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ݤΰŷ˥塼(TV)/ͭ̾ͤξ㽸ΰ

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¼ϯΩѼŤ

ͥ¼ϯ78ˤΩŤΤ1082013ǯˤ˥֥7±Τé夤ơޤǰ̿ѥޤؤơ⤦פȡдǥԡ̿ܤƤ롣

٤ܺ THE FINAL ʤ˾
٤ܺ THE FINAL ʤ˾ ɡǥ [DVD]

ո˻ϤޤꡢǢMRI٤ȸ³ְճ˻פȤ٤򤭤TӡʢӡǢϳѥåȤʤɤƻˤĤ졢ָ¤äƤפȤդʹơּѤꥢ˴פȸ롣

ޤޤʸơƮ¤˽椹뤿ᡢʤ֥Ϥ礤Ȥ٤ߤޤפȤظơͥǸդ󡢥åդγͤΤȡĥޤפƤ롣
(¼ϯΩƮ¤˽椹뤿˥֥Ϥ礤ȵ٤ߤޤ)

Ωͭ̾


Ωͭ̾ͤȤƤϡ
ڷаԤ
ɥ塼ɡС
ǥ˥ۥåѡ
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륤åȡJr
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ʤɤä㤤ޤ

ΩȤ


ΩϡΩ(peripheral zone)ȯǤ׾50аʾ¿(ŵŪʹԴ)ˤʤۤȯΨ⤤Ǥ

ȯΨΨȤäƤꡢä˼ޡǤΩð۹Prostate Specific AntigenPSAˤѤ꡼˥󥰤PSAͤΤߤȯγ礬ƤޤΨϡ1975ǯʹäƤޤͳ1ĤȤΩð۹(PSA)ˤˡڤˤȻŦ⤵Ƥޤ

ΩۥɸŪ¡Ǥꡢι¤ӵǽΰݻۥ¸ǤΤ褦˶ۥ¸¡ǤΩȯΩ90ʾۥ¸ͭƤȤƤޤ

ΩξɾȤƤϡȯ̤ʤΤǤǢ㳲ʤɤξɾϤޤ󡣤ɤȹʻ뤳Ȥ¿Ǣ㳲뤳Ȥ⤢ޤžܤˤɾⵯ뤳ȤꡢˤߡŪޡʹǤ¤쵡ǽ㳲ȯǮʤɤߤ뤳Ȥ⤢ޤ

ľIJؿǤǤϡ礭ŤϤξ֤ߤޤľIJŪĶˡ(transrectal ultrasonography;TRUS)Ǥ⡢Ʊͤ˷ľIJŪΩ礭٥롢ξ֤狼ޤ

ΩεΤ봵ԤФƤϡΩð۹prostate specific antigen(PSA)ľIJ⿨(DRE)ľIJŪĶȸ(TRUS)Ԥޤ

Ωð۹(prostate specific antigen;PSA)ϡΩ(BPH)Ǥ徺ޤΩǤϤ˾徺ޤ7595ΩⴵԤǤϰ۾(>4ng/ml)򼨤˦̤褯ȿǤŤո㲼ΩŦѸ¬³ʲȤʤޤ

ΩǤϡǤǤľIJĶˡɲ6ԤޤPSA 10ng/mlǤϴȯΨ40󡢷PSA 410ng/ml(졼)ǤϴȯΨ10ǤȤƤޤ

ľIJǤξTRUSξ硢ޤPSA10.1ng/mlʾξˤĶȥɲ6ŪΩԤޤPSA10.0ng/mlʲξˤǯPSA,PSAD PSAvelocity򻲹ͤˤơΩԤޤȿŪ˳Ǥ줿äΩȤΤǡʤɤŪϽפǤ

Ωμ


ΩμŤȤƤϡʲΤ褦ʤΤޤ³ɤ

ΩǼѤƤ

ͥʣˤΩ򴵤äƤ뤳Ȥʬäʤǽͥγ»ޡʣˤʼ˸ǹԤ줿٥Ȥܤϴ˼Ѥ򽪤ƤȤؤϡֳޤۤۤɤǤʤǤפ¾٤Ǥ뤳ȤĴå󥰤̾˲ˤϾ׷⤬äͥ

ؤθФդˡϰ֡żޤ줿פǤܤΤ򡢤󤬽äƤȤΤ

ܤϡʼ˸īԤǹԤ줿ॻߥʡ˽б餹ͽäޤб򸫹碌ܤ˲ˬ줿ؤƬǤĤΩܤηʤպᡣˡͳˤĤơ֤ȤΤ⡢ܤϡΩμѤޤơפȡŤΤǤ뤳Ȥ

ؤˤȡܤϴ˼ѤƤꡢѸηв򸫤뤿ᡢΥ٥Ƚб᤿Ȥξ׷˸դ̵üԤظؤϡֳޤۤۤɤǤʤǤפ¾٤ΤΤǤ뤳ȤĴܤˤϽбΰջ֤äΤΡѤĴǤʤäȤܿͤػǤ˿ʤȻפäƤ٤ȸäƤޤפ̵ǰλפۤ
(Ωäĺʤγ¹׷)

Ωͭ̾


Ωͭ̾ͤȤƤϡ
ڷаԤ
ɥ塼ɡС
ǥ˥ۥåѡ
ִʿ
륤åȡJr
󤵤
ʤɤä㤤ޤ

ΩȤ


ΩϡΩ(peripheral zone)ȯǤ׾50аʾ¿(ŵŪʹԴ)ˤʤۤȯΨ⤤Ǥ

ȯΨΨȤäƤꡢä˼ޡǤΩð۹Prostate Specific AntigenPSAˤѤ꡼˥󥰤PSAͤΤߤȯγ礬ƤޤΨϡ1975ǯʹäƤޤͳ1ĤȤΩð۹(PSA)ˤˡڤˤȻŦ⤵Ƥޤ

ΩۥɸŪ¡Ǥꡢι¤ӵǽΰݻۥ¸ǤΤ褦˶ۥ¸¡ǤΩȯΩ90ʾۥ¸ͭƤȤƤޤ

ΩξɾȤƤϡȯ̤ʤΤǤǢ㳲ʤɤξɾϤޤ󡣤ɤȹʻ뤳Ȥ¿Ǣ㳲뤳Ȥ⤢ޤžܤˤɾⵯ뤳ȤꡢˤߡŪޡʹǤ¤쵡ǽ㳲ȯǮʤɤߤ뤳Ȥ⤢ޤ

ľIJؿǤǤϡ礭ŤϤξ֤ߤޤľIJŪĶˡ(transrectal ultrasonography;TRUS)Ǥ⡢Ʊͤ˷ľIJŪΩ礭٥롢ξ֤狼ޤ

ΩεΤ봵ԤФƤϡΩð۹prostate specific antigen(PSA)ľIJ⿨(DRE)ľIJŪĶȸ(TRUS)Ԥޤ

Ωð۹(prostate specific antigen;PSA)ϡΩ(BPH)Ǥ徺ޤΩǤϤ˾徺ޤ7595ΩⴵԤǤϰ۾(>4ng/ml)򼨤˦̤褯ȿǤŤո㲼ΩŦѸ¬³ʲȤʤޤ

ΩǤϡǤǤľIJĶˡɲ6ԤޤPSA 10ng/mlǤϴȯΨ40󡢷PSA 410ng/ml(졼)ǤϴȯΨ10ǤȤƤޤ

ľIJǤξTRUSξ硢ޤPSA10.1ng/mlʾξˤĶȥɲ6ŪΩԤޤPSA10.0ng/mlʲξˤǯPSA,PSAD PSAvelocity򻲹ͤˤơΩԤޤȿŪ˳Ǥ줿äΩȤΤǡʤɤŪϽפǤ

Ωμ


ΩμŤȤƤϡʲΤ褦ʤΤǤ³ɤ

ΩǼѤƤݰ󤵤

ȡ64ˤΩѤƤȤ31ʬä

ǯ10θĴ򴶤åդδǷ򹯿ǤȤոǤε뤳ȤʬꡢƸη̡ǯ1227ΩȹΤ줿Ȥ

1դΥݡĥ˥åݥ󤸤Ƥꡢǯ215˼ѤȤѸηвϽĴȤΤȤǡϡ줫Ф᤿ѤäƤơˤʤƤ͡ʬǥ٥åɤ鵯ơ⤱ǤӤäꤷޤ衣ݤȤʤƤʤäǤפȡƱ˥Ȥ֤ϤϤäֵϡˤΤȤǤ͡줬͡лĤäƤ뤫פʤǤǤʤˡˤʤΩʤɤѤʤǤפȡ桼饹˸äƤ롣

ʤ̵路22ǯˤʤ뾰׿͡54ˤϡָ񤤤˰٤ޤǤͤפȡФƤȤ
( ΩѤ򡪽Ѹ夹⤱ƤӤä)

ΩȤ


ΩϡΩ(peripheral zone)ȯǤ׾50аʾ¿(ŵŪʹԴ)ˤʤۤȯΨ⤤Ǥ

ȯΨΨȤäƤꡢä˼ޡǤΩð۹Prostate Specific AntigenPSAˤѤ꡼˥󥰤PSAͤΤߤȯγ礬ƤޤΨϡ1975ǯʹäƤޤͳ1ĤȤΩð۹(PSA)ˤˡڤˤȻŦ⤵Ƥޤ

ΩۥɸŪ¡Ǥꡢι¤ӵǽΰݻۥ¸ǤΤ褦˶ۥ¸¡ǤΩȯΩ90ʾۥ¸ͭƤȤƤޤ

ΩξɾȤƤϡȯ̤ʤΤǤǢ㳲ʤɤξɾϤޤ󡣤ɤȹʻ뤳Ȥ¿Ǣ㳲뤳Ȥ⤢ޤžܤˤɾⵯ뤳ȤꡢˤߡŪޡʹǤ¤쵡ǽ㳲ȯǮʤɤߤ뤳Ȥ⤢ޤ

ľIJؿǤǤϡ礭ŤϤξ֤ߤޤľIJŪĶˡ(transrectal ultrasonography;TRUS)Ǥ⡢Ʊͤ˷ľIJŪΩ礭٥롢ξ֤狼ޤ

ΩεΤ봵ԤФƤϡΩð۹prostate specific antigen(PSA)ľIJ⿨(DRE)ľIJŪĶȸ(TRUS)Ԥޤ

Ωð۹(prostate specific antigen;PSA)ϡΩ(BPH)Ǥ徺ޤΩǤϤ˾徺ޤ7595ΩⴵԤǤϰ۾(>4ng/ml)򼨤˦̤褯ȿǤŤո㲼ΩŦѸ¬³ʲȤʤޤ

ΩǤϡǤǤľIJĶˡɲ6ԤޤPSA 10ng/mlǤϴȯΨ40󡢷PSA 410ng/ml(졼)ǤϴȯΨ10ǤȤƤޤ

ľIJǤξTRUSξ硢ޤPSA10.1ng/mlʾξˤĶȥɲ6ŪΩԤޤPSA10.0ng/mlʲξˤǯPSA,PSAD PSAvelocity򻲹ͤˤơΩԤޤȿŪ˳Ǥ줿äΩȤΤǡʤɤŪϽפǤ³ɤ

ΩμŤԤäƤݥǥ˥ۥåѡ

Ω򴵤;̿鷺󤸤Ƥǥ˥ۥåѡϥꥦåɡ֡եͿ졢Ϳ˽ʤ

ǥ˥ϸߡƮʤ5ܤκʤǤȥꥢեΥμ³ʤƤꡢλʬͿť²ǤμͿϡǥ˥ˤȤä礭ʴӤȤʤä褦

ǥ˥ΰդϼͿؤλäǥ˥ˤȤäƤ褤иǤȤƽʤǧ᤿䤻٤äѤDz˻Ѥ򸫤ǥ˥Ƭˤϡ礭ϹѤžDz椷פȡϤꤺ֤ȼäƤ褦

ˤϥǥ˥̼¹1969ǯαDz饤 [DVD]٤Ƕ餷ͧå˥륽ͧͤΥǥåɡĤդǥ˥αˤäǥ˥ϡ֥ϥꥦåɤϲȤǤꡢعǤäפȥȡֿΤ٤Ƥ򳧤󤫤ؤͤˤȤäѽפʤȤˤ꤬ȤƥϥꥦåɤˤⴶդޤפȴӤä
(Ʈ桢;̿鷺Ȥǥ˥ۥåѡ)

ΩȤ


ΩȤϡΤߤ¸ߤľIJ̤˰֤뷪μͤδﴱǤǢƻε(Ω)Ϥ¸ߤƤޤ

ΩϡΩ(peripheral zone)ȯǤ׾50аʾ¿(ŵŪʹԴ)ˤʤۤȯΨ⤤Ǥ

ȯΨΨȤäƤꡢä˼ޡǤΩð۹Prostate Specific Antigen(PSA)Ѥ꡼˥󥰤PSAͤΤߤȯγ礬Ƥޤ

ϥꥫͤǯĴΨϡ߽ܺܿͤΤ5ܹ⤤ȤƤޤΤȤĶΩθ礭ʱƶͿƤ뤳Ȥ¬ޤΨϡ1975ǯʹäƤޤͳ1ĤȤΩð۹(PSA)ˤˡڤˤȻŦ⤵Ƥޤ

ΩۥɸŪ¡Ǥꡢι¤ӵǽΰݻۥ¸ǤΤ褦˶ۥ¸¡ǤΩȯΩ90ʾۥ¸ͭƤȤƤޤ

Ωμ


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