左肺癌t1n0m1iv期代表什么
\u53f3\u80ba\u817a\u764cT1N3M1-IV\u671f\u662f\u4ec0\u4e48\u610f\u601d?\u80ba\u764cTNM\u662f\u4e00\u79cd\u4e34\u5e8a\u5206\u671f\u7cfb\u7edf\uff0cT\u3001N\u3001M\u3001\u5206\u522b\u4ee3\u8868\u539f\u53d1\u80bf\u7624\u5927\u5c0f\u72b6\u6001\u3001\u533a\u57df\u6dcb\u5df4\u8f6c\u79fb\u72b6\u6001\u3001\u6709\u65e0\u8fdc\u5904\u8f6c\u79fb\u3002\u6839\u636e\u8fd9\u4e09\u8981\u7d20\u7684\u5177\u4f53\u60c5\u51b5\u6765\u7ed9\u4e34\u5e8a\u80bf\u7624\u5206\u671f\uff0c\u4ee5\u786e\u5b9a\u5408\u7406\u7684\u6cbb\u7597\u624b\u6bb5\u3002\u5177\u4f53\u5982\u4e0b\uff1a
\u539f\u53d1\u80bf\u7624\uff08T\uff09\u5206\u671f
Tx \u539f\u53d1\u80bf\u7624\u5927\u5c0f\u65e0\u6cd5\u6d4b\u91cf\uff1b\u6216\u75f0\u8131\u843d\u7ec6\u80de\u3001\u6216\u652f\u6c14\u7ba1\u51b2\u6d17\u6db2\u4e2d\u627e\u5230\u764c\u7ec6\u80de\uff0c\u4f46\u5f71\u50cf\u5b66\u68c0\u67e5\u548c\u652f\u6c14\u7ba1\u955c\u68c0\u67e5\u672a\u53d1\u73b0\u539f\u53d1\u80bf\u7624
T0 \u6ca1\u6709\u539f\u53d1\u80bf\u7624\u7684\u8bc1\u636e Tis\u539f\u4f4d\u764c
T1a \u539f\u53d1\u80bf\u7624\u6700\u5927\u5f84\u22642cm\uff0c\u5c40\u9650\u4e8e\u80ba\u548c\u810f\u5c42\u80f8\u819c\u5185\uff0c\u672a\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff1b\u6216\u5c40\u9650\u4e8e\u6c14\u7ba1\u58c1\u7684\u80bf\u7624\uff0c\u4e0d\u8bba\u5927\u5c0f\uff0c\u4e0d\u8bba\u662f\u5426\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff0c\u4e00\u5f8b\u5206\u4e3aT1a
T1b\u539f\u53d1\u80bf\u7624\u6700\u5927\u5f84>2cm, \u22643cm
T2a \u80bf\u7624\u6709\u4ee5\u4e0b\u4efb\u4f55\u60c5\u51b5\u8005\uff1a\u6700\u5927\u76f4\u5f84\uff1e3cm, \u22645cm\uff1b\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff0c\u4f46\u80bf\u7624\u8ddd\u79bb\u9686\u7a81\u22652cm\uff1b\u7d2f\u53ca\u810f\u5c42\u80f8\u819c\uff1b\u4ea7\u751f\u80ba\u6bb5\u6216\u80ba\u53f6\u4e0d\u5f20\u6216\u963b\u585e\u6027\u80ba\u708e
T2b \u80bf\u7624\u6709\u4ee5\u4e0b\u4efb\u4f55\u60c5\u51b5\u8005\uff1a\u6700\u5927\u76f4\u5f845cm, \u22647cm
T3 \u4efb\u4f55\u5927\u5c0f\u80bf\u7624\u6709\u4ee5\u4e0b\u60c5\u51b5\u4e4b\u4e00\u8005\uff1a\u539f\u53d1\u80bf\u7624\u6700\u5927\u5f84>7cm,\u7d2f\u53ca\u80f8\u58c1\u6216\u6a2a\u8188\u6216\u7eb5\u9694\u80f8\u819c\uff0c\u6216\u652f\u6c14\u7ba1\uff08\u8ddd\u9686\u7a81\uff1c2cm\uff0c\u4f46\u672a\u53ca\u9686\u7a81\uff09\uff0c\u6216\u5fc3\u5305\uff1b\u4ea7\u751f\u5168\u80ba\u4e0d\u5f20\u6216\u963b\u585e\u6027\u80ba\u708e;\u539f\u53d1\u80bf\u7624\u540c\u4e00\u80ba\u53f6\u51fa\u73b0\u536b\u661f\u7ed3\u8282\u3002
T4 \u4efb\u4f55\u5927\u5c0f\u7684\u80bf\u7624\uff0c\u4fb5\u53ca\u4ee5\u4e0b\u4e4b\u4e00\u8005\uff1a\u5fc3\u810f\uff0c\u5927\u6c14\u7ba1\uff0c\u98df\u7ba1\uff0c\u6c14\u7ba1\uff0c\u7eb5\u9694\uff0c\u9686\u7a81\uff0c\u6216\u690e\u4f53\uff1b\u539f\u53d1\u80bf\u7624\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u51fa\u73b0\u536b\u661f\u7ed3\u8282
\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff08N\uff09\u5206\u671f
Nx \u6dcb\u5df4\u7ed3\u8f6c\u79fb\u60c5\u51b5\u65e0\u6cd5\u5224\u65ad\u3002
N0 \u65e0\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N1 \u540c\u4fa7\u652f\u6c14\u7ba1\u6216\u80ba\u95e8\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N2 \u540c\u4fa7\u7eb5\u9694\u548c/\u9686\u7a81\u4e0b\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N3 \u5bf9\u4fa7\u7eb5\u9694\u548c/\u6216\u5bf9\u4fa7\u80ba\u95e8\uff0c\u548c/\u6216\u540c\u4fa7\u6216\u5bf9\u4fa7\u524d\u659c\u89d2\u808c\u6216\u9501\u9aa8\u4e0a\u533a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
\u8fdc\u5904\u8f6c\u79fb\uff08M\uff09\u5206\u671f
Mx \u65e0\u6cd5\u8bc4\u4ef7\u6709\u65e0\u8fdc\u5904\u8f6c\u79fb\u3002
M0 \u65e0\u8fdc\u5904\u8f6c\u79fb\u3002
M1a\u80f8\u819c\u64ad\u6563\uff08\u6076\u6027\u80f8\u8154\u79ef\u6db2\u3001\u5fc3\u5305\u79ef\u6db2\u6216\u80f8\u819c\u7ed3\u8282\uff09
M1b\u539f\u53d1\u80bf\u7624\u5bf9\u4fa7\u80ba\u53f6\u51fa\u73b0\u536b\u661f\u7ed3\u8282\uff1b\u6709\u8fdc\u5904\u8f6c\u79fb\uff08\u80ba/\u80f8\u819c\u5916\uff09
\u80ba\u764cTNM\u5206\u671f \uff08UICC 2009\u7248\uff09
\u9690\u533f\u671f TxN0M0
0\u671f TisN0M0 T4N0-1M0
\u2160a\u671f T1N0M0
\u2160b\u671f T2aN0M0
\u2161a\u671f T1N1M0\uff0cT2bN0M0
\u2161b\u671f T2bN1M0 T3N0M0 T2aN1M0
\u2162a\u671f T1-3N0M0 T3N1-2M0
\u2162b\u671f T1-4N3M0 T4N2-3M0
\u2163\u671f T1-4N0-3M1
\u8fd9\u662f\u80ba\u764cTNM\u5206\u671f\u3002
T\u5206\u671f:
TX:\u672a\u53d1\u73b0\u539f\u53d1\u80bf\u7624,\u6216\u8005\u901a\u8fc7\u75f0\u7ec6\u80de\u5b66\u6216\u652f\u6c14\u7ba1\u704c\u6d17\u53d1\u73b0\u764c\u7ec6\u80de,\u4f46\u5f71\u50cf\u5b66\u53ca\u652f\u6c14\u7ba1\u955c\u65e0\u6cd5\u53d1\u73b0\u3002
T0:\u65e0\u539f\u53d1\u80bf\u7624\u7684\u8bc1\u636e\u3002
Tis:\u539f\u4f4d\u764c\u3002
T1:\u80bf\u7624\u6700\u5927\u5f84\u22643cm,\u5468\u56f4\u5305\u7ed5\u80ba\u7ec4\u7ec7\u53ca\u810f\u5c42\u80f8\u819c,\u652f\u6c14\u7ba1\u955c\u89c1\u80bf\u7624\u4fb5\u53ca\u53f6\u652f\u6c14\u7ba1,\u672a\u4fb5\u53ca\u4e3b\u652f\u6c14\u7ba1\u3002
T1a:\u80bf\u7624\u6700\u5927\u5f84\u22642cm, T1b:\u80bf\u7624\u6700\u5927\u5f84>2cm, \u22643cm\u3002
T2:\u80bf\u7624\u6700\u5927\u5f84>3cm, \u22647cm;\u4fb5\u53ca\u4e3b\u652f\u6c14\u7ba1,\u4f46\u8ddd\u9686\u7a812cm\u4ee5\u5916;\u4fb5\u53ca\u810f\u80f8\u819c;\u6709\u963b\u585e\u6027\u80ba\u708e\u6216\u8005\u90e8\u5206\u80ba\u4e0d\u5f20,\u4e0d\u5305\u62ec\u5168\u80ba\u4e0d\u5f20\u3002\u7b26\u5408\u4ee5\u4e0a\u4efb\u4f55\u4e00\u4e2a\u6761\u4ef6\u5373\u5f52\u4e3aT2\u3002
T2a:\u80bf\u7624\u6700\u5927\u5f84>3cm, \u22645cm, T2b:\u80bf\u7624\u6700\u5927\u5f84>5cm,\u22647cm\u3002
T3:\u80bf\u7624\u6700\u5927\u5f84>7cm;\u76f4\u63a5\u4fb5\u72af\u4ee5\u4e0b\u4efb\u4f55\u4e00\u4e2a\u5668\u5b98,\u5305\u62ec:\u80f8\u58c1(\u5305\u542b\u80ba\u4e0a\u6c9f\u7624) \u3001\u8188\u808c\u3001\u8188\u795e\u7ecf\u3001\u7eb5\u9694\u80f8\u819c\u3001\u5fc3\u5305; \u8ddd\u9686\u7a81<2cm (\u4e0d\u5e38\u89c1\u7684\u8868\u6d45\u6269\u6563\u578b\u80bf\u7624,\u4e0d\u8bba\u4f53\u79ef\u5927\u5c0f,\u4fb5\u72af\u9650\u4e8e\u652f\u6c14\u7ba1\u58c1\u65f6,\u867d\u53ef\u80fd\u4fb5\u72af\u4e3b\u652f\u6c14\u7ba1,\u4ecd\u4e3aT1) ,\u4f46\u672a\u4fb5\u53ca\u9686\u7a81;\u5168\u80ba\u80ba\u4e0d\u5f20\u80ba\u708e;\u540c\u4e00\u80ba\u53f6\u51fa\u73b0\u5b64\u7acb\u6027\u764c\u7ed3\u8282\u3002\u7b26\u5408\u4ee5\u4e0a\u4efb\u4f55\u4e00\u4e2a\u6761\u4ef6\u5373\u5f52\u4e3aT3\u3002
T4:\u65e0\u8bba\u5927\u5c0f,\u4fb5\u53ca\u4ee5\u4e0b\u4efb\u4f55\u4e00\u4e2a\u5668\u5b98,\u5305\u62ec:\u7eb5\u9694\u3001\u5fc3\u810f\u3001\u5927\u8840\u7ba1\u3001\u9686\u7a81\u3001\u5589\u8fd4\u795e\u7ecf\u3001\u4e3b\u6c14\u7ba1\u3001\u98df\u7ba1\u3001\u690e\u4f53;\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u5185\u5b64\u7acb\u764c\u7ed3\u8282\u3002
N\u5206\u671f:
NX:\u533a\u57df\u6dcb\u5df4\u7ed3\u65e0\u6cd5\u8bc4\u4f30\u3002
N0:\u65e0\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N1:\u540c\u4fa7\u652f\u6c14\u7ba1\u5468\u56f4\u53ca(\u6216)\u540c\u4fa7\u80ba\u95e8\u6dcb\u5df4\u7ed3\u4ee5\u53ca\u80ba\u5185\u6dcb\u5df4\u7ed3\u6709\u8f6c\u79fb,\u5305\u62ec\u76f4\u63a5\u4fb5\u72af\u800c\u7d2f\u53ca\u7684\u3002
N2:\u540c\u4fa7\u7eb5\u9694\u5185\u53ca(\u6216)\u9686\u7a81\u4e0b\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N3:\u5bf9\u4fa7\u7eb5\u9694\u3001\u5bf9\u4fa7\u80ba\u95e8\u3001\u540c\u4fa7\u6216\u5bf9\u4fa7\u524d\u659c\u89d2\u808c\u53ca\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
M\u5206\u671f:
MX:\u8fdc\u5904\u8f6c\u79fb\u4e0d\u80fd\u88ab\u5224\u5b9a\u3002
M0:\u6ca1\u6709\u8fdc\u5904\u8f6c\u79fb\u3002
M1:\u8fdc\u5904\u8f6c\u79fb\u3002
M1a:\u80f8\u819c\u64ad\u6563(\u6076\u6027\u80f8\u8154\u79ef\u6db2\u3001\u5fc3\u5305\u79ef\u6db2\u6216\u80f8\u819c\u7ed3\u8282)\u4ee5\u53ca\u5bf9\u4fa7\u80ba\u53f6\u51fa\u73b0\u764c\u7ed3\u8282(\u8bb8\u591a\u80ba\u764c\u80f8\u8154\u79ef\u6db2\u662f\u7531\u80bf\u7624\u5f15\u8d77\u7684,\u5c11\u6570\u60a3\u8005\u80f8\u6db2\u591a\u6b21\u7ec6\u80de\u5b66\u68c0\u67e5\u9634\u6027,\u65e2\u4e0d\u662f\u8840\u6027\u4e5f\u4e0d\u662f\u6e17\u6db2,\u5982\u679c\u5404\u79cd\u56e0\u7d20\u548c\u4e34\u5e8a\u5224\u65ad\u8ba4\u4e3a\u6e17\u6db2\u548c\u80bf\u7624\u65e0\u5173,\u90a3\u4e48\u4e0d\u5e94\u8be5\u628a\u80f8\u8154\u79ef\u6db2\u8003\u8651\u5165\u5206\u671f\u7684\u56e0\u7d20\u5185,\u75c5\u4eba\u4ecd\u5e94\u5206\u4e3aT1-3)\u3002
M1b:\u80ba\u53ca\u80f8\u819c\u5916\u7684\u8fdc\u5904\u8f6c\u79fb\u3002
0\u671fTis N0 M0\u3002
\u2160A T1a,b N0 M0\u3002
\u2160B T2a N0 M0\u3002
\u2161A T1a,b N1 M0\uff1bT2a N1 M0\uff1bT2b N0 M0\u3002
\u2161B T2b N1 M0\uff1bT3 N0 M0\u3002
\u2162A T1-2 N2 M0\uff1bT3 N1-2 M0\uff1bT4 N0-1 M0\u3002
\u2162B T4 N2 M0\uff1b\u4efb\u4f55T\u5206\u671fN3 M0\u3002
\u2163 \u4efb\u4f55T\u5206\u671f\u4efb\u4f55N\u5206\u671fM1a,M1b\u3002
\u4f60\u95ee\u7684T4N3M1 IV\u671f\uff0c\u5373\u662f\uff1a\u80ba\u764c\u4fb5\u53ca\u4ee5\u4e0b\u4efb\u4f55\u4e00\u4e2a\u5668\u5b98,\u5305\u62ec:\u7eb5\u9694\u3001\u5fc3\u810f\u3001\u5927\u8840\u7ba1\u3001\u9686\u7a81\u3001\u5589\u8fd4\u795e\u7ecf\u3001\u4e3b\u6c14\u7ba1\u3001\u98df\u7ba1\u3001\u690e\u4f53;\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u5185\u5b64\u7acb\u764c\u7ed3\u8282\u3002\u6709\u5bf9\u4fa7\u7eb5\u9694\u3001\u5bf9\u4fa7\u80ba\u95e8\u3001\u540c\u4fa7\u6216\u5bf9\u4fa7\u524d\u659c\u89d2\u808c\u53ca\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u53ca\u8fdc\u5904\u8f6c\u79fb\u3002\u662f\u2163\u671f\uff08\u665a\u671f\uff09\u80ba\u764c\u3002
有条件的话到肿瘤医院内科治疗最好，如果附近没有肿瘤医院，到肿瘤科也行。肺癌术后辅助化疗方案专科医生基本上都知道。
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绛旓細M1 鏈夎繙澶勮浆绉伙紝鎴栨湁棰堥儴娣嬪反缁撹浆绉汇傦紙4锛変复搴婂垎鏈 闅愬尶鐧 TxN0M0 0鏈 TisN0M0 I鏈 T1N0M0锛汿2N0M0 鈪℃湡 T1N1M0锛汿2N1M0 鈪 T3N0-2M0锛汿1-3N2M0 鈪 浠讳綍T锛孨3M0锛涗换浣昇锛孧0 鈪ｆ湡 浠讳綍T鎴朜锛孧1 1锛庤タ鍖昏嵂娌荤枟 (1)鎵嬫湳锛氶櫎浜嗏參l鍜屸叄鏈燂紝灏介噺澶栫鍒囬櫎銆傛墜鏈彲鍒嗕负鏍规不鍜屽鎭...
绛旓細鍝轰钩鏈9闈炰复搴婃不鎰堟湡鐨勫悇绉嶆伓鎬ц偪鐦(鑲虹檶鏅氭湡;鑲烘伓鎬ц偪鐦(T1N0M1鈪ｆ湡)骞跺鍙戦杞Щ;鐩磋偁鐧;鑶鑳辩檶;鑴戞眮鑳惰川鐦ょ瓑)5涓ラ噸娑堝寲绯荤粺鐤剧梾(涔欏瀷鑲濈値鑲濈‖鍖栧け浠ｅ伩鏈;鑲濈‖鍖栧け浠ｅ伩鏈熺瓑)3涓ラ噸绁炵粡绯荤粺鐤剧梾涓庢崯浼(棰堟闂寸洏绐佸嚭,鏈悗鍥涜偄鐦棯,棰堥珦鎹熶激,鍥涜偄娲诲姩鏄庢樉鍙楅檺,鐜板弻涓婅偄楹绘湪;鑴戝嚭琛鍚庨仐鐥,鑴戞绛)3鐢熸椿涓嶈兘鑷悊...
绛旓細N娣嬪反缁撹浆绉 N0 灞閮ㄦ穻宸寸粨鏃犺浆绉 N1 鍚屼晶鏀皵绠℃梺鎴栬偤闂ㄦ穻宸寸粨杞Щ N2 绾甸殧娣嬪反缁撹浆绉 M杩滃杞Щ M0 鏃犺繙澶勮浆绉 M1 鏈夎繙澶勮浆绉 TXN0M0 鐥版恫鍚湁鐧岀粏鑳烇紝浣嗘湭鑳藉彂鐜板師鍙戣偪鐦わ紝灞閮ㄦ穻宸寸粨鎴栬繙澶勮浆绉 鈪鏈熻偤鐧 TIS N0M0 T1N0M0 T1N1M0 T2N0M0 鍘熷彂鑲跨槫锛3锛0cm锛屼綅浜庤偤缁勭粐鍐咃紝渚电姱鑼冨洿鏈...
绛旓細閲囩撼鐜:0% 甯姪鐨勪汉:35.2涓 鎴戜篃鍘荤瓟棰樿闂釜浜洪〉 鍏虫敞 灞曞紑鍏ㄩ儴 EFT鏄笉鑳芥不濂鑲虹檶鏅氭湡鐨 鎴戠粰浣犱簺璧勬枡 鑲虹檶鐨勬不鐤楁柟娉:鍒濆娌荤枟绛栫暐 http://www.iressa.com.cn/388.Shtml I鏈熴両A鏈熴両IB鏈(T1-2N1) 寮虹儓鎺ㄨ崘鐢变互鑲虹檶鎵嬫湳涓轰富瑕佺壒闀跨殑鑳搁儴鑲跨槫澶栫鍖荤敓鏉ュ垽鏂墜鏈垏闄ょ殑鍙兘鎬с備竴鑸涓衡厾鏈熸垨閮ㄥ垎鈪...
绛旓細鑲鸿吅鐧孴1N0M0鏈悗涓鑸笉闇瑕佸寲鐤楋紝浠ュ畾鏈熷尰瀛﹀鏌ヤ负涓汇傚師鍥犲氨鏄笉绛変簬涓嶅鍙戯紝鍙槸澶嶅彂杞Щ鐨勫彂鐢熺巼浣庯紝鍋氬寲鐤楀彈鐩婂皬銆傚熀鍥犳娴嬬殑缁撴灉娑夊強鍒颁粖鍚庡鏋滃嚭鐜板鍙戞垨杞Щ锛屽簲璇ュ浣曢夋嫨鑽墿銆傚鐜板湪鐨勬不鐤楁病鏈夋剰涔夈傚洖澶嶄笓瀹:婀栧寳鐪佽偪鐦ゅ尰闄-鑲跨槫鍐呯-鑷х埍鍗庝富浠诲尰甯 ...
绛旓細T2鎸囪偪鐦ゆ渶澶х洿寰勫ぇ浜3cm锛屾垨鑲跨槫澶у皬涓嶉檺锛屼絾绱強鑴忓眰鑳歌啘锛屾垨绱強鑲洪棬鍖轰即涓嶅紶鎴栭樆濉炴ц偤鐐庛侼2鎸囪浆绉诲埌鍚屼晶绾甸殧鎴栭殕鍑镐笅娣嬪反缁 MO鎸囨棤杩滃杞Щ IIIA鏄綘涓婅堪鎶ュ憡鐨勪复搴婂垎鏈 鑲虹檶鍒0銆両銆両I銆両IIa銆両IIb銆IV鏈
