4e0a\u76ae\u304a\u3088\u3073\u6241\u5e73\u4e0a\u76ae\u5316\u751f\u7d30\u80de\u3067\u3059\u3002 \u6838\u306f\u308f\u305a\u304b\u306b\u5897\u5927\u3057\u3066\u304a\u308a\u3001\u540c\u3058\u7a2e\u985e\u306e\u7d30\u80de\u306e\u901a\u5e38\u306e\u5927\u304d\u3055\u306b\u76f8\u5f53\u3057\u307e\u3059\u3002 \u6838\u306b\u306f\u8efd\u5ea6\u306e\u6838\u7e01\u4e0d\u898f\u5247\u6027\u304c\u898b\u3089\u308c\u307e\u3059\u304c\u3001\u6ed1\u3089\u304b\u306a\u65b9\u304c\u591a\u304f\u898b\u3089\u308c\u307e\u3059\u3002\u5316\u751f\u7d30\u80de\u306b\u3064\u3044\u3066\u3001\u4e0d\u898f\u5247\u6027\u304c\u7a7a\u80de\u306e\u305f\u3081\u306b\u6838\u304c\u7570\u5e38\u5316\u3057\u305f\u306e\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u30af\u30ed\u30de\u30c1\u30f3\u30d1\u30bf\u30fc\u30f3\u306f\u5fae\u7d30\u306a\u9846\u7c92\u72b6\u3067\u5747\u7b49\u306b\u5206\u5e03\u3057\u3066\u3044\u307e\u3059\u3002 \u30af\u30ed\u30e2\u30bb\u30f3\u30bf\u30fc\u307e\u305f\u306f\u6838\u5c0f\u4f53\u306f\u901a\u5e38\u3001\u53cd\u5fdc\u6027\u306e\u9451\u5225\u8a3a\u65ad\u304c\u4ed6\u306e\u57fa\u6e96\u306e\u6709\u7121\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u90e8\u4f4d\u306e\u7570\u578b\u5316\u3068\u540c\u6642\u306b\u53cd\u5fdc\u6027\u5909\u5316\u304c\u8d77\u3053\u3089\u306a\u3044\u9650\u308a\u76ee\u7acb\u305f\u306a\u3044\u304b\u5b58\u5728\u3057\u307e\u305b\u3093\u3002<\/p>\n

\u5f93\u6765\u6cd5\u3068ThinPrep\u00ae<\/sup>\u306e\u3044\u305a\u308c\u306e\u30b9\u30e9\u30a4\u30c9\u3067\u3082\u3001\u7570\u578b\u6241\u5e73\u7d30\u80de\u306e\u898b\u65b9\u306f\u3001\u4e0a\u76ae\u7d30\u80de\u306e\u7570\u578b\u3001\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5316\u751f\u304a\u3088\u3073\u7570\u578b\u932f\u89d2\u5316\u3092\u542b\u307e\u308c\u3053\u308c\u3089\u306e\u307f\u306b\u9650\u3089\u306a\u3044\u3055\u307e\u3056\u307e\u306a\u7d30\u80de\u5909\u5316\u306e\u3044\u305a\u308c\u304b\u306b\u3088\u3063\u3066\u8d77\u3053\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002ThinPrep Pap Test\u3067\u306e\u7570\u578b\u6241\u5e73\u7d30\u80de\u306e\u57fa\u6e96\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/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
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u7d30\u80de\u304c\u4e3b\u306b\u5358\u96e2\u307e\u305f\u306f\u3070\u3089\u3070\u3089\u306b\u898b\u3089\u308c\u307e\u3059\u3002
\n40\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u7d30\u80de\u304c\u4e3b\u306b\u5358\u96e2\u307e\u305f\u306f\u3070\u3089\u3070\u3089\u306b\u898b\u3089\u308c\u307e\u3059\u3002
\n40\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u306f\u901a\u5e38\u306e\u4e2d\u5c64\u7d30\u80de\u6838\u306e2.5\uff5e3\u500d\u307e\u305f\u306f\u901a\u5e38\u306e
\n\u5316\u751f\u7d30\u80de\u6838\u306e1.5\uff5e2\u500d\u306e\u5927\u304d\u3055\u3067\u3059\u3002
\n40\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u306f\u901a\u5e38\u306e\u4e2d\u5c64\u7d30\u80de\u6838\u306e2.5\uff5e3\u500d\u307e\u305f\u306f\u901a\u5e38\u306e
\n\u5316\u751f\u7d30\u80de\u6838\u306e1.5\uff5e2\u500d\u306e\u5927\u304d\u3055\u3067\u3059\u3002
\n40\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u7d30\u80de\u306eN\/C\u6bd4\u304c\u308f\u305a\u304b\u306b\u5897\u5927\u3057\u3066\u3044\u307e\u3059\u3002
\n40\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u7d30\u80de\u306eN\/C\u6bd4\u304c\u308f\u305a\u304b\u306b\u5897\u5927\u3057\u3066\u3044\u307e\u3059\u3002
\n40\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u7e01\u306f\u6ed1\u3089\u304b\u3067\u3042\u308b\u304b\u8efd\u5ea6\u306e\u4e0d\u898f\u5247\u6027\u304c\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u7e01\u306f\u6ed1\u3089\u304b\u3067\u3042\u308b\u304b\u8efd\u5ea6\u306e\u4e0d\u898f\u5247\u6027\u304c\u3042\u308a\u307e\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u30af\u30ed\u30de\u30c1\u30f3\u306f\u5fae\u7d30\u306a\u9846\u7c92\u72b6\u3067\u3001\u5747\u4e00\u306b\u5206\u5e03\u3057\u3066\u3044\u307e\u3059\u3002
\n60\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u30af\u30ed\u30de\u30c1\u30f3\u306f\u5fae\u7d30\u306a\u9846\u7c92\u72b6\u3067\u3001\u5747\u4e00\u306b\u5206\u5e03\u3057\u3066\u3044\u307e\u3059\u3002
\n60\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u306e\u904e\u67d3\u306f\u898b\u3089\u308c\u306a\u3044\u304b\u3001\u898b\u3089\u308c\u3066\u3082\u308f\u305a\u304b\u3067\u3059\u3002
\n40\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u306e\u904e\u67d3\u306f\u898b\u3089\u308c\u306a\u3044\u304b\u3001\u898b\u3089\u308c\u3066\u3082\u308f\u305a\u304b\u3067\u3059\u3002
\n40\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u307e\u305f\u306f\u30af\u30ed\u30e2\u30bb\u30f3\u30bf\u30fc\u306f\u76ee\u7acb\u305f\u306a\u3044\u304b\u3001\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3002<\/p>\n

40\u500d<\/p><\/div>\n<\/div>\n

\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u6838\u307e\u305f\u306f\u30af\u30ed\u30e2\u30bb\u30f3\u30bf\u30fc\u306f\u76ee\u7acb\u305f\u306a\u3044\u304b\u3001\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3002<\/p>\n

40\u500d<\/p><\/div>\n

<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\nHPV\u306b\u3088\u308b\u7d30\u80de\u5909\u6027\u4f5c\u7528\u3084\u4e8c\u6838\u5316\u306f\u3001HPV\u304c\u5909\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3059\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u304c\u3001\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3068\u8a3a\u65ad\u3059\u308b\u306b\u306f\u3044\u305f\u308a\u307e\u305b\u3093\u3002
\n60\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\nHPV\u306b\u3088\u308b\u7d30\u80de\u5909\u6027\u4f5c\u7528\u3084\u4e8c\u6838\u5316\u306f\u3001HPV\u304c\u5909\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3059\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u304c\u3001\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3068\u8a3a\u65ad\u3059\u308b\u306b\u306f\u3044\u305f\u308a\u307e\u305b\u3093\u3002<\/p>\n

60\u500d<\/p><\/div>\n

<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\nHPV\u306b\u4ed8\u968f\u3057\u3066\u4e8c\u6838\u5316\u304c\u8d77\u3053\u308a\u307e\u3059\u304c\u3001\u53cd\u5fdc\u904e\u7a0b\u304b\u3089\u3082\u8d77\u3053\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002
\n20\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\nHPV\u306b\u4ed8\u968f\u3057\u3066\u4e8c\u6838\u5316\u304c\u8d77\u3053\u308a\u307e\u3059\u304c\u3001\u53cd\u5fdc\u904e\u7a0b\u304b\u3089\u3082\u8d77\u3053\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002
\n20\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u7570\u578b\u932f\u89d2\u5316\u306f\u3054\u304f\u308f\u305a\u304b\u306a\u591a\u5f62\u6027\u3001\u6838\u306e\u5927\u304d\u3055\u304a\u3088\u3073
\n\u5c0f\u80de\u6027\u30af\u30ed\u30de\u30c1\u30f3\u306e\u308f\u305a\u304b\u306a\u5897\u5927\u3092\u793a\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002
\n40\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/strong>
\n\u7570\u578b\u932f\u89d2\u5316\u306f\u3054\u304f\u308f\u305a\u304b\u306a\u591a\u5f62\u6027\u3001\u6838\u306e\u5927\u304d\u3055\u304a\u3088\u3073
\n\u5c0f\u80de\u6027\u30af\u30ed\u30de\u30c1\u30f3\u306e\u308f\u305a\u304b\u306a\u5897\u5927\u3092\u793a\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002
\n40\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3092\u9664\u5916\u3067\u304d\u305a<\/strong>
\nN\/C\u6bd4\u306e\u8efd\u5ea6\u306e\u4e0a\u6607\u3001\u6838\u7e01\u306e\u8efd\u5fae\u306a\u4e0d\u898f\u5247\u6027\u3001\u8efd\u5ea6\u306e\u904e\u67d3\u304a\u3088\u3073\u30c8\u30ea\u30b3\u30e2\u30ca\u30b9\u3092\u4f34\u3046\u7570\u578b\u5316\u751f\u7d30\u80de\u3002\u751f\u691c\u3067\u306f\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5316\u751f\u304c\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002
\n60\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3092\u9664\u5916\u3067\u304d\u305a<\/strong>
\nN\/C\u6bd4\u306e\u8efd\u5ea6\u306e\u4e0a\u6607\u3001\u6838\u7e01\u306e\u8efd\u5fae\u306a\u4e0d\u898f\u5247\u6027\u3001\u8efd\u5ea6\u306e\u904e\u67d3\u304a\u3088\u3073\u30c8\u30ea\u30b3\u30e2\u30ca\u30b9\u3092\u4f34\u3046\u7570\u578b\u5316\u751f\u7d30\u80de\u3002\u751f\u691c\u3067\u306f\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u5316\u751f\u304c\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002
\n60\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3092\u9664\u5916\u3067\u304d\u305a<\/strong>
\nN\/C\u6bd4\u5897\u5927\u3001\u904e\u67d3\u6027\u3067\u308f\u305a\u304b\u306a\u6838\u5897\u5927\u304a\u3088\u3073\u8efd\u5fae\u306a\u6838\u7e01\u4e0d\u898f\u5247\u6027\u3092\u4f34\u3046\u7570\u578b\u5316\u751f\u7d30\u80de\u3002\u751f\u691c\u3067\u306f\u4e2d\u7b49\u5ea6\u306e\u7570\u5f62\u6210\uff08CIN II\uff09\u304a\u3088\u3073\u6025\u6027\u307e\u305f\u306f\u6162\u6027\u306e\u708e\u75c7\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002
\n60\u500d<\/div>\n<\/div>\n
\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u9ad8\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3092\u9664\u5916\u3067\u304d\u305a<\/strong>
\nN\/C\u6bd4\u5897\u5927\u3001\u904e\u67d3\u6027\u3067\u308f\u305a\u304b\u306a\u6838\u5897\u5927\u304a\u3088\u3073\u8efd\u5fae\u306a\u6838\u7e01\u4e0d\u898f\u5247\u6027\u3092\u4f34\u3046\u7570\u578b\u5316\u751f\u7d30\u80de\u3002\u751f\u691c\u3067\u306f\u4e2d\u7b49\u5ea6\u306e\u7570\u5f62\u6210\uff08CIN II\uff09\u304a\u3088\u3073\u6025\u6027\u307e\u305f\u306f\u6162\u6027\u306e\u708e\u75c7\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002
\n60\u500d<\/div>\n<\/div>\n
<\/div>\n

\u985e\u4f3c\u7d30\u80de\u50cf<\/p>\n\n\n\n\n\n\n\n\n\n
<\/td>\n\u53cd\u5fdc\u6027<\/td>\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e<\/td>\n\u8efd\u5ea6\u6241\u5e73\u7d30\u80de\u4e0a\u76ae\u5185\u75c5\u5909<\/td>\n<\/tr>\n
\u7d30\u80de\u6838<\/td>\n1.5\u500d\u304b\u30892\u500d\u306b\u62e1\u5927\u3001\u5e73\u9762<\/td>\n2\uff5e3\u500d\u306b\u62e1\u5927\u3001\u6700\u5c0f\u7126\u70b9\u6df1\u5ea6\u306b\u5bfe\u3057\u3066\u5e73\u9762<\/td>\n3\uff5e4\u500d\u306b\u62e1\u5927\u3001\u308f\u305a\u304b\u306a\u7126\u70b9\u6df1\u5ea6<\/td>\n<\/tr>\n
\u6838\u819c<\/td>\n\u6ed1\u3089\u304b<\/td>\n\u6ed1\u3089\u304b\u3067\u3042\u308b\u304b\u8efd\u5ea6\u306e\u4e0d\u898f\u5247\u6027<\/td>\n\u6ed1\u3089\u304b\u3067\u3042\u308b\u304b\u8efd\u5ea6\u306e\u4e0d\u898f\u5247\u6027<\/td>\n<\/tr>\n
\u30af\u30ed\u30de\u30c1\u30f3<\/td>\n\u5fae\u7d30\u306a\u9846\u7c92\u72b6\u3001\u5747\u4e00\u306b\u5206\u5e03<\/td>\n\u5fae\u7d30\u306a\u9846\u7c92\u72b6\u3001\u5747\u4e00\u306b\u5206\u5e03<\/td>\n\u9846\u7c92\u72b6\u3088\u308a\u3082\u308f\u305a\u304b\u306b\u5fae\u7d30\u3002\u5747\u4e00\u306b\u5206\u5e03<\/td>\n<\/tr>\n
\u6838\u5c0f\u4f53\uff0f\u30af\u30ed\u30e2\u30bb\u30f3\u30bf\u30fc<\/td>\n\u5fae\u7d30\u306a\u3082\u306e\u304b\u3089\u76ee\u7acb\u3064\u5927\u304d\u3055\u307e\u3067\u3002\u591a\u767a\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/td>\n\u76ee\u7acb\u305f\u306a\u3044\u304b\u8a8d\u3081\u3089\u308c\u306a\u3044\u304b\u306e\u3069\u3061\u3089\u304b\u3067\u3059\u3002<\/td>\n\u5b58\u5728\u3057\u307e\u305b\u3093<\/td>\n<\/tr>\n
\u7d30\u80de\u8cea\u306e\u7279\u6027<\/td>\n\u6838\u5468\u56f2\u9593\u9699\u306e\u5b58\u5728<\/td>\n\u7591\u308f\u3057\u3044\u7a7a\u80de<\/td>\n\u8a3a\u65ad\u7684\u30d2\u30c8\u30d1\u30d4\u30ed\u30fc\u30de\u30a6\u30a4\u30eb\u30b9\u7a7a\u80de<\/td>\n<\/tr>\n
\u4e8c\u5c64\u6027\u67d3\u8272<\/td>\n\u5b58\u5728\u3057\u3046\u308b<\/td>\n\u5b58\u5728\u3057\u306a\u3044<\/td>\n\u5b58\u5728\u3057\u306a\u3044<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u4ee5\u4e0b\u306e\u753b\u50cf\u306fThinPrep\u00ae<\/sup> Pap Test\u306b\u3088\u308a\u3001\u53cd\u5fdc\u6027\u5909\u5316\u3001\u7570\u578b\u6241\u5e73\u7d30\u80de\u304a\u3088\u3073\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3067\u3042\u308b\u3068\u5224\u65ad\u3055\u308c\u308b\u691c\u4f53\u3067\u3059\u3002<\/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
\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u53cd\u5fdc\u6027\u5909\u5316\uff08\u4e0a\u76ae\u5185\u306e\u75c5\u5909\u3082\u60aa\u6027\u816b\u760d\u3082\u9670\u6027\uff09
\n20\u500d<\/div>\n<\/div>\n
\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u53cd\u5fdc\u6027\u5909\u5316\uff08\u4e0a\u76ae\u5185\u306e\u75c5\u5909\u3082\u60aa\u6027\u816b\u760d\u3082\u9670\u6027\uff09
\n20\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e
\n60\u500d<\/div>\n<\/div>\n
\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u2015\u610f\u7fa9\u4e0d\u660e
\n60\u500d<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909
\n40\u500d<\/div>\n<\/div>\n
\u985e\u4f3c\u7d30\u80de\u50cf<\/strong>
\n\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909
\n40\u500d<\/div>\n<\/div>\n
<\/div>\n

\u3055\u304d\u306b\u8ff0\u3079\u305f\u3088\u3046\u306b\u3001ThinPrep\u00ae<\/sup> Pap Test\u306e\u63a1\u7528\u306b\u3088\u308a\u3001\u7570\u578b\u6241\u5e73\u7d30\u80de\u304c\u9664\u5916\u3055\u308c\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5b9f\u969b\u3001\u3088\u308a\u3088\u3044\u7d30\u80de\u4fdd\u5b58\uff08\u3059\u306a\u308f\u3061\u6db2\u72b6\u56fa\u5b9a\uff09\u306b\u3088\u308a\u3001ThinPrep \u30b9\u30e9\u30a4\u30c9\u306e\u9855\u5fae\u93e1\u7684\u8a55\u4fa1\u306b\u95a2\u3059\u308b\u5c0e\u5165\u90e8\u5206\u3067\u306e\u8b70\u8ad6\u3068\u3057\u3066\u6db2\u72b6\u56fa\u5b9a\u306e\u7d50\u679c\u306bASC\u304c\u306a\u3058\u307f\u306e\u306a\u3044\u3082\u306e\u3067\u3042\u308b\u3068\u3057\u3066\u3001\u6838\u304a\u3088\u3073\u30af\u30ed\u30de\u30c1\u30f3\u306e\u5909\u5316\u3092\u5f37\u3081\u306b\u8aad\u307e\u308c\u308b\u6050\u308c\u304c\u3042\u308a\u307e\u3059\u3002\u30e9\u30dc\u30b9\u30bf\u30c3\u30d5\u306f\u3001ThinPrep Pap Test\u5c0e\u5165\u76f4\u5f8c\u306b\u3001\u7570\u578b\u6241\u5e73\u7d30\u80de\u5206\u985e\u306e\u4f7f\u7528\u983b\u5ea6\u304c\u4e00\u6642\u7684\u306b\u5897\u3048\u308b\u3053\u3068\u3092\u7d4c\u9a13\u3057\u3001\u5f93\u6765\u306e\u30d1\u30d1\u30cb\u30b3\u30ed\u30fc\u691c\u67fb\u3067\u306e\u7d4c\u9a13\u3088\u308a\u4f4e\u3044\u691c\u51fa\u7387\u3092\u76ee\u306e\u5f53\u305f\u308a\u306b\u3059\u308b\u3068\u3044\u3046\u72b6\u6cc1\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n

\u7570\u578b\u6241\u5e73\u7d30\u80de\u304cTBS\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u3068\u3057\u3066\u3042\u308b\u4ee5\u4e0a\u3001\u4eba\u9593\u306b\u3088\u308b\u4e3b\u89b3\u7684\u306a\u5224\u65ad\u3084\u69d8\u3005\u306a\u57fa\u6e96\u306e\u8aad\u307f\u3092\u884c\u3046\u305f\u3081\u75c5\u7406\u533b\u306f\u3053\u308c\u3092\u7528\u3044\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u91cd\u8981\u306a\u3053\u3068\u306f\u3001\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3088\u308a\u3082\u5c11\u306a\u3044\u7d30\u80de\u306e\u5f62\u614b\u5b66\u7684\u6442\u52d5\u3092\u8d77\u3053\u3059\u30d2\u30c8\u30d1\u30d4\u30ed\u30fc\u30de\u30a6\u30a4\u30eb\u30b9\uff08HPV\uff09\u306e\u751f\u7269\u5b66\u7684\u7279\u8cea\u3067\u3059\u3002\u30d2\u30c8\u30d1\u30d4\u30ed\u30fc\u30de\u30a6\u30a4\u30eb\u30b9\u306b\u3088\u3063\u3066\u8d77\u3053\u308b\u5f62\u614b\u5b66\u7684\u5909\u5316\u306f\u8efd\u5ea6\u6241\u5e73\u4e0a\u76ae\u5185\u75c5\u5909\u3092\u6271\u3046\u7bc0\u3067\u8a73\u3057\u304f\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306e\u539f\u56e0\u3068\u3057\u3066\u306e\u3053\u306e\u30a6\u30a4\u30eb\u30b9\u306e\u5f79\u5272\u306f\u3001ThinPrep Pap Test\u30d0\u30a4\u30a2\u30eb\u3067\u306e\u6750\u6599\u306e\u88dc\u52a9\u8a66\u9a13\u3092\u901a\u3058\u3066\u30a6\u30a4\u30eb\u30b9\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u304b\u4f4e\u3044\u304b\u306e\u78ba\u5b9a\u306b\u3088\u308b\u7570\u578b\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u306e\u76f8\u5bfe\u7684\u30ea\u30b9\u30af\u304c\u3042\u308b\u304b\u5426\u304b\u3092\u6c7a\u5b9a\u3059\u308b\u6a5f\u4f1a\u3092\u4f5c\u308b\u3053\u3068\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n

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

    \n
  1. Crum CP et al: Subclassifying atypical squamous cells in ThinPrep cervical cytology correlates with detection of high-risk human papillomavirus DNA. Am J Clin Pathol 1999; 112:384-90<\/li>\n
  2. Dziura B et al: Improved ASCUS diagnosis: Clinical and financial implications for follow-up care. Ob, Gyn. News 1999; 1:12-13<\/li>\n
  3. Ferenczy et al: Diagnostic performance of Hybrid Capture human papilloma virus deoxyribonucleic acid assay combined with liquid-based cytologic study. Am J Obstet Gynecol 1996;175(3 pt.1): 951-6.<\/li>\n
  4. Ferris et al for the Atypical Squamous Cells of Undetermined Significance\/Low-Grade Squamous Intraepithelial Lesions Triage Study (ALTS) group: Cervicography for triage of women with mildly abnormal cervical cytology results. Am J Obstet Gynecol 2001;185(4):939-43.<\/li>\n
  5. Hong et al: Comparative analysis of a liquid based Pap test and concurrent HPV DNA assay of residual samples. ACTA Cytol 2002;46(5):828-34.<\/li>\n
  6. Lin WM et al: Molecular Papanicolaou tests in the twenty-first century: Molecular analyses with fluid-based Papanicolaou technology. Am J Obstet Gynecol 2000; 39-45<\/li>\n
  7. Manos MM et al: Identifying women with cervical neoplasia: Using human papillomavirus DNA testing for equivocal Papanicolaou results. JAMA 1999; 281:1605-10<\/li>\n
  8. Papillo J et al: Evaluation of the ThinPrep Pap \u6cd5 in clinical practice: a seven-month 16,314 case experience in northern Vermont. Acta Cytologica 1998; 42:204-208<\/li>\n
  9. Quddus et al: Atypical squamous metaplastic cells: Reproducibility, outcome, and diagnostic features on ThinPrep Pap \u6cd5. Cancer (Cancer Pathol) 2001:93:16-22.<\/li>\n
  10. Quddus et al: Utility of HPV DNA detection in thin-layer, liquid-based tests with atypical squamous metaplasia. ACTA Cytol 2002;46(5):808-12.<\/li>\n
  11. Sherman et al: Cervical specimens collected in liquid buffer are suitable for both cytologic screening and ancillary human papillomavirus testing. Cancer 1997;81:89-97.<\/li>\n
  12. Sherman et al: Performance of liquid based , thin-layer cervical cytology: Correlation with reference diagnosis and human papilloma virus testing. Mod Pathol 1998;11:837-843.<\/li>\n
  13. Wright et al for the ASCCP-sponsored Consensus Conference: 2001 consensus guidelines for the management of women with cervical cytologic abnormalities. JAMA 2002;287(16):2120-29.<\/li>\n<\/ol>\n

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