大腸直腸癌之診斷、輔助性治療以及追蹤 | familial adenomatous polyposis中文

危險因子包括有:家族史、家族性多息肉症(familial adenomatous polyposis, FAP)、遺傳性非多息肉性大腸直腸癌、大腸癌或腺瘤之過去病史、慢性潰瘍性大腸 ...°òª÷·|»PÂø»x|§ÜÀù¸ê°T|·|­ûµù¥U|¯f¤Í¶é¦a|ÂåÀøÅU°Ý|³Ì·s¤åÄm|¬ÛÃöºô¯¸|½u¤W®½´Ú|³Ì·s®ø®§ |¡@¤W¤@­¶¡@|¡@­º­¶¡@|À¹©Ó¥¿Âå®v¾ã²z  ¤j¸zª½¸zÀù¤§¶EÂ_¡B»²§U©ÊªvÀø¥H¤Î°lÂÜ µo¥Í²v(³æ¦ì¨C¤Q¸U¤H¤f)¨Ì·Ó1998¦~¥xÆWªº¨k©Ê¤§²Êµo¥Í²v¬°31.88¡A¤k©Ê¬°23.83¡C2001¦~²Î­p³ø§i¡A¦º¤`²v¦b¨k©Ê¬°17.73¡A¤k©Ê«h¬°13.12¡AÁ`¦º¤`²v¬°15.47¡C¬Û¹ï©ó2001¦~¼Ú¬wªºÁ`²Êµo¥Í²v¬°53¡AÁ`¦º¤`²v«h¬°30¡C¶EÂ_¤è¦¡¡G¤j¸zª½¸zÀù¤§¶EÂ_¥²¶·½T¦³²Õ´¯f²z¤Á¤ù¤§ÃÒ¹ê¡C¨ä¥L»P¸~½F¬ÛÃö¤§¦MÀI¦]¤l¡B¦ì¸m¥H¤Î¯f²z²Õ´µû¦ô¥ç¥²¶·¸ü©ú¡C¤À´Á¥H¤Î¦MÀI¦]¤lµû¦ô¤À´Á´£¨Ñ¬ÛÃö©ó¿ï¾ÜªvÀø¹ï¯f±w¹w«áªº¸ê°T¨Ã¥B¥i¥Î¥Hµû¦ô¬O§_¦³¥i¤â³Nªº³æ¤@©Î§½³¡©ÊªÍ³¡©Î¨x³¡Âಾ¡C¤â³N«e¤§¤À´Á¥²¶·¥]§t¦³Á{§ÉÀˬd¡B¦å²yÀˬd¡B¨xµÇ¥\¯àÀˬd¡B¯Ý³¡X¥úÀˬd¡B¸¡³¡¹q¸£Â_¼h©Î¶W­µªi¥H¤Î¤j¸zÃèÀˬd¡C¨Ã¥B¦b¤â³N«á­«½Æ¬I¦æ¤j¸zÃèÀˬd¥Hµû¦ô¤â³N«eµLªkÀˬd¤§ªñºÝ¤j¸z¡C¯f²z¤À´Á«hÀ³®Ú¾ÚTNM¨t²Î¥H¤Î¨Ï¥ÎModifiedDukes¤À´Á°µµû¦ô¡C¦MÀI¦]¤l¥]¬A¦³¡G®a±Ú¥v¡B®a±Ú©Ê¦h®§¦×¯g(familialadenomatouspolyposis,FAP)¡B¿ò¶Ç©Ê«D¦h®§¦×©Ê¤j¸zª½¸zÀù¡B¤j¸zÀù©Î¸¢½F¤§¹L¥h¯f¥v¡BºC©Ê¼ìºÅ©Ê¤j¸zª¢(chroniculcerativecolitis)¡B§J¶©¤ó¯g(Crhn'sdisease)¡B°gÂ÷½F(harmatoma)¡B¹Å±o¤ó¯g(Gardner'sSyndrome)¡B³z§J¤ó¯g(Turcot'ssyndrome)¡B¦hµo©Ê¦h®§¦×¯g(attenuatedpolyposis)¥H¤Î¦~»´©Ê¦h®§¦×¯g(juvenilepolyposis)¡CªvÀø­p¹º»²§U©ÊªvÀø¹ï©óT2-4,N1-2,M0(¥ç§Y²Ä¤T´Á,ModifiedDukesC1-3)¼Ð·Ç¤Æ¾ÇªvÀø¡G¤»¦¸ªº5Fu(425mg/m2)¥[¤W§C¾¯¶qªºleucovorin(20mg/m2)¡A¨C­ÓÀøµ{¤­¤Ñ¡A¨C¥|¶g¤@¦¸¡A©ÎªÌµ¹¤©¬Û·í¾¯¶qªºªvÀøÀøªk¥ç¥i¡C¨Ì·ÓHepato-Gastroenterology47¨÷36´Á1599-603­¶¤ý½n®ÑÂå®vµ¥¤§³ø§i«ü¥X¡A¥x¥_ºaÁ`¨Ï¥Î¨C¶g¤@¦¸¤§5Fu(425mg/m2)¥[¤W§C¾¯¶qªºleucovorin(20mg/m2)¡A»P¤W­z¤§ªvÀø¤è¦¡¤ñ¸û¡Aµo²{¨Ï¥Î¨C¶g¤@¦¸¤§ªvÀø¤è¦¡¥i´£¨Ñµy°ªªvÀø®ÄªG¦Ó¥B¸û§C¤§°Æ§@¥Î»P¨Öµo¯g¡C¥Ø«e¥x¥_ºaÁ`¸~½F¬ì±Ä¦æ¤§»²§U©Ê¤Æ¾ÇªvÀø¥H¨C¶g¤@¦¸¬°¥D¡C°lÂÜ°lÂܪº¥Øªº¦b©ó´£¨Ñ¹ï©ó¨Ï¥Î¬@±Ï©ÊªvÀø©Î½w¸Ñ©ÊªvÀø¤§¿ï¾Ü¥H¤Î¥Î¥HÁקK¤j¸zÀù¤§´_µo¥H¤Î¨C¤»­Ó¤ë¬I¤©¤@¦¸¤Aª¬ª½¸zÃè(­Y¥i¥H«h¥[¥H¨Ï¥Î¤ºµøÃè¶W­µªi)¤§°lÂÜ¡A­Y¦³»·ºÝ¤Aª¬µ²¸zÀù¤§¯f±w¥²¶·±K¤Á°lÂܨâ¦~¡C¨C¦~¤@¦¸ªº¨xŦ¶W­µªi¨Ì«ØijÀ³·í³sÄò°lÂܤT¦~¡C¹ï©ó´¿±µ¨ü¤j¸z®§¦×¤Á°£ªº¡A¨C¤­¦~¥²¶·±µ¨ü¤@¦¸¤j¸zÃèÀˬ


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