{"id":27778,"date":"2020-08-10T12:02:46","date_gmt":"2020-08-10T04:02:46","guid":{"rendered":"\/\/www.afterroberto.com\/?p=27778"},"modified":"2023-10-05T14:09:27","modified_gmt":"2023-10-05T06:09:27","slug":"%e3%80%90%e5%ad%90%e5%ae%ae%e9%ab%94%e7%99%8c%e3%80%91%e7%bd%95%e8%a6%8b%e5%a9%a6%e7%a7%91%e7%99%8c-%e5%be%b5%e7%8b%80%e7%9b%b8%e4%bc%bc-%e7%99%82%e6%b3%95%e5%a4%a7%e4%b8%8d%e5%90%8c","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e3%80%90%e5%ad%90%e5%ae%ae%e9%ab%94%e7%99%8c%e3%80%91%e7%bd%95%e8%a6%8b%e5%a9%a6%e7%a7%91%e7%99%8c-%e5%be%b5%e7%8b%80%e7%9b%b8%e4%bc%bc-%e7%99%82%e6%b3%95%e5%a4%a7%e4%b8%8d%e5%90%8c\/","title":{"rendered":"\u3010\u5b50\u5bae\u9ad4\u764c\u3011\u7f55\u898b\u5a66\u79d1\u764c \u5fb5\u72c0\u76f8\u4f3c \u7642\u6cd5\u5927\u4e0d\u540c"},"content":{"rendered":"<p>\u3010\u660e\u5831\u5c08\u8a0a\u3011\u5973\u6027\u5e38\u898b<a href=\"\/\/www.afterroberto.com\/?s=\u764c\u75c7\">\u764c\u75c7<\/a>\u4e2d\uff0c\u5b50\u5bae\u9ad4\u764c\u6392\u540d\u7b2c4\u3001<a href=\"\/\/www.afterroberto.com\/?s=\u5375\u5de2\u764c\">\u5375\u5de2\u764c<\/a>\u6392\u540d\u7b2c6\u3001<a href=\"\/\/www.afterroberto.com\/?s=\u5b50\u5bae\u9838\u764c\">\u5b50\u5bae\u9838\u764c<\/a>\u6392\u540d\u7b2c9\uff1b\u800c\u9019\u4e9b\u5e38\u898b\u5a66\u79d1\u764c\u4e2d\uff0c\u6709\u4e9b\u500b\u6848\u8f03\u70ba\u7f55\u898b\uff0c\u816b\u7624\u540c\u6a23\u751f\u65bc\u5375\u5de2\u6216\u5b50\u5bae\uff0c\u5fb5\u72c0\u4e5f\u76f8\u4f3c\uff0c\u4f46\u6cbb\u7642\u65b9\u6848\u537b\u5927\u4e0d\u540c\u3002<\/p>\n<figure id=\"attachment_27781\" aria-describedby=\"caption-attachment-27781\" style=\"width: 718px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-27781\" src=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd31d96c8b276b68419c3ca49ed43d9.jpg\" alt=\"\" width=\"718\" height=\"518\" title=\"\" srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd31d96c8b276b68419c3ca49ed43d9.jpg 718w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd31d96c8b276b68419c3ca49ed43d9-300x216.jpg 300w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd31d96c8b276b68419c3ca49ed43d9-150x108.jpg 150w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd31d96c8b276b68419c3ca49ed43d9-250x180.jpg 250w\" sizes=\"(max-width: 718px) 100vw, 718px\" \/><figcaption id=\"caption-attachment-27781\" class=\"wp-caption-text\">\uff08\u660e\u5831\u88fd\u5716\uff09<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h2>\u7f55\u898b\u5375\u5de2\u764c \u5207\u55ae\u908a\u5375\u5de2\u8f38\u5375\u7ba1 \u4fdd\u751f\u80b2\u80fd\u529b<\/h2>\n<p>\u500b\u68481\uff1a\u9673\u5973\u58eb\uff0c45\u6b72\uff0c\u7d0410\u5e74\u524d\u78ba\u8a3a\u60a3\u4e0a\u7f55\u898b\u7684\u5375\u5de2\u816b\u7624\u2014\u2014\u9846\u7c92\u7d30\u80de\u7624\uff08granulosa cell tumour\uff0cGCT\uff09\u3002\u56e0\u70ba\u662f\u7b2c1\u671f\uff0c\u4ea6\u8003\u616e\u5230\u751f\u80b2\u8a08\u5283\uff0c\u6240\u4ee5\u505a\u4e86\u55ae\u908a\u5375\u5de2\u53ca\u8f38\u5375\u7ba1\u5207\u9664\u624b\u8853\u3002\u4e4b\u5f8c\u4e00\u76f4\u5728\u5a66\u79d1\u91ab\u751f\u8655\u8986\u8a3a\uff0c\u4e26\u6c92\u6709\u5fa9\u767c\u8ff9\u8c61\u3002\u6700\u8fd1\u56e0\u70ba\u7d93\u671f\u6709\u9ede\u4e82\uff0c\u63a5\u53d7\u5f71\u50cf\u6aa2\u67e5\u6642\uff0c\u767c\u73fe\u53e6\u4e00\u908a\u5375\u5de2\u6709\u4e00\u500b4\u5398\u7c73\u816b\u7624\uff0c\u8179\u8154\u5169\u500b\u4f4d\u7f6e\u6709\u61f7\u7591\u8f49\u79fb\u7684\u8ff9\u8c61\u3002\u5979\u88ab\u8f49\u4ecb\u81f3\u5a66\u79d1\u816b\u7624\u79d1\u91ab\u751f\uff0c\u56e0\u70ba\u816b\u7624\u5c1a\u53ef\u4ee5\u5207\u9664\uff0c\u8a08\u5283\u5b50\u5bae\u5168\u5207\u9664\u52a0\u5269\u9918\u4e00\u908a\u5375\u5de2\u8f38\u5375\u7ba1\u5207\u9664\u624b\u8853\uff0c\u517c\u8179\u819c\u816b\u7624\u5207\u9664\u3002\u624b\u8853\u5f8c\u9700\u8981<a href=\"\/\/www.afterroberto.com\/?s=\u5316\u7642\">\u5316\u7642<\/a>\u3002<\/p>\n<figure id=\"attachment_27780\" aria-describedby=\"caption-attachment-27780\" style=\"width: 610px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-27780\" src=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd32ab200a80e6d433c6b1fccb27f6d.jpg\" alt=\"\" width=\"610\" height=\"482\" title=\"\" srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd32ab200a80e6d433c6b1fccb27f6d.jpg 610w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd32ab200a80e6d433c6b1fccb27f6d-300x237.jpg 300w, \/\/www.afterroberto.com\/wp-content\/uploads\/2020\/08\/4dd32ab200a80e6d433c6b1fccb27f6d-150x119.jpg 150w\" sizes=\"(max-width: 610px) 100vw, 610px\" \/><figcaption id=\"caption-attachment-27780\" class=\"wp-caption-text\">\u809a\u75db\u8981\u5c0f\u5fc3\u2014\u2014\u7121\u8ad6\u5c6c\u7f55\u898b\u3001\u5e38\u898b\u5375\u5de2\u764c\uff0c\u75c5\u5fb5\u7121\u7570\uff0c\u4e00\u822c\u6709\u809a\u8139\u3001\u809a\u75db\u3001\u7d93\u671f\u7570\u5e38\u3001\u5927\u5c0f\u4fbf\u4e0d\u9069\u7b49\u3002\uff08\u8a2d\u8a08\u5716\u7247\uff0c\u6a21\u7279\u5152\u8207\u6587\u4e2d\u63d0\u53ca\u75be\u75c5\u7121\u95dc\uff0cNattakorn Maneerat@iStockphoto\uff09<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h2>\u751f\u6b96\u7d30\u80de\u7624 \u75c5\u8005\u8f03\u5e74\u8f15<\/h2>\n<p>\u5375\u5de2\u764c\u5206\u591a\u985e\uff0c\u6700\u5e38\u898b\u662f\u4e0a\u76ae\u764c\uff08epithelial cancer\uff09\uff0c\u751f\u9577\u5728\u5375\u5de2\u7684\u5916\u6bbc\uff0c\u4f54\u6574\u9ad4\u5375\u5de2\u816b\u762490%\u3002\u53e6\u5916\uff0c\u670910%\u5c6c\u65bc\u975e\u4e0a\u76ae\u764c\u985e\u5225\uff08non-epithelial cancer\uff09\uff0c\u5305\u62ec\uff1a<\/p>\n<p>\u2027\u751f\u6b96\u7d30\u80de\u7624\uff08germ cell tumour\uff09\uff0c\u4e00\u822c\u767c\u751f\u572830\u6b72\u524d\uff0c\u5e73\u5747\u767c\u751f\u5e74\u9f6116\u81f320\u6b72\u3002<\/p>\n<p>\u2027\u6027\u817a\u9593\u8cea\u816b\u7624\uff08sex cord stromal tumour\uff09\uff0c\u96d6\u7136\u53ef\u898b\u65bc\u5e74\u8f15\u75c5\u4eba\uff0c\u4f46\u8f03\u591a\u662f\u5728\u63a5\u8fd1\u505c\u7d93\u6642\u767c\u751f\uff0c\u5e73\u5747\u5e74\u9f61\u7d0450\u6b72\u3002\u6027\u817a\u9593\u8cea\u816b\u7624\u4f86\u81ea\u5206\u88c2\u7d30\u80de\u7fa4\uff0c\u901a\u5e38\u5728\u5375\u5de2\u6bcd\u7d30\u80de\uff08oocytes\uff09\u5468\u570d\u7684\u7d44\u7e54\u7522\u751f\u3002\u9019\u985e\u816b\u7624\u6703\u7522\u751f\u985e\u56fa\u9187\u6fc0\u7d20\uff0c\u75c5\u4eba\u6709\u53ef\u80fd\u6703\u51fa\u73fe\u8377\u723e\u8499\u5206\u6ccc\u904e\u91cf\u7684\u75c5\u5fb5\u3002\u5b83\u4f54\u6574\u9ad4\u5375\u5de2\u764c3%\u81f35%\uff0c\u800c\u7576\u4e2d\u670960%\u662f\u7b2c\u4e00\u671f\u78ba\u8a3a\uff1b\u5176\u4e2d\u4e00\u985e\u578b\u5c31\u662f\u9846\u7c92\u7d30\u80de\u7624\u3002<\/p>\n<p>\u7121\u8ad6\u5c6c\u7f55\u898b\u3001\u5e38\u898b\u5375\u5de2\u764c\uff0c\u75c5\u5fb5\u90fd\u7121\u7570\uff0c\u4e00\u822c\u6709\u809a\u8139\u3001\u809a\u75db\u3001\u7d93\u671f\u7570\u5e38\uff0c\u6216\u56e0\u76c6\u8154\u816b\u7624\u5f15\u8d77\u58d3\u529b\u800c\u51fa\u73fe\u75c5\u5fb5\u5982\u5927\u5c0f\u4fbf\u4e0d\u9069\u3002\u60a3\u8005\u5fc5\u9808\u505a\u5f71\u50cf\u6aa2\u67e5\uff0c\u5305\u62ec\u76c6\u8154\u8d85\u8072\u6ce2\u3001\u96fb\u8166\u6383\u63cf\uff0c\u82e5\u61f7\u7591\u662f\u665a\u671f\u764c\u75c7\u53ef\u4ee5\u518d\u52a0\u6b63\u96fb\u5b50\u6383\u63cf\u3002\u764c\u6307\u6578\u5728\u7f55\u898b\u985e\u5225\u4e2d\uff0c\u6709\u91dd\u5c0d\u751f\u6b96\u7d30\u80de\u764c\u7684AFP\u3001HCG\u3001LDH\uff0c\u4ee5\u53ca\u91dd\u5c0d\u9846\u7c92\u7d30\u80de\u7624\u7684inhibin\u3002\u764c\u75c7\u5206\u671f\u5247\u548c\u4e0a\u76ae\u5375\u5de2\u764c\u4e00\u6a23\uff0c\u7b2c1\u671f\u5c40\u9650\u5728\u5375\u5de2\uff1b\u7b2c2\u671f\u5f71\u97ff\u76c6\u8154\u5176\u4ed6\u7d44\u7e54\uff0c\u4f8b\u5982\u5b50\u5bae\u6216\u8f38\u5375\u7ba1\uff1b\u7b2c3\u671f\u5f71\u97ff\u6dcb\u5df4\u3001\u76c6\u8154\u4ee5\u5916\u7684\u8179\u819c\u7d44\u7e54\uff1b\u7b2c4\u671f\u6709\u80ba\u7a4d\u6c34\u6216\u9060\u7aef\u5668\u5b98\u8f49\u79fb\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>70%\u81f390%\u5c6c\u7b2c1\u671f<\/h2>\n<p>\u6cbb\u7642\u65b9\u9762\uff0c\u670970%\u81f390%\u7f55\u898b\u5375\u5de2\u764c\u5c6c\u65bc\u7b2c1\u671f\u3002\u5c24\u5176\u662f\u751f\u6b96\u7d30\u80de\u7624\uff0c\u75c5\u4eba\u591a\u70ba\u5e74\u7d00\u8f03\u8f15\uff0c\u81ea\u7136\u5e0c\u671b\u4fdd\u5b58\u751f\u6b96\u80fd\u529b\uff0c\u6240\u4ee5\u6703\u505a\u5207\u9664\u55ae\u908a\u5375\u5de2\u53ca\u8f38\u5375\u7ba1\u624b\u8853\u3002\u4f46\u5c0d\u665a\u671f\u6216\u505c\u7d93\u5f8c\u5973\u58eb\uff0c\u4e00\u500b\u5fb9\u5e95\u7684\u5b50\u5bae\u53ca\u5169\u908a\u5375\u5de2\u8f38\u5375\u7ba1\u5207\u9664\u624b\u8853\uff0c\u662f\u6a19\u6e96\u7684\u6cbb\u7642\u65b9\u6848\u3002<\/p>\n<p>\u5982\u679c\u6027\u817a\u9593\u8cea\u816b\u7624\u5c6c\u7b2c2\u671f\u4ee5\u4e0a\uff0c\u6216\u7b2c1\u671f\u5df2\u5b58\u5728\u98a8\u96aa\u56e0\u7d20\uff0c\u4f8b\u5982\u7b2c1C\u671f\uff0c\u7d30\u80de\u5206\u5316\u5dee\uff08poorly differentiated\uff09\uff0c\u4ee3\u8868\u9ad8\u5ea6\u60e1\u6027\u3001\u64f4\u6563\u98a8\u96aa\u8f03\u9ad8\uff0c\u5c31\u5fc5\u9808\u63a5\u53d7\u7d9c\u5408\u9251\u985e\u5316\u7642\u65b9\u6848\u3002\u81f3\u65bc\u5fa9\u767c\u75c5\u4eba\u53ef\u63a1\u7528\u4e8c\u7dda\u5316\u7642\uff0c\u4f8b\u5982\u7d2b\u6749\u9187\u7d9c\u5408\u9251\u985e\u7684\u6cbb\u7642\u3002<\/p>\n<p>\u800c\u751f\u6b96\u7d30\u80de\u7624\u7684\u75c5\u4eba\uff0c\u9664\u4e861A\u671f\u672a\u6210\u719f\u578b\u7578\u80ce\u7624\uff08immature teratoma\uff09\u548c\u751f\u6b96\u7d30\u80de\u4e0d\u826f\u7624\uff08dysgerminoma\uff09\uff0c\u5176\u9918\u90fd\u5fc5\u9808\u63a5\u53d7\u624b\u8853\u5f8c\u7684\u7d9c\u5408\u5316\u7642\u3002\u6709\u6548\u6cbb\u7642\u662fBEP\u65b9\u6848\uff08bleomycin\u3001etoposide\u548ccarboplatin\uff09\uff0c3\u81f34\u500b\u7642\u7a0b\u3002\u5118\u7ba1\u662f\u5fa9\u767c\u7684\u751f\u6b96\u7d30\u80de\u7624\uff0c\u4ecd\u6709\u6a5f\u6703\u5c0d\u5316\u7642\u654f\u611f\uff08chemotherapy sensitive\uff09\u800c\u9054\u5230\u6839\u6cbb\u7684\u6548\u679c\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u7f55\u898b\u5b50\u5bae\u9ad4\u764c 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leiomyosarcoma\uff09\u3002\u53ef\u60dc\u7684\u662f\uff0c\u8853\u5f8c3\u661f\u671f\u7684\u5f71\u50cf\u986f\u793a\uff0c\u816b\u7624\u5df2\u7d93\u591a\u767c\u6027\u8f49\u79fb\u5230\u80ba\u90e8\u3002\u5433\u5973\u58eb\u96a8\u5373\u958b\u59cb\u7d9c\u5408\u5316\u7642\uff0c\u5305\u62ec\u7d05\u9709\u7d206\u500b\u7642\u7a0b\u4e4b\u5f8c\uff0c\u816b\u7624\u60c5\u51b5\u6539\u5584\u3002\u5b8c\u6210\u5316\u7642\u5f8c\uff0c\u5979\u5229\u75283\u661f\u671f\u5047\u671f\u548c\u7236\u6bcd\u65c5\u904a\u3002\u56de\u6e2f\u5f8c\u4e00\u76f4\u76e3\u5bdf\u75c5\u60c5\uff0c1\u500b\u6708\u5f8c\u767c\u73fe\u816b\u7624\u518d\u8f49\u79fb\u5230\u8179\u819c\uff0c\u63a5\u53d7\u4e86\u4e8c\u7dda\u5316\u7642\uff1b\u540c\u6642\u63a5\u53d7\u57fa\u56e0\u6e2c\u5e8f\u5f8c\uff0c\u63a1\u7528\u4e86\u6a19\u9776\u6cbb\u7642\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u57fa\u56e0\u7a81\u8b8a 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