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医生认为肿瘤较大、与周围组织关系紧密，切除风险高时，优先新辅助化疗，观察肿瘤有没有缩小之后再评估能否手术。\u003Cbr/>\n      - 新辅助化疗期间要定期复查影像，关注肿瘤变化，有任何恶化要早点反馈医生。\u003Cbr/>\n      - 如肿瘤堵住胃出口、造成出血、穿孔等情况，医生会评估直接手术的利弊，有急性并发症该及时手术。\u003C/span>\u003Cbr/>\n    \u003Cstrong>不建议\u003C/strong>自行决定跳过新辅助化疗或随意更改疗程，更不要因为朋友的建议或者某个网络“偏方”而更换方案。治疗顺序要尊重专科团队的意见，每一步都要盯紧复查。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"zcwc-section\">\n  \u003Cdiv class=\"zcwc-subtitle\" style=\"background:linear-gradient(90deg,#f8fafc 0,#eef2f7 100%);\">\n    🤝 局部进展期胃癌决策要多学科评估\n  \u003C/div>\n  \u003Cdiv class=\"zcwc-paragraph\">\n    总结一下，局部进展期胃癌选新辅助化疗还是直接手术，主要看肿瘤位置、大小，以及能否一次性切干净，身体状态和急性风险也不能忽略。如果你或者家人被查出局部进展期胃癌，记得和外科、肿瘤科、营养科多学科团队一起好好聊聊，别自己着急定方案。\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n#material_title {\n  font-size: 22px;\n  font-weight: bold;\n  color: #293046;\n  margin-bottom: 18px;\n  line-height: 1.3;\n  letter-spacing: 1px;\n}\n.zcwc-section {\n  margin-bottom: 18px;\n  border-radius: 12px;\n  box-shadow: 0 2px 8px rgba(44,48,102,0.04);\n  background: #fafcfd;\n  padding: 0 16px 12px 16px;\n}\n.zcwc-subtitle {\n  font-size: 17px;\n  font-weight: 500;\n  color: #425187;\n  margin: 0 -16px 8px -16px;\n  padding: 12px 16px 11px 16px;\n  border-radius: 10px 10px 0 0;\n  letter-spacing: 0.3px;\n  background-repeat: no-repeat;\n  background-size: cover;\n}\n.zcwc-paragraph {\n  font-size: 15px;\n  color: #30405a;\n  line-height: 1.8;\n  padding-left: 4px;\n  word-break: break-all;\n}\n\u003C/style>","v0d47cg10004dbau8pq7dlddimdsc5vg",159,586,"2026-10-19 16:46:32","局部进展期胃癌, 新辅助化疗, 直接手术, 肿瘤切除, 治疗评估","了解何时选择新辅助化疗或直接手术治疗局部进展期胃癌，科学评估治疗顺序，帮助患者做出更优决策。","2026-10-24 10:45:00",[46,67,85],{"menuId":47,"menuName":48,"parentId":11,"orderNum":49,"path":50,"component":51,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":55,"createTime":56,"children":57,"columnImage":58,"columnLogo":59,"uncheckedLogo":60,"checkedLogo":61,"isHot":8,"isHome":11,"forceLogin":11,"color":62,"seoTitle":63,"seoKeywords":64,"seoDescription":64,"contentNum":6,"promotionalPoster":65,"menuFrame":16,"innerLink":16,"parentView":16,"routeName":66,"routerPath":50,"componentInfo":51},"1997925012023775234","热门频道",4,"column","/column/tcm_index.html","1","0","T","","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":68,"menuName":69,"parentId":47,"orderNum":70,"path":71,"component":72,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":55,"createTime":73,"children":74,"columnImage":75,"columnLogo":76,"uncheckedLogo":77,"checkedLogo":78,"isHot":11,"isHome":11,"forceLogin":11,"color":79,"seoTitle":80,"seoKeywords":81,"seoDescription":82,"contentNum":6,"promotionalPoster":83,"menuFrame":16,"innerLink":16,"parentView":16,"routeName":84,"routerPath":71,"componentInfo":72},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":86,"menuName":87,"parentId":68,"orderNum":70,"path":88,"component":89,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":55,"createTime":90,"children":91,"columnImage":92,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":11,"isHome":11,"forceLogin":11,"color":6,"seoTitle":87,"seoKeywords":93,"seoDescription":94,"contentNum":6,"promotionalPoster":6,"menuFrame":16,"innerLink":16,"parentView":16,"routeName":95,"routerPath":88,"componentInfo":89},"2047224557296840705","“健康中国-医路相伴健康同行”肿瘤领域科普传播计划","publicTFPAPP","/column/public_publicTFPAPP","2026-04-23 16:02:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-04-23-15:59:55/812f101e-9b62-472f-b155-2cb356602a89.png","肿瘤科普、癌症科普、肿瘤防治、科学抗癌、健康中国科普、医路相伴健康同行","响应 \"健康中国 2030\" 战略，\"健康中国 - 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