[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fg0L_74VpKjHP-skNJ3LmXc09pO0shC5FgPxy9-dblf4":8,"$fid2KrkYNcnRSoLGYryRDeE6x-t5Z1irzrlEaHqsMg3A":55,"$f6i5aXWpELtI2rf2cKFB3G6PpX9_gcfszIj2MDrTNlxo":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},66904,867263,[],"https://ystcdn.venuertc.com/medical/ystApp/0YbWrtsGnIVSTzEaDbtlD7CaJRSwuqG9.png","李会敏","临清市人民医院","老年病内科","住院医师",384,0,"老年女性要警惕的子宫内膜癌：你需要了解的基本知识","","https://ystcdn.venuertc.com/venue/AI/a2cd0554-a528-42e1-9ac3-aa8aac3a06a8.jpg","\u003Cdiv id=\"material_title\">\n  \u003Ch1 style=\"font-size: 38px; font-weight: 700; color: rgb(44, 62, 80); text-align: center; letter-spacing: 1px; margin: 1.2em 0px 0.6em; border-bottom: 1px solid rgb(238, 238, 238);\">\n    老年女性要警惕的子宫内膜癌：你需要了解的基本知识\n  \u003C/h1>\n\u003C/div>\n\n\u003C!-- 开头部分：自然场景描述 -->\n\u003Cdiv class=\"ecm-section-intro\" style=\"padding:22px 30px 26px 30px; background-color:#F7F3EA; border-radius:18px; box-shadow:0 2px 8px rgba(84,77,61,0.07); margin-bottom:36px; font-size:18px;\">\n  \u003Cp style=\"font-size:18px; color:#45455a;\">听到“肿瘤”这个词，很多人本能地紧张，但生活中其实很容易忽略一些早期信号，尤其是女性在退休前后，忙着照顾家庭，反而少了对自身健康的关心。有时候，像偶尔的异常出血或者身体不太舒服，也许会被当作小问题一带而过。其实，这些小变化里可能藏着子宫内膜癌的蛛丝马迹。下面咱们聊聊这类肿瘤到底是什么，怎么发现它，以及日常生活里能怎么做，才更安心。\u003C/p>\n\u003C/div>\n\n\u003C!-- 01 子宫内膜癌概述 -->\n\u003Cdiv class=\"ecm-section-header\" style=\"background: linear-gradient(90deg, #ece6fa 60%, #e4f5ea 100%); padding:20px 28px 19px 28px; border-radius:16px; margin-bottom:12px;\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); font-size: 26px; font-weight: 700; margin: 1.2em 0px 0.6em; display: flex; align-items: center; border-bottom: 1px solid rgb(238, 238, 238);\">01 简单来讲，子宫内膜癌是什么？ 👩‍⚕️\u003C/h2>\n\u003C/div>\n\u003Cdiv class=\"ecm-section-body\" style=\"background-color:#f7f7fc; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cp style=\"font-size:17px; color:#35374d;\">子宫内膜癌是发生在女性子宫最里面一层（内膜）的恶性肿瘤。和卵巢癌、宫颈癌不同，子宫内膜癌在绝经后女性中更为常见，平均确诊年龄大多在60岁左右。其实，医学上发现它往往是因为患者出现一些明显的妇科症状就诊才查出。\u003C/p>\n  \u003Cp style=\"font-size:17px; color:#35374d;\">根据 \u003Cspan style=\"font-weight:bold;\">Dana-Farber Cancer Institute\u003C/span> 的统计，美国每年约有6.3万名新病例（2018），而亚洲妇女随着生活习惯和营养变化，这种病的发生率也有逐步上升的趋势。它最初只是子宫内膜上的一些异常细胞，如果早发现、早治疗，治愈可能性很高。\u003C/p>\n  \u003Cp style=\"font-size:17px; color:#35374d;\">这些异常细胞最初可能并不主动“闯祸”，但一旦发展，便容易扩散到子宫外、甚至盆腔其它部位。和很多癌症一样，子宫内膜癌在早期时常被忽视，所以了解基础知识，对每个女性都很有好处。\u003C/p>\n\u003C/div>\n\n\u003C!-- 02 子宫内膜癌的症状表现 -->\n\u003Cdiv class=\"ecm-section-header\" style=\"background: linear-gradient(90deg, #f1ffe6 60%, #deefec 100%); padding:20px 28px 19px 28px; border-radius:16px; margin-bottom:12px;\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); font-size: 26px; font-weight: 700; margin: 1.2em 0px 0.6em; display: flex; align-items: center; border-bottom: 1px solid rgb(238, 238, 238);\">02 哪些信号不能忽视？🌸 子宫内膜癌的症状表现\u003C/h2>\n\u003C/div>\n\u003Cdiv class=\"ecm-section-body\" style=\"background-color:#eefaf3; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cul style=\"font-size:17px; color:#474767; list-style:disc; padding-left:23px;\">\n    \u003Cli>\u003Cspan style=\"color:#5981e5; font-weight:bold;\">❶ 非例假的出血或分泌物\u003C/span>\u003Cbr>\n      绝经后的女性如果出现阴道出血，就是最明显的警示信号。年轻女性也可能遇到非正常的出血，但绝经后突然有出血，无论是淡淡的血丝还是像月经一样的量，都值得马上去妇科做检查。\u003C/li>\n    \u003Cli>\u003Cspan style=\"color:#5981e5; font-weight:bold;\">❷ 月经不规律（围绝经期）\u003C/span>\u003Cbr>\n      部分人尚未完全绝经时，出现月经周期突然变得非常杂乱，或者经期时间、流量不稳定，这也可能是内膜细胞异常的征兆。\u003C/li>\n    \u003Cli>\u003Cspan style=\"color:#5981e5; font-weight:bold;\">❸ 盆腔或下腹持续性疼痛\u003C/span>\u003Cbr>\n      不同于偶尔的轻微不适，若持续几周甚至更长时间，哪怕不是非常剧烈也要留心。\u003C/li>\n    \u003Cli>\u003Cspan style=\"color:#5981e5; font-weight:bold;\">❹ 性生活时疼痛或排尿不适\u003C/span>\u003Cbr>\n      部分患者会发现在性生活或排尿时感到局部不适或疼痛。这种情况虽然有多种原因，但结合其他症状时，需要引起注意。\u003C/li>\n  \u003C/ul>\n  \u003Cp style=\"font-size:17px; color:#474767; margin-top:12px;\">举个例子：有位60多岁的女性患者，原本每年体检一切正常。某天她意外发现内裤上出现少量血渍，起初以为是尿路感染，可随着每周都有类似现象，就去医院检查，最终被确诊为早期子宫内膜样腺癌。这提醒我们，不管症状轻重，异常出血都不能拖。\u003C/p>\n\u003C/div>\n\n\u003C!-- 03 子宫内膜癌的致病因素 -->\n\u003Cdiv class=\"ecm-section-header\" style=\"background: linear-gradient(90deg, #f7f0e9 60%, #e4f5ea 100%); padding:20px 28px 19px 28px; border-radius:16px; margin-bottom:12px;\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); font-size: 26px; font-weight: 700; margin: 1.2em 0px 0.6em; display: flex; align-items: center; border-bottom: 1px solid rgb(238, 238, 238);\">03 为什么会发生？🧬 子宫内膜癌的风险机制\u003C/h2>\n\u003C/div>\n\u003Cdiv class=\"ecm-section-body\" style=\"background-color:#fef5e9; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cp style=\"font-size:17px; color:#5c4730;\">之所以要关心子宫内膜癌的风险，是因为它往往和生活方式、身体变化密切相关。简单来说，长期雌激素水平过高、肥胖、糖尿病、遗传等因素，会增加患病概率。\u003C/p>\n  \u003Col style=\"font-size:17px; color:#5c4730; padding-left:24px; line-height:1.7;\">\n    \u003Cli>\n      \u003Cspan style=\"color:#cf6f36; font-weight:bold;\">绝经后的激素变化\u003C/span>\u003Cbr>\n      女性绝经后，身体激素变动，尤其是单独服用雌激素而不加用孕激素的治疗，容易导致子宫内膜反复、不受控制地增生，细胞长时间异常生长，产生癌变风险。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#cf6f36; font-weight:bold;\">肥胖与代谢紊乱\u003C/span>\u003Cbr>\n      身体脂肪多，雌激素分泌也多，长期肥胖会让内膜持续受到刺激。糖尿病、胰岛素抵抗、高血压等代谢问题同样是高危因素。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#cf6f36; font-weight:bold;\">遗传和家族史\u003C/span>\u003Cbr>\n      如果家族里有人得过子宫内膜癌，尤其是有林奇综合征（某种遗传综合征），就要格外注意。同时，乳腺癌、卵巢癌史也是危险信号之一。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#cf6f36; font-weight:bold;\">年龄与慢性疾病\u003C/span>\u003Cbr>\n      年龄增长，患病几率明显升高。高血压、长期便秘等慢性问题，也可能“推波助澜”，让内膜细胞更容易出错。\n    \u003C/li>\n  \u003C/ol>\n  \u003Cp style=\"font-size:17px; color:#5c4730;\">比如，前文那位患者在确诊时还合并有高血压和便秘情况，这说明多重慢病加在一起时，女性身体的“防线”比较脆弱，更容易出现异常细胞。\u003C/p>\n  \u003Cp style=\"font-size:16px; color:#b96024; font-style:italic;\">相关参考：\u003Cbr>\n    - Moore, E.B. et al., \"Endometrial Cancer: Risk Factors and Screening,\" Cancer Medicine, 2023.\u003Cbr>\n    - Setiawan, V.W., et al., \"Type I and II Endometrial Cancers: Epidemiology, Risk Factors, and Prevention,\" Cancer Epidemiology Biomarkers &amp; Prevention, 2018.\n  \u003C/p>\n\u003C/div>\n\n\u003C!-- 04 子宫内膜癌的诊断方法 -->\n\u003Cdiv class=\"ecm-section-header\" style=\"background: linear-gradient(90deg, #e6f3fe 60%, #e9f0ea 100%); padding:20px 28px 19px 28px; border-radius:16px; margin-bottom:12px;\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); font-size: 26px; font-weight: 700; margin: 1.2em 0px 0.6em; display: flex; align-items: center; border-bottom: 1px solid rgb(238, 238, 238);\">04 如何确诊？🔍 子宫内膜癌的检查流程\u003C/h2>\n\u003C/div>\n\u003Cdiv class=\"ecm-section-body\" style=\"background-color:#f4f8fd; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cp style=\"font-size:17px; color:#3d5e75;\">假如有上述症状，最好的办法就是尽早去看妇科，医生会根据情况推荐不同的检查方式。这里简单介绍下常见诊断流程：\u003C/p>\n  \u003Cul style=\"font-size:17px; color:#3d5e75; list-style:circle; padding-left:23px;\">\n    \u003Cli>\n      \u003Cspan style=\"color:#3177af; font-weight:bold;\">1. 盆腔体检\u003C/span>\u003Cbr>\n      主要检查子宫、卵巢、输卵管有没有异常增生或肿块。简单又直接，是妇科门诊的基础项目。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#3177af; font-weight:bold;\">2. 超声波检查\u003C/span>\u003Cbr>\n      用于观察内膜厚度、子宫结构变化，有经验的医生能发现很微小的异常。有时还会加做腹部或阴道超声。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#3177af; font-weight:bold;\">3. 内膜活检\u003C/span>\u003Cbr>\n      通过宫腔镜或刮宫术取一小块组织，检测是否有异常细胞。此方法能直接确诊病变类型，也是最权威的诊断依据。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp style=\"font-size:17px; color:#3d5e75;\">如有发现，不必过度紧张。目前早期子宫内膜癌很少扩散，绝大多数病例仅累及子宫本身（Stage I），手术即可根治。晚期病例需要更综合的治疗，但现代医学手段已经能做到很好的控制和管理。\u003C/p>\n  \u003Cp style=\"font-size:16px; color:#3177af; font-style:italic;\">相关参考：\u003Cbr>\n    - Creasman, W.T., et al., \"Gynecologic Cancer: Endometrial Cancer Diagnosis and Screening,\" The Lancet Oncology, 2019.\u003Cbr>\n    - Mayo Clinic Staff, \"Endometrial cancer - Diagnosis and treatment,\" Mayo Clinic, 2023.\n  \u003C/p>\n\u003C/div>\n\n\u003C!-- 05 子宫内膜癌的治疗选择 -->\n\u003Cdiv class=\"ecm-section-header\" style=\"background: linear-gradient(90deg, #ede9fa 60%, #fae4ee 100%); padding:20px 28px 19px 28px; border-radius:16px; margin-bottom:12px;\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); font-size: 26px; font-weight: 700; margin: 1.2em 0px 0.6em; display: flex; align-items: center; border-bottom: 1px solid rgb(238, 238, 238);\">05 都有哪些治疗办法？🩺\u003C/h2>\n\u003C/div>\n\u003Cdiv class=\"ecm-section-body\" style=\"background-color:#f8f6fc; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cp style=\"font-size:17px; color:#633d6a;\">治疗方式选择，主要依赖病情分期和患者身体状况。常见的治疗方案有如下几种：\u003C/p>\n  \u003Cul style=\"font-size:17px; color:#633d6a; list-style:square; padding-left:23px;\">\n    \u003Cli>\n      \u003Cspan style=\"color:#936ca6; font-weight:bold;\">手术治疗\u003C/span>\u003Cbr>\n      绝大多数患者首选手术，包括切除子宫及双侧附件（卵巢、输卵管），有需要时会清扫盆腔及腹主动脉旁淋巴结。像前面提到的那位患者，先做了宫腔镜检查，再行根治手术，术后再根据病理决定后续方案。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#936ca6; font-weight:bold;\">放射治疗\u003C/span>\u003Cbr>\n      主要用于病灶较深或术后有复发风险者。现代放疗技术更精准，副作用明显降低。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#936ca6; font-weight:bold;\">激素治疗\u003C/span>\u003Cbr>\n      针对雌激素依赖性肿瘤，医生会用黄体酮等药物降低内膜细胞活跃度，适合体质偏弱、不能手术的老年人。\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan style=\"color:#936ca6; font-weight:bold;\">化疗与靶向治疗\u003C/span>\u003Cbr>\n      如果扩散风险较高或肿瘤分级偏高，会配合使用化疗或免疫、靶向药物，这有助于“围堵”异常细胞，增加控制率。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp style=\"font-size:17px; color:#633d6a;\">治疗全程需多学科团队合作，包括肿瘤科、妇科、病理科、放射科等。患者和家属可充分与医生沟通，根据个人情况做最合适的选择。\u003C/p>\n  \u003Cp style=\"font-size:16px; color:#7b3772; font-style:italic;\">相关参考：\u003Cbr>\n    - Colombo, N. et al., \"Epithelial Endometrial Cancer: Treatment Guidelines,\" Annals of Oncology, 2021.\u003Cbr>\n    - Clark, T.J. et al., \"Endometrial cancer: Investigation and management,\" BMJ, 2020.\n  \u003C/p>\n\u003C/div>\n\n\u003C!-- 06 子宫内膜癌患者的日常护理与预防推荐 -->\n\u003Cdiv class=\"ecm-section-header\" style=\"background: linear-gradient(90deg, #eaf6f1 62%, #fffcdc 100%); padding:20px 28px 19px 28px; border-radius:16px; margin-bottom:12px;\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); font-size: 26px; font-weight: 700; margin: 1.2em 0px 0.6em; display: flex; align-items: center; border-bottom: 1px solid rgb(238, 238, 238);\">06 日常生活怎么做更放心？🍏预防与护理建议\u003C/h2>\n\u003C/div>\n\u003Cdiv class=\"ecm-section-body\" style=\"background-color:#f7faf6; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cp style=\"font-size:17px; color:#587531;\">说起来，健康管理最重要的还是平时的点点滴滴，科学的饮食、适度的运动和规律的体检。预防子宫内膜癌，尤其需要注意以下几点：\u003C/p>\n  \u003Cdiv style=\"background-color:#eeffe8; border-radius:14px; padding:12px 24px 14px 24px; margin-bottom:13px;\">\n    \u003Cul style=\"font-size:17px; color:#6b8b4e; list-style:disc; padding-left:22px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">新鲜蔬菜\u003C/span> + 促进肠道健康和调节雌激素 + 每天建议搭配菠菜、西蓝花、芦笋等做主食旁菜\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">应季水果\u003C/span> + 增强免疫力和促进抗氧化 + 如苹果、蓝莓可以当作两餐间的健康零食\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">全谷物\u003C/span> + 平衡血糖和支持新陈代谢 + 建议早餐可用全麦面包、燕麦、糙米\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">优质蛋白\u003C/span> + 维持肌肉和身体修复 + 推荐鸡胸肉、鱼、豆腐、牛奶各餐轮换食用\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">健康生活方式\u003C/span> + 保持体重合理和规律作息 + 每天30-40分钟低强度活动，如散步、太极、慢跑都适合\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n  \u003Cp style=\"font-size:17px; color:#587531;\">建议每年定期妇科检查，尤其是出现绝经后出血或盆腔不适时，不必耽误。一旦发现内膜过厚、内膜异常，务必去三甲医院妇科或肿瘤专科进一步咨询。\u003C/p>\n  \u003Cp style=\"font-size:17px; color:#587531;\">和家人沟通、保持心态舒畅同样重要。子宫内膜癌早期发现、规律治疗，可以大大提高生活质量，减少身体负担。\u003C/p>\n  \u003Cp style=\"font-size:16px; color:#7a953b; font-style:italic;\">相关参考：\u003Cbr>\n    - Friedenreich, C., et al., \"Physical Activity and Endometrial Cancer Prevention: Review and Meta-analysis,\" British Journal of Cancer, 2021.\u003Cbr>\n    - McTiernan, A., \"Diet, Exercise, and Survival in Endometrial Cancer,\" Journal of Clinical Oncology, 2019.\n  \u003C/p>\n\u003C/div>\n\n\u003C!-- 结尾：自然总结与行动建议 -->\n\u003Cdiv class=\"ecm-section-end\" style=\"background-color:#f3f6fa; border-radius:16px; padding:17px 30px; margin-bottom:32px;\">\n  \u003Cp style=\"font-size:18px; color:#314049;\">\u003Cspan style=\"font-size:20px;\">💡\u003C/span>\n    其实，绝大部分子宫内膜癌是可以提前发现并有效治疗的。关键在于平时关注身体的小变化，不讳疾忌医，保持健康饮食和规律运动，让子宫里的“小卫士”有充足的能量守住第一道防线。不论是自己还是家里的长辈，只要做到科学管理，遇到症状时及时就医，就能减少困扰，安度晚年。关心健康，关心身边的人，从日常点滴开始，一点也不难。\n  \u003C/p>\n\u003C/div>\n\n\u003C!-- 文献引用部分 -->\n\u003Cdiv class=\"ecm-section-ref\" style=\"background-color:#e9f7f9; border-radius:12px; padding:15px 28px 15px 28px; margin-bottom:30px;\">\n  \u003Ch3 style=\"font-size: 19px; color: rgb(44, 62, 80); font-weight: 700; margin: 1.2em 0px 0.6em; border-bottom: 1px solid rgb(238, 238, 238);\">部分参考文献\u003C/h3>\n  \u003Cul style=\"font-size:16px; color:#495a6e; padding-left:21px; line-height:1.7;\">\n    \u003Cli>Moore, E.B., et al. \"Endometrial Cancer: Risk Factors and Screening.\" \u003Ci>Cancer Medicine\u003C/i>, 2023.\u003C/li>\n    \u003Cli>Setiawan, V.W., et al. \"Type I and II Endometrial Cancers: Epidemiology, Risk Factors, and Prevention.\" \u003Ci>Cancer Epidemiology Biomarkers &amp; Prevention\u003C/i>, 2018.\u003C/li>\n    \u003Cli>Creasman, W.T., et al. \"Gynecologic Cancer: Endometrial Cancer Diagnosis and Screening.\" \u003Ci>The Lancet Oncology\u003C/i>, 2019.\u003C/li>\n    \u003Cli>Mayo Clinic Staff. \"Endometrial cancer - Diagnosis and treatment.\" \u003Ci>Mayo Clinic\u003C/i>, 2023.\u003C/li>\n    \u003Cli>Colombo, N. et al. \"Epithelial Endometrial Cancer: Treatment Guidelines.\" \u003Ci>Annals of Oncology\u003C/i>, 2021.\u003C/li>\n    \u003Cli>Clark, T.J. et al. \"Endometrial cancer: Investigation and management.\" \u003Ci>BMJ\u003C/i>, 2020.\u003C/li>\n    \u003Cli>Friedenreich, C., et al. \"Physical Activity and Endometrial Cancer Prevention: Review and Meta-analysis.\" \u003Ci>British Journal of Cancer\u003C/i>, 2021.\u003C/li>\n    \u003Cli>McTiernan, A. \"Diet, Exercise, and Survival in Endometrial Cancer.\" \u003Ci>Journal of Clinical Oncology\u003C/i>, 2019.\u003C/li>\n  \u003C/ul>\n\u003C/div>\n\n\u003Cstyle>\n/* 独立样式，防止全局影响 */\n.ecm-section-header {\n  font-family: 'Helvetica Neue', Arial, sans-serif;\n}\n.ecm-section-body {\n  font-family: 'Helvetica Neue', Arial, sans-serif;\n}\n.ecm-section-end {\n  font-family: 'Helvetica Neue', Arial, sans-serif;\n}\n.ecm-section-ref {\n  font-family: 'Helvetica Neue', Arial, sans-serif;\n}\n.ecm-section-intro {\n  font-family: 'Helvetica Neue', Arial, sans-serif;\n}\nul, li {\n  margin-top: 0px;\n  margin-bottom: 8px;\n}\n.ecm-section-header h2, .ecm-section-header h3 {\n  letter-spacing: 0.5px;\n}\n@media only screen and (max-width:900px) {\n  #material_title h1 {\n    font-size:28px;\n    margin-top:13px;\n    margin-bottom:13px;\n  }\n  .ecm-section-header {padding:14px 12px 13px 12px;}\n  .ecm-section-body {padding:14px 12px;}\n  .ecm-section-end {padding:14px 12px;}\n  .ecm-section-ref {padding:11px 10px;}\n  .ecm-section-intro {padding:12px 10px;}\n}\n\u003C/style>\n","\u003Cdiv id=\"material_title\">\n  \u003Ch1 style=\"font-size: 38px; 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