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id=\"material_title\">晚期实体瘤靶向与免疫治疗怎么选边界在哪里\u003C/h2>\n\n\u003Cdiv class=\"drzheng_section\">\n  \u003Cdiv class=\"drzheng_bg\">\n    \u003Ch3>晚期实体瘤治疗有多少种选择？\u003C/h3>\n  \u003C/div>\n  \u003Cdiv class=\"drzheng_content\">\n    可能有不少朋友，一听到“晚期实体瘤”就觉得只剩下对症支持治疗。其实，现在医学进步很快，靶向治疗和免疫治疗已经成了晚期实体瘤的一线方案之一。今天，我就跟大家好好聊聊，晚期实体瘤靶向与免疫治疗分别适用什么情况，咱们选择时需要注意什么边界。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"drzheng_section\">\n  \u003Cdiv class=\"drzheng_bg\">\n    \u003Ch3>靶向和免疫治疗不是万能钥匙\u003C/h3>\n  \u003C/div>\n  \u003Cdiv class=\"drzheng_content\">\n    靶向治疗和免疫治疗听起来高大上，💊但不是每种晚期实体瘤都适用。第一，靶向治疗需要肿瘤有特定的分子靶点，比如说EGFR、ALK这些，检查报告上要明确有这些基因变异。免疫治疗，比如PD-1抑制剂，也需要肿瘤微环境有免疫应答可能，有些瘤种对免疫治疗反应比较好，比如部分肺癌、黑色素瘤，但有的就效果不明显。所以，医生在用药前会通过病理和基因检测精确筛选——不是一张单子一发，大家都能用。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"drzheng_section\">\n  \u003Cdiv class=\"drzheng_bg\">\n    \u003Ch3>三点必知：边界主要卡在哪里\u003C/h3>\n  \u003C/div>\n  \u003Cdiv class=\"drzheng_content\">\n    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