{"id":838,"date":"2022-02-03T23:01:00","date_gmt":"2022-02-03T14:01:00","guid":{"rendered":"https:\/\/obgyn.jp\/?p=838"},"modified":"2024-03-03T23:24:07","modified_gmt":"2024-03-03T14:24:07","slug":"ep","status":"publish","type":"post","link":"https:\/\/obgyn.jp\/?p=838","title":{"rendered":"EP\uff08VP-16 + CDDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\" id=\"\u5a66\u4eba\u79d1\u3067\u306e\u4fdd\u967a\u9069\u7528\">\u25c6\u5a66\u4eba\u79d1\u3067\u306e\u4fdd\u967a\u9069\u7528<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"\u80da\u7d30\u80de\u816b\u760d\">\u80da\u7d30\u80de\u816b\u760d<\/h4>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"\u6e1b\u91cf\u57fa\u6e96\">\u25c6\u6e1b\u91cf\u57fa\u6e96<\/h3>\n\n\n\n<p>\u6e1b\u91cf\u306f\u884c\u308f\u306a\u3044\u3002\u597d\u4e2d\u74031000\/\u03bcl\u672a\u6e80\u304b\u3001\u8840\u5c0f\u677f10\u4e07\/\u03bcl\u672a\u6e80\u306e\u5834\u5408\u3001\u6295\u4e0e\u3092\u5ef6\u671f\u3059\u308b<a href=\"#_[109]_Culine_S,\"><\/a>\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"emetic-risk-high\">\u25c6Emetic risk\uff1a<a href=\"https:\/\/obgyn.jp\/?p=751\" target=\"_blank\" rel=\"noopener\" title=\"\u4ee5\u4e0b\u306e4\u5264\u3092\u5168\u3066\u6295\u4e0e\u3059\u308b\u3002NK1 receptor antagonist\u3001Serotonin receptor antagonist\u3001Dexamethasone\u3001Olanzapine\u3002\">high<\/a>  <\/h3>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"\u6295\u4e0e\u5468\u671f\u3068\u56de\u6570\">\u25c6\u6295\u4e0e\u5468\u671f\u3068\u56de\u6570<\/h3>\n\n\n\n<p>21\u65e5\u6bce\u3002\u80da\u7d30\u80de\u816b\u760d\u306egood prognosis<a href=\"#_[213]_International_Germ\"><\/a>: 4 cycle\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"\u6295\u4e0e\u65b9\u6cd5\">\u25c6\u6295\u4e0e\u65b9\u6cd5<\/h3>\n\n\n\n<p>Hydration\u3084\u30de\u30b0\u30cd\u30b7\u30a6\u30e0\u88dc\u5145\u306a\u3069\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Rp<\/strong><\/td><td><strong>\u6297\u304c\u3093\u5264<\/strong><\/td><td><strong>\u6295\u4e0e\u91cf<\/strong><\/td><td><strong>\u6295\u4e0e\u6642\u9593<\/strong><\/td><td><strong>\u6295\u4e0e\u65e5<\/strong><\/td><\/tr><tr><td>1<\/td><td>VP-16<\/td><td>120-125 mg\/m2<\/td><td>3 h<\/td><td>Day 1-5<\/td><\/tr><tr><td>2<\/td><td>CDDP<\/td><td>20 mg\/m2<\/td><td>2 h<\/td><td>Day 1-5<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n<h5>\u62d9\u8457<a href=\"https:\/\/amzn.to\/33ges1L\" target=\"_blank\">\u300e\u5a66\u4eba\u79d1\u304c\u3093\u306e\u5206\u5b50\u75c5\u7406\u5b66\u3068\u6cbb\u7642\u30ec\u30b8\u30e1\u30f3\u300f<\/a>\u3082\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3002<\/h5>\n\n<h5>\u85ac\u7269\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/h5>\r\n<ul class=\"lcp_catlist\" id=\"lcp_instance_0\"><li><a href=\"https:\/\/obgyn.jp\/?p=890\">EMA\/CO\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">MTX \u7642\u6cd5\u7b49\u306e\u52b9\u679c\u304c\u306a\u3044\u5834\u5408\u7b49\u306b\u7528\u3044\u3089\u308c\u308b\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=885\">GD\uff08GEM + DTX\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u4fdd\u967a\u9069\u7528\u306f\u306a\u3044\u304c\u3001\u8089\u816b\u306b\u4f7f\u7528\u3055\u308c\u308b\u3002\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=877\">PTX\/PLD\/TOP+Bev \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u304c\u3093\u85ac\u7269\u7642\u6cd5\u5f8c\u306b\u5897\u60aa\u3057\u305f\u5375\u5de3\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\u3002\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=869\">NDP+CPT-11\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u3084\u5b50\u5bae\u981a\u764c\u306b\u7528\u3044\u3089\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=865\">TN\uff08PTX + NDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u3084\u9032\u884c\u53c8\u306f\u518d\u767a\u306e\u5b50\u5bae\u981a\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=860\">IAP\uff08IFM + DXR + CDDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u8089\u816b\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=855\">TIP\uff08PTX + IFM + CDDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u518d\u767a\u53c8\u306f\u96e3\u6cbb\u6027\u306e\u80da\u7d30\u80de\u816b\u760d\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li class=\"current\"><a href=\"https:\/\/obgyn.jp\/?p=838\">EP\uff08VP-16 + CDDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u80da\u7d30\u80de\u816b\u760d\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=834\">BEP\uff08BLM + VP-16 + CDDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u80da\u7d30\u80de\u816b\u760d\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=829\">CDDP+CPT-11 \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u3001\u5b50\u5bae\u981a\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=825\">AP\uff08DXR + CDDP\uff09 \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5b50\u5bae\u4f53\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=815\">PLD-C\uff08PLD + CBDCA\uff09+ Bev \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=793\">DP\uff08DTX + CDDP\uff09\u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u3001\u5b50\u5bae\u4f53\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=783\">TP\uff08PTX + CDDP\uff09+ Bev \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u69d8\u3005\u306a\u5a66\u4eba\u79d1\u816b\u760d\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=777\">GC\uff08GEM + CBDCA\uff09+ Bev \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=774\">DC\uff08DTX + CBDCA\uff09+ Bev \u7642\u6cd5\u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=674\">TC\uff08PTX + CBDCA\uff09+ Bev \u7642\u6cd5 \u30ec\u30b8\u30e1\u30f3<\/a><div class=\"lcp_excerpt\">\u5375\u5de3\u764c\u3001\u5b50\u5bae\u981a\u764c\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=751\">High emetic risk &#8211; \u5a66\u4eba\u79d1\u304c\u3093\u85ac\u7269\u7642\u6cd5<\/a><div class=\"lcp_excerpt\">\n\u4ee5\u4e0b\u306e4\u5264\u3092\u5168\u3066\u6295\u4e0e\u3059\u308b\u3002\n\n\n\nNK1 receptor antagonist\uff08\u30a4\u30e1\u30f3\u30c9\u00ae\u306a\u3069\uff09\nSerotonin receptor antagonist\uff08\u30ab\u30a4\u30c8\u30ea\u30eb\u00ae\u3001\u30ca\u30bc\u30a2\u00ae\u306a\u3069\uff09\nDexamethasone\uff08Day 1: 12 mg\u3001Day 2-4: 8 mg\/day\uff09\nOlanzapine\uff08Day 1-4: 10 mg\/day\uff09\n\n\n\n\n\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=745\">Moderate emetic risk &#8211; \u5a66\u4eba\u79d1\u304c\u3093\u85ac\u7269\u7642\u6cd5<\/a><div class=\"lcp_excerpt\">\nCBDCA AUC \u2267 4\u3092\u542b\u3080\u5834\u5408\u3001\u4ee5\u4e0b\u306e3\u5264\u3092\u5168\u3066\u6295\u4e0e\u3059\u308b\u3002\n\n\n\nNK1 receptor antagonist\uff08\u30a4\u30e1\u30f3\u30c9\u00ae\u306a\u3069\uff09\nSerotonin receptor antagonist\uff08\u30ab\u30a4\u30c8\u30ea\u30eb\u00ae\u3001\u30ca\u30bc\u30a2\u00ae\u306a\u3069\uff09\nDexamethasone 8 mg\n\n\n\nCBDCA AUC \u2267 4\u3092\u542b\u307e\u306a\u3044\u5834\u5408\u3001\u4ee5\u4e0b\u306e2\u5264\u3092\u6295\u4e0e\u3059\u308b\u3002\n\n\n\nSerotonin receptor antagonist\uff08\u30ab\u30a4\u30c8\u30ea\u30eb\u00ae\u3001\u30ca\u30bc\u30a2\u00ae\u306a\u3069\uff09\nDexamethasone 8 mg\n\n\n\n\u9045\u767a\u6027\u5614\u6c17\u30fb\u5614\u5410\u304c\u898b\u3089\u308c\u308b\u5834\u5408\u306fDexamethasone\u3092Day 2\u3001Day 3\u3082\u6295\u4e0e\u3002\n\n\n\u3055\u3089\u306bOlanzapine\u6295\u4e0e\u3082\u8003\u616e\u3059\u308b\u3002\n\n\n\n\n<\/div><\/li><li><a href=\"https:\/\/obgyn.jp\/?p=755\">Low emetic risk &#8211; \u5a66\u4eba\u79d1\u304c\u3093\u85ac\u7269\u7642\u6cd5<\/a><div class=\"lcp_excerpt\">\n\u4ee5\u4e0b\u306e\u3069\u3061\u3089\u304b\u3092\u6295\u4e0e\u3059\u308b\u3002\n\n\n\nSerotonin receptor antagonist\uff08\u30ab\u30a4\u30c8\u30ea\u30eb\u00ae\u3001\u30ca\u30bc\u30a2\u00ae\u306a\u3069\uff09\nDexamethasone 8 mg\n\n\n\n\n\n<\/div><\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>\u80da\u7d30\u80de\u816b\u760d\u306b\u4f7f\u7528\u3055\u308c\u308b\u30ec\u30b8\u30e1\u30f3<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[27],"class_list":["post-838","post","type-post","status-publish","format-standard","hentry","category-regimen","tag-germcell"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/obgyn.jp\/index.php?rest_route=\/wp\/v2\/posts\/838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/obgyn.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/obgyn.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/obgyn.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/obgyn.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=838"}],"version-history":[{"count":6,"href":"https:\/\/obgyn.jp\/index.php?rest_route=\/wp\/v2\/posts\/838\/revisions"}],"predecessor-version":[{"id":1236,"href":"https:\/\/obgyn.jp\/index.php?rest_route=\/wp\/v2\/posts\/838\/revisions\/1236"}],"wp:attachment":[{"href":"https:\/\/obgyn.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=838"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/obgyn.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=838"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/obgyn.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}