{"id":26985,"date":"2021-04-22T13:22:00","date_gmt":"2021-04-22T13:22:00","guid":{"rendered":"https:\/\/ogkologos.com\/%e5%a6%82%e6%9e%9c%e6%82%a8%e5%89%9b%e7%a2%ba%e8%a8%ba%e7%82%ba%e8%82%ba%e7%99%8c%e6%82%a3%e8%80%85%ef%bc%8c%e8%ab%8b%e4%be%86%e7%9c%8b%e7%9c%8b%e5%b0%88%e5%ae%b6%e7%9a%84%e5%9b%9e%e7%ad%94\/"},"modified":"2024-11-03T15:14:58","modified_gmt":"2024-11-03T15:14:58","slug":"%e5%a6%82%e6%9e%9c%e6%82%a8%e5%89%9b%e7%a2%ba%e8%a8%ba%e7%82%ba%e8%82%ba%e7%99%8c%e6%82%a3%e8%80%85%ef%bc%8c%e8%ab%8b%e4%be%86%e7%9c%8b%e7%9c%8b%e5%b0%88%e5%ae%b6%e7%9a%84%e5%9b%9e%e7%ad%94","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/%e5%a6%82%e6%9e%9c%e6%82%a8%e5%89%9b%e7%a2%ba%e8%a8%ba%e7%82%ba%e8%82%ba%e7%99%8c%e6%82%a3%e8%80%85%ef%bc%8c%e8%ab%8b%e4%be%86%e7%9c%8b%e7%9c%8b%e5%b0%88%e5%ae%b6%e7%9a%84%e5%9b%9e%e7%ad%94\/","title":{"rendered":"\u5982\u679c\u60a8\u525b\u78ba\u8a3a\u70ba\u80ba\u764c\u60a3\u8005\uff0c\u8acb\u4f86\u770b\u770b\u5c08\u5bb6\u7684\u56de\u7b54"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/www.cancer.net\/sites\/cancer.net\/files\/2021-lung-cancer-chinese-fb.png\" class=\"ff-og-image-inserted\"><\/div>\n<p><em>Jyoti D. Patel \u535a\u58eb\u662f\u829d\u52a0\u54e5\u5927\u5b78\u91ab\u5b78\u6559\u6388\u517c\u80f8\u90e8\u816b\u7624\u5b78\u4e3b\u4efb\uff0c\u4ea6\u70ba Cancer.Net \u80ba\u764c\u526f\u4e3b\u7de8\u3002<\/em><\/p>\n<p>\u7121\u8ad6\u662f\u7537\u6027\u9084\u662f\u5973\u6027\uff0c\u80ba\u764c\u7684\u6b7b\u4ea1\u7387\u6bd4\u4efb\u4f55\u5176\u4ed6\u764c\u75c7\u90fd\u8981\u9ad8\u3002\u6839\u64da\u8cc7\u6599\u986f\u793a\u80ba\u764c\u6bcf\u5e74\u596a\u8d70\u8d85\u904e 15 \u842c\u7f8e\u570b\u4eba\u7684\u751f\u547d\uff0c\u5118\u7ba1\u6578\u5b57\u5f88\u9a5a\u4eba\uff0c\u4f46\u8a31\u591a\u4eba\u5c0d\u9019\u7a2e\u75be\u75c5\u6240\u77e5\u751a\u5c11\uff0c\u95dc\u65bc\u80ba\u764c\uff0c\u5927\u5bb6\u90fd\u61c9\u8a72\u8a8d\u8b58\u53ca\u4e86\u89e3\u3002<\/p>\n<div id>\n<li readability=\"2\">\n<p><strong>\u4efb\u4f55\u4eba\u90fd\u53ef\u80fd\u5f97\u80ba\u764c\u3002<\/strong>\u5728\u7f8e\u570b\uff0c\u6bcf16\u4eba\u4e2d\u5c31\u67091\u4eba\u7f79\u60a3\u80ba\u764c\uff0c\u5e73\u5747\u6bcf150\u79d2\u5373\u6709\u4e00\u4eba\u88ab\u8a3a\u65b7\u7f79\u60a3\u80ba\u764c\u3002\u5118\u7ba1\u5438\u83f8\u662f\u5c0e\u81f4\u80ba\u764c\u7684\u5e38\u898b\u539f\u56e0\uff0c\u4f46\u6709\u9ad8\u9054\u4e09\u5206\u4e4b\u4e8c\u7684\u60a3\u8005\u5f9e\u4e0d\u66fe\u5438\u83f8\u6216\u66fe\u7d93\u5438\u83f8\u3002\u5be6\u969b\u4e0a\uff0c\u6bcf\u5e74\u66f4\u6709\u591a\u90543\u842c\u500b\u4e0d\u66fe\u5438\u83f8\u7684\u7f8e\u570b\u4eba\u7f79\u60a3\u80ba\u764c\u3002<\/p>\n<\/li>\n<li readability=\"1\">\n<p><strong>\u80ba\u764c\u7684\u75c7\u72c0\u53ef\u80fd\u662f\u975e\u7279\u7570\u6027\u7684\u3002<\/strong>\u80ba\u764c\u65e9\u671f\u75c7\u72c0\u4e0d\u660e\u986f\uff0c\u8a31\u591a\u4eba\u76f4\u5230\u75c7\u72c0\u660e\u986f\uff0c\u624d\u88ab\u78ba\u8a3a\u51fa\u7f79\u60a3\u80ba\u764c\u3002\u82e5\u51fa\u73fe\u4ee5\u4e0b\u4efb\u4f55\u75c7\u72c0\u61c9\u8a72\u8aee\u8a62\u91ab\u7642\u76f8\u95dc\u4eba\u54e1\uff0c\u4ed6\u5011\u53ef\u4ee5\u5354\u52a9\u8a55\u4f30\u9019\u4e9b\u75c7\u72c0\u4e26\u88fd\u5b9a\u8a3a\u65b7\u8a08\u5283\uff1a<\/p>\n<\/li>\n<li readability=\"2\">\n<p><strong>\u80ba\u764c\u7be9\u6aa2\u53ef\u4ee5\u633d\u6551\u751f\u547d\u3002<\/strong>\u8207\u8a31\u591a\u5176\u4ed6\u764c\u75c7\u4e00\u6a23\uff0c\u5b58\u6d3b\u7684\u95dc\u9375\u5728\u65bc\uff0c\u5728\u5176\u6700\u65e9\u671f\u968e\u6bb5\u5c07\u5176\u7be9\u6aa2\u51fa\u4f86\uff0c\u6b64\u6642\u5b83\u7684\u53ef\u6cbb\u7652\u6027\u6975\u9ad8\uff0c\u5c0d\u65bc\u816b\u7624\u8f03\u5c0f\u53ca\u65e9\u671f\u80ba\u764c\u60a3\u8005\uff0c\u6cbb\u7652\u7387\u53ef\u9ad8\u9054 80%\uff5e90%\uff0c\u4f46\u96a8\u8457\u816b\u7624\u7684\u767c\u5c55\u4e26\u8f49\u79fb\u81f3\u6dcb\u5df4\u7d50\u6216\u8eab\u9ad4\u5176\u4ed6\u90e8\u4f4d\u6642\uff0c\u6cbb\u7652\u7387\u4fbf\u6025\u5287\u4e0b\u964d\u3002\u4f4e\u5291\u91cf\u87ba\u65cb\u8a08\u7b97\u6a5f\u65b7\u5c64\u6383\u63cf (CT) \u5df2\u88ab\u8b49\u5be6\u53ef\u6709\u6548\u964d\u4f4e\u80ba\u764c\u9ad8\u98a8\u96aa\u4eba\u7fa4\u7684\u6b7b\u4ea1\u7387\u3002\u7f8e\u570b\u570b\u5bb6\u80ba\u7be9\u6aa2\u8a66\u9a57\u767c\u73fe\uff0c\u8207\u7528\u80f8\u90e8 X \u5149\u7be9\u6aa2\u7684\u60a3\u8005\u76f8\u6bd4\uff0c\u4f7f\u7528\u4f4e\u5291\u91cf\u87ba\u65cb CT \u7be9\u6aa2\u7684\u91cd\u5ea6\u5438\u83f8\u8005\uff0c\u6709\u6548\u964d\u4f4e\u4e8620%\u7684\u6b7b\u4ea1\u7387\u3002\u4e0d\u904eCT \u6383\u63cf\u53ef\u80fd\u56e0\u8aa4\u8a8d\u75a4\u75d5\u7d44\u7e54\u6216\u975e\u764c\u75c7\u816b\u584a\u70ba\u764c\u75c7\u5c0e\u81f4\u51fa\u73fe\u300c\u507d\u967d\u6027\u300d\u7d50\u679c\uff0c\u56e0\u6b64\u9019\u500b\u6aa2\u67e5\u65b9\u6cd5\u50c5\u5efa\u8b70\u9ad8\u5371\u4eba\u7fa4\u4f7f\u7528\u3002\u5728\u9ad8\u5371\u4eba\u7fa4\u4e2d\uff0c\u65e9\u671f\u4f7f\u7528CT \u6383\u63cf\u6aa2\u6e2c\u7684\u76ca\u8655\u5927\u65bc\u6f5b\u5728\u7684\u507d\u967d\u6027\u98a8\u96aa\uff0c\u5efa\u8b70\u7b26\u5408\u4ee5\u4e0b\u6a19\u6e96\u7684\u4eba\u7fa4\u53ef\u9032\u884c\u80ba\u764c\u7be9\u6aa2\uff1a<\/p>\n<ul readability=\"0\">\n<li>\n<p>55 \u81f3 80 \u6b72<\/p>\n<\/li>\n<li readability=\"-1\">\n<p>\u81f3\u5c11 30 \u5305-\u5e74\u7684\u5438\u7159\u53f2\uff081 \u5305-\u5e74\u7b49\u540c\u65bc\u6574\u5e74\u7684\u6bcf\u5929\u5438\u7159 1 \u5305\uff09<\/p>\n<\/li>\n<li readability=\"-1\">\n<p>\u5065\u5eb7\u72c0\u6cc1\u826f\u597d\uff0c\u7121\u80ba\u764c\u9ad4\u5f81<\/p>\n<\/li>\n<li readability=\"-1\">\n<p>\u904e\u53bb\u4e00\u5e74\u672a\u9032\u884c CT \u6383\u63cf<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li readability=\"3\">\n<p><strong>\u80ba\u764c\u6709\u4e0d\u540c\u7a2e\u985e\u3002<\/strong>\u7d04 80%\uff5e85% \u7684\u80ba\u764c\u8a3a\u65b7\u70ba\u975e\u5c0f\u7d30\u80de\u80ba\u764c (NSCLC)\uff0c\u4e3b\u8981\u6709 3 \u7a2e\u4e9e\u578b\uff1a<\/p>\n<ul readability=\"0.5\">\n<li readability=\"0\">\n<p><strong>\u817a\u764c\u3002<\/strong>\u6b64\u70ba\u6700\u5e38\u898b\u7684\u764c\u75c7\u4e9e\u578b\uff0c\u901a\u5e38\u60a3\u8005\u662f\u5f9e\u4e0d\u5438\u7159\u7684\u4eba\u7fa4\u3001\u5e74\u8f15\u60a3\u8005\u548c\u5973\u6027\u3002<\/p>\n<\/li>\n<li readability=\"-1\">\n<p><strong>\u9c57\u72c0\u7d30\u80de\u764c\u3002<\/strong>\u901a\u5e38\u8207\u5438\u7159\u53f2\u6709\u95dc\uff0c\u597d\u767c\u65bc\u80ba\u7684\u6c23\u9053\u5167\u3002<\/p>\n<\/li>\n<li readability=\"-1\">\n<p><strong>\u5927\u7d30\u80de\u764c\u3002<\/strong>\u9019\u662f\u4e00\u7a2e\u4e0d\u5e38\u898b\u7684\u80ba\u764c\u985e\u578b\uff0c\u5360\u75c5\u4f8b\u7684 10% \u4ee5\u4e0b\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u5c0f\u7d30\u80de\u80ba\u764c (Small cell lung cancer\uff0cSCLC) \u7d04\u5360\u6240\u6709\u80ba\u764c\u7684 10%\uff5e15%\uff0c\u597d\u767c\u65bc\u5438\u83f8\u65cf\u7fa4\uff0c\u5728\u975e\u5438\u83f8\u65cf\u7fa4\u4e2d\u975e\u5e38\u7f55\u898b\u3002<\/p>\n<\/li>\n<li readability=\"2\">\n<p><strong>\u6a19\u9776\u6cbb\u7642\u767c\u63ee\u4f5c\u7528\u3002<\/strong>\u9ad8\u9054\u56db\u5206\u4e4b\u4e00\u7684\u80ba\u764c\u816b\u7624\u5e36\u6709\u57fa\u56e0\u7a81\u8b8a\uff0c\u662f\u4e00\u7a2e\u53ef\u9a45\u52d5\u764c\u75c7\u751f\u9577\u7684\u57fa\u56e0\u7d44\uff0c\u4f7f\u7528\u73fe\u6709\u85e5\u7269\u9032\u884c\u6a19\u9776\u6cbb\u7642\u53ef\u963b\u65b7\u6b64\u985e\u7a81\u8b8a\u7684\u57fa\u56e0\uff0c\u9019\u985e\u578b\u7684\u764c\u75c7\u6cbb\u7642\u65b9\u5f0f\u7a31\u4e4b\u70ba\u6a19\u9776\u6cbb\u7642\uff0c\u5c24\u5176\u662f\u80ba\u817a\u764c\u665a\u671f\u60a3\u8005\u61c9\u5c0d\u5176\u816b\u7624\u9032\u884c\u57fa\u56e0\u6aa2\u6e2c\uff0c\u7be9\u6aa2\u51fa\u5176\u7a81\u8b8a\u7684\u57fa\u56e0\uff0c\u5982EGFR\u3001ALK\u3001ROS1 \u548c BRAF\u7b49\uff0c\u4e26\u914d\u5408\u9069\u7576\u7684\u6a19\u9776\u85e5\u7269\u4f86\u505a\u6cbb\u7642\u4ee5\u9054\u6700\u4f73\u6cbb\u7642\u6548\u679c\uff0c\u50cf\u662f\u67d0\u4e9b\u816b\u7624\u57fa\u56e0\u7a81\u8b8a\u7684\u60a3\u8005\u4f7f\u7528\u53e3\u670d\u85e5\u7269\u975e\u5e38\u6709\u6548\uff0c\u53ef\u4ee5\u660e\u986f\u7684\u4f7f\u816b\u7624\u9ad4\u7a4d\u6240\u5c0f\uff0c\u4ee5\u5ef6\u7de9\u75be\u75c5\u9032\u5c55\uff0c\u4e26\u7dad\u6301\u75c5\u60a3\u751f\u6d3b\u54c1\u8cea\u3002<\/p>\n<\/li>\n<li readability=\"2\">\n<p><strong>\u514d\u75ab\u7642\u6cd5\u80fd\u5e6b\u52a9\u5ee3\u6cdb\u80ba\u764c\u60a3\u8005\u5ef6\u9577\u58fd\u547d\u3002<\/strong>\u514d\u75ab\u6cbb\u7642\u70ba\u6cbb\u7642\u764c\u75c7\u7684\u65b9\u6cd5\u4e4b\u4e00\uff0c\u900f\u904e\u589e\u5f37\u6216\u555f\u52d5\u514d\u75ab\u7cfb\u7d71\uff0c\u4f7f\u5176\u8fa8\u8b58\u4e26\u6bba\u6b7b\u764c\u7d30\u80de\u3002\u7814\u7a76\u4eba\u54e1\u6b63\u5728\u7814\u7a76 4 \u7a2e\u4e3b\u8981\u7684\u80ba\u764c\u514d\u75ab\u6cbb\u7642\u65b9\u6cd5\uff1a\u6aa2\u67e5\u9ede\u6291\u5236\u5291\u3001\u55ae\u514b\u9686\u6297\u9ad4\u3001\u6cbb\u7642\u6027\u75ab\u82d7\u53ca\u904e\u7e7c\u6027\u7d30\u80de\u7642\u6cd5\uff08\u5747\u70ba\u6aa2\u67e5\u9ede\u6291\u5236\u5291\uff09\uff0c\u5df2\u88ab\u6279\u51c6\u7528\u65bc\u6cbb\u7642\u975e\u5c0f\u7d30\u80de\u80ba\u764c(NSCLC)\u3002\u5c0d\u65bcPD-L1\u751f\u7269\u6a19\u8a18\u7269\u9ad8\u5ea6\u8868\u73fe\u7684\u816b\u7624\u60a3\u8005\uff0c\u4ee5Pembrolizumab (Keytruda) \u4f5c\u70ba\u4e3b\u8981\u7642\u6cd5\u7684\u6548\u679c\u512a\u65bc\u5316\u7642; \u5c0d\u65bc PD-L1 \u4f4e\u5ea6\u8868\u73fe\u6216\u7121\u8868\u73fe\u7684\u816b\u7624\u60a3\u8005\u800c\u8a00\uff0cAtezolizumab (Tecentriq) \u548c Nivolumab (Opdivo) 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readability=\"2\">\n<p><strong>\u65e9\u671f\u7684\u59d1\u606f\u6027\u7642\u6cd5\u6709\u52a9\u65bc\u80ba\u764c\u672b\u671f\u60a3\u8005\u7684\u9810\u5f8c\u6539\u5584\u3002<\/strong>\u60a3\u8005\u63a5\u53d7\u59d1\u606f\u6027\u6216\u652f\u6301\u6027\u7642\u6cd5\u4f5c\u70ba\u6cbb\u7642\u80ba\u764c\u7684\u4e3b\u8981\u65b9\u6cd5\uff0c\u4ed6\u5011\u5c0d\u5176\u6cbb\u7642\u6548\u679c\u66f4\u6eff\u610f\uff0c\u75c7\u72c0\u7ba1\u7406\u66f4\u826f\u597d\uff0c\u53ef\u5ef6\u9577\u58fd\u547d\u3002\u59d1\u606f\u6027\u7642\u6cd5\u662f\u4e00\u9805\u9810\u9632\u548c\u907f\u514d\u904e\u591a\u75db\u82e6\u7684\u6cbb\u7642\u65b9\u5f0f\uff0c\u4e3b\u8981\u70ba\u89e3\u6c7a\u6bcf\u500b\u60a3\u8005\u7279\u6709\u7684\u8eab\u9ad4\u3001\u667a\u529b\u3001\u60c5\u611f\u3001\u793e\u6703\u548c\u7cbe\u795e\u9700\u6c42\u3002\u59d1\u606f\u6027\u7642\u6cd5\u8b93\u60a3\u8005\u6709\u6a5f\u6703\u544a\u8a34\u91ab\u751f\u548c\u8b77\u58eb\u4ed6\u5011\u5e0c\u671b\u6216\u4e0d\u5e0c\u671b\u63a5\u53d7\u4ec0\u9ebc\u6a23\u7684\u6cbb\u7642\uff0c\u9032\u800c\u4f7f\u4ed6\u5011\u5c0d\u81ea\u5df1\u7684\u6cbb\u7642\u64c1\u6709\u6c7a\u5b9a\u6b0a\u3002<\/p>\n<\/li>\n<li readability=\"1.8235294117647\">\n<p><strong>\u5c0d\u4ed8\u80ba\u764c\u7684\u904e\u7a0b\u5f88\u8271\u96e3\uff0c\u4f46\u6211\u5011\u900f\u904e\u81e8\u5e8a\u8a66\u9a57\u6b63\u5728\u53d6\u5f97\u76f8\u95dc\u9032\u5c55\u3002<\/strong>\u6211\u5011\u5c0d\u65bc\u764c\u75c7\u751f\u7269\u5b78\u7684\u7406\u89e3\u5df2\u53d6\u5f97\u83ab\u5927\u7684\u9032\u6b65\uff0c\u9019\u4e9b\u6536\u7a6b\u4e4b\u65bc\u764c\u75c7\u60a3\u8005\u800c\u8a00\u6709\u76f4\u63a5\u7684\u5f71\u97ff\u3002\u4e0d\u5e78\u7684\u662f\uff0c\u7f8e\u570b\u53ea\u6709 3% \u7684\u764c\u75c7\u60a3\u8005\u6709\u6a5f\u6703\u53c3\u8207\u81e8\u5e8a\u8a66\u9a57\uff0c\u9577\u6b64\u4ee5\u5f80\uff0c\u4ee5\u81f3\u6c92\u6709\u8db3\u5920\u7684\u81e8\u5e8a\u8a66\u9a57\u75c5\u60a3\u8b93\u6211\u5011\u5c07\u5728\u81e8\u5e8a\u8a66\u9a57\u4e2d\u5b78\u5230\u7684\u7d93\u9a57\u843d\u5be6\u81f3\u5065\u5eb7\u72c0\u6cc1\u8f03\u70ba\u4e0d\u8db3\u7684\u60a3\u8005\u8eab\u4e0a\uff0c\u6bd4\u5982\u8001\u5e74\u4eba\u548c\u6709\u5176\u4ed6\u91ab\u7642\u75be\u75c5\u6216\u8cc7\u6e90\u77ed\u7f3a\u7684\u4eba\u3002<strong><a href=\"https:\/\/www.cancer.net\/blog\/tags\/lung-cancer\">\u95b1\u8b80\u5176\u4ed6\u95dc\u65bc\u6700\u8fd1\u80ba\u764c\u7814\u7a76\u7684\u8ad6\u6587\u3002<\/a><\/strong><\/p>\n<\/li>\n<li readability=\"1\">\n<p><strong>\u60a8\u4e26\u4e0d\u662f\u5b64\u8eab\u4f5c\u6230\u3002<\/strong>\u80ba\u764c\u5b78\u754c\u6b63\u4e0d\u65b7\u6210\u9577\u8301\u58ef\uff0c\u8a31\u591a\u4eba\u56e0\u80ba\u764c\u60a3\u8005\u7684\u6545\u4e8b\u800c\u52d5\u5bb9\uff0c\u9019\u4e9b\u6545\u4e8b\u6bcf\u5e74\u5f71\u97ff\u8d85\u904e 22 \u842c\u500b\u7f8e\u570b\u4eba\u3002\u76ee\u524d\u6709\u5f88\u591a\u6d3b\u8e8d\u7684\u764c\u75c7\u652f\u63f4\u5c0f\u7d44\uff0c\u80fd\u63d0\u4f9b\u60a3\u8005\u548c\u5bb6\u5ead\u7167\u8b77\u8005\u76f8\u95dc\u8cc7\u8a0a\uff0c\u56e0\u6b64\u60a8\u7121\u9700\u55ae\u7368\u9762\u5c0d\u80ba\u764c\u8a3a\u65b7\u3002<\/p>\n<\/li>\n<\/div>\n<p><a href=\"https:\/\/www.cancer.net\/blog\/2021-04\/%E5%A6%82%E6%9E%9C%E6%82%A8%E5%89%9B%E7%A2%BA%E8%A8%BA%E7%82%BA%E8%82%BA%E7%99%8C%E6%82%A3%E8%80%85%EF%BC%8C%E8%AB%8B%E4%BE%86%E7%9C%8B%E7%9C%8B%E5%B0%88%E5%AE%B6%E7%9A%84%E5%9B%9E%E7%AD%94\">Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Jyoti D. 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