{"id":26441,"date":"2020-10-13T14:00:00","date_gmt":"2020-10-13T14:00:00","guid":{"rendered":"https:\/\/ogkologos.com\/%e7%99%8c%e7%97%87%e5%8f%af%e4%bb%a5%e5%9c%a8%e5%ae%b6%e6%97%8f%e6%88%90%e5%91%98%e4%b8%ad%e8%a2%ab%e9%81%97%e4%bc%a0%e5%90%97%ef%bc%9f\/"},"modified":"2024-11-03T15:16:16","modified_gmt":"2024-11-03T15:16:16","slug":"%e7%99%8c%e7%97%87%e5%8f%af%e4%bb%a5%e5%9c%a8%e5%ae%b6%e6%97%8f%e6%88%90%e5%91%98%e4%b8%ad%e8%a2%ab%e9%81%97%e4%bc%a0%e5%90%97%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/%e7%99%8c%e7%97%87%e5%8f%af%e4%bb%a5%e5%9c%a8%e5%ae%b6%e6%97%8f%e6%88%90%e5%91%98%e4%b8%ad%e8%a2%ab%e9%81%97%e4%bc%a0%e5%90%97%ef%bc%9f\/","title":{"rendered":"\u764c\u75c7\u53ef\u4ee5\u5728\u5bb6\u65cf\u6210\u5458\u4e2d\u88ab\u9057\u4f20\u5417\uff1f"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/www.cancer.net\/sites\/cancer.net\/files\/cap-inherited-cancer-chinese-fb.png\" class=\"ff-og-image-inserted\"><\/div>\n<p><em>V.O. Speights, DO, FCAP<\/em> <em>\u662f\u5fb7\u514b\u8428\u65af\u5dde\u5766\u666e\u5c14<\/em> <em>Scott &amp; White Hospital<\/em> <em>\u7684\u75c5\u7406\u79d1\u533b\u751f\u3002<\/em><em>Speights<\/em> <em>\u533b\u751f\u5728\u63d0\u4ea4\u672c\u535a\u5ba2\u7684\u6700\u7ec8\u8349\u7a3f\u4e4b\u524d\u53bb\u4e16\u3002<\/em>\u52a0\u5dde\u675c\u963f\u5c14\u7279\u5e02 City of Hope Comprehensive Cancer Center \u75c5\u7406\u5b66\u6267\u4e1a\u75c5\u7406\u533b\u751f\u3001\u52a9\u7406\u4e34\u5e8a\u6559\u6388 Sue Chang, MD, FCAP \u7f16\u8f91\u5e76\u5b9a\u7a3f\u4e86\u5185\u5bb9\uff0c\u4ec5\u6b64\u5bf9\u4ed6\u8868\u793a\u656c\u610f\u3002<\/p>\n<p>\u60a8\u7684\u533b\u7597\u4fdd\u5065\u56e2\u961f\u4e2d\u6709\u4e00\u4e2a\u6210\u5458\u5728\u5bf9\u60a8\u8fdb\u884c\u75be\u75c5\u8bca\u65ad\u548c\u764c\u75c7\u6cbb\u7597\u4ee5\u53ca\u5236\u5b9a\u6cbb\u7597\u8ba1\u5212\u65b9\u9762\u8d77\u5230\u81f3\u5173\u91cd\u8981\u7684\u4f5c\u7528\uff0c\u4f46\u60a8\u53ef\u80fd\u4ece\u672a\u89c1\u8fc7\u8fd9\u4e2a\u6210\u5458\uff0c\u8be5\u6210\u5458\u5c31\u662f\u60a8\u7684<a href=\"https:\/\/www.cancer.net\/node\/33061\">\u75c5\u7406\u79d1\u533b\u751f<\/a>\u3002\u8fd9\u4f4d\u533b\u751f\u8d1f\u8d23\u5206\u6790\u7ec4\u7ec7\u6837\u672c\u4ece\u800c\u505a\u51fa\u6b63\u786e\u8bca\u65ad\u3002<\/p>\n<p>\u4e24\u4f4d\u75c5\u7406\u533b\u751f\u56de\u7b54\u4e86\u5982\u4e0b\u53cd\u9762\u7684\u95ee\u9898\uff1a\u4e3a\u4ec0\u4e48\u764c\u75c7\u6709\u65f6\u4f3c\u4e4e\u201c\u5728\u5bb6\u65cf\u4e2d\u9057\u4f20\u201d\uff1b\u60a8\u9700\u8981\u4e86\u89e3\u4ec0\u4e48\u4ece\u800c\u8bc4\u4f30\u60a8\u81ea\u5df1\u7684\u9057\u4f20\u6027\u764c\u75c7\u98ce\u9669\u3002&nbsp;<\/p>\n<h3>1. \u764c\u75c7\u80fd\u9057\u4f20\u5417\uff1f<\/h3>\n<p>\u57fa\u56e0\u662f\u60a8\u7684\u8eab\u4f53\u7528\u6765\u751f\u957f\u548c\u53d1\u6325\u529f\u80fd\u7684\u4fe1\u606f\u3002\u6bcf\u4e2a\u57fa\u56e0\u6709 2 \u4e2a\u62f7\u8d1d\uff0c\u5206\u522b\u4ece\u6bcf\u4e2a\u4eb2\u672c\u9057\u4f20 1 \u4e2a\u62f7\u8d1d\u3002\u6709\u65f6\uff0c\u57fa\u56e0\u7684\u7279\u6b8a\u7a81\u53d8\u6216\u6539\u53d8\u4f1a\u589e\u52a0\u60a3\u764c\u75c7\u7684\u98ce\u9669\u3002\u8fd9\u4e9b\u57fa\u56e0\u7a81\u53d8\u53ef\u80fd\u662f\u60a8\u4e00\u751f\u4e2d\u53d1\u751f\u7684\u96f6\u661f\u7684\u3001\u4e00\u6b21\u6027\u7684\u53d8\u5316\u3002\u6216\u8005\uff0c\u7a81\u53d8\u53ef\u80fd\u9057\u4f20\u81ea\u60a8\u7684\u7236\u6bcd\u3002<\/p>\n<p>\u5f53\u67d0\u79cd\u7c7b\u578b\u7684\u764c\u75c7\u4f3c\u4e4e\u5728\u4e00\u4e2a\u5bb6\u5ead\u4e2d\u5f88\u5e38\u89c1\u65f6\uff0c\u533b\u751f\u53ef\u80fd\u80fd\u591f\u8bc6\u522b\u51fa\u5f15\u8d77\u98ce\u9669\u589e\u52a0\u7684\u7279\u5b9a\u57fa\u56e0\u53d8\u5316\u3002\u8fd9\u4e9b\u7c7b\u578b\u7684\u57fa\u56e0\u53d8\u5316\u88ab\u79f0\u4e3a\u201c\u9057\u4f20\u6027\u764c\u75c7\u201d\u6216\u201c\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u201d\u3002\u7279\u5b9a\u7684\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u53ef\u4ee5\u5728\u764c\u75c7\u53d1\u751f\u751a\u81f3\u53d1\u5c55\u4e4b\u524d\u8bc6\u522b\u8fd9\u4e9b\u53d8\u5316\u3002<\/p>\n<p>\u9057\u4f20\u6027\u57fa\u56e0\u53d8\u5316\u53ef\u80fd\u4f1a\u589e\u52a0\u4e00\u4e2a\u4eba\u6bd4\u5176\u4ed6\u4eba\u5e74\u9f84\u66f4\u65e9\u7f79\u60a3\u764c\u75c7\u98ce\u9669\u7684\u4e00\u4e2a\u4f8b\u5b50\u662f <em>BRCA1<\/em> \u548c <em>BRCA2<\/em> \u57fa\u56e0\u7a81\u53d8\u3002\u8fd9\u4e9b\u7a81\u53d8\u589e\u52a0\u4e86\u7537\u6027\u548c\u5973\u6027\u60a3\u4e73\u817a\u764c\u548c\u80f0\u817a\u764c\u7684\u98ce\u9669\uff0c\u589e\u52a0\u4e86\u5973\u6027\u60a3\u5375\u5de2\u764c\u7684\u98ce\u9669\uff0c\u589e\u52a0\u4e86\u7537\u6027\u60a3\u524d\u5217\u817a\u764c\u7684\u98ce\u9669\u3002<\/p>\n<h3>2. \u6211\u53ef\u80fd\u60a3\u6709\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u7684\u8ff9\u8c61\u662f\u4ec0\u4e48\uff1f<\/h3>\n<p>\u5f88\u591a\u65f6\u5019\uff0c\u68c0\u6d4b\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u7684\u7b2c\u4e00\u4e2a\u5de5\u5177\u662f<a href=\"https:\/\/www.cancer.net\/node\/30761\">\u764c\u75c7\u5bb6\u65cf\u53f2<\/a>\u3002\u4e86\u89e3\u60a8\u7684\u5bb6\u65cf\u53f2\u6709\u52a9\u4e8e\u60a8\u7684\u533b\u751f\u5f00\u59cb\u601d\u8003\u662f\u5426\u60a3\u8005\u53ef\u80fd\u7f79\u60a3\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u3002\u5982\u679c\u60a8\u7684\u5bb6\u5ead\u6210\u5458\u5df2\u7ecf\u88ab\u8bca\u65ad\u4e3a\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\uff0c\u60a8\u7684\u533b\u751f\u5e94\u8be5\u8003\u8651\u8fd9\u4e9b\u7279\u5b9a\u7684\u57fa\u56e0\u53d8\u5316\u3002\u60a8\u7956\u5148\u7684\u79cd\u65cf\u8d77\u6e90\u4e5f\u53ef\u80fd\u5728\u51b3\u5b9a\u60a8\u66f4\u53ef\u80fd\u9057\u4f20\u54ea\u4e9b\u764c\u75c7\u65b9\u9762\u8d77\u4f5c\u7528\u3002<\/p>\n<p>\u7531\u4e8e\u57fa\u56e0\u7a81\u53d8\uff0c\u4e00\u4e9b\u764c\u75c7\u5728\u663e\u5fae\u955c\u4e0b\u770b\u8d77\u6765\u662f\u4e00\u79cd\u7279\u6b8a\u7684\u5916\u89c2\u3002\u5982\u679c\u60a8\u60a3\u6709\u764c\u75c7\uff0c\u5206\u6790\u60a8\u7ec4\u7ec7\u6837\u672c\u7684\u75c5\u7406\u79d1\u533b\u751f\u4f1a\u63d0\u9192\u60a8\u7684\u533b\u751f\u764c\u75c7\u53ef\u80fd\u662f\u9057\u4f20\u7684\u3002\u4f8b\u5982\uff0c\u4e00\u79cd\u7279\u6b8a\u7c7b\u578b\u7684\u7532\u72b6\u817a\u764c\u4e0e<a href=\"https:\/\/www.cancer.net\/node\/18852\">\u5bb6\u65cf\u6027\u817a\u7624\u6027\u606f\u8089\u75c5 (FAP)<\/a>\u5bc6\u5207\u76f8\u5173\u3002\u8fd9\u79cd\u9057\u4f20\u6761\u4ef6\u4e5f\u4f1a\u663e\u8457\u589e\u52a0\u7ed3\u80a0\u3001\u5c0f\u80a0\u548c\u80c3\u7684\u764c\u75c7\u98ce\u9669\u3002\u4e86\u89e3 FAP \u610f\u5473\u7740\u6574\u4e2a\u5bb6\u5ead\u90fd\u53ef\u4ee5\u52a0\u5165\u7b5b\u67e5\u9879\u76ee\u8fdb\u884c\u65e9\u671f\u68c0\u6d4b\u3002<\/p>\n<h3>3. \u6211\u5982\u4f55\u63a5\u53d7\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u7684\u68c0\u67e5\uff1f<\/h3>\n<p>\u5728\u764c\u75c7\u53d1\u751f\u4e4b\u524d\u6216\u4e4b\u540e\u8bca\u65ad\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u9700\u8981\u7ed3\u5408\u5bb6\u65cf\u53f2\u3001<a href=\"https:\/\/www.cancer.net\/node\/24907\">\u9057\u4f20\u54a8\u8be2<\/a>\u3001<a href=\"https:\/\/www.cancer.net\/node\/24895\">\u57fa\u56e0\u68c0\u6d4b<\/a>\u548c\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u3002\u9057\u4f20\u54a8\u8be2\u5e08\u6216\u4e34\u5e8a\u9057\u4f20\u5b66\u5bb6\u53ef\u4ee5\u5e2e\u52a9\u60a8\u51b3\u5b9a\u57fa\u56e0\u68c0\u6d4b\u662f\u5426\u5bf9\u60a8\u6709\u7528\u3002<\/p>\n<p>\u57fa\u56e0\u68c0\u6d4b\u53ef\u4ee5\u5728\u65b0\u9c9c\u8840\u6db2\u6837\u672c\u6216\u4e4b\u524d\u5728\u6d3b\u68c0\u6216\u624b\u672f\u4e2d\u91c7\u96c6\u7684\u5b58\u6863\u7ec4\u7ec7\u4e0a\u8fdb\u884c\u3002\u68c0\u6d4b\u6280\u672f\u53ef\u80fd\u5404\u4e0d\u76f8\u540c\uff0c\u6280\u672f\u6b63\u5728\u8fc5\u901f\u53d1\u5c55\u3002\u4e00\u4e9b\u8be6\u7ec6\u7684\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u751a\u81f3\u53ef\u4ee5\u5728\u521d\u6b65\u764c\u75c7\u8bca\u65ad\u6570\u5e74\u540e\u5b8c\u6210\u3002<\/p>\n<h3>4. \u5982\u679c\u6211\u60a3\u6709\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u610f\u5473\u7740\u4ec0\u4e48\uff1f<\/h3>\n<p>\u60a3\u6709\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u610f\u5473\u7740\u60a3\u764c\u75c7\u7684\u98ce\u9669\u589e\u52a0\uff0c\u4f46\u5e76\u4e0d\u4e00\u5b9a\u610f\u5473\u7740\u60a8\u4f1a\u60a3\u4e0a\u764c\u75c7\u3002\u60a8\u6709\u8fc7\u7684\u4efb\u4f55\u5144\u5f1f\u59d0\u59b9\u6216\u5b69\u5b50\u90fd\u53ef\u80fd\u6709\u76f8\u540c\u7684\u57fa\u56e0\u53d8\u5316\uff0c\u98ce\u9669\u4e5f\u53ef\u80fd\u589e\u52a0\u3002\u5982\u679c\u533b\u751f\u77e5\u9053\u4e00\u4e2a\u5bb6\u5ead\u4e2d\u6709 1 \u4eba\u60a3\u6709\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\uff0c\u5b83\u53ef\u4ee5\u5e2e\u52a9\u4f7f\u5bb6\u5ead\u4e2d\u7684\u5176\u4ed6\u4eba\u610f\u8bc6\u5230\u81ea\u5df1\u6f5c\u5728\u7684\u3001\u4e2a\u4eba\u60a3\u764c\u75c7\u7684\u98ce\u9669\u3002<\/p>\n<p>\u597d\u6d88\u606f\u662f\uff0c\u533b\u5b66\u754c\u6709\u5f88\u591a\u65b9\u6cd5\u53ef\u4ee5\u5e2e\u52a9\u7ba1\u7406\u764c\u75c7\u7684\u9057\u4f20\u98ce\u9669\u3002\u5b83\u4eec\u5206\u522b\u5305\u62ec\u54a8\u8be2\u548c\u6559\u80b2\u3001\u589e\u52a0\u7b5b\u67e5\u68c0\u6d4b\u548c\u964d\u4f4e\u98ce\u9669\u7684\u7b56\u7565\uff0c\u5982\u836f\u7269\u548c\u624b\u672f\u6cbb\u7597\u3002\u60a8\u4e5f\u53ef\u80fd\u6709\u8d44\u683c\u53c2\u52a0\u9488\u5bf9\u60a8\u7279\u5b9a\u9057\u4f20\u6027\u764c\u75c7\u7efc\u5408\u5f81\u7684\u4e34\u5e8a\u8bd5\u9a8c\u6216\u8bd5\u9a8c\u6027\u7814\u7a76\u3002<\/p>\n<p><em>\u8be5\u5185\u5bb9\u7531<\/em><a href=\"https:\/\/www.cap.org\/\" target=\"_blank\" title=\"https:\/\/www.cap.org\" rel=\"noopener noreferrer\"><em>\u7f8e\u56fd\u75c5\u7406\u533b\u5e08\u5b66\u9662<\/em><\/a><em>\u521b\u5efa\u5e76\u4e0e\u4e4b\u5408\u4f5c\u8fdb\u884c\u63d0\u4f9b\u3002<\/em><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/blog\/2020-10\/%E7%99%8C%E7%97%87%E5%8F%AF%E4%BB%A5%E5%9C%A8%E5%AE%B6%E6%97%8F%E6%88%90%E5%91%98%E4%B8%AD%E8%A2%AB%E9%81%97%E4%BC%A0%E5%90%97%EF%BC%9F\">Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>V.O. Speights, DO, FCAP \u662f\u5fb7\u514b\u8428\u65af\u5dde\u5766\u666e\u5c14 Scott &amp; White Hospital \u7684\u75c5\u7406\u79d1\u533b\u751f\u3002Speights \u533b\u751f\u5728\u63d0\u4ea4\u672c\u535a\u5ba2\u7684\u6700\u7ec8\u8349\u7a3f\u4e4b\u524d\u53bb\u4e16\u3002\u52a0\u5dde\u675c\u963f\u5c14\u7279\u5e02 City of Hope Comprehensive Cancer Center \u75c5\u7406\u5b66\u6267\u4e1a\u75c5\u7406\u533b\u751f\u3001\u52a9\u7406\u4e34\u5e8a\u6559\u6388 Sue Chang, MD, FCAP \u7f16\u8f91\u5e76\u5b9a\u7a3f\u4e86\u5185\u5bb9\uff0c\u4ec5\u6b64\u5bf9\u4ed6\u8868\u793a\u656c\u610f\u3002 \u60a8\u7684\u533b\u7597\u4fdd\u5065\u56e2\u961f\u4e2d\u6709\u4e00\u4e2a\u6210\u5458\u5728\u5bf9\u60a8\u8fdb\u884c\u75be\u75c5\u8bca\u65ad\u548c\u764c\u75c7\u6cbb\u7597\u4ee5\u53ca\u5236\u5b9a\u6cbb\u7597\u8ba1\u5212\u65b9\u9762\u8d77\u5230\u81f3\u5173\u91cd\u8981\u7684\u4f5c\u7528\uff0c\u4f46\u60a8\u53ef\u80fd\u4ece\u672a\u89c1\u8fc7\u8fd9\u4e2a\u6210\u5458\uff0c\u8be5\u6210\u5458\u5c31\u662f\u60a8\u7684\u75c5\u7406\u79d1\u533b\u751f\u3002\u8fd9\u4f4d\u533b\u751f\u8d1f\u8d23\u5206\u6790\u7ec4\u7ec7\u6837\u672c\u4ece\u800c\u505a\u51fa\u6b63\u786e\u8bca\u65ad\u3002 \u4e24\u4f4d\u75c5\u7406\u533b\u751f\u56de\u7b54\u4e86\u5982\u4e0b\u53cd\u9762\u7684\u95ee\u9898\uff1a\u4e3a\u4ec0\u4e48\u764c\u75c7\u6709\u65f6\u4f3c\u4e4e\u201c\u5728\u5bb6\u65cf\u4e2d\u9057\u4f20\u201d\uff1b\u60a8\u9700\u8981\u4e86\u89e3\u4ec0\u4e48\u4ece\u800c\u8bc4\u4f30\u60a8\u81ea\u5df1\u7684\u9057\u4f20\u6027\u764c\u75c7\u98ce\u9669\u3002&nbsp; 1. \u764c\u75c7\u80fd\u9057\u4f20\u5417\uff1f 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