{"id":57903,"date":"2025-09-24T05:09:53","date_gmt":"2025-09-24T05:09:53","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=57903"},"modified":"2025-09-24T05:09:53","modified_gmt":"2025-09-24T05:09:53","slug":"%e8%82%ba%e7%99%8ctnm%e5%88%86%e6%9c%9f%ef%bc%88%e7%ac%ac9%e7%89%88%ef%bc%89","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=57903","title":{"rendered":"\u80ba\u764cTNM\u5206\u671f\uff08\u7b2c9\u7248\uff09"},"content":{"rendered":"<p>&nbsp; \u672c\u6587\u4e3a\u7f51\u5740\u8bd1\u6587\uff0c\u539f\u4f5c\u8005\uff1aOnno Mets,Robin Smithuis\uff0c\u8377\u5170\u963f\u59c6\u65af\u7279\u4e39\u5927\u5b66\u533b\u5b66\u4e2d\u5fc3\u548c\u83b1\u987f\u963f\u5c14\u83b1\u6069\u533b\u9662\u653e\u5c04\u79d1\uff0c\u539f\u6587\u7f51\u5740\uff1ahttps:\/\/\/chest\/lung-cancer\/tnm-classification-8th-edition-1<\/p>\n<p>\u4e00\u3001TNM\u5206\u7c7b\u7b2c9\u7248\u8868\u683c<\/p>\n<p>&nbsp; &nbsp;&nbsp;\u300a\u56fd\u9645\u80ba\u764c\u7814\u7a76\u534f\u4f1a\uff08IASLC\uff09\u80ba\u764cTNM\u5206\u671f\uff08\u7b2c9\u7248\uff09\u300b\u81ea2025\u5e741\u67081\u65e5\u8d77\u6210\u4e3a\u80ba\u764c\u5206\u671f\u7684\u65b0\u6807\u51c6\u3002\u6b64\u7248\u672c\u7531\u56fd\u9645\u80ba\u764c\u7814\u7a76\u534f\u4f1a\uff08International Association for the Study of Lung Cancer, IASLC\uff09\u53d1\u5e03\uff0c\u5e76\u53d6\u4ee3\u4e86\u4e4b\u524d\u7684\u7b2c8\u7248TNM\u5206\u671f\u3002TNM\u5206\u671f\u7684\u76ee\u7684\u5728\u4e8e\u4e3a\u80bf\u7624\u7684\u89e3\u5256\u5b66\u6269\u6563\u8303\u56f4\u63d0\u4f9b\u4e00\u4e2a\u7edf\u4e00\u7684\u547d\u540d\u89c4\u5219\uff0c\u8fd9\u6709\u52a9\u4e8e\u5c31\u7ed3\u679c\u548c\u6570\u636e\u5bf9\u4e2a\u4f53\u60a3\u8005\u7684\u9002\u7528\u6027\u8fdb\u884c\u4ea4\u6d41\u3002\u80ba\u764c\u7684TNM\u5206\u671f\u65e2\u9002\u7528\u4e8e\u975e\u5c0f\u7ec6\u80de\u80ba\u764c\uff08NSCLC\uff09\uff0c\u4e5f\u9002\u7528\u4e8e\u6db5\u76d6\u4ece\u5c0f\u7ec6\u80de\u80ba\u764c\uff08SCLC\uff09\u81f3\u5178\u578b\u7c7b\u764c\u5728\u5185\u7684\u6240\u6709\u795e\u7ecf\u5185\u5206\u6ccc\u80bf\u7624\u3002\u4f46\u8be5\u5206\u671f\u4e0d\u9002\u7528\u4e8e\u80ba\u8089\u7624\u3001\u6dcb\u5df4\u7624\u4ee5\u53ca\u5176\u4ed6\u7f55\u89c1\u80ba\u90e8\u80bf\u7624\u3002<\/p>\n<p>\u4e0e\u7b2c8\u7248\u76f8\u6bd4\uff0c\u53ea\u6709\u7ec6\u5fae\u7684\u5dee\u522b\u3002\u8fd9\u4e9b\u5dee\u522b\u4ee5\u7ea2\u8272\u663e\u793a\u5982\u4e0b\uff1a<\/p>\n<p>&nbsp; &nbsp; \u00b7T\u5206\u671f\uff08\u539f\u53d1\u80bf\u7624\uff09\u6ca1\u6709\u53d8\u5316\u3002&nbsp; &nbsp; \u00b7\u5c06N2\uff08\u7eb5\u9694\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff09\u7ec6\u5206\u4e3aN2a\uff08\u5355\u7ad9\u53d7\u7d2f\uff09\u548cN2b\uff08\u591a\u7ad9\u53d7\u7d2f\uff09\u3002&nbsp; &nbsp; \u00b7\u5c06M1c\uff08\u8fdc\u5904\u8f6c\u79fb\uff09\u7ec6\u5206\u4e3aM1c1\uff08\u5355\u4e00\u5668\u5b98\u7cfb\u7edf\u5185\u591a\u53d1\u8f6c\u79fb\uff09\u548cM1c2\uff08\u591a\u4e2a\u5668\u5b98\u7cfb\u7edf\u8f6c\u79fb\uff09\u3002&nbsp;\u8fd9\u4e9b\u53d8\u5316\u5bfc\u81f4\u90e8\u5206\u5206\u671f\u7ec4\u5408\u7684\u91cd\u65b0\u6392\u5217\uff0c\u5982\u4e0b\u8868\u6240\u793a\u3002&nbsp; &nbsp;T\u3001N\u548cM\u7c7b\u522b\u7684\u4e9a\u7ec4\u88ab\u5f52\u7c7b\u5230\u7279\u5b9a\u7684\u5206\u671f\u4e2d\uff0c\u8fd9\u662f\u56e0\u4e3a\u8fd9\u4e9b\u60a3\u8005\u7684\u9884\u540e\u60c5\u51b5\u76f8\u4f3c\u3002\u4f8b\u5982\uff0ccT1N0M0\uff08IA\u671f\uff09\u75be\u75c5\u76845\u5e74\u751f\u5b58\u7387\u7ea6\u4e3a82%\uff0c\u800c\u5206\u671f\u4e3aM1c\uff08IVB\u671f\uff09\u76845\u5e74\u751f\u5b58\u7387\u7ea6\u4e3a7%\u3002TNM&nbsp;\u7b2c&nbsp;9&nbsp;\u7248\u7684\u66f4\u65b0\u5bfc\u81f4&nbsp;IIA\u3001IIB\u3001IIIA&nbsp;\u548c&nbsp;IIIB&nbsp;\u5206\u671f\u7ec4\u4e2d&nbsp;T&nbsp;\u548c&nbsp;N&nbsp;\u5206\u7c7b\u7684\u91cd\u65b0\u8c03\u6574\uff0c\u5176\u4f59\u5206\u671f\u4e0e\u524d\u4e00\u7248\u76f8\u540c\u3002\u53ef\u4ee5\u4f7f\u7528\u51e0\u4e2a\u524d\u7f00\u6765\u660e\u786eTNM\u5206\u671f\u7684\u5177\u4f53\u80cc\u666f\u3002<\/p>\n<ul>\n<li>&nbsp;\u4e34\u5e8a\u5206\u671f\uff08c\uff09\u662f\u6839\u636e\u6cbb\u7597\u524d\u6240\u6709\u53ef\u7528\u7684\u4fe1\u606f\u786e\u5b9a\u7684\u3002 &nbsp;<\/li>\n<li>&nbsp;\u75c5\u7406\u5206\u671f\uff08p\uff09\u4ec5\u57fa\u4e8e\u624b\u672f\u5207\u9664\u540e\u7684\u7ed3\u679c\u5b9a\u4e49\uff0c\u4e0d\u5e94\u5728\u624b\u672f\u5207\u9664\u4e4b\u5916\u7684\u60c5\u51b5\u4e0b\u4f7f\u7528\u3002 &nbsp;<\/li>\n<li>&nbsp;\u91cd\u65b0\u5206\u671f\uff08y\uff09\u7528\u4e8e\u90e8\u5206\u6216\u5168\u90e8\u6cbb\u7597\u5df2\u7ecf\u7ed9\u4e88\u4e4b\u540e\u3002\u8be5\u5206\u671f\u65b9\u6cd5\u65e2\u53ef\u5728\u672a\u884c\u624b\u672f\u5207\u9664\u65f6\u5e94\u7528\uff08ycTNM\uff09\uff0c\u4e5f\u53ef\u5728\u624b\u672f\u5207\u9664\u540e\u5e94\u7528\uff08ypTNM\uff09\u3002<\/li>\n<\/ul>\n<p>\u6b64\u5916\uff0c\u5efa\u8bae\u6dfb\u52a0\u4e00\u4e2a\u8bc4\u4f30\u5206\u7c7b\uff08\u201cE\u201d\uff09\u4ee5\u8868\u660e\u6240\u6d89\u53ca\u7684\u68c0\u67e5\u7c7b\u578b\uff1a<\/p>\n<ul>\n<li>&nbsp;E1 \u8868\u793a\u4f53\u683c\u68c0\u67e5\u4fe1\u606f\u3002 &nbsp;<\/li>\n<li>&nbsp;E2 \u8868\u793a\u5f71\u50cf\u5b66\u68c0\u67e5\u4fe1\u606f\u3002 &nbsp;<\/li>\n<li>&nbsp;E3 \u8868\u793a\u7ec4\u7ec7\u5b66\u68c0\u67e5\u4fe1\u606f\uff083a\uff1a\u7ec6\u80de\u5b66\uff1b3b\uff1a\u7ec4\u7ec7\u75c5\u7406\u5b66\uff09\u3002&nbsp;<\/li>\n<li>&nbsp;E4 \u8868\u793a\u5207\u9664\u60c5\u51b5\u3002<\/li>\n<\/ul>\n<p>&nbsp; &nbsp; \u4f8b\u5982\uff0ccT2aN2aM0 E3a \u8868\u793a\u5728\u6cbb\u7597\u524d\u4f7f\u7528\u7ec6\u80de\u5b66\u8bc1\u636e\u5bf9N\u72b6\u6001\u8fdb\u884c\u5206\u671f\uff0c\u800cpT1cN0M0 E4 \u8868\u793a\u57fa\u4e8e\u660e\u786e\u5207\u9664\u7684\u5206\u671f\u3002 &nbsp;&nbsp;<\/p>\n<p>\u4e8c\u3001\u4e9a\u5b9e\u6027\u75c5\u53d8<\/p>\n<p>&nbsp; &nbsp;&nbsp;\u4e9a\u5b9e\u6027\u75c5\u53d8\u662f\u4e00\u79cd\u5177\u6709\u78e8\u73bb\u7483\u5f62\u6001\u7684\u80ba\u764c\uff0c\u4ee3\u8868\u4e86\u8d34\u58c1\u751f\u957f\uff08\u5373\u80bf\u7624\u7ec6\u80de\u6cbf\u80ba\u6ce1\u8868\u9762\u589e\u6b96\uff0c\u800c\u6ca1\u6709\u4fb5\u88ad\u6027\u751f\u957f\uff09\u3002\u4e9a\u5b9e\u6027\u75c5\u53d8\u53ef\u80fd\u6709\u6216\u6ca1\u6709\u5185\u90e8\u5b9e\u6027\u6210\u5206\uff0c\u8fd9\u88ab\u8ba4\u4e3a\u4ee3\u8868\u4e86\u80bf\u7624\u7684\u4fb5\u88ad\u90e8\u5206\u3002\u5bf9\u4e8e\u4e9a\u5b9e\u6027\u80ba\u764c\uff0c\u653e\u5c04\u5b66\u62a5\u544a\u5e94\u59cb\u7ec8\u63d0\u53ca\u75c5\u53d8\u7684\u603b\u5927\u5c0f\uff0c\u5982\u679c\u5b58\u5728\u7684\u8bdd\uff0c\u8fd8\u5e94\u63d0\u53ca\u5b9e\u6027\u6210\u5206\u7684\u5c3a\u5bf8\uff0c\u56e0\u4e3a\u4e24\u8005\u90fd\u5f88\u91cd\u8981\u3002\u8fd9\u4e9b\u4fe1\u606f\u5e94\u901a\u8fc7\u8fde\u7eed\u8584\u5c42\uff08&lt;1.5 mm\uff09CT\u91cd\u5efa\u7684\u80ba\u7a97\u56fe\u50cf\u83b7\u5f97\u3002\u4e9a\u5b9e\u4f53\u80ba\u764c\u7684\u5206\u7c7b\u5982\u4e0b\u56fe\u6240\u793a\u3002<\/p>\n<p>1.\u7eaf\u78e8\u73bb\u7483\u5f71\uff08Pure Ground Glass\uff09<\/p>\n<p>&nbsp; &nbsp;&nbsp;\u5f53\u603b\u5927\u5c0f\u226430\u6beb\u7c73\u65f6\uff0c\u5177\u6709\u7eaf\u78e8\u73bb\u7483\u5f62\u6001\u7684\u4e9a\u5b9e\u6027\u75c5\u53d8\u6839\u636e\u6700\u5927\u75c5\u53d8\u603b\u5c3a\u5bf8\u8fdb\u884c\u5206\u7c7b\uff0c\u6700\u591a\u53ef\u4ee5\u88ab\u5206\u7c7b\u4e3a\u201c in situ(\u539f\u4f4d)\u201d\u764c\uff08cTis\uff09\u3002\u5f53\u75c5\u7076\u603b\u4f53\u5927\u5c0f\u8d85\u8fc730 mm\u7684\u9608\u503c\u65f6\uff0c\u65e0\u8bba\u5176\u4e3a\u7eaf\u78e8\u73bb\u7483\u5f62\u6001\u8fd8\u662f\u90e8\u5206\u5b9e\u6027\u5f62\u6001\uff0c\u4e9a\u5b9e\u6027\u75c5\u7076\u5747\u81f3\u5c11\u88ab\u5f52\u7c7b\u4e3acT1a\u30022.\u5177\u6709\u5b9e\u6027\u6210\u5206\u7684\u78e8\u73bb\u7483\u5f71\uff08Ground Glass with Solid Component\uff09&nbsp; &nbsp;\u5982\u679c\u5b58\u5728\u5185\u90e8\u5b9e\u6027\u6210\u5206\uff0c\u4e9a\u5b9e\u6027\u75c5\u53d8\u4e0d\u518d\u4ec5\u6839\u636e\u603b\u75c5\u53d8\u5927\u5c0f\u8fdb\u884c\u5206\u7c7b\uff0c\u800c\u662f\u6839\u636e\u5b9e\u6027\u6210\u5206\u7684\u6700\u5927\u5c3a\u5bf8\u8fdb\u884c\u5206\u7c7b\uff0c\u8fd9\u88ab\u8ba4\u4e3a\u4ee3\u8868\u4e86\u5728\u7ec4\u7ec7\u75c5\u7406\u5b66\u4e0a\u770b\u5230\u7684\u4fb5\u88ad\u6027\u6210\u5206\u3002&nbsp; &nbsp;\u4f8b\u5982\uff0c\u603b\u75c5\u53d8\u5927\u5c0f\u226430mm\u4e14\u5b9e\u6027\u6210\u5206\u22645mm\u7684\u75c5\u53d8\u88ab\u5206\u7c7b\u4e3acT1mi\uff08\u5fae\u4fb5\u88ad\u6027\uff09\u3002\u7136\u800c\uff0c\u5982\u679c\u603b\u75c5\u53d8\u5927\u5c0f&gt;30mm\uff0c\u4f46\u5b9e\u6027\u6210\u5206\u4ecd\u4e3a\u22645mm\uff0c\u5219\u88ab\u5206\u7c7b\u4e3acT1a\uff0c\u56e0\u4e3a\u603b\u75c5\u53d8\u5927\u5c0f\u8d85\u8fc7\u4e86cT1a\u5206\u7c7b\u768430mm\u9608\u503c\u3002\u6839\u636e\u6d78\u6da6\u6027\u6210\u5206\u7684\u5927\u5c0f\uff0c\u90e8\u5206\u5b9e\u6027\u75c5\u7076\u8fd8\u53ef\u80fd\u88ab\u5f52\u7c7b\u4e3acT1b\uff08\u5b9e\u6027\u6210\u520611-20 mm\uff09\u751a\u81f3cT1c\uff08\u5b9e\u6027\u6210\u520621-30 mm\uff09\u3002 &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n<p>\u4e09\u3001T\u5206\u671f<\/p>\n<p>&nbsp; &nbsp;&nbsp;\u6839\u636e\u75c5\u7406\u5b66\u6216\u4e34\u5e8a\u6570\u636e\uff08\u5982\u8fde\u7eed\u8584\u5c42CT\u91cd\u5efa\u7684\u80ba\u7a97\u56fe\u50cf\u4e2d\u7684\u5b9e\u6027\u6210\u5206\uff09\uff0c\u4ee5\u6d78\u6da6\u6027\u80bf\u7624\u7684\u6700\u5927\u5f84\u4e3a\u51c6\u3002\u9700\u6ce8\u610f\u7684\u662f\uff0c\u80bf\u7624\u6700\u5927\u5f84\u53ef\u80fd\u5728\u591a\u5e73\u9762\u91cd\u5efa\uff08MPR\uff09\u56fe\u50cf\u800c\u975e\u8f74\u4f4d\u5e73\u9762\u4e0a\u6d4b\u5f97\u3002&nbsp;&nbsp;<\/p>\n<p>1.T1\u671f\uff1a\u22643cm\uff0c\u88ab\u80ba\u7ec4\u7ec7\/\u58c1\u5c42\u80f8\u819c\u5305\u7ed5\uff0c\u6216\u4f4d\u4e8e\u80ba\u53f6\u6216\u66f4\u5916\u5468\u7684\u652f\u6c14\u7ba1\u5185\u3002<\/p>\n<ul>\n<li>\n<p>&nbsp; &nbsp; T1mi\uff1a\u5fae\u6d78\u6da6\u817a\u764c\u3002<\/p>\n<\/li>\n<li>\n<p>&nbsp; &nbsp; T1a\uff1a\u22641cm\u3002<\/p>\n<\/li>\n<li>\n<p>&nbsp; &nbsp; T1b\uff1a&gt;1cm\u4f46\u22642cm\u3002<\/p>\n<\/li>\n<li>\n<p>&nbsp; &nbsp; T1c\uff1a&gt;2cm\u4f46\u22643cm\u3002<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp; &nbsp;T1\u671f\u80bf\u7624\uff0c\u4f4d\u4e8e\u5de6\u4e0b\u80ba\u7684\u5178\u578bT1\u671f\u80bf\u7624\uff0823mm,cT1c\uff09\uff0c\u5b8c\u5168\u4f4d\u4e8e\u80ba\u5b9e\u8d28\u5185\u3002<\/p>\n<p>2.T2\u671f<\/p>\n<p>&nbsp; &nbsp;1\uff09T2a\u671f\u80ba\u764c\uff1a<\/p>\n<ul>\n<li>\n<p>&gt;3cm\u4f46\u22644cm\u3002<\/p>\n<\/li>\n<li>\n<p>\u4fb5\u72af\u810f\u5c42\u80f8\u819c\u6216\u90bb\u8fd1\u80ba\u53f6\u3002<\/p>\n<\/li>\n<li>\n<p>\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff08\u7d2f\u53ca\u8303\u56f4\u8fbe\u5230\u4e3b\u652f\u6c14\u7ba1\uff0c\u4f46\u672a\u5305\u62ec\u9686\u7a81\uff09\u3002<\/p>\n<\/li>\n<li>\n<p>\u4f34\u6709\u80ba\u4e0d\u5f20\u6216\u963b\u585e\u6027\u80ba\u708e\uff0c\u7d2f\u53ca\u80ba\u95e8\u533a\u57df\uff0c\u53ef\u7d2f\u53ca\u90e8\u5206\u80ba\u53f6\u6216\u6574\u4e2a\u80ba\u3002<\/p>\n<p>2\uff09T2b\u671f\u80ba\u764c\uff1a<\/p>\n<\/li>\n<li>\n<p>&gt;4cm\u4f46\u22645cm\uff0c\u65e0\u8bba\u662f\u5426\u4f34\u6709\u5176\u4ed6T2a\u671f\u80bf\u7624\u7684\u7279\u5f81\u3002<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp; &nbsp;T2\u671f\u80bf\u7624\uff0c\u4f4d\u4e8e\u5de6\u80ba\u4e0b\u53f6\uff0831mm,pT2a\uff09\uff0c\u7d2f\u53ca\u5de6\u4e0b\u80ba\u652f\u6c14\u7ba1\uff0c\u7ee7\u53d1\u5de6\u4e0b\u80ba\u4e0d\u5f20\u53ca\u80ba\u708e\uff0c\u8303\u56f4\u8fbe\u80ba\u95e8\u3002<\/p>\n<p>3.T3\u671f\uff0c\u7b26\u5408\u4ee5\u4e0b\u4efb\u4e00\u6761\u4ef6\uff1a<\/p>\n<ul>\n<li>\u80bf\u7624\u6700\u5927\u5f84 &gt;5 cm \u4f46 \u22647 cm\uff1b<\/li>\n<li>\u4fb5\u72af\u7eb5\u9694\u3001\u58c1\u5c42\u80f8\u819c\u6216\u80f8\u58c1\uff1b<\/li>\n<li>\u4fb5\u72af\u5fc3\u5305\u3001\u8188\u795e\u7ecf\u6216\u5947\u9759\u8109\uff1b<\/li>\n<li>\u4fb5\u72af\u80f8\u795e\u7ecf\u6839\uff08\u5982T1\u3001T2\uff09\u6216\u661f\u72b6\u795e\u7ecf\u8282\uff1b<\/li>\n<li>\u540c\u4fa7\u80ba\u53f6\u5185\u5b58\u5728\u80bf\u7624\u7ed3\u8282\u3002<\/li>\n<\/ul>\n<p>&nbsp; &nbsp; \u539f\u53d1\u80bf\u7624\u4fb5\u72af\u5176\u4ed6\u7ed3\u6784\uff08\u5982\u8188\u795e\u7ecf\u3001\u4e3b\u52a8\u8109\u3001\u80f8\u58c1\u7b49\uff09\u4f1a\u5f71\u54cdT\u5206\u671f\uff1b\u76f4\u63a5\u4fb5\u72af\u6dcb\u5df4\u7ed3\u89c6\u4e3a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff08N\u5206\u671f\uff09\uff1b\u76f4\u63a5\u4fb5\u72af\u80f8\u5916\u5668\u5b98\uff08\u5982\u809d\u810f\uff09\u4e0d\u5f52\u7c7b\u4e3aM1\u8f6c\u79fb\u3002<\/p>\n<p>&nbsp; &nbsp;T3\u80bf\u7624\uff0c\u4f4d\u4e8e\u53f3\u80ba\u4e0a\u53f6\uff0c\u4fb5\u72af\u80f8\u58c1\uff0859mm,cT3\uff09\u3002<\/p>\n<p>4.T4\u671f\uff1a<\/p>\n<ul>\n<li>\u80bf\u7624\u6700\u5927\u5f84 &gt;7 cm\uff1b<\/li>\n<li>\u4fb5\u72af\u7eb5\u9694\u3001\u80f8\u817a\u3001\u6c14\u7ba1\u3001\u9686\u7a81\u3001\u5589\u8fd4\u795e\u7ecf\u3001\u8ff7\u8d70\u795e\u7ecf\u3001\u98df\u7ba1\u6216\u8188\u808c\uff1b<\/li>\n<li>\u4fb5\u72af\u5fc3\u810f\u3001\u5927\u8840\u7ba1\uff08\u5982\u5fc3\u5305\u5185\u80ba\u52a8\u8109\/\u80ba\u9759\u8109\u3001\u4e3b\u52a8\u8109\u5f13\u5206\u652f\u52a8\u8109\u3001\u5934\u81c2\u9759\u8109\u3001\u9501\u9aa8\u4e0b\u8840\u7ba1\uff09\u3001\u690e\u4f53\u3001\u690e\u677f\u3001\u690e\u7ba1\u3001\u9888\u795e\u7ecf\u6839\u6216\u81c2\u4e1b\u795e\u7ecf\uff1b<\/li>\n<li>\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u5185\u5b58\u5728\u80bf\u7624\u7ed3\u8282\u3002<\/li>\n<\/ul>\n<p>&nbsp; &nbsp; T4\u671f\u80bf\u7624\uff1a1\u3001\u4e00\u4f8b\u5178\u578b\u7684\u53f3\u4e0a\u53f6T4\u671f\u80bf\u7624\uff0c\u4fb5\u72af\u7eb5\u9694\u30022\u3001\u4fb5\u72af\u53f3\u80ba\u52a8\u8109\u30023\u3001\u4fb5\u72af\u9686\u7a81\u30024\u3001\u4fb5\u72af\u5de6\u5fc3\u623f\u3002<\/p>\n<p><b>5.\u591a\u53d1\u75c5\u7076\u7684\u5206\u671f\u8bc4\u4f30<\/b><\/p>\n<p>&nbsp; &nbsp;&nbsp;\u5f53\u60a3\u8005\u7591\u4f3c\u5b58\u5728\u591a\u53d1\u6027\u80ba\u764c\u75c5\u7076\u65f6\uff0c\u5e94\u5c3d\u53ef\u80fd\u660e\u786e\u5176\u6027\u8d28\u5c5e\u4e8e\u4ee5\u4e0b\u54ea\u79cd\u7c7b\u578b\uff1a1\u3001\u53cc\u539f\u53d1\u80ba\u764c\uff1b2\u3001\u540c\u4e00\u6076\u6027\u80bf\u7624\u7684\u5b64\u7acb\u80bf\u7624\u7ed3\u8282\uff0c3\u3001\u591a\u7076\u6027\u78e8\u73bb\u7483\u6837\u817a\u764c\uff1b4\u3001\u80ba\u708e\u578b\u817a\u764c\u3002\u9700\u5bf9\u8fd9\u4e9b\u7c7b\u578b\u52a0\u4ee5\u533a\u5206\uff0c\u539f\u56e0\u5728\u4e8e\u5176\u751f\u7269\u5b66\u884c\u4e3a\u5b58\u5728\u5dee\u5f02\uff0c\u4e14\u5404\u81ea\u9002\u7528\u4e0d\u540c\u7684TNM\u5206\u671f\u89c4\u5219\u3002<\/p>\n<p>&nbsp;1\uff09\u53cc\u539f\u53d1\u80ba\u764c<\/p>\n<p>&nbsp; &nbsp; \u53f3\u4e0b\u53f6T4NOM0\uff0c\u5de6\u4e0a\u53f6T2bN1M0\u3002<\/p>\n<p>2\uff09\u540c\u4e00\u6076\u6027\u80bf\u7624\u7684\u5b64\u7acb\u80bf\u7624\u7ed3\u8282<\/p>\n<p>&nbsp; &nbsp; \u5b64\u7acb\u7ed3\u8282\u4f4d\u4e8e\u540c\u4fa7\u540c\u4e00\u80ba\u53f6\uff0c\u5224\u5b9a\u4e3aT3\u3002\u5b64\u7acb\u7ed3\u8282\u4f4d\u4e8e\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\uff0c\u5224\u5b9a\u4e3aT4\u3002\u5b64\u7acb\u7ed3\u8282\u4f4d\u4e8e\u5bf9\u4fa7\u80ba\u53f6\uff0c\u5224\u5b9a\u4e3aM1a\u3002\u6240\u6709\u7ed3\u8282\u91c7\u7528\u7edf\u4e00\u7684N\u5206\u671f\u548c\u5206\u671f\u3002<\/p>\n<p>&nbsp; &nbsp; \u53f3\u4e0a\u53f6T3N2aM0\uff0cT3\u57fa\u4e8e\u540c\u4e00\u80ba\u53f6\u7684\u5b64\u7acb\u7ed3\u8282\u3002<\/p>\n<p>3\uff09\u591a\u7076\u78e8\u73bb\u7483\u6216\u8d34\u58c1\u6837\u751f\u957f\u578b\u75c5\u53d8<\/p>\n<p>&nbsp; &nbsp; T\u5206\u671f\u4f9d\u636e\u6700\u5177\u4ee3\u8868\u6027\u7684\u75c5\u7076\uff08\u5373\u4e3b\u5bfc\u75c5\u7076\uff09\u6765\u786e\u5b9a\u3002N\u5206\u671f\u548cM\u5206\u671f\uff1a\u6240\u6709\u75c5\u7076\u91c7\u7528\u7edf\u4e00\u7684N\u5206\u671f\u548cM\u5206\u671f\u3002\uff08#\/m\uff09\uff1a\u8868\u793a\u75c5\u7076\u6570\u91cf\u3002\u201c#\/m\u201d\u8fd9\u79cd\u6807\u6ce8\u65b9\u5f0f\u7528\u4e8e\u4f53\u73b0\u75c5\u7076\u7684\u591a\u53d1\u60c5\u51b5\u3002\u4f8b\u5982\uff0c\u5f53\u5b58\u57283\u4e2a\u75c5\u7076\u65f6\uff0c\u5c31\u8868\u793a\u4e3a3\/m&nbsp;\u3002<\/p>\n<p>&nbsp; &nbsp; T1aN0M0(2\/m)\uff0cT1a\u662f\u57fa\u4e8e\u53f3\u4e0b\u53f6\u7684\u4f18\u52bf\u75c5\u7076\u3002<\/p>\n<p>4\uff09\u5f25\u6f2b\u6027\u80ba\u708e\u6837\u80bf\u7624<\/p>\n<p>&nbsp; &nbsp; \u82e5\u75c5\u53d8\u4f4d\u4e8e\u540c\u4e00\u80ba\u53f6\u5185\uff0c\u5224\u5b9a\u4e3aT3\u3002\u82e5\u75c5\u53d8\u4f4d\u4e8e\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\uff0c\u5219\u5224\u5b9a\u4e3aT4\u3002\u82e5\u75c5\u53d8\u4f4d\u4e8e\u5bf9\u4fa7\u80ba\u53f6\uff0c\u5219\u5224\u5b9a\u4e3a&nbsp;M1a\u3002\u6240\u6709\u75c5\u53d8\u91c7\u7528\u7edf\u4e00\u7684N\u5206\u671f\u548cM\u5206\u671f\u3002<\/p>\n<p>&nbsp; &nbsp; T4N1M0\uff0cT4\u662f\u57fa\u4e8e\u53f3\u4e0b\u53f6\u4e2d\u7684\u75c5\u53d8\u3002<\/p>\n<p>\u56db\u3001N\u5206\u671f<\/p>\n<p>&nbsp; &nbsp;&nbsp;\u80ba\u764c\u7684\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u5305\u62ec\u80f8\u5185\u6dcb\u5df4\u7ed3\u3001\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u548c\u659c\u89d2\u808c\u6dcb\u5df4\u7ed3\u3002\u800c\u8bf8\u5982\u80f8\u9aa8\u65c1\u6dcb\u5df4\u7ed3\u6216\u814b\u7a9d\u6dcb\u5df4\u7ed3\u7b49\u8f83\u5c11\u89c1\u7684\u6dcb\u5df4\u7ed3\u53d7\u7d2f\uff0c\u5219\u88ab\u89c6\u4e3a\u8f6c\u79fb\u6027\u6dcb\u5df4\u7ed3\u3002<\/p>\n<p>\u76ee\u524d\u91c7\u7528\u56fd\u9645\u80ba\u764c\u7814\u7a76\u534f\u4f1a\uff08IASLC\uff09\u7684\u6dcb\u5df4\u7ed3\u5206\u7c7b\u6807\u51c6\uff1a<\/p>\n<ul>\n<li>\n<p>1\u7ec4&nbsp;&nbsp;\u4e0b\u9888\u90e8\u6dcb\u5df4\u7ed3\u3001\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u53ca\u80f8\u9aa8\u5207\u8ff9\u6dcb\u5df4\u7ed3\u3002\u4e0b\u754c\uff1a\u53cc\u4fa7\u9501\u9aa8\u3001\u80f8\u9aa8\u67c4\u4e0a\u7f18\uff0c\u6c14\u7ba1\u4e2d\u7ebf\u4f5c\u4e3a1R\u548c1L\u7684\u8fb9\u754c\u3002\u6b64\u533a\u6dcb\u5df4\u7ed3\u88ab\u5f52\u7c7b\u4e3aN3\u6dcb\u5df4\u7ed3\u3002<\/p>\n<\/li>\n<li>\n<p>2\u7ec4&nbsp;&nbsp;\u4e0a\u6c14\u7ba1\u65c1\u6dcb\u5df4\u7ed3\uff0c<b>2R\u6dcb\u5df4\u7ed3\uff08\u53f3\u4e0a\u6c14\u7ba1\u65c1\u6dcb\u5df4\u7ed3\uff09<\/b>\uff1a\u4e0a\u754c\uff1a\u80f8\u9aa8\u67c4\u4e0a\u7f18\u3002\u4e0b\u754c\uff1a\u65e0\u540d\u9759\u8109\u5c3e\u7f18\u4e0e\u6c14\u7ba1\u76f8\u4ea4\u5904\u3002<b>2L\u6dcb\u5df4\u7ed3\uff08\u5de6\u4e0a\u6c14\u7ba1\u65c1\u6dcb\u5df4\u7ed3\uff09<\/b>\uff1a\u4e0a\u754c\uff1a\u80f8\u9aa8\u67c4\u4e0a\u7f18\u3002\u4e0b\u754c\uff1a\u4e3b\u52a8\u8109\u5f13\u4e0a\u7f18\u3002<\/p>\n<\/li>\n<li>\n<p>3\u7ec4&nbsp;&nbsp;3A\uff1a\u8840\u7ba1\u524d\u6dcb\u5df4\u7ed3\uff0c3P\uff1a\u6c14\u7ba1\u540e\u6dcb\u5df4\u7ed3\u3002<\/p>\n<\/li>\n<li>\n<p>4\u7ec4&nbsp;&nbsp;\u4e0b\u6c14\u7ba1\u65c1\u6dcb\u5df4\u7ed3\u3002<b>4R\u533a\u6dcb\u5df4\u7ed3\uff08\u53f3\u4e0b\u6c14\u7ba1\u65c1\u6dcb\u5df4\u7ed3\uff09<\/b>\uff1a\u4e0a\u754c\uff1a\u65e0\u540d\uff08\u5de6\u5934\u81c2\uff09\u9759\u8109\u5c3e\u7f18\u4e0e\u6c14\u7ba1\u4ea4\u53c9\u70b9\u7684\u6a2a\u622a\u9762\uff0c\u4e0b\u754c\uff1a\u5947\u9759\u8109\u4e0b\u7f18\u3002<b>4L\u533a\u6dcb\u5df4\u7ed3\uff08\u5de6\u4e0b\u6c14\u7ba1\u65c1\u6dcb\u5df4\u7ed3\uff09<\/b>\uff1a\u4e0a\u754c\uff1a\u4e3b\u52a8\u8109\u5f13\u4e0a\u7f18\uff0c\u4e0b\u754c\uff1a\u5de6\u4e3b\u80ba\u52a8\u8109\u4e0a\u7f18\u3002<\/p>\n<\/li>\n<li>\n<p>5\u7ec4&nbsp;&nbsp;\u4e3b\u52a8\u8109\u5f13\u4e0b\uff08\u4e3b\u52a8\u8109\u80ba\u52a8\u8109\u7a97\uff09\u6dcb\u5df4\u7ed3\u3002\u4e3a\u52a8\u8109\u97e7\u5e26\u5916\u4fa7\u7684\u4e3b\u52a8\u8109\u5f13\u4e0b\u6dcb\u5df4\u7ed3\u3002\u8fd9\u4e9b\u6dcb\u5df4\u7ed3\u5e76\u4e0d\u4f4d\u4e8e\u4e3b\u52a8\u8109\u4e0e\u80ba\u52a8\u8109\u5e72\u4e4b\u95f4\uff0c\u800c\u662f\u4f4d\u4e8e\u8fd9\u4e9b\u8840\u7ba1\u7684\u5916\u4fa7\u3002<\/p>\n<\/li>\n<li>\n<p>6\u7ec4&nbsp;&nbsp;\u4e3b\u52a8\u8109\u65c1\uff08\u5347\u4e3b\u52a8\u8109\u6216\u8188\u795e\u7ecf\u65c1\uff09\u6dcb\u5df4\u7ed3\u3002\u4f4d\u4e8e\u5347\u4e3b\u52a8\u8109\u548c\u4e3b\u52a8\u8109\u5f13\u7684\u4fa7\u524d\u65b9\uff0c\u4e3b\u52a8\u8109\u5f13\u4e0a\u4e0b\u7f18\u4e4b\u95f4\u3002<\/p>\n<\/li>\n<li>\n<p>7\u7ec4&nbsp;&nbsp;\u9686\u7a81\u4e0b\u6dcb\u5df4\u7ed3\u3002\u4f4d\u4e8e\u6c14\u7ba1\u9686\u7a81\u672b\u7aef\uff0c\u53f3\u4fa7\u5ef6\u4f38\u81f3\u53f3\u80ba\u4e2d\u53f6\u652f\u6c14\u7ba1\u4e0b\u7f18\u672b\u7aef\uff0c\u5de6\u4fa7\u5ef6\u4f38\u81f3\u5de6\u80ba\u4e0b\u53f6\u652f\u6c14\u7ba1\u4e0a\u7f18\u672b\u7aef\u3002<\/p>\n<\/li>\n<li>\n<p>8\u7ec4&nbsp;&nbsp;\u98df\u7ba1\u65c1\u6dcb\u5df4\u7ed3\u3002<\/p>\n<\/li>\n<li>\n<p>9\u7ec4&nbsp;&nbsp;\u80ba\u97e7\u5e26\u6dcb\u5df4\u7ed3\uff1a\u4f4d\u4e8e\u80ba\u97e7\u5e26\u5185\u7684\u6dcb\u5df4\u7ed3\u3002\u5305\u62ec\u4e0b\u80ba\u9759\u8109\u4e0b\u6bb5\u548c\u540e\u58c1\u7684\u6dcb\u5df4\u7ed3\u3002<\/p>\n<\/li>\n<li>\n<p>10\u7ec4&nbsp;&nbsp;\u80ba\u95e8\u6dcb\u5df4\u7ed3\u3002\u53f3\u4fa7\uff1a\u4ece\u5947\u9759\u8109\u4e0b\u7f18\u5ef6\u4f38\u81f3\u53f6\u95f4\u533a\u57df\u3002\u5de6\u4fa7\uff0c\u4ece\u80ba\u52a8\u8109\u4e0a\u7f18\u5ef6\u4f38\u81f3\u53f6\u95f4\u533a\u57df\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u203b\uff1a2\u30014\u7ec4\u7684\u5de6\u53f3\u5206\u754c\u4e3a\u6c14\u7ba1\u5de6\u4fa7\u7f18\u3002<\/p>\n<p>&nbsp; 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&nbsp;&nbsp;3.N3\u6dcb\u5df4\u7ed3\uff1aN3&nbsp;\u6dcb\u5df4\u7ed3\u6307\u7684\u662f\u5bf9\u4fa7\u7eb5\u9694\u6dcb\u5df4\u7ed3\u3001\u5bf9\u4fa7\u80ba\u95e8\u6dcb\u5df4\u7ed3\uff0c\u6216\u662f\u659c\u89d2\u808c\u6dcb\u5df4\u7ed3\u6216\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u7684\u53d7\u7d2f\u3002\u8fd9\u79cd\u60c5\u51b5\u901a\u5e38\u88ab\u89c6\u4e3a\u4e0d\u53ef\u5207\u9664\u75c5\u53d8\u3002<\/p>\n<p>&nbsp; &nbsp; \u53f3\u4fa7\u80bf\u7624\u4f34\u6709&nbsp;N3&nbsp;\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff0c\u5305\u62ec\u5bf9\u4fa7\u7eb5\u9694\u76844L\u533a\u548c5\u533a\u6dcb\u5df4\u7ed3\u3002<\/p>\n<p>&nbsp; &nbsp; \u4e24\u4f8b\u53f3\u80ba\u80ba\u764c\u60a3\u8005\uff0c\u663e\u793a\u5bf9\u4fa7\u5b58\u5728\u6dcb\u5df4\u7ed3\uff0c\u5982\u679c\u8fd9\u4e9b\u6dcb\u5df4\u7ed3\u5305\u542b\u80bf\u7624\u7ec6\u80de\uff0c\u5206\u671fN3\u3002<\/p>\n<p>\u5bf9\u4e8e\u53f3\u80ba\u80bf\u7624\uff0c\u5176N\u5206\u671f\u5982\u4e0b\uff1a<\/p>\n<p>N1 &#8211;&nbsp;\u540c\u4fa7\u652f\u6c14\u7ba1\u65c1\u548c\/\u6216\u80ba\u95e8\u6dcb\u5df4\u7ed3\uff0810R-14R\uff09<\/p>\n<p>N2 &#8211;&nbsp;\u540c\u4fa7\u7eb5\u9694\u548c\/\u6216\u4e2d\u7ebf\u6dcb\u5df4\u7ed3\uff082R, 3a\/p, 4R, 7, 8R, 9R\uff09<\/p>\n<p>N3 &#8211;&nbsp;\u5bf9\u4fa7\u7eb5\u9694\u548c\/\u6216\u80ba\u95e8\u6dcb\u5df4\u7ed3\uff0c\u4ee5\u53ca\u4efb\u4f55\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\uff081, 2L, 3aL, 4L, 5, 6, 8L, 9L, 10L-14L\uff09<\/p>\n<p>\u5bf9\u4e8e\u5de6\u80ba\u80bf\u7624\uff0c\u5176N\u5206\u671f\u5982\u4e0b\uff1a<\/p>\n<p>N1 &#8211;&nbsp;\u540c\u4fa7\u652f\u6c14\u7ba1\u65c1\u548c\/\u6216\u80ba\u95e8\u6dcb\u5df4\u7ed3\uff0810L-14L\uff09<\/p>\n<p>N2 &#8211;&nbsp;\u540c\u4fa7\u7eb5\u9694\u548c\/\u6216\u4e2d\u7ebf\u6dcb\u5df4\u7ed3\uff082L, 3a\/p, 4L, 7, 8L, 9L\uff09<\/p>\n<p>N3 &#8211;&nbsp;\u5bf9\u4fa7\u7eb5\u9694\u548c\/\u6216\u80ba\u95e8\u6dcb\u5df4\u7ed3\uff0c\u4ee5\u53ca\u4efb\u4f55\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\uff081, 2R, 3aR, 3pR, 4R, 8R, 9R, 10R-14R\uff09<\/p>\n<p>\u4e94\u3001M\u5206\u671f<\/p>\n<p>&nbsp; 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