平常恶性肿瘤TNM分期汇总!
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肿瘤的分期(staging)是<span style="color: black;">按照</span>原发肿瘤的<span style="color: black;">体积</span>、浸润的深度、范围以及<span style="color: black;">是不是</span>累及邻近器官、有<span style="color: black;">没</span>局部和远处淋巴结的转移、有<span style="color: black;">没</span>血源性或其他远处转移等参数来确定的,是一种标准化的语言和科学的<span style="color: black;">评定</span>体系,并随着肿瘤诊疗的<span style="color: black;">发展</span>和数据的更新而<span style="color: black;">持续</span>修订。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肿瘤分期有助于<span style="color: black;">大夫</span><span style="color: black;">认识</span>癌症<span style="color: black;">发展</span><span style="color: black;">状况</span>,<span style="color: black;">能够</span><span style="color: black;">帮忙</span><span style="color: black;">大夫</span>制定治疗计划和判断预后。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>国际上最为通用的是TNM分期系统,其中,T<span style="color: black;">表率</span>的是原发肿瘤<span style="color: black;">状况</span>,N<span style="color: black;">表率</span>的是区域淋巴结受累<span style="color: black;">状况</span>,M<span style="color: black;">表率</span>的是有<span style="color: black;">没</span>远处转移。每一种恶性肿瘤的TNM分期各不相同。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">以下内容均参考《<span style="color: black;">平常</span>恶性肿瘤AJCC手册(第8版)》,部分摘自《2020 CSCO <span style="color: black;">平常</span>恶性肿瘤诊疗指南》。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">非小细胞肺癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-b15dedb07b2da18d4767f033db088b0d_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-efb70fbc04fc2706a49722e95695a206_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小细胞肺癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">SCLC的分期<span style="color: black;">始终</span>沿用美国退伍军人肺癌协会(VALG)的二期分期法,<span style="color: black;">重点</span>基于放疗在SCLC治疗中的<span style="color: black;">要紧</span>地位。而AJCC TNM分期更适合分选出适合外科手术的T1-2N0M0的局限期<span style="color: black;">病人</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">CSCO指南<span style="color: black;">意见</span>临床<span style="color: black;">运用</span>VALG分期法和TNM分期系统两者结合的<span style="color: black;">办法</span>对SCLC进行分期。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">VLAG二分期法:</p>局限期:病灶限于<span style="color: black;">一边</span>胸腔,且能被纳入一个放射治疗野内;广泛期:病变超过<span style="color: black;">一边</span>胸腔,且<span style="color: black;">包含</span>恶性胸腔和心包积液或血行转移。<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-bf6eb6705be47c8e706f48273e739500_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝细胞癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">BCLC分期系统是<span style="color: black;">日前</span><span style="color: black;">全世界</span>临床上应用最多的肝癌分期系统,CSCO指南<span style="color: black;">重点</span>依据国家卫生健康委员会主持制定的肝癌诊疗规范(2019版),即结合<span style="color: black;">详细</span>国情、临床实践及<span style="color: black;">科研</span>经验等,<span style="color: black;">举荐</span>采用如下中国肝癌分期(CNLC)<span style="color: black;">方法</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-f834e4b4996aa1f28f53d84847321f05_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-047d90bfb7068dd1316c9032c567c1de_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胆道癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-133d0b0e84a23a757aba589615a8a894_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胃癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-dac1427c80232ceb2df6b19ef54b6bfc_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-fea612a3c11d14acbc0a9473a53fcb69_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-b2d92681e409c1c90a3b4fccf3acc614_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">食管癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-b970b0098b904fe00684f1610a66beb2_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-023e9bb5d6548b687ffd16df46955e90_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-639dfed4567c286317f601e09e4a9b7d_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结直肠癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">头颈部肿瘤</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">鼻咽癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肾癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胰腺癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">乳腺癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫颈癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">卵巢癌</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
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