[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f9210s4hbZVDFuOSTlxWT2XctiK29Eixjrqx5E2abn00":8,"$ft_yXOBueWoaQ7nYYzxdcPKysgpqwT98gOvNutQCT1mQ":55,"$fppy5NrD3zY5PgvFh8q5zBbt_FsWYE7_Lj79xpaj5dhU":59},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},65253,870534,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//wdQYQBcua2h0whc6Tj4hKZQpiTG8yoRV.png","权明明","台州市中心医院","甲状腺乳腺外科","主治医师",20,0,"乳腺癌的基本知识及其应对策略","","https://ystcdn.venuertc.com/venue/AI/d95a1253-374f-4803-946e-96927ec5c2de.jpg","\u003Cdiv class=\"bc-container\">\n  \u003Ch2 id=\"material_title\" class=\"bc-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">乳腺癌的基本知识及其应对策略\u003C/h2>\n\n  \u003Cdiv class=\"bc-section bc-section-1\">\n    \u003Cdiv class=\"bc-bg bc-bg-1\">\u003C/div>\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 什么是乳腺癌？🩺\u003C/h2>\n    \u003Cp class=\"bc-p\">\n      说起来乳腺癌听着离我们有点远，但其实生活中越来越多女性在健康体检时被查出乳腺结节或肿块。乳腺癌指乳腺里的正常细胞发生异常变化，变成一种可以持续繁殖、不受控制的小“工厂”，最终形成肿瘤。大部分乳腺癌最初发生在乳腺小叶或乳管里，比如有些人在洗澡时摸到乳房里有个小硬块，这种早期肿瘤往往没什么感觉，但随着时间推移可能会逐渐变大甚至扩散。\n    \u003C/p>\n    \u003Cp class=\"bc-p\">\n      健康影响方面，乳腺癌晚期有扩散到全身可能，会威胁生命。不过，大部分乳腺癌早期发现的话，通过系统治疗，预后都比较理想。全球数据显示，每12名女性中就有1人在一生中会被确诊（WHO, 2024）。这说明乳腺癌发病率正在上升，但也不必过度紧张，关键在于多了解相关知识，科学应对。\u003Cbr>\u003Cspan class=\"bc-emoji\">🌸\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"bc-section bc-section-2\">\n    \u003Cdiv class=\"bc-bg bc-bg-2\">\u003C/div>\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 如何识别乳腺癌的早期症状？👀\u003C/h2>\n    \u003Cul class=\"bc-ul\">\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        乳房有轻微肿块或硬结：比如有位62岁女性在体检时发现左侧乳腺外上象限有个约4×3cm的肿块，没有疼痛也没有红肿（病例来源）。这类变化往往最难察觉，因为没有明显的不适，平时摸乳房很容易忽略。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        乳头异常分泌物：轻微的乳头渗液，或偶尔出现乳头溢液，也需要留心。特别是如伴有血性分泌，务必尽快就医。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        乳房形状变化：偶尔发现乳房明显变形、偏大或偏小，与以往相比发生了持续改变。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        皮肤变化：乳房皮肤出现局部凹陷或轻微发红，虽然不是很常见，但如果出现且持续一段时间，建议请医生看一下。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"bc-p\">\n      这些信号其实很容易被忽视，但一旦持续出现，看起来像“小麻烦”，长期拖延可能会带来大问题。如果自己摸到不寻常的肿块，即使没有痛感，也不要掉以轻心。\u003Cspan class=\"bc-emoji\">🔎\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"bc-section bc-section-3\">\n    \u003Cdiv class=\"bc-bg bc-bg-3\">\u003C/div>\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 乳腺癌的病因及风险因素有哪些？🤔\u003C/h2>\n    \u003Cp class=\"bc-p\">\n      其实乳腺癌的发生离不开遗传、激素及一些环境影响。下面分点简单说明：\n    \u003C/p>\n    \u003Cul class=\"bc-ul\">\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>年龄：\u003C/strong>超过40岁以后，乳腺癌发病率显著增高。WHO数据显示，全球每12名女性中就有1人一生中会患乳腺癌（WHO, 2024）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>遗传：\u003C/strong>家族中有乳腺癌病例，风险会升高。尤其是妈妈、姐妹或女儿发生过，建议提前做基因检测。BRCA1/BRCA2等基因突变是已知高危因素（Friedenson B, 2005）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>激素水平：\u003C/strong>长期激素变化比如早潮、晚婚、未育、绝经后使用雌激素，都是影响风险的因素。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>肥胖、饮酒、吸烟：\u003C/strong>这些生活习惯会提高雌激素和促炎物质，属于环境影响之一。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>辐射暴露史：\u003C/strong>比如年轻时接受大量放射线治疗（并不是日常生活中用的X光或手机辐射）。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"bc-p\">\n      客观来说，大约一半乳腺癌患者没有明显的风险因素（WHO, 2024），所以哪怕没有上述特征也不能掉以轻心。越早了解自己属于哪一类，对预防和发现至关重要。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"bc-section bc-section-4\">\n    \u003Cdiv class=\"bc-bg bc-bg-4\">\u003C/div>\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 乳腺癌的诊断流程是什么？📝\u003C/h2>\n    \u003Cp class=\"bc-p\">\n      定期体检和早发现是最实际的防线。如果怀疑乳腺或腋下出现不正常变化，诊断流程一般如下：\n    \u003C/p>\n    \u003Cul class=\"bc-ul\">\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>乳腺超声：\u003C/strong>适合亚洲女性等乳腺较密集者。可以清楚评估肿块位置、大小和性质，比如混合回声区，结合BI-RADS分级来评估恶性概率。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>X线钼靶（乳腺X光）：\u003C/strong>欧美女性乳腺不太密集时更有效；\n        通过影像支持肿块性质评估，有利于发现微小病变。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>组织活检：\u003C/strong>是最终确诊的“金标准”。通过取样检测肿块是否为癌性，确定分型和治疗方案。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>淋巴结检查：\u003C/strong>如腋下、锁骨上的淋巴结有无肿大，以便判断是否有扩散。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>肿瘤标志物测定：\u003C/strong>比如ER、PR、HER2（雌激素受体、孕激素受体和表皮生长因子受体2），决定后续针对性治疗方向。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"bc-p\">\n      检查完成后，医生会根据具体分型安排后续治疗。有时候流程确实有些复杂，不过医生都会帮助解释每一步。\u003Cspan class=\"bc-emoji\">🧬\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"bc-section bc-section-5\">\n    \u003Cdiv class=\"bc-bg bc-bg-5\">\u003C/div>\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 乳腺癌的治疗选择有哪些？⚒️\u003C/h2>\n    \u003Cp class=\"bc-p\">\n      乳腺癌治疗是个“组合拳”，根据分型及扩散程度灵活调整。常见治疗方案有：\n    \u003C/p>\n    \u003Cul class=\"bc-ul\">\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>手术：\u003C/strong>比如乳房肿瘤切除术，仅去除病灶；患病较重也可选择乳腺切除术，适合肿瘤较大或复发高风险的情况。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>放疗：\u003C/strong>针对手术区域及周围组织，降低复发几率。早期肿瘤可用放疗保乳，晚期也能帮助缓解症状。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>化疗：\u003C/strong>系统性杀灭异常细胞，防止扩散。部分方案仅用于高危分型，比如三阴性乳腺癌（不表达ER、PR、HER2）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>内分泌疗法：\u003C/strong>雌激素受体阳性的病人，可以用他莫昔芬或芳香酶抑制剂，通过口服长程用药，将肿瘤复发率降低近50%（Rakha et al., 2015）。更年期常见副作用是潮热、关节不适，多数能耐受。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>靶向生物疗法：\u003C/strong>比如曲妥珠单抗（Herceptin），针对HER2阳性类型，联合化疗更能提高治疗成功率。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"bc-p\">\n      总体来说，越早系统治疗，效果越理想。针对不同体质和分型，治疗目标并不是“一刀切”。具体方案务必在专业医生指导下个体化选择。\u003Cspan class=\"bc-emoji\">💊\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"bc-section bc-section-6\">\n    \u003Cdiv class=\"bc-bg bc-bg-6\">\u003C/div>\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 康复后怎么管理生活？🏃‍♀️\u003C/h2>\n    \u003Cp class=\"bc-p\">\n      乳腺癌患者康复后的生活，需要身体和心理双重关注。下面说几个实用的方法：\n    \u003C/p>\n    \u003Cul class=\"bc-ul\">\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>均衡饮食：\u003C/strong>多吃新鲜蔬菜、水果和豆类。比如西兰花富含抗氧化物，有助于修复细胞；豆制品含有植物雌激素，适量食用有益。不建议用负面饮食提醒，只需平衡即可。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>运动：\u003C/strong>每周至少快步走或游泳3次，每次30分钟，有助于增强体力和免疫。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>心理调适：\u003C/strong>可以参加患者互助小组，遇到情绪低落时与亲友交流。遇到焦虑或抑郁症状，建议咨询心理医生。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>定期体检：\u003C/strong>每半年～一年做一次乳腺超声或钼靶检查，有利于早期发现复发或新问题。出现持续肿块、皮肤溃破或局部出血，务必尽早就诊。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"bc-dot\">•\u003C/span>\n        \u003Cstrong>规范随访：\u003C/strong>听从医生安排定期复查，按医嘱完成辅助治疗和康复指导。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"bc-p\">\n      简单来说，恢复后的日子，饮食和运动像一台“小卫士”，帮忙维持健康。如果对生活管理感到困惑，也可以和医护人员交流想法。平稳过渡，逐步调整，就是最好的办法。\u003Cspan class=\"bc-emoji\">💡\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"bc-section bc-section-7\">\n    \u003Ch2 class=\"bc-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 总结与行动建议\u003C/h2>\n    \u003Cp class=\"bc-p\">\n      从乳腺癌的成因、症状到治疗和康复，其实每一步都能找到自身行动的方向。就像那位62岁女性患者一样，早发现、规范诊疗、合理恢复，稳步推进每一步，就是科学养护乳腺健康的关键。生活中及时关注身体的小变化，不盲目焦虑，也不放松警惕，遇到疑问就及时看医生。\u003Cbr>\n      乳腺癌确实常见，但掌握了几条核心知识，风险其实并不可怕。希望大家都能用温和、积极的心态面对健康问题，守护好乳腺，也守护生活里的每一个重要时刻。\n      \u003Cspan class=\"bc-emoji\">🌱\u003C/span>\n    \u003C/p>\n\n    \u003Cdiv class=\"bc-ref\">\n      \u003Ch3 class=\"bc-ref-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考文献\u003C/h3>\n      \u003Cul class=\"bc-ref-ul\">\n        \u003Cli>\n          World Health Organization. (2024). Breast cancer. Retrieved from \u003Ca href=\"https://www.who.int/news-room/fact-sheets/detail/breast-cancer\" target=\"_blank\">WHO website\u003C/a>\n        \u003C/li>\n        \u003Cli>\n          Friedenson, B. (2005). \"BRCA1 and BRCA2 pathway dysfunction in breast cancer.\" Breast Cancer Research, 7(3), 100–112.\n        \u003C/li>\n        \u003Cli>\n          Rakha, E.A., et al. (2015). \"Predictors of outcome in breast cancer.\" Journal of Clinical Oncology, 33(8), 1954-1963.\n        \u003C/li>\n        \u003Cli>\n          Mayo Clinic. (n.d.). Breast cancer – Symptoms and causes. \u003Ca href=\"https://www.mayoclinic.org/diseases-conditions/breast-cancer/symptoms-causes/syc-20352470\" target=\"_blank\">Mayo Clinic website\u003C/a>\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.bc-container {\n  max-width: 920px;\n  margin: 24px auto 40px auto;\n  padding: 20px 30px;\n  background: #faf7f2;\n  border-radius: 18px;\n  font-family: 'Helvetica Neue', 'Arial', 'PingFang SC', 'Microsoft YaHei', sans-serif;\n  box-shadow: 0 2px 28px rgba(180,160,120,.08);\n}\n.bc-title {\n  font-size: 2.5em;\n  text-align: center;\n  color: #3d3d32;\n  margin-bottom: 38px;\n  font-weight: 700;\n  letter-spacing: 2px;\n}\n.bc-section {\n  margin-bottom: 44px;\n  position: relative;\n}\n.bc-h2 {\n  font-size: 1.55em;\n  color: #665c44;\n  font-weight: 600;\n  margin: 0 0 22px 0;\n  padding: 30px 22px 14px 22px;\n  border-radius: 14px 14px 0 0;\n  position: relative;\n  z-index: 2;\n  background: none;\n  letter-spacing: 1px;\n}\n.bc-bg {\n  position: absolute;\n  top: 0; left: 0; right: 0;\n  height: 82px;\n  border-radius: 14px 14px 0 0;\n  opacity: 0.18;\n  z-index: 1;\n}\n.bc-bg-1 { background: linear-gradient(80deg,#ffeaea 0,#fff7dc 100%);}\n.bc-bg-2 { background: linear-gradient(95deg,#f3faff 0,#ffe4e3 100%);}\n.bc-bg-3 { background: linear-gradient(60deg,#e4f5ff 0,#fedcae 100%);}\n.bc-bg-4 { background: linear-gradient(85deg,#ffe6f6 0,#dcfcff 100%);}\n.bc-bg-5 { background: linear-gradient(130deg,#fff4e6 0,#dbe9ff 100%);}\n.bc-bg-6 { background: linear-gradient(100deg,#f6ffef 0,#ffeedc 100%);}\n.bc-section-7 .bc-h2 {\n  background: linear-gradient(100deg,#fff6ea 0,#e6f9ff 100%);\n  padding-top: 10px;\n  margin-bottom: 10px;\n}\n.bc-p {\n  font-size: 1.18em;\n  color: #35332e;\n  line-height: 2.0;\n  margin: 0 0 22px 0;\n  padding: 0 4px;\n}\n.bc-ul {\n  padding-left: 22px;\n  margin-bottom: 24px;\n  list-style-type: none;\n}\n.bc-ul li {\n  font-size: 1.13em;\n  margin-bottom: 13px;\n  color: #504c42;\n  position: relative;\n  padding-left: 14px;\n  line-height: 1.78;\n}\n.bc-dot {\n  font-weight: bold;\n  color: #F89898;\n  font-size: 1.2em;\n  vertical-align: middle;\n  margin-right: 3px;\n}\n.bc-emoji {\n  font-size: 1.15em;\n  margin-left: 5px;\n  vertical-align: middle;\n}\n.bc-ref {\n  background: #f4efdf;\n  border-radius: 12px;\n  padding: 22px 18px 18px 18px;\n  margin-top: 23px;\n  box-shadow: 0 1px 5px rgba(180,160,120,.08);\n}\n.bc-ref-title {\n  color: #806d48;\n  font-size: 1.07em;\n  font-weight: 600;\n  margin-bottom: 10px;\n  letter-spacing: 1px;\n}\n.bc-ref-ul {\n  margin: 0; padding: 0 0 0 20px;\n  font-size: 1em;\n  color: #635b43;\n  list-style-type: disc;\n}\n.bc-ref-ul li {\n  margin-bottom: 7px;\n  line-height: 1.58;\n}\n.bc-ref-ul a {\n  color: #a67d42;\n  text-decoration: underline;\n  transition: color .16s;\n}\n.bc-ref-ul a:hover {\n  color: #e59866;\n  text-decoration: underline;\n}\n@media (max-width:760px) {\n  .bc-container {padding: 10px 6px;}\n  .bc-title {font-size:2em;}\n  .bc-section {margin-bottom:26px;}\n  .bc-p, .bc-ul li {font-size:1em;}\n}\n\u003C/style>\n","\u003Cdiv class=\"bc-container\">\n  \u003Ch2 id=\"material_title\" class=\"bc-title\" style=\"color: rgb(44, 62, 80);",533,"2025-09-01 10:51:56","乳腺癌, 早期症状, 治疗选择, 诊断流程, 风险因素","了解乳腺癌的早期症状、病因、诊断流程及治疗选择，掌握高效应对策略，守护健康，提升生活质量。","2025-09-08 14:44:13",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","癌症肿瘤",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]