「臨床・病理 肺癌取扱い規約 第8版」に関するお知らせ

1 2017 1 1 .. 9 .. 2019 12 . 1 .. 54 55 .. 5 . PL0 . PL1 . PL2 . PL3 .. pl0 . pl1 . pl2 . pl3 .. PL3 pl3 . PL pl 3 . PL3 . PL3 . pl3 . pl3 . pl3 T . pT3a . pT3b endothoracic fascia . pT3c . T . PL0 pl0 T . PL1 2 pl1 2 3 cm T2a pT2a . T1a b c pT1a b c PL0 pl0 . PL3 pl3 T3 pT3 T4 pT4 . PL3 pl3 3 cm T1 T . T . 2 .. 5 . PL0 . PL1 . PL2 . PL3 .. PL3 . PL3 . PL3 . PL3 . T . PL0 T . PL1 2 3 cm T2a T1a b c PL0 .. PL3 T3 T4 PL3 . T T . 56 .. 9 . separate tumor nodule s . pulmonary metastasis/metastases PM pm . PM pm . PM0 pm0 . PM1 pm1.

2 PM2 pm2 . PM3 pm3 .. PM2 RU. PM pm TNM . PM pm 1 3 .. 9 . separate tumor nodule s . pulmonary metastasis/metastases PM . PM0 . PM1 . 3 . PM2 . PM3 .. PM2 RU. PM TNM . PM1 3 . 56 57 .. 10 1 . 1 . N0 . N1 1 . N2 2 . N3 3 .. 1 2 1 1 . N1 2 N2 . N3 N3 . N3 N3 . 2 .. n0 n1 n2 n3 pN0 n0 3. 3 7 3 3 6 . 6 . 1 .. 12u 12m 12l 12u 12u 12l 1a 13 13 13 13 13 13. 14 14 14 14 14 14. 10 10 10 10 10 10. 1b 11s 11s 11i 11s 11i 11 11 11. 2R 2R 7 4L 4L 7. 4R 4R 8 5 5 8. 2a 1 7 9 6 6 9. 7. 7 2R 7 4L. 2a 2 4R 5. 6. 3a 3a 3a 2L 2L 2L. 3p 3p 3p 3a 3a 3a 2b 8 8 3p 3p 3p 9 9 8 8.

3 9 9. 4 . ND2a 2 . 10 1 . N0 . N1 1 . N2 2 . N3 3 / .. 1 2 1 1 . N1 2 N2 . N3 N3 . N3 / N3 . 1 .. 1a 12u 12m 12l 12u 12u 12l 13 13 13 13 13 13. 1 14 14 14 14 14 14. 1b 10R 10R 10R 10L 10L 10L. 11s 11s 11i 11s 11i 11 11 11. 2R 7 4L 7. 2a 1 . 4R 8 5 8.. 9 6 9. 7 2R 2R 7 4L 4L. 2a 2 4R 4R 5 5. 7 6 6. 2 7. 3a 3a 3a 2L 2L 2L. 3p 3p 3p 3a 3a 3a 2b . 8 8 3p 3p 3p . 9 9 8 8. 9 9. 3 2L 4L 5 6 2R 4R. 8 9 8 9. 3 10L 10R. 3 . 3 1R 1L 1R 1L.. / . 57 58 .. 11 Nodal Dissection . ND0 1a .. ND1a 1a . ND1b 1a 1b . ND2a 1 1a 1b 2a 1 . ND2a 2 1a 1b 2a 1 2a 2.

4 5 . ND2b 1a 1b 2a 1 2a 2 2b .. ND3 3 ND3 3 ND3 3 .. 3a ND2a 1 3a .. 11 Nodal Dissection . 2 . 2 . ND . ND0 . ND1 . ND1a 1a . ND1b 1b . ND2 2 . ND2a 1 2a 1 . ND2a 2 2a 2 . ND2b 2b . ND3 3 . 2 / ND .. ND3 3 3 . ND3 .. 3a ND2a 1 3a .. 1 S1 4R 10R 12u 13 14 . ND1b 4R. 2 2R 4R 10R 11i 12m 13 14 . ND1b 2R 4R. 3 2R 4R 7 11s 11i 12l 13 14 3a . ND2a 2 3a 4 5 7 11 12u 13 14 . ND1b 5 7. 5 S6 7 12l 13 14 . ND1a 7. 6 5 7 8 9 11 12l 13 14 . ND2a 1 5. 6 . 1 Systematic Mediastinal Lymph Node Dissection . ND2a 2 ND2b . 2 Lobe Specific Mediastinal Lymph Node Dissection.

5 ND2a 1.. 58 .. 12 . 1 .. bronchus Br . pulmonary artery PA . pulmonary vein PV . chest wal l CW . parietal pleura PP . mediastinal pleura MedP . mediastinal fat tissue MedFT . vertebra Ver . diaphragm Dia . pericardium Per . left atrium LA . right atrium RA . superior vena cava SVC . trachea Tr . aorta Ao . esophagus Es . liver Li . subclavian artery/vein SCA/SCV . brachial plexus BP . phrenic/vagal/recurrent nerve PhrN/VagN/RecN .. Br . Br mm . 2 . br pa pv cw pp medp medft ver dia per la ra svc tr ao es li sca/scv . bp phrn/vagn/recn 7.

6 12 .. bronchus Br . pulmonary artery PA . pulmonary vein PV . chest wal l CW . parietal pleura PP . mediastinal pleura MedP . mediastinal fat tissue MedFT . vertebra Ver . diaphragm Dia . pericardium Per . left atrium LA . right atrium RA . superior vena cava SVC . trachea Tr . aorta Ao . esophagus Es . liver Li . subclavian artery/vein SCA/SCV . brachial plexus BP . phrenic/vagal/recurrent nerve PhrN/VagN/RecN .. Br . Br mm . 60 .. 20 .. 4 M1a pM1a . 5 M1a pM1a . 6 PLC M1a pM1a . 7 . N N1 pN1 N2 pN2 . 8 .. 20 .. 4 M1a . 5 M1a.

7 6 PLC M1a . 7 . N N1 N2 .. 70 .. II. 1 . WHO 2015 ICD-O.. Minimally invasive adenocarcinoma Non mucinous 8250/2*.. II. 1 . WHO 2015 ICD-O.. Minimally invasive adenocarcinoma Non mucinous 8256/3. IARC ICD O . WHO 5 100% . IARC . /2 high-grade dysplasia /3.. 9.