{"id":3295,"date":"2025-01-14T16:29:54","date_gmt":"2025-01-14T08:29:54","guid":{"rendered":"https:\/\/twcr.tw\/?p=3295"},"modified":"2025-01-14T16:29:54","modified_gmt":"2025-01-14T08:29:54","slug":"%e7%99%8c%e7%99%bb%e7%ac%ac114001%e8%99%9f%e9%80%9a%e7%9f%a5%e6%96%87-%e6%9c%89%e9%97%9c%e3%80%8c%e7%99%8c%e7%97%87%e7%99%bb%e8%a8%98%e9%95%b7%e8%a1%a8%e6%91%98%e9%8c%84%e6%89%8b%e5%86%8a107","status":"publish","type":"post","link":"https:\/\/twcr.tw\/?p=3295","title":{"rendered":"[\u764c\u767b\u7b2c114001\u865f\u901a\u77e5\u6587] \u6709\u95dc\u300c\u764c\u75c7\u767b\u8a18\u9577\u8868\u6458\u9304\u624b\u518a107\u5e74\u7248v.7\u300d\u8207\u300c\u764c\u75c7\u90e8\u4f4d\u7279\u5b9a\u56e0\u5b50\u7de8\u78bc\u624b\u518a\u300d\uff0c\u66f4\u65b0\u5152\u764c\u671f\u5225\u3001\u653e\u5c04\u6cbb\u7642\u8207SSF\u4e73\u764cER\u6848\u4f8b\u5167\u5bb9\uff0c\u8acb\u8cb4\u9662\u4f9d\u8aaa\u660e\u6bb5\u8fa6\u7406"},"content":{"rendered":"<p>\u4e00\u3001\u672c\u6848\u4fc2\u4f9d\u885b\u751f\u798f\u5229\u90e8\u570b\u6c11\u5065\u5eb7\u7f72\u59d4\u8a17\u300c\u53f0\u7063\u764c\u75c7\u76e3\u6e2c\u7cbe\u9032\u8a08\u756b\u300d\u8fa6\u7406\u3002<\/p>\n<p>\u4e8c\u3001\u53f0\u7063\u764c\u75c7\u767b\u8a18\u9577\u8868\u6458\u9304\u624b\u518a-107\u5e74\u7248v.7\u8207\u764c\u75c7\u90e8\u4f4d\u7279\u5b9a\u56e0\u5b50\u7de8\u78bc\u624b\u518a\u7533\u5831\u898f\u5247\uff0c<u>\u66f4\u65b0<\/u>\u764c\u767b\u6b04\u4f4d\u5e8f\u865f#3.21\u300c\u5176\u4ed6\u5206\u671f\u7cfb\u7d71\u671f\u5225(\u75c5\u7406)\u300d\u3001#4.2.1.2\u300c\u653e\u5c04\u6cbb\u7642\u5100\u5668\u300d\u3001#4.2.3.2\u300c\u5176\u4ed6\u653e\u5c04\u6cbb\u7642\u6280\u8853\u300d\u7de8\u78bc\u6307\u5f15\u5167\u5bb9\uff0c\u8207\u4e73\u764cSSF1\u300c\u52d5\u60c5\u6fc0\u7d20\u63a5\u53d7\u9ad4\u6aa2\u6e2c(ERA)\u300d\u6848\u4f8b\u7de8\u78bc\u66f4\u6b63\uff0c\u66f4\u65b0\u7248\u624b\u518a\u53ef\u9015\u81f3\u53f0\u7063\u764c\u75c7\u767b\u8a18\u4e2d\u5fc3\u7db2\u7ad9\u4e0b\u8f09<a href=\"https:\/\/twcr.tw\/?page_id=1809\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/twcr.tw\/?page_id%3D1809&amp;source=gmail&amp;ust=1736928103288000&amp;usg=AOvVaw1xu3crE3rCGx6bjaOpjnjC\">https:\/\/twcr.tw\/?page_id=1809<\/a>\u3002\u4fee\u6b63\u8655\u5982\u4e0b\uff1a<\/p>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a0#3.21<\/strong><strong>\u300c\u5176\u4ed6\u5206\u671f\u7cfb\u7d71\u671f\u5225<\/strong><strong>(<\/strong><strong>\u75c5\u7406<\/strong><strong>)<\/strong><strong>\u300d<\/strong><\/p>\n<ul style=\"list-style-type: disc;\">\n<li>\u5152\u7ae5\u814e\u6bcd\u7d30\u80de\u7624\u3001<u>\u8996\u7db2\u819c\u6bcd\u7d30\u80de\u7624<\/u>\u3001\u776a\u4e38\u764c\u8207\u5375\u5de2\u764c\u5206\u671f\u7cfb\u7d71\uff0c\u5c6c\u65bc\u75c5\u7406\u5206\u671f\u30022025\u5e741\u67081\u65e5(\u542b)\u4ee5\u5f8c\u65b0\u8a3a\u65b70-17\u6b72\u5152\u7ae5\u764c\u75c7\u500b\u6848\uff0c\u8acb\u53c3\u7167\u9644\u9304E\u5152\u764c\u671f\u5225\u6458\u9304\u8aaa\u660e\u7de8\u78bc\u3002<\/li>\n<\/ul>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<strong>#4.2.1.2<\/strong><strong>\u300c\u653e\u5c04\u6cbb\u7642\u5100\u5668\u300d<\/strong><\/p>\n<ul style=\"list-style-type: disc;\">\n<li>\u82e5\u6cbb\u7642\u6280\u8853\u70baINTRABEAM\u00ae\u6216Xoft\u00ae\uff0c\u6b64\u5169\u8005\u7684\u653e\u5c04\u7dda\u80fd\u91cf\u5927\u7d04\u572840-50kVp\u4e4b\u9593\uff1b\u70ba\u9ad8\u5291\u91cf\u7387\u8fd1\u8ddd\u653e\u5c04\u6cbb\u7642(Interstitial High-Dose-Rate Brachytherapy)\uff0c\u5728\u53f0\u7063\u6700\u5e38\u61c9\u7528\u65bc\u4e73\u764c\u7684IORT (Intraoperative radiotherapy)\u3002\u4e73\u764c\u7684Xoft\u00ae IORT\uff0c\u5916\u79d1\u91ab\u5e2b\u5fc5\u9808\u5728\u5207\u9664\u816b\u7624\u5f8c\u6240\u7522\u751f\u7684\u4eba\u5de5\u7a7a\u8154\uff0c\u690d\u5165\u76f8\u5c0d\u9069\u5408\u5927\u5c0f\u7684\u6c34\u7403\u9ad4\uff0cX\u5149\u5c04\u6e90\u5728\u7a7a\u8154\u7684\u4e2d\u5fc3\uff0c\u6700\u9ad8\u7684\u653e\u5c04\u6cbb\u7642\u5291\u91cf\u5728\u7a7a\u8154\u5167\u9762\uff0c\u5468\u570d\u7d44\u7e54\u7684\u5291\u91cf\u8fc5\u901f\u96a8\u6df1\u5ea6\u964d\u4f4e\uff0c\u4e00\u822c\u6709\u6548\u7684\u8ddd\u96e2\u53ea\u67095-10mm\u3002<\/li>\n<\/ul>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a0#4.2.3.2<\/strong><strong>\u300c\u5176\u4ed6\u653e\u5c04\u6cbb\u7642\u6280\u8853\u300d<\/strong><\/p>\n<ul style=\"list-style-type: disc;\">\n<li>\u7a7a\u8154\u5167\u8fd1\u63a5\u653e\u5c04\u6cbb\u7642\u5305\u542b\u300c\u81ea\u7136\u89e3\u5256\u7a7a\u8154(lumen)\u300d\u8207 \u300c\u4eba\u9020\u7a7a\u8154\u300d\uff0c\u5176\u653e\u5c04\u6e90\u4e0d\u76f4\u63a5\u63a5\u89f8\u7d44\u7e54\uff0c\u653e\u5c04\u5291\u91cf\u7684\u5206\u5e03\u4e3b\u8981\u5728\u7a7a\u8154\u58c1\u5167\u9762\u53ca\u5176\u4e0b5mm\u7684\u7d44\u7e54\u3002\u300c\u81ea\u7136\u7684\u89e3\u5256\u7a7a\u8154\u300d\uff0c\u4f8b\u5982\uff1a\u5b50\u5bae\u9838\u3001\u9670\u9053\u5167\u3001\u9f3b\u54bd\u3001\u98df\u9053\u3001\u6c23\u7ba1\u3001\u76f4\u8178\u7b49\u3002\u300c\u4eba\u9020\u7a7a\u8154\u300d\u5247\u662f\u7531\u5916\u79d1\u7522\u751f\u7684\u624b\u8853\u7a7a\u8154\uff0c\u4f8b\u5982\uff1a\u4e73\u764cIORT\uff0c\u5927\u90e8\u5206\u662f\u7531\u5916\u79d1\u7522\u751f\u624b\u8853\u7a7a\u8154\u5f8c\uff0c\u624d\u57f7\u884c\u4f4e\u80fd\u91cf\u6dfa\u5c64x-rays (Xoft\u00ae\u6216Intrabeam \u00ae\u6a5f\u5668)\u7167\u5c04\u3002<\/li>\n<li>\u4e73\u764c\u7684\u624b\u8853\u5f8c\u5feb\u901f\u77ed\u7642\u7a0b\u90e8\u5206\u4e73\u623f\u653e\u5c04\u6cbb\u7642 (accerlarated partial breast irradiation, APBI)\uff0c\u9664\u4e86\u53ef\u4ee5\u4f7f\u7528\u9ad4\u5916\u653e\u5c04\u6cbb\u7642\u5916\uff0c\u4e5f\u53ef\u4ee5\u4f7f\u7528Ir-192\u7684\u9ad8\u5291\u91cf\u7387\u7d44\u7e54\u63d2\u7a2e\uff0c\u6b64\u6642\u690d\u5165\u7684\u653e\u5c04\u7dda\u540c\u4f4d\u7d20\u662f\u76f4\u63a5\u63a5\u89f8\u5230\u7d44\u7e54\uff0c\u7dca\u9130\u653e\u5c04\u7dda\u540c\u4f4d\u7d20\u7684\u7d44\u7e54\u5291\u91cf\u975e\u5e38\u7684\u9ad8\u3002<\/li>\n<\/ul>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a0SSF1<\/strong><strong>\u300c\u52d5\u60c5\u6fc0\u7d20\u63a5\u53d7\u9ad4\u6aa2\u6e2c<\/strong><strong>(ERA)<\/strong><strong>\u300d<\/strong><\/p>\n<table style=\"width: 100%; height: 334px;\">\n<tbody>\n<tr style=\"height: 68px;\">\n<td style=\"height: 68px;\" width=\"56\">\n<p><strong>\u7de8\u78bc<\/strong><\/p>\n<\/td>\n<td style=\"height: 68px;\" width=\"548\">\n<p><strong>\u6848\u4f8b<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 133px;\">\n<td style=\"height: 133px;\" width=\"56\">\n<p>S70<\/p>\n<\/td>\n<td style=\"height: 133px;\" width=\"548\">\n<p>\u4e73\u764c\u500b\u6848\u65bc\u5916\u9662\u63a5\u53d7core biopsy\uff0c\u75c5\u7406\u5831\u544a\u63cf\u8ff0IHC study: ER: positive , 85% of tumor cells are weak positive\uff1b\u5f8c\u81f3\u7533\u5831\u91ab\u9662\u56e0\u91ab\u7642\u56e0\u7d20\u8003\u91cf\u518d\u6b21\u63a5\u53d7core biopsy\uff0c\u75c5\u7406\u5831\u544a\u4e0a\u63cf\u8ff0IHC study: ER: positive , 70% of tumor cells are strong positive.<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 133px;\">\n<td style=\"height: 133px;\" width=\"56\">\n<p>S70<\/p>\n<\/td>\n<td style=\"height: 133px;\" width=\"548\">\n<p>\u4e73\u764c\u500b\u6848\u65bc\u5916\u9662\u63a5\u53d7core biopsy\uff0c\u75c5\u7406\u5831\u544a\u63cf\u8ff0IHC study: ER: positive , 85% of tumor cells are weak to\u00a0moderate\u00a0positive.\u5f8c\u81f3\u7533\u5831\u91ab\u9662\u56e0\u91ab\u7642\u56e0\u7d20\u8003\u91cf\u518d\u6b21\u63a5\u53d7core biopsy\uff0c\u75c5\u7406\u5831\u544a\u4e0a\u63cf\u8ff0IHC study: ER: positive , 70% of tumor cells are strong positive.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[<a href=\"https:\/\/twcr.tw\/wp-content\/uploads\/2025\/01\/CRS-notice_114001.pdf\">\u764c\u767b\u7b2c114001\u865f\u901a\u77e5\u6587\u5168\u6587\u4e0b\u8f09<\/a>]<\/p>\n\n\n<p><\/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\u53f0 &hellip; <\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-3295","post","type-post","status-publish","format-standard","hentry","category-lastsnews"],"_links":{"self":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/3295","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3295"}],"version-history":[{"count":2,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/3295\/revisions"}],"predecessor-version":[{"id":3297,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/3295\/revisions\/3297"}],"wp:attachment":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}