{"id":2256,"date":"2017-01-06T11:29:00","date_gmt":"2017-01-06T03:29:00","guid":{"rendered":"https:\/\/tcr.cph.ntu.edu.31app.tw\/?p=2256"},"modified":"2022-01-22T11:48:53","modified_gmt":"2022-01-22T03:48:53","slug":"%e7%99%8c%e7%99%bb%e7%ac%ac106001%e8%99%9f%e9%80%9a%e7%9f%a5%e6%96%87-%e5%9b%a0%e6%87%89106%e5%b9%b4%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","status":"publish","type":"post","link":"https:\/\/twcr.tw\/?p=2256","title":{"rendered":"[\u764c\u767b\u7b2c106001\u865f\u901a\u77e5\u6587] \u56e0\u61c9106\u5e74\u764c\u75c7\u767b\u8a18\u5be6\u52d9\u4f5c\u696d\u4e4b\u9700\u6c42\uff0c\u8acb \u8cb4\u9662\u4f9d\u8aaa\u660e\u6bb5\u8fa6\u7406"},"content":{"rendered":"

\u3127\u3001\u672c\u6848\u4fc2\u4f9d\u885b\u751f\u798f\u5229\u90e8\u570b\u6c11\u5065\u5eb7\u7f72\u59d4\u8a17\u300c\u53f0\u7063\u764c\u75c7\u767b\u8a18\u5de5\u4f5c\u8a08\u756b\u300d\u8fa6\u7406\u3002<\/p>\n

\u4e8c\u3001\u300c100\u5e74\u7248\u53f0\u7063\u764c\u75c7\u767b\u8a18\u6458\u9304\u624b\u518a\u300d- 105\u5e74\u4fee\u8a02\u7248\u53ca\u300c\u764c\u75c7\u90e8\u4f4d\u7279\u5b9a\u56e0\u5b50\uff08SSF\uff09\u7de8\u78bc\u624b\u518a\u300d- 105\u5e74\u4fee\u8a02\u7248\uff0c\u696d\u7531\u5404\u91ab\u9662\u60e0\u793a\u610f\u898b\u4e26\u4f9d\u64da\u5c08\u5bb6\u6703\u8b70\u8a0e\u8ad6\u5f8c\u4fee\u8a02\u5b8c\u7ae3\uff0c\u4fee\u8a02\u7248\u4e4b\u9644\u9304\u4fee\u8a02\u8655\u6709\u8a73\u7d30\u66f4\u65b0\u8aaa\u660e\uff0c\u63d0\u4f9b\u91ab\u9662\u53c3\u8003\u3002\u5b8c\u6574\u4fee\u8a02\u7248\u6a94\u6848\u8acb\u81f3\u672c\u7db2\u7ad9[\u8cc7\u6599\u4e0b\u8f09]\u8655\u4e0b\u8f09\u3002<\/p>\n

\u4e09\u3001\u81ea106\u5e74\u8d77\u6240\u6709\u8a3a\u65b7\u5e74\u5ea6\u500b\u6848\uff0c\u5747\u5168\u9762\u63a1\u7528\u4e0a\u8ff0105\u5e74\u4fee\u8a02\u7248\u7533\u5831\u3002\u53e6104\u8a3a\u65b7\u5e74\u4ecd\u9700\u7533\u5831\u500b\u6848\uff0c\u53ef\u6cbf\u7528104\u5e74\u4fee\u8a02\u7248\u672c\u7533\u5831\uff0c\u4f46\u5fc5\u9808\u65bc106\u5e743\u67083\u65e5\u524d\u4f9d\u6cd5\u5b8c\u6210\u7533\u5831\u3002<\/p>\n

\u56db\u3001\u300c100\u5e74\u7248\u53f0\u7063\u764c\u75c7\u767b\u8a18\u6458\u9304\u624b\u518a\u300d\u8207\u300c\u764c\u75c7\u90e8\u4f4d\u7279\u5b9a\u56e0\u5b50\uff08SSF\uff09\u7de8\u78bc\u624b\u518a\u300d-105\u5e74\u4fee\u8a02\u7248\u91cd\u8981\u4fee\u6b63\u6458\u8981\u5982\u4e0b\uff0c\u8a73\u7d30\u5167\u5bb9\u8acb\u53c3\u8003105\u5e74\u4fee\u8a02\u7248\u624b\u518a\uff1a<\/p>\n

    \n
  1. \u4fee\u6539\u5206\u7d1a\/\u5206\u5316\u7de8\u78bc\u512a\u5148\u9806\u5e8f\u3002<\/li>\n
  2. \u6cbb\u7642\u72c0\u614b\u5206\u985e(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#2.3.2)\uff1a\u65b0\u589e\u7de8\u78bc\u6307\u5f15\u7b2c\u4e94\u9ede\u8aaa\u660e\uff0c\u82e5\u651d\u8b77\u817a\u764c\u500b\u6848\u50c5<\/strong>\u63a5\u53d7TURP\uff0c\u5f8c\u7e8c\u91ab\u751f\u9078\u64c7\u7a4d\u6975\u76e3\u6e2c(Active surveillance)\u6216\u4e88\u4ee5\u5bc6\u5207\u89c0\u5bdf(Watchful waiting)\u6642\uff0c\u61c9\u7de8\u78bc\u70ba4\uff1b\u4e14\u300c\u9996\u6b21\u7642\u7a0b\u958b\u59cb\u65e5\u671f\u300d\u61c9\u6458\u9304\u6c7a\u5b9a\u7a4d\u6975\u76e3\u6e2c\u6216\u5bc6\u5207\u89c0\u5bdf\u7684\u65e5\u671f\u3002<\/li>\n
  3. \u6cbb\u7642\u72c0\u614b\u5206\u985e(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#2.3.2)\uff1a\u7de8\u78bc\u6307\u5f15\u7b2c\u516d\u9ede\u6240\u6558\u8ff0\u4e4b9950\/3 Polycythemia vera\uff0c\u4ee5\u53ca9975\/3 Myelodysplastic\/myeloproliferative neoplasm, unclassifiable\uff0c\u5df2\u5f9e\u5176\u4ed6\u6cbb\uf9c1\u9805\u76ee\u79fb\u9664\u3002<\/li>\n
  4. \u5176\u4ed6\u5206\u671f\u7cfb\u7d71(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#3.17)\uff1a\u65b0\u589e\u7de8\u78bc11 DRE (Digital rectal examination) Clinical T category \u651d\u8b77\u817a\u764c\u7684\u5206\u671f\u7cfb\u7d71\uff0c\u70ba\u651d\u8b77\u817a\u764c\u500b\u6848\u5fc5\u586b\u6b04\u4f4d\u3002<\/li>\n
  5. \u9996\u6b21\u624b\u8853\u65e5\u671f(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#4.1.1)\uff1a\u65b0\u589e\u7de8\u78bc\u6307\u5f15\u7b2c\u4e00\u9ede\uff0c\u82e5\u651d\u8b77\u817a\u764c\u500b\u6848\u50c5\u63a5\u53d7TURP(\u8853\u5f0f\u7de8\u78bc\u70ba21-23)\uff0c\u300c\u9996\u6b21\u624b\u8853\u65e5\u671f\u300d\u53ca\u300c\u539f\u767c\u90e8\u4f4d\u6700\u78ba\u5207\u7684\u624b\u8853\u5207\u9664\u65e5\u671f\u300d\u61c9\u7de8\u78bc\u70ba00000000\uff1b\u4f46\u5fc5\u9808\u65bc\u300c\u539f\u767c\u90e8\u4f4d\u624b\u8853\u65b9\u5f0f\u300d\u6458\u9304\u8853\u5f0f\u3002\u53e6\u82e5\u500b\u6848\u56e0BPH\u63a5\u53d7TURP\u5f8c\u78ba\u8a3a\u70ba\u651d\u8b77\u817a\u764c\uff0c\u5f8c\u7e8c\u63a5\u53d7HIFU\u6cbb\u7642\uff1b\u5247\u300c\u9996\u6b21\u624b\u8853\u65e5\u671f\u300d\u53ca\u300c\u539f\u767c\u90e8\u4f4d\u6700\u78ba\u5207\u7684\u624b\u8853\u5207\u9664\u65e5\u671f\u300d\u61c9\u7de8\u78bc\u57f7\u884cHIFU\u7684\u65e5\u671f\uff0c\u4e14\u300c\u539f\u767c\u90e8\u4f4d\u624b\u8853\u65b9\u5f0f\u300d\u7de8\u78bc\u70ba27\u3002<\/li>\n
  6. \u539f\u767c\u90e8\u4f4d\u624b\u8853\u908a\u7de3(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#4.1.5)\uff1a\u65b0\u589e\u7de8\u78bcC,D,E\u3002<\/li>\n
  7. \u653e\u5c04\u6cbb\u7642\u8207\u624b\u8853\u9806\u5e8f(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#4.2.1.5)\u3001\u5340\u57df\u6cbb\u7642\u8207\u5168\u8eab\u6027\u6cbb\u7642\u9806\u5e8f(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#4.2.1.6)\uff1a\u82e5\u651d\u8b77\u817a\u764c\u500b\u6848\u50c5\u63a5\u53d7TURP(\u8853\u5f0f\u7de8\u78bc\u70ba21-23)\u6642\uff0c\u4e0d\u9700\u6bd4\u8f03\u6cbb\u7642\u9806\u5e8f\u3002<\/li>\n
  8. \u9ad4\u5916\u653e\u5c04\u6cbb\u7642\u6280\u8853(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#4.2.2.1)\uff1a\u522a\u9664\u7de8\u78bc16\u8cea\u5b50\u7642\u6cd5\u3002\u82e5\u500b\u6848\u50c5\u63a5\u53d7\u8cea\u5b50\u6cbb\u7642\u6642\uff0c\u9700\u4f9d\u64da\u4f7f\u7528\u6280\u8853\u4e4b\u4e0d\u540c\u4f86\u7de8\u78bc\u70ba1\u30012\u62164\u3002<\/li>\n
  9. \u5176\u4ed6\u653e\u5c04\u6cbb\u7642\u6280\u8853(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#4.2.3.2)\uff1a\u522a\u9664\u653e\u8853\u624b\u8853\u5c08\u7528\u7de8\u78bc6\u7acb\u9ad4\u5b9a\u4f4d\u8cea\u5b50\u6cbb\u7642\uff0c\u53e6\u589e\u4fee\u8cea\u5b50\u6216\u5176\u4ed6\u5e36\u96fb\u8377\u7c92\u5b50\u6cbb\u7642\u5c08\u7528\u7de8\u78bc\u70ba1\u30012\u30014\u30018\u300116\u300132\u300164\u300197\u300198\u300199\u3002<\/li>\n
  10. \u6458\u9304\u8005(\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#6.1)\uff1a\u6458\u9304\u6b64\u764c\u75c7\u767b\u8a18\u500b\u6848\u4eba\u54e1\u4e4b\u764c\u75c7\u767b\u8a18\u8b49\u7167\u7de8\u865f\uff0c\u82e5\u7121\u8a8d\u8b49\u5247\u6458\u9304\u59d3\u540d\u3002<\/li>\n<\/ol>\n

    \u4e94\u3001\u4f9d\u64daSEER(2016)\u764c\u75c7\u767b\u8a18\u7de8\u78bc\u898f\u5247\uff1a\u81ea105\u8a3a\u65b7\u5e74\u8d77\uff0cMature teratoma of the testes\u00a0in\u00a0adults\u8996\u70ba\u60e1\u6027\u9808\u8981\u7533\u5831\uff0c\u61c9\u7de8\u78bc\u70ba9080\/3\uff1b\u82e5\u767c\u751f\u65bc\u9752\u6625\u671f\u524d\u7684\u5b69\u7ae5\uff0c\u5247\u4f9d\u820a\u7de8\u78bc\u70ba9080\/0\u7121\u9808\u7533\u5831\u3002<\/p>\n

    \u516d\u3001\u4f9d\u64da\u6700\u65b0WHO Classification of Tumours of the Urinary System and Male Genital Organs (2016)\u3001WHO Classification of Tumours of the Central Nervous System (2016)\u5f59\u6574\u800c\u6210\uff0c\u56e02000\u5e74\u51fa\u7248\u4e4bICD-O-3\u7de8\u78bc\u4e0d\u6577\u4f7f\u7528\uff0c\u4e14\u73fe\u884c\u75c5\u7406\u5831\u544a\u6309\u6700\u65b0\u7d44\u7e54\u578b\u614b\u8a18\u8f09\uff0c\u6545\u63d0\u4f9b\u6700\u65b0\u75c5\u7406\u7d44\u7e54\u578b\u614b\u7de8\u78bc\u4f9b\u91ab\u9662\u4f7f\u7528 (\u9644\u4ef6\u66f4\u65b0\u81ea\u764c\u767b105001\u865f\u901a\u77e5\u6587\u5167\u5bb9)\uff0c\u6ce8\u610f\u4e8b\u9805\u5982\u4e0b\uff1a<\/p>\n

      \n
    1. Penis (C60) Warty carcinoma\uff0c\u5f9e\u539f\u672cM-code 8051\/3\u5206\u96e2\uff0c\u65b0\u589e\u7de8\u78bc\u70ba8054\/3\u3002<\/li>\n
    2. \u539fKidney (C64.9) Clear cell papillary renal cell carcinoma\u65bcICD-O-3\u7121\u7de8\u78bc\uff0c\u4f9d\u64daMP\/H coding rules H6\u63cf\u8ff0\u7576Renal cell carcinoma, papillary and clear cell types\u53ef\u7de8\u78bc\u70ba8255\/3\u00a0(Adenocarcinoma with mixed subtypes)\uff0c\u4f46\u56e0\u65b0\u7248WHO Classification of Tumours of the Urinary System and Male Genital Organs\u65b0\u589eClear cell papillary renal cell carcinoma\u6558\u8ff0\uff0c\u7de8\u78bc\u70ba8323\/1\uff0c\u5f9e\u60e1\u6027\u7de8\u78bc\u8b8a\u70ba\u826f\u6027\u7de8\u78bc\u4e0d\u9700\u7533\u5831\uff0c\u8acb\u5c0f\u5fc3\u3002<\/li>\n<\/ol>\n

      \u4e03\u3001\u6700\u65b0AJCC Cancer Staging Manual 8th Edition\u5df2\u65bc2016\u5e74\u5e95\u516c\u5e03\uff0c\u5c07\u9069\u7528\u65bc2018\u5e741\u67081\u65e5\u8d77\u65b0\u8a3a\u65b7\u4e4b\u764c\u75c7\u500b\u6848\uff0c\u4e26\u65bc2019\u5e74(\u6c11\u570b108\u5e74)\u8d77\u958b\u59cb\u7533\u5831\u3002\u6709\u95dcAJCC\u7b2c\u516b\u7248\u6700\u65b0\u5167\u5bb9\u6216\u52d8\u8aa4\u8868\uff0c\u8acb\u53c3\u95b1\u4ee5\u4e0b\u7db2\u5740\uff1a
      \nhttps:\/\/cancerstaging.org\/references-tools\/deskreferences\/Pages\/default.aspx<\/a><\/p>\n

      [\u764c\u767b\u7b2c106001\u865f\u901a\u77e5\u6587\u5168\u6587\u4e0b\u8f09]<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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