{"id":2099,"date":"2020-12-17T23:07:00","date_gmt":"2020-12-17T15:07:00","guid":{"rendered":"https:\/\/tcr.cph.ntu.edu.31app.tw\/?p=2099"},"modified":"2022-01-25T11:31:21","modified_gmt":"2022-01-25T03:31:21","slug":"%e7%99%8c%e7%99%bb%e7%ac%ac109012%e8%99%9f%e9%80%9a%e7%9f%a5%e6%96%87-%e5%9b%a0%e6%87%89%e7%99%8c%e7%97%87%e7%99%bb%e8%a8%98%e5%af%a6%e5%8b%99%e4%bd%9c%e6%a5%ad%e4%b9%8b%e9%9c%80%e6%b1%82%ef%bc%8c","status":"publish","type":"post","link":"https:\/\/twcr.tw\/?p=2099","title":{"rendered":"[\u764c\u767b\u7b2c109012\u865f\u901a\u77e5\u6587] \u56e0\u61c9\u764c\u75c7\u767b\u8a18\u5be6\u52d9\u4f5c\u696d\u4e4b\u9700\u6c42\uff0c\u8acb\u8cb4\u9662\u4f9d\u8aaa\u660e\u6bb5\u8fa6\u7406"},"content":{"rendered":"<p>\u4e00\u3001 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\/>\n\u82e5\u500b\u6848\u65bc\u75c5\u6b77\u4e0a\u6709\u63cf\u8ff0\u53c3\u8207\u81e8\u5e8a\u8a66\u9a57\uff0c\u8acb\u78ba\u8a8d\u500b\u6848\u662f\u5426\u9032\u5165\u8a66\u9a57\u7d44\uff1b\u82e5\u70ba<strong>\u8a66\u9a57\u7d44<\/strong>\u5247\u8996\u70ba\u6709\u63a5\u53d7\u81e8\u5e8a\u8a66\u9a57\u5316\u5b78\/\u8377\u723e\u8499\/\u985e\u56fa\u9187\/\u514d\u75ab\/\u6a19\u9776\u6cbb\u7642\uff1b\u82e5\u50c5\u70ba<strong>\u5c0d\u7167\u7d44<\/strong>\u5247<strong><u>\u4e0d<\/u><\/strong>\u8996\u70ba\u6709\u63a5\u53d7\u81e8\u5e8a\u8a66\u9a57\u6cbb\u7642\u3002\u82e5\u7121\u6cd5\u5f97\u77e5\u70ba\u8a66\u9a57\u7d44\u6216\u5c0d\u7167\u7d44\uff0c\u8acb\u7de8\u78bc30\u621631\u3002<\/p>\n<p>(4) \u300c\u8377\u723e\u8499\/\u985e\u56fa\u9187\u6cbb\u7642\u300d\u6b04\u4f4d\u65b0\u589e<strong><u>\u5c40\u90e8\u6027<\/u><\/strong>\u8377\u723e\u8499\/\u985e\u56fa\u9187\u6cbb\u7642\u7de8\u78bc\u3002<br \/>\n<strong>\u8acb\u6ce8\u610f<\/strong>\uff1a\u50c5\u6709\u300c<strong>\u7533\u5831\u91ab\u9662\u5316\u5b78\u6cbb\u7642\u958b\u59cb\u65e5\u671f<\/strong>\u300d\u512a\u5148\u586b\u5beb<strong><u>\u5c40\u90e8\u5316\u5b78\u6cbb\u7642<\/u><\/strong>\u958b\u59cb\u6cbb\u7642\u7684\u65e5\u671f\uff1b\u5176\u9918\u300c\u7533\u5831\u91ab\u9662<strong>\u8377\u723e\u8499<\/strong><strong>\/<\/strong><strong>\u985e\u56fa\u9187<\/strong><strong>\/<\/strong><strong>\u514d\u75ab<\/strong><strong>\/<\/strong><strong>\u6a19\u9776<\/strong>\u6cbb\u7642\u958b\u59cb\u65e5\u671f\u300d\u6b04\u4f4d\uff0c\u5747\u586b\u5beb\u6700\u65e9\u63a5\u53d7\u5168\u8eab\u6027\u6216\u5c40\u90e8\u6027\u6cbb\u7642\u65e5\u671f\u3002<\/p>\n<p>(5) \u300c\u9996\u6b21\u5fa9\u767c\u65e5\u671f\u300d\u6b04\u4f4d\u589e\u4fee\u70ba<strong>\u300c\u9996\u6b21\u5fa9\u767c\u6216\u764c\u75c7\u72c0\u614b\u8ffd\u8e64\u65e5\u671f\u300d<\/strong>\uff0c\u4e14\u4fee\u8a02\u7de8\u78bc\u6307\u5f15\uff1a\u82e5\u500b\u6848\u7d93\u9996\u6b21\u7642\u7a0b\u5f8c\u5df2disease-free\u4e14\u7121\u5fa9\u767c\uff0c\u5247\u8ffd\u8e64\u5230\u6700\u5f8c\u80fd\u78ba\u8a8d\u6b64\u72c0\u614b\u4e4b\u65e5\u671f\uff1b\u500b\u6848\u82e5\u5f9e\u672adisease-free\uff0c\u5247\u8ffd\u8e64\u5230\u6700\u5f8c\u80fd\u78ba\u8a8d\u6b64\u72c0\u614b\u4e4b\u65e5\u671f\u3002\u53e6\u672c\u6b04\u4f4d\u61c9\u914d\u5408\u300c\u9996\u6b21\u5fa9\u767c\u578b\u5f0f\u300d\u6b04\u4f4d\u4e00\u8d77\u6536\u96c6\u8cc7\u6599\uff0c\u4e0d\u53ef\u63a1\u7528\u96fb\u8a71\u6216\u4fe1\u4ef6\u8a2a\u554f\u7684\u65e5\u671f\u3002<\/p>\n<p>(6) \u300c\u9996\u6b21\u5fa9\u767c\u578b\u5f0f\u300d\u6b04\u4f4d\u65b0\u589e\u4fee\u7de8\u78bc\u6307\u5f15\uff1a<\/p>\n<p>I. \u4e00\u65e6\u767b\u9304\u9996\u6b21\u5fa9\u767c(\u7de8\u78bc04-62\u621688)\u5f8c\uff0c\u5373\u4f7f\u6b64\u5fa9\u767c\u7d93\u6cbb\u7642\u5f8c\u5df2disease-free\u4e14\u5f8c\u7e8c\u4ecd\u51fa\u73fe\u5176\u4ed6\u90e8\u4f4d\u7684\u5fa9\u767c\u6216\u8f49\u79fb\uff0c\u7686<strong>\u4e0d\u9808<\/strong>\u518d\u767b\u9304\u3002<\/p>\n<p>II. \u7de8\u78bc00-70\u662f\u6709\u5c64\u7d1a\u9806\u5e8f(hierarchical)\uff0c\u61c9\u4ee5\u6578\u5b57\u6700\u5927\u7684\u60c5\u6cc1\u7de8\u78bc\u3002\u82e5\u500b\u6848\u9996\u6b21\u7642\u7a0b\u5f8c\u75be\u75c5\u6301\u7e8c\u5b58\u5728(\u7de8\u78bc70)\uff0c\u4f46<strong>\u4e94\u5e74\u8ffd\u8e64\u7533\u5831\u5df2<\/strong><strong>disease-free<\/strong>\u00a0(\u7de8\u78bc00)\uff0c\u6b64\u6642\u9996\u6b21\u5fa9\u767c\u578b\u5f0f\u61c9\u66f4\u65b0\u70ba00<\/p>\n<p>III. \u82e5\u500b\u6848\u9996\u6b21\u7642\u7a0b\u5f8c\u5df2disease-free (\u7de8\u78bc00)\uff0c\u5f8c\u7e8c\u65bc\u4e94\u5e74\u8ffd\u8e64\u7533\u5831\u524d\u767c\u73fe\u6709\u5fa9\u767c\uff0c\u61c9\u66f4\u65b0\u7de8\u78bc\u70ba\u9069\u7576\u7684\u5fa9\u767c\u578b\u5f0f\u3002<\/p>\n<p>IV. \u65bc<strong><u>\u4e94\u5e74\u8ffd\u8e64\u7533\u5831<\/u><\/strong>\u6642\uff0c<strong>\u500b\u6848\u82e5\u5df2\u5931\u53bb\u8ffd\u8e64\u6216\u672a\u56de\u8a3a\uff0c\u5247\u4f9d\u64da\u75c5\u6b77\u4e0a\u6700\u5f8c\u8a18\u8f09\u8a72\u764c\u75c7\u72c0\u614b\u7de8\u78bc\u70ba<\/strong><strong>00<\/strong><strong>\u6216<\/strong><strong>70<\/strong>\u3002\u6b64\u6642\uff0c\u500b\u6848\u8a72\u72c0\u614b\u4e4b\u6700\u5f8c\u8ffd\u8e64\u65e5\u671f\u61c9\u7de8\u78bc\u65bc\u300c<strong>\u9996\u6b21\u5fa9\u767c\u6216\u764c\u75c7\u72c0\u614b\u8ffd\u8e64\u65e5\u671f<\/strong>\u300d\u3002<\/p>\n<p>\u56db\u3001 \u4e94\u5e74\u8ffd\u8e64\u7533\u5831\u81ea114_\u4e94\u5e74\u8ffd\u8e64_2022\u5e74\u6838\u92b7\u8207115_\u4e94\u5e74\u8ffd\u8e64_2022\u5e74\u6838\u92b7\u6279\u6b21\u8d77\uff0c\u8a3a\u65b7\u5e74\u70ba<strong>105<\/strong><strong>\u5e74<\/strong><strong>(<\/strong><strong>\u542b<\/strong><strong>)<\/strong><strong>\u4ee5\u5f8c<\/strong>\u4e4b\u500b\u6848\uff0c\u8acb\u4f7f\u7528<strong>2018 v.3<\/strong><strong>\u7248<\/strong>\u624b\u518a\u589e\u4fee<strong>\u8ffd\u8e64\u76f8\u95dc\u6b04\u4f4d<\/strong>\u5167\u5bb9\u7533\u5831\u3002<\/p>\n<p>\u4e94\u3001 \u6709\u95dc\u809d\u764cSSF3 Child Pugh\u5206\u6578\u7684\u8179\u6c34\u6536\u9304\uff0c\u56e0NCCN 2020 v.2 \u7248\u8207\u764c\u75c7\u90e8\u4f4d\u7279\u5b9a\u56e0\u5b50\u7de8\u78bc\u624b\u518a\u4f9d\u64daAJCC\u7b2c\u516b\u7248\u6240\u8ff0\u6709\u4e9b\u8a31\u5dee\u7570\uff0c\u7d93\u8a62\u554f<strong>\u53f0\u7063<\/strong><strong>\u809d\u764c\u91ab\u5b78\u6703<\/strong>\u5efa\u8b70\uff1aNCCN 2020 v.2 \u7248\u5167\u5bb9\u8f03\u7b26\u5408\u539f\u610f\uff0c\u4e14\u8179\u6c34\u91cf\u7684\u5224\u65b7\u6975\u5176\u4e3b\u89c0\u4e26\u7121\u5171\u8b58\u3002\u6545\u4f9d\u64da\u5167\u79d1\u5b78\u6559\u79d1\u66f8 Harrison\u2019s Principles of Internal Medicine, 20th Edition\u4fee\u6539\u8179\u6c34\u5224\u5b9a\u70ba \u201cascites\uff1a1 point = non; 2 points = easily controlled; 3 points = poorly controlled\u201d\uff0c\u8f03\u7b26\u5408\u64cd\u4f5c\u578b\u5b9a\u7fa9\uff0c\u4e26\u5c07\u524d\u8ff0\u5167\u5bb9\u4fee\u6539\u81f3SSF\u624b\u518a\u5167Child Pugh\u5206\u6578\u5b9a\u7fa9\u3002<\/p>\n<p>\u516d\u3001 \u6709\u95dc\u8178\u80c3\u9053Gastrointestinal Stromal Tumor (GIST)\u00a0\u4f9d\u64da2019\u5e74\u51fa\u7248WHO Classification of Tumours\u00a0\u7b2c5\u7248Digestive System Tumours\u4e4b\u7533\u5831\u898f\u5247\uff0c\u7d93\u8aee\u8a62\u53f0\u7063\u75c5\u7406\u5b78\u6703\u5c08\u5bb6\u5f8c\uff0c\u78ba\u8a8dGIST\u500b\u6848\u81ea109\u8a3a\u65b7\u5e74\u8d77\u00a0(\u5373110\u00a0\u5e74\u7b2c\u4e00\u5b63\u7533\u5831\u958b\u59cb)\u00a0\u5747\u8996\u70ba\u60e1\u6027\u816b\u7624\u7533\u5831\u3002\u4f46<strong>108<\/strong><strong>\u5e74<\/strong><strong>(<\/strong><strong>\u542b<\/strong><strong>)<\/strong><strong>\u4ee5\u524d\u8a3a\u65b7\u7684<\/strong><strong>GIST<\/strong><strong>\u500b\u6848\uff0c\u4ecd\u9700\u4f9d\u539f\u5224\u5b9a\u898f\u5247\u7533\u5831<\/strong>(\u8a73\u898b\u9644\u4ef6)\u3002<\/p>\n<p><strong>\u6ce8\u610f<\/strong><strong>\uff1a<\/strong><strong>\u624b\u518a\u6b63\u5f0f\u7248\u6700\u65b0\u6a94\u6848<\/strong><strong><a href=\"https:\/\/tcr.cph.ntu.edu.31app.tw\/?page_id=1809\">\u300c107\u5e74\u7248\u53f0\u7063\u764c\u75c7\u767b\u8a18\u6458\u9304\u624b\u518a-109\u5e74\u4fee\u8a02\u7248(2020\u5e7412\u670817\u65e5)\u300d<\/a><\/strong><strong>\u50c5\u66f4\u65b0\u6b64\u8655\u5167\u5bb9\u3002<\/strong><\/p>\n<p>\u4e03\u3001 \u4f9d\u64da2020\u5e74\u51fa\u7248WHO Classification of Tumours \u7b2c5\u7248Female Genital Tumours\uff0c\u5f59\u6574\u6700\u65b0\u75c5\u7406\u7d44\u7e54\u578b\u614b\u7de8\u78bc\u8868(\u8a73\u898b\u9644\u4ef6)\uff0c\u9069\u7528\u65bc2020\u8a3a\u65b7\u5e74\u4ee5\u5f8c\u500b\u6848\u3002<\/p>\n<p>[<a href=\"https:\/\/tcr.cph.ntu.edu.31app.tw\/wp-content\/uploads\/2022\/01\/CRS-notice_109012.pdf\">\u764c\u767b\u7b2c109012\u865f\u901a\u77e5\u6587\u5168\u6587\u4e0b\u8f09<\/a>]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4e00\u3001 \u672c\u6848\u4fc2\u4f9d\u885b\u751f\u798f\u5229\u90e8\u570b\u6c11\u5065\u5eb7\u7f72\u59d4\u8a17\u300c &hellip; <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-2099","post","type-post","status-publish","format-standard","hentry","category-lastsnews"],"_links":{"self":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/2099","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2099"}],"version-history":[{"count":2,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/2099\/revisions"}],"predecessor-version":[{"id":2498,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/2099\/revisions\/2498"}],"wp:attachment":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2099"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2099"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}