{"id":5520,"date":"2025-10-09T09:57:39","date_gmt":"2025-10-09T00:57:39","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/dermatology\/?p=5520"},"modified":"2025-10-09T09:57:40","modified_gmt":"2025-10-09T00:57:40","slug":"lipoma-surgery-guideline","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/dermatology\/derma\/dermatology-basics\/skin-disease-guide\/lipoma-surgery-guideline\/","title":{"rendered":"\u5207\u9664\u304c\u5fc5\u8981\u306a\u8102\u80aa\u816b\u306e\u898b\u6975\u3081\u65b9"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>\u4f53\u306e\u3069\u3053\u304b\u306b\u3001\u3084\u308f\u3089\u304b\u3044\u300c\u3057\u3053\u308a\u300d\u3092\u611f\u3058\u305f\u7d4c\u9a13\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f\u305d\u306e\u3057\u3053\u308a\u304c\u8102\u80aa\u816b\uff08\u30ea\u30dd\u30fc\u30de\uff09\u3067\u3042\u308b\u53ef\u80fd\u6027\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u8102\u80aa\u816b\u306f\u4e00\u822c\u306b\u306f\u826f\u6027\u3068\u3055\u308c\u3001\u3059\u3050\u306b\u53d6\u308a\u9664\u304b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u30b5\u30a4\u30ba\u306e\u62e1\u5927\u3001\u75db\u307f\u3001\u90e8\u4f4d\u306e\u5236\u9650\u3001\u3055\u3089\u306b\u306f\u60aa\u6027\u816b\u760d\uff08\u8102\u80aa\u8089\u816b\u306a\u3069\uff09\u3068\u306e\u9451\u5225\u306e\u5fc5\u8981\u6027\u304b\u3089\u3001\u5207\u9664\u3059\u3079\u304d\u30b1\u30fc\u30b9\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u672c\u7a3f\u3067\u306f\u3001\u300c\u5207\u9664\u304c\u5fc5\u8981\u306a\u8102\u80aa\u816b\u3092\u898b\u6975\u3081\u308b\u8996\u70b9\u300d\u3092\u3001\u81e8\u5e8a\u30fb\u7814\u7a76\u306e\u77e5\u898b\u3092\u4ea4\u3048\u306a\u304c\u3089\u4e01\u5be7\u306b\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. \u8102\u80aa\u816b\u306e\u57fa\u790e\u77e5\u8b58 \u2014 \u3082\u3046\u4e00\u5ea6\u78ba\u8a8d\u3057\u3066\u304a\u304d\u305f\u3044\u3053\u3068<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1\u20111. \u5b9a\u7fa9\u30fb\u6027\u8cea\u30fb\u983b\u5ea6<\/h3>\n\n\n\n<p>\u8102\u80aa\u816b\uff08lipoma\uff09\u306f\u3001\u8102\u80aa\u7d44\u7e54\u304b\u3089\u767a\u751f\u3059\u308b\u826f\u6027\u816b\u760d\u3067\u3001\u76ae\u4e0b\u7d44\u7e54\u3001\u7b4b\u9593\u3001\u7b4b\u5185\u306a\u3069\u69d8\u3005\u306a\u6df1\u3055\u306b\u767a\u751f\u3057\u5f97\u307e\u3059\u3002\u901a\u5e38\u3001\u67d4\u3089\u304b\u304f\u3001\u89e6\u308b\u3068\u53ef\u52d5\u6027\u304c\u3042\u308a\u3001\u75db\u307f\u3092\u4f34\u308f\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3068\u3044\u3046\u6027\u72b6\u3092\u6301\u3061\u307e\u3059\u3002\u3086\u3063\u304f\u308a\u3068\u6210\u9577\u3057\u3001\u81ea\u7136\u306b\u6d88\u5931\u3059\u308b\u3053\u3068\u306f\u57fa\u672c\u7684\u306b\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u767a\u751f\u983b\u5ea6\u3068\u3057\u3066\u306f\u3001\u6210\u4eba\u4e2d\u5e74\u5c64\uff0840\u301c60\u4ee3\u3042\u305f\u308a\uff09\u3067\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u6bd4\u8f03\u7684\u591a\u304f\u3001\u6027\u5dee\u306b\u3064\u3044\u3066\u660e\u78ba\u306a\u50be\u5411\u306f\u5b9a\u307e\u3063\u3066\u3044\u306a\u3044\u3068\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u826f\u6027\u816b\u760d\u3067\u3042\u308b\u305f\u3081\u3001\u901a\u5e38\u306f\u7dca\u6025\u6027\u3092\u8981\u3057\u307e\u305b\u3093\u3002\u305f\u3060\u3057\u3001\u6025\u901f\u306a\u5909\u5316\u3084\u75db\u307f\u3092\u4f34\u3046\u3088\u3046\u306a\u3082\u306e\u3001\u307e\u305f\u5178\u578b\u7684\u3067\u306a\u3044\u90e8\u4f4d\u306b\u3042\u308b\u3082\u306e\u306a\u3069\u306f\u6ce8\u610f\u3059\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1\u20112. \u5178\u578b\u7684\u306a\u90e8\u4f4d\u30fb\u4e9c\u578b<\/h3>\n\n\n\n<p>\u3088\u304f\u898b\u3089\u308c\u308b\u767a\u751f\u90e8\u4f4d\u306b\u306f\u3001\u9996\u5f8c\u90e8\u3001\u80cc\u90e8\u3001\u80a9\u3001\u4f53\u5e79\u90e8\u3001\u4e0a\u8155\u3001\u81c0\u90e8\u30fb\u5927\u817f\u90e8\u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u9854\u9762\u3001\u982d\u76ae\u3001\u4e0b\u80a2\uff08\u8db3\uff09\u306a\u3069\u306f\u6bd4\u8f03\u7684\u7a00\u3067\u3042\u308a\u3001\u898b\u3064\u304b\u3063\u305f\u969b\u306b\u306f\u4ed6\u75be\u60a3\u3068\u306e\u9451\u5225\u304c\u91cd\u8981\u3067\u3059\u3002\u6df1\u5728\u6027\uff08\u7b4b\u5185\u30fb\u7b4b\u9593\u6027\uff09\u306e\u8102\u80aa\u816b\u306f\u3001\u5916\u304b\u3089\u306e\u89e6\u8a3a\u3067\u306f\u898b\u3064\u304b\u308a\u306b\u304f\u304f\u3001\u8a3a\u65ad\u304c\u9045\u308c\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u8102\u80aa\u816b\u306b\u306f\u3044\u304f\u3064\u304b\u4e9c\u578b\u304c\u3042\u308a\u3001\u305d\u308c\u305e\u308c\u6319\u52d5\u3084\u6cbb\u7642\u65b9\u91dd\u3067\u9055\u3044\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5358\u7d14\u8102\u80aa\u816b<\/strong>\uff1a\u6700\u3082\u4e00\u822c\u7684\u3002\u6210\u719f\u8102\u80aa\u7d30\u80de\u3067\u69cb\u6210\u3055\u308c\u3001\u88ab\u819c\uff08\u507d\u88ab\u819c\uff09\u304c\u3042\u308b\u3053\u3068\u304c\u591a\u3044<\/li>\n\n\n\n<li><strong>\u8840\u7ba1\u8102\u80aa\u816b\uff08Angiolipoma\uff09<\/strong>\uff1a\u8102\u80aa\u6210\u5206\u306b\u8840\u7ba1\u69cb\u6210\u6210\u5206\u3092\u542b\u307f\u3001\u75db\u307f\u3092\u4f34\u3046\u3053\u3068\u304c\u3042\u308b<\/li>\n\n\n\n<li><strong>\u7b4b\u5185\u8102\u80aa\u816b\uff08Intramuscular lipoma\uff09<\/strong>\uff1a\u7b4b\u7d44\u7e54\u5185\u30fb\u7b4b\u7dda\u7dad\u9593\u306b\u767a\u751f\u3057\u3001\u5883\u754c\u4e0d\u660e\u77ad\u3068\u306a\u308a\u3084\u3059\u3044<\/li>\n\n\n\n<li><strong>\u7d21\u9318\u7d30\u80de\u578b\u8102\u80aa\u816b\u3001\u7570\u5f62\u8102\u80aa\u816b\uff08Pleomorphic lipoma\uff09\u306a\u3069<\/strong>\uff1a\u7d44\u7e54\u50cf\u3067\u7dda\u7dad\u6210\u5206\u30fb\u7d30\u80de\u5f62\u8cea\u306e\u7570\u578b\u6027\u3092\u793a\u3059\u3053\u3068\u3082<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u4e9c\u578b\u3092\u77e5\u3063\u3066\u304a\u304f\u3053\u3068\u306f\u3001\u5207\u9664\u9069\u5fdc\u3084\u518d\u767a\u30ea\u30b9\u30af\u3001\u8a3a\u65ad\u306e\u96e3\u6613\u5ea6\u3092\u8003\u3048\u308b\u3046\u3048\u3067\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. \u5207\u9664\u3092\u691c\u8a0e\u3059\u3079\u304d\u300c\u8b66\u544a\u30b5\u30a4\u30f3\u300d \u2014 \u5207\u9664\u9069\u5fdc\u306e\u5224\u65ad\u8ef8<\/h2>\n\n\n\n<p>\u8102\u80aa\u816b\u306f\u3059\u3079\u3066\u3092\u5207\u9664\u3059\u3079\u304d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u300c\u3044\u3064\u5207\u9664\u3059\u3079\u304d\u304b\u300d\u3092\u898b\u6975\u3081\u308b\u305f\u3081\u306e\u6307\u6a19\uff08\u8b66\u544a\u30b5\u30a4\u30f3\uff09\u3092\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u4ee5\u4e0b\u306f\u3001\u4e00\u822c\u7684\u306b\u533b\u5b66\u6587\u732e\u306a\u3069\u3067\u201c\u5207\u9664\u3092\u691c\u8a0e\u3059\u3079\u304d\u201d\u3068\u3055\u308c\u308b\u7279\u5fb4\u3092\u6574\u7406\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20111. \u6025\u901f\u306a\u5897\u5927\u30fb\u5909\u5316<\/h3>\n\n\n\n<p>\u901a\u5e38\u306e\u8102\u80aa\u816b\u306f\u7de9\u5f90\u306b\u6210\u9577\u3057\u307e\u3059\u304c\u3001<strong>\u77ed\u671f\u9593\u3067\u6025\u6fc0\u306b\u5927\u304d\u304f\u306a\u308b<\/strong>\u3082\u306e\u306f\u6ce8\u610f\u3092\u8981\u3057\u307e\u3059\u3002\u6025\u901f\u5897\u5927\u306f\u3001\u60aa\u6027\u816b\u760d\uff08\u8102\u80aa\u8089\u816b\u306a\u3069\uff09\u3092\u7591\u3046\u30b7\u30b0\u30ca\u30eb\u3068\u3055\u308c\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u591a\u304f\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u300c\u8102\u80aa\u6027\u816b\u760d\uff08lipomatous mass\uff09\u304c\u76f4\u5f84 3\u301c5\u202fcm \u3092\u8d85\u3048\u308b\u5834\u5408\u306f\u3001\u30b3\u30a2\u751f\u691c\uff08core needle biopsy\uff09\u3092\u691c\u8a0e\u3059\u3079\u304d\u300d\u3068\u306e\u610f\u898b\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u305f\u3068\u3048\u3070\u4e0a\u80a2\u306b\u304a\u3044\u3066 5\u202fcm \u3092\u8d85\u3048\u308b\u3082\u306e\u306f\u3001\u60aa\u6027\u816b\u760d\u306e\u30ea\u30b9\u30af\u3092\u5ff5\u982d\u306b\u7f6e\u3044\u3066\u5207\u9664\u3059\u3079\u304d\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20112. \u75db\u307f\u30fb\u5727\u8feb\u75c7\u72b6\u30fb\u6a5f\u80fd\u969c\u5bb3<\/h3>\n\n\n\n<p>\u8102\u80aa\u816b\u304c\u795e\u7d4c\u30fb\u8840\u7ba1\u30fb\u7b4b\u8089\u306a\u3069\u3092\u5727\u8feb\u3059\u308b\u4f4d\u7f6e\u306b\u3042\u308b\u3068\u3001\u75db\u307f\u3001\u3057\u3073\u308c\u3001\u904b\u52d5\u5236\u9650\u3001\u611f\u899a\u7570\u5e38\u306a\u3069\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u3046\u3057\u305f<strong>\u75c7\u72b6\u3092\u4f34\u3046\u8102\u80aa\u816b<\/strong>\u306f\u3001\u5207\u9664\u5bfe\u8c61\u3068\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002 <\/p>\n\n\n\n<p>\u6df1\u5728\u6027\u8102\u80aa\u816b\u304c\u95a2\u7bc0\u53ef\u52d5\u57df\u3092\u5236\u9650\u3057\u305f\u308a\u3001\u624b\u638c\u30fb\u524d\u8155\u30fb\u8db3\u5e95\u306a\u3069\u9650\u3089\u308c\u305f\u90e8\u4f4d\u3067\u5727\u8feb\u3092\u8d77\u3053\u3057\u305f\u308a\u3059\u308b\u5834\u5408\u3082\u3001\u6a5f\u80fd\u7684\u89b3\u70b9\u304b\u3089\u9664\u53bb\u3092\u691c\u8a0e\u3059\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20113. \u5883\u754c\u4e0d\u660e\u77ad\u30fb\u786c\u3055\u30fb\u975e\u53ef\u52d5\u6027<\/h3>\n\n\n\n<p>\u5178\u578b\u7684\u8102\u80aa\u816b\u306f\u201c\u53ef\u52d5\u6027\u304c\u3042\u308a\u3001\u5883\u754c\u660e\u77ad\u3067\u67d4\u3089\u304b\u3044\u201d\u3068\u3044\u3046\u6240\u898b\u3092\u793a\u3057\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u5883\u754c\u304c\u4e0d\u660e\u77ad\u3001\u786c\u3055\u3092\u5448\u3059\u308b\u3001\u53ef\u52d5\u6027\u304c\u4e4f\u3057\u3044\u3082\u306e\u306f\u3001\u60aa\u6027\u816b\u760d\u3068\u306e\u9451\u5225\u3092\u8981\u3059\u308b\u305f\u3081\u3001\u5207\u9664\u3084\u7d44\u7e54\u691c\u67fb\u304c\u5f37\u304f\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20114. \u76ae\u819a\u5909\u5316\u30fb\u708e\u75c7\u30fb\u6f70\u760d\u5316<\/h3>\n\n\n\n<p>\u8102\u80aa\u816b\u8868\u9762\u306b<strong>\u76ae\u819a\u306e\u8272\u8abf\u5909\u5316<\/strong>\uff08\u8d64\u307f\u3001\u9752\u9ed2\u5316\u306a\u3069\uff09\u3001\u8868\u9762\u306e<strong>\u6f70\u760d\u5316\u3001\u51fa\u8840\u3001\u611f\u67d3\u50be\u5411<\/strong>\u304c\u307f\u3089\u308c\u308b\u5834\u5408\u3082\u3001\u826f\u6027\u816b\u760d\u3068\u306f\u7570\u306a\u308b\u6027\u683c\u3092\u7591\u3046\u3079\u304d\u3067\u3059\u3002\u3053\u3046\u3057\u305f\u5909\u5316\u3092\u4f34\u3046\u3082\u306e\u306f\u3001\u5207\u9664\u3057\u3066\u75c5\u7406\u8a3a\u65ad\u3092\u3064\u3051\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002 <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20115. \u5be9\u7f8e\u4e0a\u306e\u8981\u56e0\u30fb\u5fc3\u7406\u7684\u8ca0\u62c5<\/h3>\n\n\n\n<p>\u3068\u304f\u306b\u4f53\u8868\u90e8\u4f4d\u3067\u76ee\u7acb\u3061\u3084\u3059\u3044\u3082\u306e\u3001\u8863\u670d\u3068\u306e\u5e72\u6e09\u304c\u3042\u308b\u3082\u306e\u3001\u5916\u898b\u306b\u5f37\u304f\u6c17\u306b\u306a\u308b\u3082\u306e\u306b\u3064\u3044\u3066\u306f\u3001\u60a3\u8005\u306e\u5e0c\u671b\u306b\u5fdc\u3058\u3066\u5207\u9664\u3092\u884c\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff08\u7f8e\u5bb9\u7684\u7406\u7531\uff09<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20116. \u518d\u767a\u30fb\u6b8b\u5b58\u30ea\u30b9\u30af\u3092\u8003\u616e\u3057\u305f\u30b1\u30fc\u30b9<\/h3>\n\n\n\n<p>\u4ee5\u524d\u5207\u9664\u3057\u305f\u8102\u80aa\u816b\u306e<strong>\u518d\u767a<\/strong>\u4f8b\u3001\u307e\u305f\u306f\u4e0d\u5b8c\u5168\u5207\u9664\u304c\u4e88\u60f3\u3055\u308c\u308b\u90e8\u4f4d\u30fb\u624b\u6280\u3067\u306f\u3001\u521d\u56de\u304b\u3089\u5b8c\u5168\u5207\u9664\u3092\u884c\u3063\u305f\u307b\u3046\u304c\u671b\u307e\u3057\u3044\u3068\u5224\u65ad\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2\u20117. \u9ad8\u30ea\u30b9\u30af\u90e8\u4f4d\uff08\u5185\u90e8\u81d3\u5668\u30fb\u6d88\u5316\u7ba1\u30fb\u547c\u5438\u5668\u306a\u3069\uff09<\/h3>\n\n\n\n<p>\u8102\u80aa\u816b\u304c\u8178\u7ba1\u30fb\u98df\u9053\u30fb\u6c17\u9053\u30fb\u80f8\u90e8\u5185\u81d3\u306a\u3069\u6df1\u90e8\u69cb\u9020\u3067\u767a\u898b\u3055\u308c\u305f\u5834\u5408\u3001\u9589\u585e\u30fb\u51fa\u8840\u30fb\u6a5f\u80fd\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u304c\u3042\u308b\u305f\u3081\u3001\u3080\u3057\u308d\u65e9\u671f\u5207\u9664\u3042\u308b\u3044\u306f\u9069\u5207\u306a\u5c40\u6240\u9664\u53bb\u304c\u63a8\u5968\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. \u5207\u9664\u30fb\u691c\u67fb\u306e\u5b9f\u969b\u7684\u30a2\u30d7\u30ed\u30fc\u30c1<\/h2>\n\n\n\n<p>\u5207\u9664\u3092\u5224\u65ad\u3057\u305f\u5f8c\u3001\u3069\u306e\u3088\u3046\u306a\u6e96\u5099\u30fb\u624b\u9806\u304c\u306a\u3055\u308c\u308b\u304b\u3092\u77e5\u3063\u3066\u304a\u304f\u3053\u3068\u306f\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"427\" src=\"\/dermatology\/wp-content\/uploads\/2025\/10\/32942486_s-4.webp\" alt=\"\u533b\u7642\" class=\"wp-image-5522\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/dermatology\/wp-content\/uploads\/2025\/10\/32942486_s-4.webp 640w, https:\/\/www.hiro-clinic.or.jp\/dermatology\/wp-content\/uploads\/2025\/10\/32942486_s-4-300x200.webp 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<h3 class=\"wp-block-heading\">3\u20111. \u753b\u50cf\u8a3a\u65ad\u30fb\u7d44\u7e54\u8a3a\u65ad\u306e\u6d3b\u7528<\/h3>\n\n\n\n<p>\u5207\u9664\u524d\u306b\u306f\u3001\u816b\u760d\u306e\u6df1\u3055\u3001\u96a3\u63a5\u7d44\u7e54\u3068\u306e\u95a2\u4fc2\u3001\u5f62\u72b6\u30fb\u69cb\u9020\u3092\u53ef\u8996\u5316\u3059\u308b\u305f\u3081\u306b\u3001<strong>\u8d85\u97f3\u6ce2\uff08\u30a8\u30b3\u30fc\uff09<\/strong>\u3001<strong>MRI<\/strong>\u3001<strong>CT<\/strong> \u306a\u3069\u306e\u753b\u50cf\u8a3a\u65ad\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u7279\u306b\u6df1\u90e8\u30fb\u5927\u304d\u306a\u3082\u306e\u3067\u306f\u524d\u3082\u3063\u3066\u753b\u50cf\u8a3a\u65ad\u3092\u884c\u3044\u3001\u624b\u8853\u8a08\u753b\u3092\u7acb\u3066\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u816b\u760d\u6027\u8102\u80aa\u6027\u816b\u760d\uff08lipomatous tumor\uff09\u304c\u76f4\u5f84 3\uff5e5\u202fcm \u3092\u8d85\u3048\u308b\u5834\u5408\u306b\u306f\u3001<strong>\u30b3\u30a2\u751f\u691c\uff08core needle biopsy, CNB\uff09<\/strong> \u306b\u3088\u308b\u7d44\u7e54\u8a3a\u65ad\u3092\u884c\u3046\u3079\u304d\u3068\u3044\u3046\u8996\u70b9\u304c\u6700\u8fd1\u306e\u6587\u732e\u3067\u63d0\u6848\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3\u20112. \u624b\u8853\u624b\u6280\u30fb\u5207\u9664\u6226\u7565<\/h3>\n\n\n\n<p>\u5207\u9664\u6642\u306e\u57fa\u672c\u6226\u8853\u3068\u3057\u3066\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u624b\u9806\u30fb\u5de5\u592b\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\uff1a<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u60a3\u5074\u3092\u30de\u30fc\u30ad\u30f3\u30b0\u3057\u3001\u6b63\u78ba\u306a\u4f4d\u7f6e\u3092\u78ba\u8a8d<\/li>\n\n\n\n<li>\u5c40\u6240\u9ebb\u9154\u307e\u305f\u306f\u6df1\u90e8\u4f8b\u3067\u306f\u5168\u8eab\u9ebb\u9154\u3092\u4f7f\u7528<\/li>\n\n\n\n<li>\u76ae\u819a\u30fb\u76ae\u4e0b\u7d44\u7e54\u3092\u5207\u958b\u3057\u3001\u507d\u88ab\u819c\uff08\u30ab\u30d7\u30bb\u30eb\uff09\u306b\u9054\u3059\u308b<\/li>\n\n\n\n<li>\u816b\u760d\u3092\u5468\u56f2\u7d44\u7e54\u304b\u3089\u5265\u96e2\uff08\u920d\u6027\u5265\u96e2\u3092\u4f75\u7528\u3059\u308b\u6280\u6cd5\u304c\u4e00\u822c\u7684\uff09<\/li>\n\n\n\n<li>\u816b\u760d\u3068\u507d\u88ab\u819c\u3092\u542b\u3081\u3066\u3067\u304d\u308b\u3060\u3051\u5b8c\u5168\u6458\u51fa<\/li>\n\n\n\n<li>\u51fa\u8840\u5236\u5fa1\u30fb\u7e2b\u5408\u30fb\u30c9\u30ec\u30fc\u30f3\u8a2d\u7f6e\uff08\u5fc5\u8981\u306a\u3089\u3070\uff09 <\/li>\n<\/ol>\n\n\n\n<p>\u300c\u30b9\u30ad\u30e5\u30fc\u30ba\u6280\u6cd5\uff08squeeze technique\uff09\u300d\u3068\u547c\u3070\u308c\u308b\u3001\u5c0f\u3055\u306a\u5207\u958b\u304b\u3089\u816b\u760d\u3092\u5916\u306b\u62bc\u3057\u51fa\u3059\u3088\u3046\u306b\u6458\u51fa\u3059\u308b\u624b\u6cd5\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u5207\u958b\u5275\u3092\u6700\u5c0f\u5316\u3067\u304d\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5207\u9664\u5f8c\u3001\u6458\u51fa\u7d44\u7e54\u306f\u75c5\u7406\u691c\u67fb\uff08\u6a19\u672c\u4f5c\u6210\u30fb\u75c5\u7406\u8a3a\u65ad\uff09\u306b\u56de\u3055\u308c\u3001\u826f\u6027\u8102\u80aa\u816b\u304b\u3069\u3046\u304b\u3001\u307e\u305f\u7570\u578b\u6027\u3084\u60aa\u6027\u6240\u898b\u304c\u306a\u3044\u304b\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3\u20113. \u8853\u5f8c\u7ba1\u7406\u3068\u56de\u5fa9<\/h3>\n\n\n\n<p>\u624b\u8853\u5f8c\u306e\u7ba1\u7406\u30fb\u56de\u5fa9\u30d7\u30ed\u30bb\u30b9\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u70b9\u304c\u91cd\u8981\u3067\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u591a\u304f\u306e\u5834\u5408\u3001\u65e5\u5e30\u308a\u624b\u8853\u3068\u3057\u3066\u884c\u308f\u308c\u307e\u3059\u3002 <\/li>\n\n\n\n<li>\u5275\u90e8\u306b\u306f\u5727\u8feb\u5305\u5e2f\u3084\u30c9\u30ec\u30fc\u30f3\uff08\u5fc5\u8981\u6642\uff09\u3092\u8a2d\u7f6e<\/li>\n\n\n\n<li>\u75db\u307f\u306f\u5e02\u8ca9\u93ae\u75db\u85ac\u3067\u7ba1\u7406\u53ef\u80fd\u306a\u3053\u3068\u304c\u591a\u3044 <\/li>\n\n\n\n<li>\u901a\u5e38\u3001\u6fc0\u3057\u3044\u904b\u52d5\u306f\u8853\u5f8c\u6570\u65e5\u301c1\u9031\u9593\u7a0b\u5ea6\u5236\u9650\u3059\u308b\u3053\u3068\u304c\u591a\u3044 <\/li>\n\n\n\n<li>\u7e2b\u5408\u304c\u81ea\u5df1\u5438\u53ce\u6027\u304b\u629c\u7cf8\u3092\u8981\u3059\u308b\u304b\u306f\u8853\u5f0f\u306b\u3088\u308b<\/li>\n\n\n\n<li>\u5b8c\u5168\u6458\u51fa\u3067\u304d\u3066\u3044\u308c\u3070\u518d\u767a\u7387\u306f\u4f4e\u304f\u3001\u591a\u304f\u306e\u75c7\u4f8b\u3067\u518d\u767a\u3057\u307e\u305b\u3093<\/li>\n\n\n\n<li>\u305f\u3060\u3057\u201c\u975e\u5178\u578b\u7684\u8102\u80aa\u6027\u816b\u760d\uff08atypical lipomatous tumor\uff0fwell-differentiated liposarcoma\u76f8\u5f53\uff09\u201d\u3067\u306f\u518d\u767a\u76e3\u8996\u304c\u5fc5\u8981\u306a\u5834\u5408\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3\u20114. \u30ea\u30b9\u30af\u30fb\u5408\u4f75\u75c7\u3068\u5bfe\u7b56<\/h3>\n\n\n\n<p>\u5207\u9664\u624b\u8853\u306b\u306f\u3001\u4e00\u822c\u306b\u5b89\u5168\u6027\u306f\u9ad8\u3044\u3082\u306e\u306e\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u51fa\u8840\u3001\u8840\u816b<\/li>\n\n\n\n<li>\u611f\u67d3<\/li>\n\n\n\n<li>\u50b7\u8de1\uff08\u7622\u75d5\uff09<\/li>\n\n\n\n<li>\u795e\u7d4c\u640d\u50b7\uff08\u8fd1\u508d\u795e\u7d4c\u304c\u3042\u308b\u90e8\u4f4d\u3067\u306f\u6ce8\u610f\uff09<\/li>\n\n\n\n<li>\u518d\u767a\uff08\u4e0d\u5b8c\u5168\u6458\u51fa\u4f8b\u306a\u3069\uff09<\/li>\n\n\n\n<li>\u5468\u56f2\u8edf\u90e8\u7d44\u7e54\u3078\u306e\u640d\u50b7<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u3092\u6291\u3048\u308b\u305f\u3081\u306b\u306f\u3001\u8853\u524d\u8a55\u4fa1\uff08\u753b\u50cf\u30fb\u8840\u6db2\u691c\u67fb\u306a\u3069\uff09\u3001\u614e\u91cd\u306a\u5265\u96e2\u64cd\u4f5c\u3001\u9069\u5207\u306a\u7e2b\u5408\u30fb\u6b62\u8840\u3001\u8853\u5f8c\u7ba1\u7406\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. \u5178\u578b\u7684\u306a\u5207\u9664\u9069\u5fdc\u30b7\u30ca\u30ea\u30aa\uff08\u30b1\u30fc\u30b9\u691c\u8a0e\u7684\u8996\u70b9\uff09<\/h2>\n\n\n\n<p>\u4ee5\u4e0b\u306b\u3001\u5177\u4f53\u30b7\u30ca\u30ea\u30aa\u3092\u6319\u3052\u306a\u304c\u3089\u300c\u5207\u9664\u9069\u5fdc\u300d\u3068\u8003\u3048\u3089\u308c\u308b\u4e8b\u4f8b\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u30b1\u30fc\u30b9<\/th><th>\u7279\u5fb4\u30fb\u72b6\u6cc1<\/th><th>\u5207\u9664\u3092\u691c\u8a0e\u3059\u3079\u304d\u304b<\/th><th>\u88dc\u8db3\u30fb\u6ce8\u610f\u70b9<\/th><\/tr><\/thead><tbody><tr><td>A<\/td><td>\u80cc\u4e2d\u306b3\u301c4\u202fcm\u7a0b\u5ea6\u306e\u67d4\u3089\u304b\u3044\u53ef\u52d5\u6027\u306e\u3057\u3053\u308a\u3001\u7121\u75c7\u72b6<\/td><td>\u89b3\u5bdf\u53ef<\/td><td>\u5897\u5927\u50be\u5411\u3084\u5909\u5316\u304c\u306a\u3051\u308c\u3070\u7d4c\u904e\u89b3\u5bdf\u304c\u4e00\u822c\u7684<\/td><\/tr><tr><td>B<\/td><td>\u4e0a\u8155\u306b6\u202fcm\u3092\u8d85\u3048\u308b\u3057\u3053\u308a\u3001\u5f90\u3005\u306b\u62e1\u5927<\/td><td>\u5207\u9664\u691c\u8a0e<\/td><td>5\u202fcm \u8d85\u4f8b\u306f\u753b\u50cf\u8a3a\u65ad\u3084\u751f\u691c\u3092\u542b\u3081\u3066\u614e\u91cd\u306b\u8a55\u4fa1\u3059\u3079\u304d\u3068\u3059\u308b\u5831\u544a\u3042\u308a <\/td><\/tr><tr><td>C<\/td><td>\u524d\u8155\u3067\u3057\u3073\u308c\u30fb\u611f\u899a\u7570\u5e38\u3092\u4f34\u3046\u8102\u80aa\u816b<\/td><td>\u5207\u9664\u9069\u5fdc<\/td><td>\u5727\u8feb\u75c7\u72b6\u3092\u8d77\u3053\u3059\u90e8\u4f4d\u3067\u306f\u65e9\u3081\u306e\u4ecb\u5165\u304c\u671b\u307e\u3057\u3044<\/td><\/tr><tr><td>D<\/td><td>\u8868\u9762\u306b\u8d64\u307f\u3001\u8efd\u5ea6\u75db\u307f\u3092\u4f34\u3046\u8102\u80aa\u816b<\/td><td>\u5207\u9664\u691c\u8a0e<\/td><td>\u708e\u75c7\u3084\u76ae\u819a\u5909\u5316\u306f\u7570\u578b\u6027\u306e\u53ef\u80fd\u6027\u3092\u5426\u5b9a\u3067\u304d\u306a\u3044<\/td><\/tr><tr><td>E<\/td><td>\u9854\u9762\u3084\u982d\u90e8\u3001\u5c0f\u3055\u3044\u8102\u80aa\u816b\uff081\u301c2\u202fcm\uff09<\/td><td>\u89b3\u5bdf\u307e\u305f\u306f\u60a3\u8005\u5e0c\u671b\u306b\u5fdc\u3058\u3066\u5207\u9664<\/td><td>\u9854\u9762\u306f\u7f8e\u5bb9\u7684\u914d\u616e\u3092\u91cd\u8996\u3059\u3079\u304d\u3060\u304c\u3001\u624b\u8853\u90e8\u4f4d\u30fb\u7622\u75d5\u3082\u8003\u616e\u3059\u308b\u5fc5\u8981\u3042\u308a<\/td><\/tr><tr><td>F<\/td><td>\u8178\u5185\u3001\u80f8\u819c\u3001\u80ba\u5185\u306a\u3069\u6df1\u90e8\u7d44\u7e54\u306b\u767a\u898b\u3055\u308c\u305f\u8102\u80aa\u816b<\/td><td>\u5207\u9664\u691c\u8a0e<\/td><td>\u5185\u90e8\u81d3\u5668\u5727\u8feb\u30fb\u6a5f\u80fd\u963b\u5bb3\u30ea\u30b9\u30af\u3092\u5ff5\u982d\u306b\u7f6e\u304f\u5fc5\u8981\u3042\u308a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u308c\u3089\u30b1\u30fc\u30b9\u306f\u3042\u304f\u307e\u3067\u5178\u578b\u4f8b\u3067\u3042\u308a\u3001\u5b9f\u969b\u306b\u306f\u60a3\u8005\u5e74\u9f62\u30fb\u65e2\u5f80\u6b74\u30fb\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u306a\u3069\u3082\u8003\u616e\u3057\u3066\u7dcf\u5408\u5224\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. \u5207\u9664\u3057\u306a\u3044\uff0f\u69d8\u5b50\u89b3\u5bdf\u306e\u6226\u7565<\/h2>\n\n\n\n<p>\u3059\u3079\u3066\u306e\u8102\u80aa\u816b\u306b\u5bfe\u3057\u3066\u5207\u9664\u3092\u884c\u3046\u3079\u304d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3080\u3057\u308d\u3001\u7121\u75c7\u72b6\u3067\u5909\u5316\u304c\u898b\u3089\u308c\u306a\u3044\u3082\u306e\u306f\u7d4c\u904e\u89b3\u5bdf\u304c\u5e83\u304f\u53d7\u3051\u5165\u308c\u3089\u308c\u3066\u3044\u308b\u6226\u7565\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5\u20111. \u89b3\u5bdf\u5bfe\u8c61\u3068\u306a\u308b\u8102\u80aa\u816b\u306e\u7279\u5fb4<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30b5\u30a4\u30ba\u304c\u6bd4\u8f03\u7684\u5c0f\u3055\u304f\uff08\u4f8b\uff1a3\u301c5\u202fcm \u672a\u6e80\uff09\u3001\u76ee\u7acb\u305f\u306a\u3044\u90e8\u4f4d<\/li>\n\n\n\n<li>\u75db\u307f\u30fb\u5727\u8feb\u75c7\u72b6\u3092\u4f34\u308f\u306a\u3044<\/li>\n\n\n\n<li>\u6210\u9577\u901f\u5ea6\u304c\u7de9\u5f90\uff08\u5909\u5316\u304c\u307b\u3068\u3093\u3069\u306a\u3044\uff09<\/li>\n\n\n\n<li>\u89e6\u8a3a\u4e0a\u3001\u5178\u578b\u7684\u306a\u53ef\u52d5\u6027\u30fb\u67d4\u3089\u304b\u3055\u30fb\u5883\u754c\u660e\u77ad\u6027\u3092\u5099\u3048\u3066\u3044\u308b<\/li>\n\n\n\n<li>\u753b\u50cf\u6240\u898b\u3067\u826f\u6027\u6027\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3068\u5224\u65ad\u3055\u308c\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306a\u30b1\u30fc\u30b9\u3067\u306f\u3001\u5b9a\u671f\u7684\u306b<strong>\u30b5\u30a4\u30ba\u5909\u5316\u3001\u786c\u3055\u3001\u53ef\u52d5\u6027\u3001\u75c7\u72b6\u51fa\u73fe\u306a\u3069<\/strong>\u3092\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5\u20112. \u89b3\u5bdf\u6642\u306e\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5b9a\u671f\u89e6\u8a3a\u30fb\u81ea\u5df1\u30c1\u30a7\u30c3\u30af<\/strong>\uff1a\u6708\u306b 1 \u56de\u7a0b\u5ea6\u3001\u3057\u3053\u308a\u306e\u30b5\u30a4\u30ba\u30fb\u786c\u3055\u30fb\u75db\u307f\u306e\u6709\u7121\u3092\u78ba\u8a8d<\/li>\n\n\n\n<li><strong>\u5909\u5316\u304c\u3042\u308c\u3070\u901f\u3084\u304b\u53d7\u8a3a<\/strong>\uff1a\u6025\u901f\u62e1\u5927\u3001\u786c\u5316\u3001\u75db\u307f\u30fb\u3057\u3073\u308c\u3001\u76ae\u819a\u5909\u5316\u306a\u3069<\/li>\n\n\n\n<li><strong>\u753b\u50cf\u30d5\u30a9\u30ed\u30fc<\/strong>\uff1a\u5927\u304d\u3055\u5909\u5316\u3084\u69cb\u9020\u5909\u5316\u304c\u61f8\u5ff5\u3055\u308c\u308b\u5834\u5408\u306f\u3001\u5b9a\u671f\u7684\u306b\u30a8\u30b3\u30fc\u307e\u305f\u306fMRI\u306a\u3069\u3067\u30c1\u30a7\u30c3\u30af<\/li>\n\n\n\n<li><strong>\u30ea\u30b9\u30af\u56e0\u5b50\u6ce8\u610f<\/strong>\uff1a\u8907\u6570\u500b\u3042\u308b\u3001\u5bb6\u65cf\u6b74\u304c\u3042\u308b\u3001\u816b\u760d\u7d20\u56e0\u3092\u6709\u3059\u308b\u75c5\u6b74\u304c\u3042\u308b\u5834\u5408\u306f\u614e\u91cd\u306b\u6271\u3046<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">5\u20113. \u89b3\u5bdf\u306e\u9650\u754c\u3068\u30ea\u30b9\u30af\u7ba1\u7406<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u89b3\u5bdf\u4e2d\u306b\u6025\u901f\u5909\u5316\u3092\u898b\u9003\u3059\u53ef\u80fd\u6027<\/li>\n\n\n\n<li>\u60aa\u6027\u816b\u760d\u3078\u306e\u9032\u5c55\u3084\u5143\u3005\u7570\u578b\u6027\u3092\u6709\u3059\u308b\u3082\u306e\u3092\u5207\u9664\u305b\u305a\u306b\u653e\u7f6e\u3059\u308b\u30ea\u30b9\u30af<\/li>\n\n\n\n<li>\u89b3\u5bdf\u304c\u9577\u671f\u306b\u53ca\u3076\u3068\u60a3\u8005\u306e\u4e0d\u5b89\u304c\u5897\u3059\u3053\u3068<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u3092\u907f\u3051\u308b\u305f\u3081\u3001\u5909\u5316\u304c\u3042\u308c\u3070\u5373\u6642\u8a55\u4fa1\u3067\u304d\u308b\u4f53\u5236\u3092\u6574\u3048\u3001\u5c02\u9580\u533b\u3068\u9023\u643a\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. 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