{"id":24739,"date":"2020-03-02T12:46:56","date_gmt":"2020-03-02T04:46:56","guid":{"rendered":"\/\/www.afterroberto.com\/?p=24739"},"modified":"2023-10-05T14:11:18","modified_gmt":"2023-10-05T06:11:18","slug":"%e7%99%8c%e6%b2%bb%e6%ba%96%e7%b9%a9-%e5%ad%90%e5%ae%ae%e9%ab%94%e7%99%8c%e8%a1%93%e5%be%8c-%e9%9b%bb%e7%99%82%e5%8c%96%e7%99%82%e6%b8%9b%e5%be%a9%e7%99%bc","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e7%99%8c%e6%b2%bb%e6%ba%96%e7%b9%a9-%e5%ad%90%e5%ae%ae%e9%ab%94%e7%99%8c%e8%a1%93%e5%be%8c-%e9%9b%bb%e7%99%82%e5%8c%96%e7%99%82%e6%b8%9b%e5%be%a9%e7%99%bc\/","title":{"rendered":"\u764c\u6cbb\u6e96\u7e69\uff1a\u5b50\u5bae\u9ad4\u764c\u8853\u5f8c \u96fb\u7642\u5316\u7642\u6e1b\u5fa9\u767c"},"content":{"rendered":"<figure id=\"attachment_24761\" aria-describedby=\"caption-attachment-24761\" style=\"width: 383px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-24761\" src=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39ed54cb1935dd506056af1cc71056-e1583124093908.jpg\" alt=\"\u5b50\u5bae\u9ad4\u764c\" width=\"383\" height=\"260\" title=\"\" srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39ed54cb1935dd506056af1cc71056-e1583124093908.jpg 383w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39ed54cb1935dd506056af1cc71056-e1583124093908-300x204.jpg 300w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39ed54cb1935dd506056af1cc71056-e1583124093908-150x102.jpg 150w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39ed54cb1935dd506056af1cc71056-e1583124093908-250x170.jpg 250w\" sizes=\"(max-width: 383px) 100vw, 383px\" \/><figcaption id=\"caption-attachment-24761\" class=\"wp-caption-text\">\u500b\u4eba\u5316\u6cbb\u7642\u2014\u2014\u5b50\u5bae\u9ad4\u764c\u75c5\u4eba\u63a5\u53d7\u624b\u8853\u5f8c\uff0c\u91ab\u751f\u6839\u64da\u75c5\u7406\u548c\u5206\u671f\uff0c\u70ba\u75c5\u4eba\u8a02\u5b9a\u500b\u4eba\u5316\u7684\u8853\u5f8c\u6cbb\u7642\u3002\uff08wildpixel@iStockphoto\uff09<\/figcaption><\/figure>\n<p>\u3010\u660e\u5831\u5c08\u8a0a\u3011\u624b\u8853\u662f\u7b2c1\u30012\u30013\u671f\u5b50\u5bae\u9ad4\u764c\u7684\u6700\u4e3b\u8981\u6cbb\u7642\u65b9\u6cd5\uff0c\u5305\u62ec\u5168\u5b50\u5bae\u3001\u8f38\u5375\u7ba1\u53ca\u5375\u5de2\u7684\u5207\u9664\uff1b\u7576\u5224\u65b7\u70ba\u7b2c1\u671fB\u4ee5\u4e0a\uff0c\u4ea6\u6703\u540c\u6642\u5207\u9664\u9644\u8fd1\u7684\u6dcb\u5df4\u7d44\u7e54\u3002<\/p>\n<p>\u65e9\u671f<a href=\"\/\/www.afterroberto.com\/?s=%E5%AD%90%E5%AE%AE%E9%AB%94%E7%99%8C\">\u5b50\u5bae\u9ad4\u764c<\/a>\uff0c\u75c5\u4eba\u8853\u5f8c\u63a5\u53d7\u76c6\u8154\u96fb\u7642\uff0c\u80fd\u6709\u6548\u6e1b\u4f4e\u5c40\u90e8\u5fa9\u767c\u98a8\u96aa\u905460%\u4ee5\u4e0a\uff0c5\u5e74\u5fa9\u767c\u98a8\u96aa\u4f4e\u65bc5%\u4ee5\u4e0b\u3002\u81f3\u65bc\u7b2c3\u671f\u4ee5\u4e0a\u7684\u75c5\u4eba\uff0c\u5927\u578b\u7814\u7a76\u986f\u793a\uff0c\u76c6\u8154\u96fb\u7642\u7684\u529f\u6548\uff0c\u4e3b\u8981\u5728\u65bc\u6709\u6548\u6e1b\u4f4e\u5c40\u90e8\u5fa9\u767c\u7684\u98a8\u96aa\uff0c\u800c\u7d9c\u5408\u5316\u7642\u80fd\u5920\u63d0\u5347\u5b58\u6d3b\u7387\uff0c\u6e1b\u4f4e\u6574\u9ad4\u5fa9\u767c\u98a8\u96aa\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u500b\u68481\uff1a \u7b2c3\u671f\u5167\u819c\u764c \u6cbb\u7642\u5e74\u534a\u7121\u5fa9\u767c<\/h2>\n<p>\u738b\u5973\u58eb60\u6b72\uff0c\u78ba\u8a3a\u7b2c3\u671f\u5b50\u5bae\u9ad4\u764c\u3002\u5a66\u79d1\u816b\u7624\u79d1\u91ab\u751f\u66ff\u5979\u505a\u4e86\u5b50\u5bae\u3001\u5169\u908a\u5375\u5de2\u53ca\u8f38\u5375\u7ba1\u5207\u9664\u624b\u8853\uff1b\u53e6\u5916\u4ea6\u505a\u4e86\u52d5\u8108\u53ca\u76c6\u8154\u6dcb\u5df4\u6e05\u9664\u624b\u8853\u3002\u75c5\u7406\u5831\u544a\u8b49\u660e\u5979\u5c6c\u65bc\u6700\u5e38\u898b\u7684\u5b50\u5bae\u5167\u819c\u6a23\u817a\u764c\uff08endometrioid adenocarcoma\uff09\u3002<\/p>\n<p>\u6309\u7167\u7d44\u7e54\u75c5\u5b78\u4e0a\u5b50\u5bae\u5167\u819c\u764c\u5206\u671f\uff08FIGO Grading\uff09\uff0c\u5206\u70ba1\u81f33\u7d1a\uff0c\u7b2c1\u7d1a\u764c\u7d30\u80de\u64f4\u6563\u98a8\u96aa\u8f03\u4f4e\uff0c\u7b2c2\u7d1a\u53ca\u7b2c3\u7d1a\u4f9d\u6b21\u589e\u52a0\u3002\u738b\u5973\u58eb\u70ba2\u7d1a\uff08Grade 2\uff09\uff0c\u4fb5\u72af\u7a0b\u5ea6\u8f03\u6df1\uff08\u8d85\u904e50%\u5b50\u5bae\u5167\u819c\u6df1\u5c64\u808c\u8089\u5c64\u53d7\u5f71\u97ff\uff09\uff0c\u53e6\u5916\u6dcb\u5df4\u67097\u9846\u8f49\u79fb\u8ff9\u8c61\u3002\u6574\u9ad4\u5206\u671f\u70ba\u7b2c3\u671fC\u3002<\/p>\n<p>\u624b\u8853\u5f8c\uff0c\u738b\u5973\u58eb\u9700\u8981\u63a5\u53d7\u76c6\u8154\u96fb\u764225\u6b21\uff0c\u4ee5\u53ca\u7d2b\u6749\u9187\u52a0\u5361\u9251\u7684\u7d9c\u5408\u5316\u7642\u65b9\u6848\uff0c\u6bcf3\u661f\u671f1\u6b21\uff0c\u70ba\u671f6\u500b\u7642\u7a0b\u3002\u81f3\u4eca\u5df2\u5b8c\u6210\u6cbb\u76421\u5e74\u534a\uff0c\u7e7c\u7e8c\u6bcf3\u500b\u6708\u8986\u8a3a\uff0c\u505a\u5a66\u79d1\u6aa2\u67e5\uff0c\u4e26\u6c92\u6709\u5fa9\u767c\u8ff9\u8c61\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u500b\u68482\uff1a \u7d9c\u5408\u5316\u7642\u518d\u5fa9\u767c 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srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39f361d73bd2ec4c861757e8ba59e5.jpg 322w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39f361d73bd2ec4c861757e8ba59e5-104x300.jpg 104w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/03\/eb39f361d73bd2ec4c861757e8ba59e5-52x150.jpg 52w\" sizes=\"(max-width: 322px) 100vw, 322px\" \/><\/p>\n<div class=\"articlelogin\">\n<p>&nbsp;<\/p>\n<h2>\u500b\u4eba\u5316\u6cbb\u7642 \u8996\u4e4e\u60a3\u8005\u98a8\u96aa\u671f\u6578<\/h2>\n<p>\u5728\u5fa9\u767c\u6027\u5b50\u5bae\u9ad4\u764c\uff0c\u7d2b\u6749\u9187\u914d\u5408\u5361\u9251\u7684\u7d9c\u5408\u5316\u7642\uff0c\u6216\u7d05\u9709\u7d20\u985e\u7684\u85e5\u7269\u6cbb\u7642\uff0c\u662f\u6a19\u6e96\u7684\u7b2c1\u30012\u7dda\u5316\u7642\u65b9\u6848\u3002\u800c\u5728\u5b50\u5bae\u5167\u819c\u764c\u5c6c\u8377\u723e\u8499\uff08estrogen receptor\uff09\u967d\u6027\u985e\u5225\uff0c\u8377\u723e\u8499\u6cbb\u7642\u4ea6\u662f\u6709\u6548\u65b9\u6848\u3002\u65b0\u4e00\u4ee3\u6cbb\u7642\uff0c\u4e3b\u8981\u662f\u91dd\u5c0d\u7279\u5225\u7684\u57fa\u56e0\u7a81\u8b8a\uff0c\u514d\u75ab\u6cbb\u7642\u5728\u9069\u7576\u7684\u75c5\u4eba\u4ea6\u53ef\u4f5c\u70ba\u6cbb\u7642\u7684\u65b9\u6848\uff08\u4f8b\u5982microsatellite instability\uff08MSI\uff09\u9ad8\u5206\u6578\uff0c\u53ef\u4ee5\u63a1\u7528\u6297PD-1 \u514d\u75ab\u6cbb\u7642\uff09\uff1b\u53e6\u5916\u4e5f\u6709\u5176\u4ed6\u6a19\u9776\uff08mTOR\u6291\u5236\u5291\uff09\u6cbb\u7642\uff0c\u9069\u7528\u65bc\u5fa9\u767c\u6027\u5b50\u5bae\u9ad4\u764c\uff0c\u914d\u5408\u8377\u723e\u8499\u6cbb\u7642\u3002<\/p>\n<p>\u5b50\u5bae\u9ad4\u764c\u75c5\u4eba\u5728\u63a5\u53d7\u624b\u8853\u5f8c\uff0c\u91ab\u751f\u6839\u64da\u75c5\u7406\u548c\u5206\u671f\u53bb\u5236\u5b9a\u8853\u5f8c\u6cbb\u7642\u65b9\u6848\u3002\u4f4e\u98a8\u96aa\u7684\u75c5\u4eba\uff0c\u5c6c\u65bc\u7b2c1\u671f\u5b50\u5bae\u5167\u819c\u6a23\u817a\u764c\uff0c\u4fb5\u72af\u7a0b\u5ea6\u4e0d\u6df1\uff08IA\uff0c\u5b50\u5bae\u5167\u819c\u6df1\u5c64\u808c\u8089\u5c64\u4f4e\u65bc50%\uff09\uff0c\u7d30\u80de\u5206\u7d1a\u4f4e\uff08Grade 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