{"id":38063,"date":"2022-05-31T15:31:46","date_gmt":"2022-05-31T07:31:46","guid":{"rendered":"\/\/www.afterroberto.com\/?p=38063"},"modified":"2023-10-05T12:49:30","modified_gmt":"2023-10-05T04:49:30","slug":"%e6%99%9a%e6%9c%9f%e5%b7%b2%e6%93%b4%e6%95%a3%e8%83%83%e7%99%8c%e5%ad%98%e6%b4%bb%e7%8e%87%e4%bd%8e-%e6%b2%bb%e7%99%82%e5%a2%9e%e9%81%b8%e6%93%87-%e6%96%b0%e5%9e%8b%e6%a8%99%e9%9d%b6%e8%97%a5%e7%89%a9","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e6%99%9a%e6%9c%9f%e5%b7%b2%e6%93%b4%e6%95%a3%e8%83%83%e7%99%8c%e5%ad%98%e6%b4%bb%e7%8e%87%e4%bd%8e-%e6%b2%bb%e7%99%82%e5%a2%9e%e9%81%b8%e6%93%87-%e6%96%b0%e5%9e%8b%e6%a8%99%e9%9d%b6%e8%97%a5%e7%89%a9\/","title":{"rendered":"\u3010\u80c3\u764c\u3011\u665a\u671f\u5df2\u64f4\u6563\u80c3\u764c\u5b58\u6d3b\u7387\u4f4e\uff1f\u6cbb\u7642\u589e\u9078\u64c7\uff1a\u65b0\u578b\u6a19\u9776\u85e5\u7269\u3001\u514d\u75ab\u6cbb\u7642"},"content":{"rendered":"<p>\u80c3\u764c\u662f\u672c\u6e2f\u7b2c6\u4f4d\u6700<a href=\"\/\/www.afterroberto.com\/%e6%9c%ac%e6%b8%af%e5%8d%81%e5%a4%a7%e5%b8%b8%e8%a6%8b%e7%99%8c%e7%97%87-%e8%87%b4%e5%91%bd%e7%99%8c%e7%97%87%e9%a6%963%e4%bd%8d-%e8%82%ba%e7%99%8c-%e5%a4%a7%e8%85%b8%e7%99%8c%e5%8f%8a%e8%82%9d\/\" target=\"_blank\" rel=\"noopener\">\u5e38\u898b\u764c\u75c7<\/a>\uff0c2019\u5e74\u6709\u7d041300\u5b97\u65b0\u75c7\uff0c\u596a\u53bb\u8fd1700\u4eba\u7684\u6027\u547d\u3002\u7531\u65bc\u80c3\u764c\u7684\u5fb5\u72c0\u8207\u4e00\u822c<a href=\"\/\/www.afterroberto.com\/%e8%83%83%e7%99%8c%e7%b3%bb%e5%88%97-%e8%83%83%e9%85%b8%e5%80%92%e6%b5%81-%e5%8a%9f%e8%83%bd%e6%80%a7%e6%b6%88%e5%8c%96%e4%b8%8d%e8%89%af%e5%8f%8a%e5%b9%bd%e9%96%80%e8%9e%ba\/\" target=\"_blank\" rel=\"noopener\">\u6d88\u5316\u4e0d\u826f<\/a>\u76f8\u4f3c\uff0c\u751a\u81f3\u4e4e\u6c92\u6709\u660e\u986f\u5fb5\u72c0\uff0c\u90e8\u5206\u60a3\u8005\u90fd\u6703\u5ffd\u7565\u800c\u672a\u6709\u53ca\u65e9\u6c42\u91ab\uff0c\u76f4\u81f3\u5230\u5fb5\u72c0\u56b4\u91cd\u6642\u624d\u767c\u73fe\u5df2\u7d93\u662f\u4e2d\u5f8c\u671f\u3002\u96d6\u7136\u5982\u6b64\uff0c\u8fd1\u5e74\u6709\u4e0d\u5c11\u65b0\u7684\u85e5\u7269\u6cbb\u7642\uff0c\u7576\u4e2d\u91dd\u5c0dHER2\u578b\uff08\u4e0a\u76ae\u751f\u9577\u56e0\u5b50\u53d7\u9ad4\u4e8c\u578b\uff09<a href=\"\/\/www.afterroberto.com\/%E6%9C%AC%E6%B8%AF%E8%83%83%E7%99%8C%E5%AD%98%E6%B4%BB%E7%8E%87%E5%83%85%E5%9B%9B%E8%87%B3%E4%BA%94%E6%88%90-7%E5%80%8B%E8%83%83%E7%99%8C%E9%AB%98%E5%8D%B1%E5%9B%A0%E7%B4%A0-%E6%B3%A8%E6%84%8F\/\" target=\"_blank\" rel=\"noopener\">\u80c3\u764c<\/a>\u7684\u6cbb\u7642\u6709\u6548\u7e2e\u5c0f\u816b\u7624\uff0c\u589e\u52a0\u60a3\u8005\u5b58\u6d3b\u671f\uff0c\u70ba\u665a\u671f\u3001\u5df2\u64f4\u6563\u7684HER2\u578b\u80c3\u764c\u60a3\u8005\u5e36\u4f86\u66d9\u5149\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u76f8\u95dc\u6587\u7ae0\uff1a<a href=\"\/\/www.afterroberto.com\/%e6%9c%ac%e6%b8%af%e5%8d%81%e5%a4%a7%e5%b8%b8%e8%a6%8b%e7%99%8c%e7%97%87-%e8%87%b4%e5%91%bd%e7%99%8c%e7%97%87%e9%a6%963%e4%bd%8d-%e8%82%ba%e7%99%8c-%e5%a4%a7%e8%85%b8%e7%99%8c%e5%8f%8a%e8%82%9d\/\" target=\"_blank\" rel=\"noopener\">\u3010\u672c\u6e2f\u5341\u5927\u5e38\u898b\u764c\u75c7\u3011\u81f4\u547d\u764c\u75c7\u99963\u4f4d\uff1a\u80ba\u764c\u3001\u5927\u8178\u764c\u53ca\u809d\u764c \u6ce8\u610f\u80f0\u81df\u764c\u65b0\u75c710\u5e74\u589e\u4e5d\u6210<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\u65b0\u578b\u6a19\u9776\u85e5\u7269 \u91dd\u5c0dHER2\u578b\u80c3\u764c<\/strong><\/h2>\n<p><a href=\"https:\/\/www.hksh-hospital.com\/zh-hk\" target=\"_blank\" rel=\"nofollow noopener\">\u990a\u548c\u91ab\u9662<\/a>\u81e8\u5e8a\u816b\u7624\u79d1\u5c08\u79d1\u5ed6\u656c\u8ce2\u91ab\u751f\u8868\u793a\uff0c\u65e9\u671f\u80c3\u764c\u53ef\u4ee5\u900f\u904e\u624b\u8853\u5207\u9664\u6839\u6cbb\uff0c\u8996\u4e4e\u816b\u7624\u4f4d\u7f6e\uff0c\u4e00\u822c\u9700\u8981\u5207\u9664\u5927\u90e8\u5206\u80c3\u90e8\uff0c\u5c11\u6578\u75c5\u4eba\u9700\u8981\u5168\u80c3\u5207\u9664\uff1b\u800c\u5c40\u90e8\u5207\u9664\u80c3\u90e8\u7684\u60a3\u8005\u53ef\u65bc\u624b\u8853\u5f8c\u9032\u884c\u5316\u7642\uff0c\u5305\u62ec\u53e3\u670d\u5316\u7642\u85e5\u6216\u540c\u6642\u4f7f\u7528\u975c\u8108\u6ce8\u5c04\u52a0\u53e3\u670d\u5316\u7642\u85e5\uff0c\u7642\u7a0b\u70ba\u671f\u534a\u5e74\u5230\u4e00\u5e74\uff0c\u6e1b\u4f4e\u5fa9\u767c\u6a5f\u6703\u3002<\/p>\n<p>\u91dd\u5c0d\u665a\u671f\u3001\u5df2\u51fa\u73fe\u8f49\u79fb\u7684\u80c3\u764c\uff0c\u5ed6\u91ab\u751f\u8868\u793a\uff0c\u8fd1\u5e74\u6709\u8f03\u591a\u65b0\u7684\u6cbb\u7642\u65b9\u6848\u53ef\u4ee5\u9078\u64c7\u3002\u7279\u5225\u662f\u4f54\u80c3\u764c\u60a3\u8005\u5169\u6210\u7684HER2\u578b\u80c3\u764c\uff0c\u90e8\u5206\u75c5\u4eba\u53ef\u5617\u8a66\u4f7f\u7528\u6297HER2\u53d7\u9ad4\u6a19\u9776\u85e5\u7269\uff0c\u900f\u904e\u963b\u622aHER2\u53d7\u9ad4\uff0c\u4ee4\u764c\u7d30\u80de\u4e0d\u518d\u751f\u9577\uff0c\u540c\u6642\u4ee4\u8eab\u9ad4\u7684\u514d\u75ab\u7cfb\u7d71\u8a8d\u51fa\u764c\u7d30\u80de\uff0c\u628a\u5b83\u5011\u6bba\u6b7b\u3002\u6709\u7814\u7a76\u767c\u73fe\u4f7f\u7528\u5316\u7642\u52a0HER2\u53d7\u9ad4\u6a19\u9776\u85e5\u7269\u7684\u60a3\u8005\uff0c\u85e5\u7269\u80fd\u6709\u6548\u7e2e\u7d30\u816b\u7624\uff0c\u75c5\u4eba\u7684\u5b58\u6d3b\u671f\u6bd4\u53ea\u4f7f\u7528\u5316\u7642\u8f03\u9577\u3002<\/p>\n<figure id=\"attachment_38066\" aria-describedby=\"caption-attachment-38066\" style=\"width: 756px\" class=\"wp-caption aligncenter\"><picture><source srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01.webp 756w,\/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01-300x200.webp 300w,\/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01-150x100.webp 150w,\/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01-250x167.webp 250w\" sizes=\"(max-width: 756px) 100vw, 756px\" type=\"image\/webp\"><img src=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01.jpg\" height=\"505\" width=\"756\" srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01.jpg 756w, \/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01-300x200.jpg 300w, \/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01-150x100.jpg 150w, \/\/www.afterroberto.com\/wp-content\/uploads\/2022\/05\/HER2_pain_20220531_01-250x167.jpg 250w\" sizes=\"(max-width: 756px) 100vw, 756px\" class=\"size-full wp-image-38066 sp-no-webp\" alt=\"\u80c3\u764c\u8207\u4e00\u822c\u6d88\u5316\u4e0d\u826f\u7684\u5fb5\u72c0\u76f8\u4f3c\uff0c\u751a\u81f3\u6c92\u6709\u660e\u986f\u5fb5\u72c0\uff0c\u5bb9\u6613\u5ef6\u8aa4\u6cbb\u7642\u3002\" fetchpriority=\"high\" decoding=\"async\"  > <\/picture><figcaption id=\"caption-attachment-38066\" class=\"wp-caption-text\">\u80c3\u764c\u8207\u4e00\u822c\u6d88\u5316\u4e0d\u826f\u7684\u5fb5\u72c0\u76f8\u4f3c\uff0c\u751a\u81f3\u6c92\u6709\u660e\u986f\u5fb5\u72c0\uff0c\u5bb9\u6613\u5ef6\u8aa4\u6cbb\u7642\u3002<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>\u76f8\u95dc\u6587\u7ae0\uff1a<a href=\"\/\/www.afterroberto.com\/%E6%9C%AC%E6%B8%AF%E8%83%83%E7%99%8C%E5%AD%98%E6%B4%BB%E7%8E%87%E5%83%85%E5%9B%9B%E8%87%B3%E4%BA%94%E6%88%90-7%E5%80%8B%E8%83%83%E7%99%8C%E9%AB%98%E5%8D%B1%E5%9B%A0%E7%B4%A0-%E6%B3%A8%E6%84%8F\/\" target=\"_blank\" rel=\"noopener\">\u672c\u6e2f\u80c3\u764c\u5b58\u6d3b\u7387\u50c5\u56db\u81f3\u4e94\u6210 7\u500b\u80c3\u764c\u9ad8\u5371\u56e0\u7d20 \u6ce8\u610f\u5e7d\u9580\u87ba\u65cb\u687f\u83cc\u81f4\u80c3\u90e8\u9577\u671f\u767c\u708e<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\u514d\u75ab\u6cbb\u7642\u8b58\u5225\u3001\u653b\u64ca\u764c\u7d30\u80de<\/strong><\/h2>\n<p>\u53e6\u4e00\u985e\u8fd1\u5e74\u8f03\u65b0\u7684\u6cbb\u7642\u65b9\u6cd5\u662f\u514d\u75ab\u6cbb\u7642\uff0c\u900f\u904e\u514d\u75ab\u6aa2\u67e5\u9ede\u963b\u65b7\u5291\uff08Immune checkpoint inhibitor\uff09\uff0c\u4ee4\u9ad4\u5167\u7684\u514d\u75ab\u7d30\u80de\u80fd\u5920\u8b58\u5225\u53ca\u653b\u64ca\u764c\u7d30\u80de\u3002\u5f9e\u7814\u7a76\u4e2d\u77e5\u9053\uff0c\u82e5\u5176\u816b\u7624\u7684PD-L1\u8868\u9054\u91cf\u9ad8\uff0c\u8f03\u9069\u5408\u4f7f\u7528\u514d\u75ab\u6cbb\u7642\u3002\u9664\u4e86PD-L1\u8868\u9054\u91cf\u5916\uff0c\u8fd1\u5e74\u91ab\u5b78\u754c\u4ea6\u767c\u73fe\u66f4\u591a\u751f\u7269\u6a19\u8a18\uff08Biomarkers\uff09\uff0c\u5305\u62ec\u300c\u5fae\u885b\u661f\u4e0d\u7a69\u5b9a\u6027\u300d\uff08Microsatellite Instability\uff0c\u7c21\u7a31MSI\uff09\u53ca\u300c\u816b\u7624\u7a81\u8b8a\u8ca0\u8377\u91cf\u300d\uff08Tumor Mutation Burden\uff0c\u7c21\u7a31TMB\uff09\u7b49\uff0c\u6709\u52a9\u8a55\u4f30\u514d\u75ab\u6cbb\u7642\u7684\u7642\u6548\u3002<\/p>\n<p>\u5ed6\u91ab\u751f\u6307\u51fa\uff0c\u4e00\u822c\u80c3\u764c\u75c5\u4eba\u90fd\u6703\u5efa\u8b70\u5148\u4f7f\u7528\u7b2c\u4e00\u7dda\u85e5\u7269\uff0c\u5305\u62ec\u5316\u7642\u53ca\u6a19\u9776\u85e5\uff0c\u82e5\u4f7f\u7528\u4e00\u6bb5\u6642\u9593\u5f8c\u51fa\u73fe\u6297\u85e5\u6027\uff0c\u5247\u8981\u8003\u616e\u4f7f\u7528\u7b2c\u4e8c\u7dda\u85e5\u7269\uff0c\u82e5\u7b2c\u4e8c\u7dda\u85e5\u7269\u4e5f\u5931\u6548\uff0c\u624d\u6703\u8003\u616e\u4f7f\u7528\u5c6c\u514d\u75ab\u6cbb\u7642\u7684\u7b2c\u4e09\u3001\u7b2c\u56db\u7dda\u85e5\u7269\u3002\u4f46\u8fd1\u5e74\u6709\u7814\u7a76\u986f\u793a\uff0c \u5408\u9069\u7684\u75c5\u4eba\u4e2d\u4e5f\u53ef\u4ee5\u5728\u7b2c\u4e00\u548c\u7b2c\u4e8c\u7dda\u6cbb\u7642\u52a0\u5165\u514d\u75ab\u6cbb\u7642\u85e5\u7269\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u76f8\u95dc\u6587\u7ae0\uff1a<a 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