{"id":1936,"date":"2017-09-01T10:12:19","date_gmt":"2017-09-01T02:12:19","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1936"},"modified":"2017-09-26T14:48:57","modified_gmt":"2017-09-26T06:48:57","slug":"%e3%80%90%e8%85%ab%e7%98%a4%e5%85%a7%e7%a7%91%e3%80%91%e5%b0%b1%e7%ae%97%e6%89%be%e4%b8%8d%e5%88%b0%e8%85%ab%e7%98%a4%e7%9a%84%e5%8e%9f%e7%99%bc%e4%bd%8d%e7%bd%ae%e4%b9%9f%e6%9c%89%e8%be%a6%e6%b3%95","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1936","title":{"rendered":"\u3010\u816b\u7624\u5167\u79d1\u3011\u5c31\u7b97\u627e\u4e0d\u5230\u816b\u7624\u7684\u539f\u767c\u4f4d\u7f6e\u4e5f\u6709\u8fa6\u6cd5\u8655\u7406"},"content":{"rendered":"

<\/p>\n

\u6587\/\u816b\u7624\u5167\u79d1 \u5442\u5b78\u5112 \u4e3b\u6cbb\u91ab\u5e2b<\/p>\n

70\u6b72\u7684\u6e6f\u5a46\u5a46\uff0c\u904e\u53bb\u90fd\u6c92\u6709\u7279\u6b8a\u83f8\u9152\u6ab3\u6994\u75c5\u53f2\uff0c\u4e5f\u6c92\u6709\u5176\u4ed6\u4e0d\u826f\u55dc\u597d\uff0c\u6700\u8fd1\u4e00\u500b\u6708\u611f\u89ba\u5230\u8179\u90e8\u8139\u75db\uff0c\u5230\u91ab\u9662\u7d93\u96fb\u8166\u65b7\u5c64\u6aa2\u67e5\uff0c\u8d6b\u7136\u767c\u73fe\u8179\u90e8\u6709\u5927\u91cf\u8179\u6c34\u5408\u4f75\u8179\u8154\u5167\u816b\u7624\u8f49\u79fb\u3002<\/p>\n

\u6e6f\u5a46\u5a46\u7684\u5bb6\u4eba\u76f8\u7576\u64d4\u5fc3\uff0c\u6c42\u52a9\u65bc\u816b\u7624\u79d1\u91ab\u5e2b\uff0c\u5728\u8a73\u7d30\u6aa2\u67e5\u4e4b\u5f8c\uff0c\u6e6f\u5a46\u5a46\u7684\u8179\u6c34\u986f\u793a\u70ba\u60e1\u6027\u8179\u6c34\uff0c\u4f46\u5168\u8eab\u4e0a\u4e0b\u90fd\u627e\u4e0d\u5230\u816b\u7624\u7684\u539f\u767c\u90e8\u4f4d\u3002\u6e6f\u5a46\u5a46\u7684\u75c5\u540d\u70ba\u300c\u539f\u767c\u90e8\u4f4d\u4e0d\u660e\u8f49\u79fb\u764c\u300d\uff0c\u9019\u7a2e\u764c\u5225\u4e26\u4e0d\u7f55\u898b\uff0c\u5360\u6240\u6709\u816b\u7624\u7684\u767c\u751f\u7387\u7d04 5~10 %\u3002\u96d6\u7136\u6cbb\u7642\u4e0a\u96e3\u5ea6\u8f03\u9ad8\uff0c\u4f46\u96a8\u8457\u6aa2\u6e2c\u53ca\u5100\u5668\u6280\u8853\u7684\u9032\u6b65\uff0c\u9019\u985e\u816b\u7624\u8fd1\u5e74\u4e5f\u6709\u9577\u8db3\u7684\u9032\u5c55\uff0c\u5efa\u8b70\u4ecd\u9808\u5c0b\u6c42\u5c08\u696d\u91ab\u5e2b\u7684\u5efa\u8b70\u53ca\u6cbb\u7642\uff0c\u5207\u52ff\u75c5\u6025\u4e82\u6295\u91ab\uff0c\u9078\u64c7\u504f\u65b9\u6cbb\u7642\u3002<\/p>\n

\u539f\u767c\u90e8\u4f4d\u4e0d\u660e\u8f49\u79fb\u764c(carcinoma of unknown primary, CUPs)\u9867\u540d\u601d\u7fa9\uff0c\u4e3b\u8981\u662f\u7d44\u7e54\u5b78\u4e0a\u70ba\u60e1\u6027\u8f49\u79fb\u7684\u7d30\u80de\uff0c\u5176\u539f\u767c\u90e8\u4f4d\u5728\u6cbb\u7642\u524d\u5c1a\u7121\u6cd5\u78ba\u8a8d\u8005\u7a31\u4e4b\u3002\u81e8\u5e8a\u4e0a\u7684\u8868\u73fe\u6703\u56e0\u816b\u7624\u751f\u9577\u7684\u4f4d\u7f6e\u8b8a\u7570\u6975\u5927\uff0c\u5305\u62ec\u75b2\u5026\u3001\u9ad4\u91cd\u6e1b\u8f15\u3001\u75bc\u75db\u3001\u4e0d\u6b63\u5e38\u51fa\u8840\u3001\u8179\u90e8\u816b\u5927\u3001\u9838\u90e8\u816b\u584a\u7b49\u7b49\uff0c\u90fd\u6709\u53ef\u80fd\u662f\u539f\u767c\u90e8\u4f4d\u4e0d\u660e\u8f49\u79fb\u764c\u8868\u73fe\u7684\u65b9\u5f0f\u3002<\/p>\n

\u5c0d\u816b\u7624\u5167\u79d1\u91ab\u5e2b\u800c\u8a00\uff0c\u9019\u985e\u75c5\u60a3\u5728\u8a3a\u65b7\u4e0a\u76f8\u7576\u5177\u6709\u6311\u6230\u6027\uff0c\u5fc5\u9808\u914d\u5408\u75c5\u7406\u5b78\u53ca\u5f71\u50cf\u5b78\u4e0a\u7684\u767c\u73fe\u52a0\u4ee5\u7d9c\u5408\u5224\u65b7\uff0c\u76e1\u53ef\u80fd\u627e\u5c0b\u51fa\u53ef\u80fd\u7684\u539f\u767c\u4f4d\u7f6e\u3002\u6839\u64da 2017\u5e74\u7f8e\u570b\u570b\u5bb6\u764c\u75c7\u6574\u5408\u7db2\u8def(National Cancer Comprehensive Network, NCCN)\u7684\u6cbb\u7642\u6307\u5f15\u6307\u51fa\uff0c\u6709\u4e9b\u539f\u767c\u90e8\u4f4d\u4e0d\u660e\u8f49\u79fb\u764c\u75c7\u7279\u6b8a\u7684\u81e8\u5e8a\u8868\u73fe\uff0c\u53ef\u4ee5\u5176\u7d44\u7e54\u5b78\u578b\u614b\u53ca\u5176\u6240\u8f49\u79fb\u7684\u4f4d\u7f6e\uff0c\u8a8d\u5217\u70ba\u7279\u5b9a\u7684\u764c\u75c7\u7d66\u4e88\u8655\u7406\uff0c\u6574\u7406\u5982\u4e0b\uff1a<\/p>\n

    \n
  1. \u5a66\u5973\u814b\u4e0b\u6dcb\u5df4\u7d50\u817a\u764c\u8f49\u79fb\uff08Women with adenocarcinoma involving only axillary lymph nodes\uff09\uff1a\u53ef\u80fd\u662f\u7531\u4e73\u764c\u8f49\u79fb\u800c\u4f86\uff0c\u53ef\u4ee5\u5b89\u6392\u4e73\u623fX\u5149\u651d\u5f71\u6216\u4e73\u623f\u8d85\u97f3\u6ce2\u52a0\u4ee5\u8a3a\u65b7\u3002<\/li>\n
  2. \u5a66\u5973\u60e1\u6027\u8179\u819c\u817a\u764c\u8f49\u79fb\uff08Women with papillary adenocarcinoma of the peritoneal cavity\uff09\uff1a\u53ef\u80fd\u662f\u5375\u5de2\u764c\u8f49\u79fb\uff0c\u8003\u616e\u5148\u4ee5\u5316\u5b78\u6cbb\u7642\u70ba\u4e3b\u3002<\/li>\n
  3. \u7537\u6027\u9020\u9aa8\u6027\u9aa8\u8f49\u79fb\u5408\u4f75\u651d\u8b77\u817a\u7279\u5b9a\u6297\u539f\u5347\u9ad8\uff08Men with bone metastases and elevated PSA\uff09\uff1a\u9019\u985e\u7684\u75c5\u4eba\u6bd4\u8f03\u5c11\u898b\uff0c\u8655\u7406\u539f\u5247\u6bd4\u7167\u651d\u8b77\u817a\u764c\u3002<\/li>\n
  4. \u9838\u90e8\u6dcb\u5df4\u7d50\u9c57\u72c0\u4e0a\u76ae\u7d30\u80de\u764c\u8f49\u79fb\uff08Squamous cell carcinoma involving cervical lymph nodes\uff09\uff1a\u4f9d\u5c40\u90e8\u665a\u671f\u982d\u9838\u764c\u7d66\u4e88\u6cbb\u7642\u3002<\/li>\n
  5. \u55ae\u4e00\u9f20\u819d\u90e8\u6dcb\u5df4\u7d50\u8f49\u79fb\u6027\u9c57\u72c0\u4e0a\u76ae\u7d30\u80de\u764c(Isolate inguinal lymph node with squamous cell carcinoma)\uff1a\u7d66\u4e88\u9f20\u8e4a\u90e8\u6dcb\u5df4\u5ed3\u6e05\u8853\uff0c\u4e26\u7d66\u4e88\u5c40\u90e8\u653e\u5c04\u6cbb\u7642\u3002<\/li>\n
  6. \u5206\u5316\u4e0d\u5168\u4e4b\u4e2d\u8ef8\u90e8\u816b\u7624\uff08\u6027\u817a\u5916\u751f\u6b96\u7d30\u80de\u764c\u75c7\u5019\u7fa4\uff09\u3010Poorly differentiated carcinoma with midline distribution (extragonadal germ cell syndrome)\u3011\uff1a\u5e74\u8f15\u7537\u6027\u5e38\u898b\uff0c\u53ef\u4f9d\u6027\u817a\u5916\u751f\u6b96\u7d30\u80de\u764c\u75c7\u5019\u7fa4\uff08extragonadal germ cell syndrome\uff09\u8a3a\u6cbb\u3002<\/li>\n
  7. \u5206\u5316\u4e0d\u5168\u4e4b\u795e\u7d93\u5167\u5206\u6ccc\u764c\uff08Poorly differentiated neuroendocrine carcinomas\uff09\uff1a\u70ba\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\uff0c\u53ef\u63a1\u7528\u767d\u91d1\u985e\u85e5\u7269\u70ba\u4e3b\u4e4b\u6cbb\u7642\u3002<\/li>\n<\/ol>\n

    \u82e5\u975e\u4e0a\u8ff0\u81e8\u5e8a\u8868\u73fe\u4e4b\u75c5\u60a3\u4e5f\u4e0d\u9700\u8981\u592a\u591a\u64d4\u5fc3\uff0c\u904e\u53bb\u5df2\u6709\u591a\u7bc7\u7814\u7a76\u986f\u793a\uff0c\u91d1\u9251\u985e\u85e5\u7269\u5c0d\u539f\u767c\u4f4d\u7f6e\u4e0d\u660e\u764c\u6975\u5177\u7642\u6548\uff0c\u4e14\u8fd1\u5e74\u4f86\u764c\u75c7\u7684\u767c\u5c55\u65e5\u65b0\u6708\u7570\uff0c\u5305\u62ec\u57fa\u56e0\u6aa2\u6e2c\u6216\u662f\u514d\u75ab\u6cbb\u7642\uff0c\u90fd\u986f\u793a\u5176\u81e8\u5e8a\u7684\u61c9\u7528\u50f9\u503c\uff0c\u75c5\u60a3\u5176\u5be6\u4e0d\u9700\u904e\u5ea6\u64d4\u5fc3\uff0c\u6c42\u52a9\u5c08\u696d\u91ab\u5e2b\u624d\u662f\u9996\u9078\u4e4b\u9053\u3002<\/p>\n\n\n\n\n\n
    \u73fe\u8077<\/td>\n\u4e2d\u5c71\u9644\u91ab\u816b\u7624\u5167\u79d1\u4e3b\u6cbb\u91ab\u5e2b<\/p>\n

    \u4e2d\u5c71\u91ab\u5b78\u5927\u5b78\u91ab\u5b78\u7cfb\u8b1b\u5e2b<\/td>\n

    		\u00a0\"\"<\/a><\/td>\n<\/tr>\n
    \u7d93\u6b77<\/td>\n\u4e2d\u83ef\u6c11\u570b\u764c\u75c7\u91ab\u5b78\u6703\u816b\u7624\u5167\u79d1\u5c08\u79d1\u91ab\u5e2b<\/p>\n

    \u4e2d\u83ef\u6c11\u570b\u8840\u6db2\u75c5\u91ab\u5b78\u6703\u5c08\u79d1\u91ab\u5e2b<\/p>\n

    \u4e2d\u83ef\u6c11\u570b\u764c\u75c7\u5b89\u5be7\u7de9\u548c\u91ab\u5b78\u6703\u5c08\u79d1\u91ab\u5e2b<\/p>\n

    \u53f0\u5317\u69ae\u7e3d\u5167\u79d1\u90e8\u8840\u6db2\u816b\u7624\u79d1\u4e3b\u6cbb\u91ab\u5e2b<\/p>\n

    \u53f0\u5317\u69ae\u7e3d\u5167\u79d1\u90e8\u8840\u6db2\u816b\u7624\u79d1\u7e3d\u91ab\u5e2b<\/p>\n

    \u53f0\u5317\u69ae\u7e3d\u5167\u79d1\u90e8\u4f4f\u9662\u91ab\u5e2b<\/p>\n

    \u6559\u80b2\u90e8\u90e8\u5b9a\u8b1b\u5e2b<\/td>\n<\/tr>\n

    \u5c08\u9577<\/td>\n\u56fa\u614b\u816b\u7624<\/p>\n

    \u60e1\u6027\u8840\u6db2\u75be\u75c5<\/p>\n

    \u5b89\u5be7\u7de9\u548c\u6cbb\u7642<\/td>\n

    		\n\n\n\n\n\n\n
    \u9580\u8a3a\u6642\u6bb5\u8868<\/td>\n<\/tr>\n
    <\/td>\n\u661f\u671f\u4e00<\/td>\n\u661f\u671f\u4e8c<\/td>\n\u661f\u671f\u4e09<\/td>\n\u661f\u671f\u56db<\/td>\n\u661f\u671f\u4e94<\/td>\n<\/td>\n<\/tr>\n
    \u65e9\u4e0a<\/td>\n<\/td>\n\u25cf<\/td>\n<\/td>\n\u25cf<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
    \u4e0b\u5348<\/td>\n\u25cf<\/td>\n<\/td>\n\u25cf<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-1936","post","type-post","status-publish","format-standard","hentry","category-doc-heaedu"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1936"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1936"}],"version-history":[{"count":2,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1936\/revisions"}],"predecessor-version":[{"id":1939,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1936\/revisions\/1939"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1936"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}