lungCa

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    http://www.tccf.org.tw

    Call in02-2875762902-28271203

    [email protected]

    ~

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    .02

    .02

    .03

    .03

    .04

    .04

    .05

    .06

    .07

    .08

    .09.11

    .11

    .13

    .14.

    .14

    .16

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    5

    20

    77

    9839,917207,951

    22

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    1225

    38085

    5

    78

    1.54

    1550-55

    302000

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    T(N)M

    2010

    TNM

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    5

    20

    12

    20

    7

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    X

    /

    /

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    X

    X

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    TNM

    VP-16 (etoposide) cisplatincarboplatin

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    7

    6

    IA

    IBTegafur/

    uracil

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    0

    ABA

    A

    B

    cisplatincarboplatindocetaxel, gemcitabine, pemetrexed,

    vinorelbinebevacizumab

    EGFREGFR-

    TKI (erlotinib, gefitinib)5

    EGFR-TKIEGFREGFR

    (wild type)pemetrexed

    cisplatin

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    A

    VATS

    VATS

    pneumonectomy

    curativepalliative

    60-66Gy

    2Gy3033

    30Gy

    2.5Gy3Gy

    2Gy

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    EGFR-TKIanti-VEGF

    EGFR-TKIerlotinib (Tarceva)gefitinib (Iressa)

    EGFRexon19

    exon21L858R

    EGFR

    gefitinibEGFR

    EGFR-TKI

    bevacizumab (Avastin)

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    paclitaxelcarboplatin

    A

    B

    tegafur/uracil (UFUR)

    4cisplatincisplatin

    vinorelbine

    salvage

    adjuvant

    performance status

    cisplatincarboplatinVP-16 (etoposide)4

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    6

    cisplatincarboplatindocetaxel,

    gemcitabine, paclitaxel, pemetrexed, vinorelbine46

    6

    pemetrexederlotinib

    docetaxel, pemetrexed

    erlotinibgefitinib

    pemetrexd

    gemcitabinedocetaxel

    gemcitabinedocetaxel

    pemetrexed

    600 mg

    100 mg

    269=A56F

    269=A56F

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    . .

    carboplatin

    1

    cisplatin

    112

    gemcitabine

    30

    docetaxel

    60

    paclitaxel

    3

    pemetrexed

    10

    vinorelbine

    15

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    cisplatin

    carboplatin

    B12

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    etoposide

    (VP-16) 60

    topotecan

    30

    tegafur/uracil

    epirubicin

    15

    ifosfamide

    301

    .

    Iressa

    Tavceva

    Avastin

    (

    9060

    30)

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    B12

    mesna

    EGFR

    EGFR

    EGFR

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    0

    ..

    . . .

    . . .

    . . .

    . .. .

    . . .

    . . .

    . -

    .. ...................

    . 100.............

    . ...

    . ............................

    . .

    .

    . ................................................

    . .VISA.MASTER..JCB

    . ....................................................

    . ................................

    . ..............................

    . 20

    . ..

    .

    . .

    . ..Email

    .

    1126795233

    (02)2827-12032827-1215(02)2827-1206

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    /

    /

    /

    /9523

    /02-28271203 02-66119599 02-28271215

    /02-2827120628726748

    /http//www.tccf.org.tw//www.tccf.org.tw//www.tccf.org.tw

    /[email protected]

    /~

    509523

    /19071900

    /

    /10071

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