[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fml0kZpDQcvmdsL1WuA_XY_LF7WEii8x2LPrTMPxv9fk":8,"$fsGhU8KxEb7PRE6g3-OMSWE0cQG0nXPhpNcrdpjP55tA":55,"$fz8DtfWCci_8GwIldHlJN_FTtVb3ugBMpSg_U4eYf0BM":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},67185,862794,[],"https://cdn.yishi-tong.com/console/store-1/Si4P_fC5H_NUK1-yWqxbthvHo_drnUm_.jpg","周瀚","安丘市人民医院","普外科","主治医师",425,0,"深入了解乳腺癌：识别症状、病因及管理策略","","https://ystcdn.venuertc.com/venue/AI/737cadc0-9f72-4c7c-a748-52b78a828512.jpg","\u003Cdiv class=\"material-breast-cancer-wrapper\">\n\n  \u003Ch1 id=\"material_title\" class=\"material-breast-cancer-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">深入了解乳腺癌：识别症状、病因及管理策略\u003C/h1>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg1\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" 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=\"material-breast-cancer-text\">\n      一转身，镜子里自己身体的小变化，有时并不容易发现。乳腺癌往往就是这样来的，它是一种源自乳腺组织的恶性肿瘤。简单来说，就是乳腺里本该有序生长的细胞，突然变得异常、无限增殖，如果不加以制止，这些异常细胞可能突破乳腺，扩散到身体其他部位。\n    \u003C/p>\n    \u003Cp class=\"material-breast-cancer-text\">\n      女性一生中，几乎每12人就有1人可能患乳腺癌（WHO, 2024）。不过，乳腺癌早期发现和规范治疗大多数时候都能取得不错的效果。生活里，很多女性会担心：“是不是有家族史才会得？”其实，许多患者没有任何显著的危险因素，健康意识和及时检查对每位女性来说都很重要。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg2\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 乳腺癌有哪些明显警示信号？\u003C/h2>\n    \u003Cul class=\"material-breast-cancer-list\">\n      \u003Cli>\n        \u003Cstrong>1. 突然出现的乳房肿块\u003C/strong>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🎈\u003C/span>\n        \u003Cspan>有时候洗澡或穿衣时摸到的坚硬小块，往往不会疼，但能摸出来的异常硬块是乳腺癌最典型的信号，特别如果持续存在。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>2. 乳房形状或皮肤变化\u003C/strong>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🔍\u003C/span>\n        \u003Cspan>乳房表面出现凹陷、橘皮样改变（皮肤像桔子皮一样粗糙）、发红甚至发热，都应该引起注意。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>3. 乳头异常分泌物\u003C/strong>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🩸\u003C/span>\n        \u003Cspan>像血样或者不明原因溢液，如果反复出现，建议尽早就医。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>4. 腋下淋巴结肿大\u003C/strong>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🤲\u003C/span>\n        \u003Cspan>在胳膊下方摸到肿块，有时候是肿瘤扩散的表现。\u003C/span>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-breast-cancer-text\">\n      有位女性患者，发现左侧乳房有一个2.5cm大小的坚硬肿块，腋窝淋巴结也有肿大，经检查被确诊为乳腺癌。这个例子说明，一旦感受到这些症状，最好立刻做专业检查。别等到症状持续或加重才行动。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg3\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 乳腺癌是怎么发生的？风险因素盘点\u003C/h2>\n    \u003Cp class=\"material-breast-cancer-text\">\n      乳腺癌的发生不是某一个“坏习惯”造成，它背后有多种因素相互作用。和很多疾病一样，这里既有无法改变的（比如年龄和遗传），也有可以自己干预的。\n    \u003C/p>\n    \u003Cul class=\"material-breast-cancer-list\">\n      \u003Cli>\n        \u003Cstrong>女性、年龄增长\u003C/strong>：乳腺癌发病率随着年龄增加而上升。99%以上患者为女性，尤其多见于40岁以上群体。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>基因与家族史\u003C/strong>：如果直系亲属曾患乳腺癌，尤其是母亲、姐妹，风险会有所增加。部分人携带如BRCA1、BRCA2等基因异常，这类遗传风险较高（Nelson et al., 2019）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>激素水平影响\u003C/strong>：雌激素暴露过多，比如较早初潮、较晚绝经、未生育、长期未哺乳，都会让乳腺细胞“工作时间”变长，增加细胞异常可能性。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>生活方式因素\u003C/strong>：体重超标、长期缺乏运动、频繁熬夜或夜班、经常饮酒，都会促进乳腺“环境”产生负面影响，为异常细胞生长提供机会。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>辐射暴露史\u003C/strong>：年轻时胸部受过放射线治疗的女性，患乳腺癌概率也会升高。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>环境化学物暴露\u003C/strong>：比如某些雌激素类药物、个别环境污染物等，也被认为有一定风险关联。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-breast-cancer-text\">\n      不过，实际诊断时，许多人除了年龄和性别等基础情况外，没有明显高危因素。所以即使没有家族史或明确诱因，也建议定期关注乳腺健康。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg4\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 乳腺癌筛查与诊断怎么做？\u003C/h2>\n    \u003Cp class=\"material-breast-cancer-text\">\n      很多人在没什么不适的时候，可能会觉得筛查用处不大。但其实，乳腺癌如果能早一步发现，治疗和康复的希望会大很多。常见的筛查方法包括：\n    \u003C/p>\n    \u003Cul class=\"material-breast-cancer-list\">\n      \u003Cli>\n        \u003Cstrong>自我检查\u003C/strong>：每个月经周期后3-5天，可用手轻柔触摸乳房及腋下，有无肿块或异常。有助于认识自己身体的小变化。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>临床体检\u003C/strong>：专业医生进行触诊，可发现有无结节、皮肤或乳头异常。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>乳腺影像学检查\u003C/strong>：包括乳腺X线摄影（推荐40岁以上女性每1-2年1次）、彩超检查等。对于年轻或乳腺组织致密的女性，超声有额外优势。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>组织活检\u003C/strong>：如发现可疑肿块，通过微创抽取组织进行病理判断，是明确诊断的“金标准”。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-breast-cancer-text\">\n      一旦检查发现异常，建议到专科医院进一步评估。规范的诊疗流程，有助于缩短等待和误诊时间。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg5\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 有哪些有效治疗方法？\u003C/h2>\n    \u003Cp class=\"material-breast-cancer-text\">\n      治疗乳腺癌的方式主要取决于肿瘤的大小、分期和特殊分子分型。一般会采取多种方法联合。最常见的包括以下几种：\n    \u003C/p>\n    \u003Cul class=\"material-breast-cancer-list\">\n      \u003Cli>\n        \u003Cstrong>手术\u003C/strong>：根据肿瘤具体情况，选择切除病灶（保乳手术）或切除整个乳房；部分患者还需同时处理腋窝淋巴结。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>化疗\u003C/strong>：针对部分分期较高或生物学特征特殊（如三阴性、HER2阳性）的患者，通过药物全身阻断异常细胞扩散。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>放疗\u003C/strong>：用于减少局部复发风险，尤其是保乳治疗后或腋窝淋巴结阳性的患者。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>靶向治疗\u003C/strong>：比如HER2阳性患者可应用曲妥珠单抗等生物制剂，能精准攻击异常细胞。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>内分泌（激素）治疗\u003C/strong>：用于激素受体阳性的乳腺癌，例如使用他莫昔芬，可长期抑制肿瘤复发。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-breast-cancer-text\">\n      就像有一位患者，左乳浸润性导管癌，HER2过度表达，不同于普通类型，于是她接受了手术联合化疗和靶向药物，目前在规范治疗过程中。这个案例给我们的启示是，治疗方案一定要结合自身具体情况和检查结果，听从专业团队建议。\n    \u003C/p>\n    \u003Cp class=\"material-breast-cancer-text\">\n      治疗过程中，常见副作用如脱发、消化不适、血象降低等，大多可以通过调整药物或加强辅助护理缓解。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg6\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 哪些生活方式有助于降低乳腺癌风险？\u003C/h2>\n    \u003Cp class=\"material-breast-cancer-text\">\n      对于乳腺癌，科学的生活方式管理可以带来很大帮助。下面分享几个简单又实用的小贴士——只讲什么做法对预防有益，完全不讲“不能吃什么”：\n    \u003C/p>\n    \u003Cul class=\"material-breast-cancer-list\">\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🥗\u003C/span>\n        \u003Cstrong>多样化蔬菜水果\u003C/strong> + \u003Cspan>富含多种维生素和抗氧化成分，对细胞保护有好处；建议每天三餐都搭配不同颜色的蔬菜和水果。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🐟\u003C/span>\n        \u003Cstrong>深海鱼类和坚果\u003C/strong> + \u003Cspan>含有优质蛋白和健康脂肪，有助于调节身体代谢；可以每周吃2~3次鱼，坚果每天一小把就够。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🏃‍♀️\u003C/span>\n        \u003Cstrong>规律锻炼\u003C/strong> + \u003Cspan>能让激素水平稳定，也帮助控制体重；建议一周至少150分钟中等强度有氧活动（散步、慢跑、游泳都不错）。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">😴\u003C/span>\n        \u003Cstrong>保证充足睡眠\u003C/strong> + \u003Cspan>改善免疫力，对荷尔蒙平衡也有好处。最好规律作息，避免频繁熬夜。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">👩‍⚕️\u003C/span>\n        \u003Cstrong>定期乳腺健康体检\u003C/strong> + \u003Cspan>40岁以后，每1-2年做一次专业乳腺影像检查，有家族史的人可以考虑更早。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🤱\u003C/span>\n        \u003Cstrong>母乳喂养\u003C/strong> + \u003Cspan>研究显示，母乳喂养时间较长的女性乳腺癌风险更低。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"material-breast-cancer-emoji\">🧘‍♀️\u003C/span>\n        \u003Cstrong>保持良好心理状态\u003C/strong> + \u003Cspan>压力管理和乐观心态，有助于整体健康。\u003C/span>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-breast-cancer-text\">\n      这些方法虽然看起来简单，但坚持下来，身体自然积累出更强的抵抗力。如果自查发现异常，或者家族中有乳腺癌病史，更推荐定期医学随访。如果一时不确定哪种检查更合适，可以先咨询乳腺专科医生，选择适合自己的方案。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-breast-cancer-section material-breast-cancer-bg7\">\n    \u003Ch2 class=\"material-breast-cancer-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">结语\u003C/h2>\n    \u003Cp class=\"material-breast-cancer-text\">\n      乳腺癌不是遥远的医学名词，它可能出现在普通人的身边。理解风险，积极预防，学会识别身体发出的信号，及时科学地就医——这些看似简单的行动，或许就是保护我们自己和家人健康的关键一步。保持健康的习惯不是一朝一夕，但好在每个小改变都算数。\n    \u003C/p>\n    \u003Cp class=\"material-breast-cancer-text reference-title\">\n      参考文献（部分）：\n    \u003C/p>\n    \u003Cul class=\"material-breast-cancer-list reference-list\">\n      \u003Cli>World Health Organization. (2024). Breast cancer: Symptoms and causes. \u003Cem>World Health Organization\u003C/em>. https://www.who.int/news-room/fact-sheets/detail/breast-cancer\u003C/li> \n      \u003Cli>Nelson, H. D., Fu, R., Goddard, K., Mitchell, J., & O'Meara, E. S. (2019). Risk factors for breast cancer for women aged 40 to 49 years: A systematic review and meta-analysis. \u003Cem>Annals of Internal Medicine, 170\u003C/em>(7), 483-495.\u003C/li>\n      \u003Cli>Eccles, D. M., & Copson, E. R. (2020). Familial breast cancer: What do we really know? \u003Cem>British Journal of Cancer, 123\u003C/em>(8), 1356-1363.\u003C/li>\n      \u003Cli>Marmot, M. G., Altman, D. G., Cameron, D. A., Dewar, J. A., Thompson, S. G., & Wilcox, M. (2013). The benefits and harms of breast cancer screening: An independent review. \u003Cem>British Journal of Cancer, 108\u003C/em>(11), 2205–2240.\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\n\u003C/div>\n\n\u003Cstyle>\n.material-breast-cancer-wrapper {\n  max-width: 780px;\n  margin: 32px auto 50px auto;\n  background: #fffdf8;\n  border-radius: 14px;\n  box-shadow: 0 4px 24px rgba(60,70,100,0.09);\n  padding: 38px 32px 32px 32px;\n  font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, sans-serif;\n  letter-spacing: 0;\n}\n\n.material-breast-cancer-title {\n  font-size: 2.4em;\n  color: #4c3057;\n  text-align: center;\n  font-weight: 700;\n  margin-bottom: 36px;\n  line-height: 1.22;\n  letter-spacing: 0.03em;\n}\n\n.material-breast-cancer-subtitle {\n  font-size: 1.36em;\n  font-weight: 600;\n  color: #624c63;\n  margin-bottom: 14px;\n  margin-top: 0;\n  padding-top: 26px;\n  padding-bottom: 14px;\n  padding-left: 18px;\n  border-left: 5px solid #eab5c8;\n  background: none;\n  border-radius: 4px 0 0 4px;\n}\n\n.material-breast-cancer-section {\n  margin-bottom: 38px;\n  border-radius: 12px;\n  padding: 22px 18px 26px 18px;\n  position: relative;\n  background: #f9f6fa;\n  box-shadow: 0 1px 10px rgba(220,170,200,0.08);\n  transition: box-shadow 0.15s;\n}\n\n.material-breast-cancer-bg1 {\n  background: linear-gradient(90deg, #f5e7ef 0%, #f9f6fa 100%);\n}\n.material-breast-cancer-bg2 {\n  background: linear-gradient(100deg, #fbe7e7 0%, #fff5e5 100%);\n}\n.material-breast-cancer-bg3 {\n  background: linear-gradient(94deg, #e7f2fb 0%, #f9f6fa 100%);\n}\n.material-breast-cancer-bg4 {\n  background: linear-gradient(95deg, #f4fde7 0%, #f9f6fa 100%);\n}\n.material-breast-cancer-bg5 {\n  background: linear-gradient(92deg, #f7e7f7 0%, #f9f6fa 80%);\n}\n.material-breast-cancer-bg6 {\n  background: linear-gradient(91deg, #e7fdf1 0%, #f9f6fa 100%);\n}\n.material-breast-cancer-bg7 {\n  background: linear-gradient(99deg, #f1edd4 0%, #f9f6fa 100%);\n}\n\n.material-breast-cancer-section:last-child {\n  margin-bottom: 0;\n}\n\n.material-breast-cancer-text {\n  font-size: 1.11em;\n  color: #4e3762;\n  line-height: 1.82;\n  margin-bottom: 14px;\n  margin-top: 0;\n  word-break: break-word;\n  letter-spacing: 0.02em;\n}\n\n.material-breast-cancer-list {\n  margin: 0 0 12px 0;\n  padding-left: 22px;\n  font-size: 1.09em;\n  color: #5d4061;\n  line-height: 1.75;\n}\n.material-breast-cancer-list li {\n  margin-bottom: 10px;\n  margin-left: 0;\n  position: relative;\n}\n.material-breast-cancer-list li:last-child {\n  margin-bottom: 0;\n}\n\n.material-breast-cancer-emoji {\n  margin-right: 8px;\n  font-size: 1.25em;\n  vertical-align: middle;\n}\n\n.reference-title {\n  margin-top: 24px;\n  font-size: 1.09em;\n  color: #8e5c88;\n  font-weight: 600;\n}\n\n.reference-list {\n  list-style-type: decimal;\n  padding-left: 32px;\n  color: #775085;\n  font-size: 1em;\n}\n.reference-list li {\n  margin-bottom: 7px;\n  font-size: 0.99em;\n}\n\n@media (max-width: 700px) {\n  .material-breast-cancer-wrapper {\n    padding: 13px 5% 22px 5%;\n  }\n  .material-breast-cancer-title {\n    font-size: 1.45em;\n    padding: 0 6px;\n  }\n  .material-breast-cancer-subtitle {\n    font-size: 1.09em;\n    padding-left: 12px;\n  }\n  .material-breast-cancer-section {\n    padding: 12px 7px 14px 7px;\n  }\n  .reference-list {\n    padding-left: 18px;\n  }\n}\n\u003C/style>\n","\u003Cdiv class=\"material-breast-cancer-wrapper\">\n\n  \u003Ch1 id=\"material_title\" class=\"material-breast-cance",513,"2025-09-24 16:56:44","乳腺癌, 症状, 筛查, 预防, 治疗, 女性健康, 风险因素, 激素影响","掌握乳腺癌的症状、病因与管理策略，早发现、早治疗是关键。学习如何有效筛查与预防，保护自身健康，尤其是女性朋友。","2025-10-11 10:00:00",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},[],[]]