{"id":1854,"date":"2024-10-04T23:40:28","date_gmt":"2024-10-04T20:10:28","guid":{"rendered":"https:\/\/gimed.ir\/gastric-cancer\/?page_id=1854"},"modified":"2025-03-16T20:44:01","modified_gmt":"2025-03-16T17:14:01","slug":"%d8%aa%d8%b4%d8%ae%db%8c%d8%b5-%d8%af%d9%82%db%8c%d9%82","status":"publish","type":"page","link":"https:\/\/gimed.ir\/gastric-cancer\/%d8%aa%d8%b4%d8%ae%db%8c%d8%b5-%d8%af%d9%82%db%8c%d9%82\/","title":{"rendered":"\u062a\u0634\u062e\u06cc\u0635 \u062f\u0642\u06cc\u0642"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1854\" class=\"elementor elementor-1854\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37fd093 e-flex e-con-boxed e-con e-parent\" data-id=\"37fd093\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34e284c elementor-widget__width-initial elementor-widget elementor-widget-spacer\" data-id=\"34e284c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4d535e elementor-widget elementor-widget-heading\" data-id=\"f4d535e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u062a\u0634\u062e\u06cc\u0635 \u062f\u0642\u06cc\u0642 \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-413774e e-flex e-con-boxed e-con e-parent\" data-id=\"413774e\" data-element_type=\"container\" data-settings=\"{&quot;shape_divider_top&quot;:&quot;wave-brush&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 283.5 27.8\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M283.5,9.7c0,0-7.3,4.3-14,4.6c-6.8,0.3-12.6,0-20.9-1.5c-11.3-2-33.1-10.1-44.7-5.7\ts-12.1,4.6-18,7.4c-6.6,3.2-20,9.6-36.6,9.3C131.6,23.5,99.5,7.2,86.3,8c-1.4,0.1-6.6,0.8-10.5,2c-3.8,1.2-9.4,3.8-17,4.7\tc-3.2,0.4-8.3,1.1-14.2,0.9c-1.5-0.1-6.3-0.4-12-1.6c-5.7-1.2-11-3.1-15.8-3.7C6.5,9.2,0,10.8,0,10.8V0h283.5V9.7z M260.8,11.3\tc-0.7-1-2-0.4-4.3-0.4c-2.3,0-6.1-1.2-5.8-1.1c0.3,0.1,3.1,1.5,6,1.9C259.7,12.2,261.4,12.3,260.8,11.3z M242.4,8.6\tc0,0-2.4-0.2-5.6-0.9c-3.2-0.8-10.3-2.8-15.1-3.5c-8.2-1.1-15.8,0-15.1,0.1c0.8,0.1,9.6-0.6,17.6,1.1c3.3,0.7,9.3,2.2,12.4,2.7\tC239.9,8.7,242.4,8.6,242.4,8.6z 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M34.5,12.4c-0.2,0,2.1,0.8,3.3,0.9c1.2,0.1,2,0.1,2-0.2c0-0.3-0.1-0.5-1.6-0.4C36.6,12.8,34.7,12.4,34.5,12.4z M152.2,21.1\tc-0.1,0.1-2.4-0.3-7.5-0.3c-5,0-13.6-2.4-17.2-3.5c-3.6-1.1,10,3.9,16.5,4.1C150.5,21.6,152.3,21,152.2,21.1z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M269.6,18c-0.1-0.1-4.6,0.3-7.2,0c-7.3-0.7-17-3.2-16.6-2.9c0.4,0.3,13.7,3.1,17,3.3\tC267.7,18.8,269.7,18,269.6,18z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M227.4,9.8c-0.2-0.1-4.5-1-9.5-1.2c-5-0.2-12.7,0.6-12.3,0.5c0.3-0.1,5.9-1.8,13.3-1.2\tS227.6,9.9,227.4,9.8z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M204.5,13.4c-0.1-0.1,2-1,3.2-1.1c1.2-0.1,2,0,2,0.3c0,0.3-0.1,0.5-1.6,0.4\tC206.4,12.9,204.6,13.5,204.5,13.4z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M201,10.6c0-0.1-4.4,1.2-6.3,2.2c-1.9,0.9-6.2,3.1-6.1,3.1c0.1,0.1,4.2-1.6,6.3-2.6\tS201,10.7,201,10.6z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M154.5,26.7c-0.1-0.1-4.6,0.3-7.2,0c-7.3-0.7-17-3.2-16.6-2.9c0.4,0.3,13.7,3.1,17,3.3\tC152.6,27.5,154.6,26.8,154.5,26.7z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M41.9,19.3c0,0,1.2-0.3,2.9-0.1c1.7,0.2,5.8,0.9,8.2,0.7c4.2-0.4,7.4-2.7,7-2.6\tc-0.4,0-4.3,2.2-8.6,1.9c-1.8-0.1-5.1-0.5-6.7-0.4S41.9,19.3,41.9,19.3z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M75.5,12.6c0.2,0.1,2-0.8,4.3-1.1c2.3-0.2,2.1-0.3,2.1-0.5c0-0.1-1.8-0.4-3.4,0\tC76.9,11.5,75.3,12.5,75.5,12.6z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M15.6,13.2c0-0.1,4.3,0,6.7,0.5c2.4,0.5,5,1.9,5,2c0,0.1-2.7-0.8-5.1-1.4\tC19.9,13.7,15.7,13.3,15.6,13.2z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88e78a1 elementor-widget elementor-widget-spacer\" data-id=\"88e78a1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d9fa19e e-flex e-con-boxed e-con e-parent\" data-id=\"d9fa19e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3bfa588 e-con-full e-flex e-con e-child\" data-id=\"3bfa588\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-437b1b4 e-con-full e-flex e-con e-child\" data-id=\"437b1b4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ff7f6d0 elementor-widget elementor-widget-spacer\" data-id=\"ff7f6d0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-97f2205 elementor-widget elementor-widget-text-editor\" data-id=\"97f2205\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3>\u06f1. \u00a0\u0645\u0642\u062f\u0645\u0647<\/h3><p>\u062a\u0634\u062e\u06cc\u0635 \u0645\u0648\u0644\u06a9\u0648\u0644\u06cc \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647 (GC) \u0634\u0627\u0645\u0644 \u0634\u0646\u0627\u0633\u0627\u06cc\u06cc \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0698\u0646\u062a\u06cc\u06a9\u06cc\u060c \u0627\u067e\u06cc \u0698\u0646\u062a\u06cc\u06a9\u06cc \u0648 \u067e\u0631\u0648\u062a\u0626\u06cc\u0646\u06cc \u0628\u0631\u0627\u06cc \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u062f\u0631 \u062a\u0634\u062e\u06cc\u0635\u060c \u067e\u06cc\u0634 \u0622\u06af\u0647\u06cc \u0648 \u062f\u0631\u0645\u0627\u0646 \u0627\u0633\u062a. \u0627\u06cc\u0646 \u0631\u0648\u0634 \u0628\u0647 \u0647\u0645\u0631\u0627\u0647 \u0622\u0633\u06cc\u0628 \u0634\u0646\u0627\u0633\u06cc \u0633\u0646\u062a\u06cc\u060c \u0627\u0645\u06a9\u0627\u0646 \u062f\u0631\u0645\u0627\u0646 \u0634\u062e\u0635\u06cc \u0633\u0627\u0632\u06cc \u0634\u062f\u0647 \u0631\u0627 \u0641\u0631\u0627\u0647\u0645 \u0645\u06cc\u06a9\u0646\u062f.<\/p><h3>\u06f2. \u00a0\u0646\u0634\u0627\u0646\u06af\u0631\u0647\u0627\u06cc \u0645\u0648\u0644\u06a9\u0648\u0644\u06cc \u06a9\u0644\u06cc\u062f\u06cc<\/h3><ul><li><strong>HER2\/neu<\/strong>: \u00a0\u062f\u0631 \u06f1\u06f5-\u06f2\u06f0\u066a \u0627\u0632 \u0645\u0648\u0627\u0631\u062f \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\u060c \u0628\u0647 \u0648\u06cc\u0698\u0647 \u062f\u0631 \u0646\u0627\u062d\u06cc\u0647 \u0627\u062a\u0635\u0627\u0644 \u0645\u0639\u062f\u0647-\u0645\u064e\u0631\u06cc (GEJ) \u0648 \u0646\u0648\u0639 \u0631\u0648\u062f\u0647 \u0627\u06cc \u0628\u06cc\u0634 \u0627\u0632 \u062d\u062f \u0628\u06cc\u0627\u0646 \u06cc\u0627 \u062a\u0642\u0648\u06cc\u062a \u0645\u06cc\u0634\u0648\u062f. \u0622\u0632\u0645\u0627\u06cc\u0634 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0627\u06cc\u0645\u0648\u0646\u0648\u0647\u06cc\u0633\u062a\u0648\u0634\u06cc\u0645\u06cc (IHC) \u0646\u0645\u0631\u0647 \u062f\u0647\u06cc) \u06f0\u062a\u0627 \u06f3+) \u0648 FISH \u0628\u0631\u0627\u06cc \u0645\u0648\u0627\u0631\u062f \u0646\u0627\u0645\u0634\u062e\u0635(IHC2+) .<\/li><li><strong>\u0646\u0627\u067e\u0627\u06cc\u062f\u0627\u0631\u06cc \u0631\u06cc\u0632\u06af\u0631\u062f\u0647\u0627 <\/strong><strong>(MSI)<\/strong> <strong>\u00a0<\/strong>: \u062f\u0631 \u06f1\u06f5-\u06f2\u06f0\u066a \u0627\u0632 \u0633\u0631\u0637\u0627\u0646\u0647\u0627\u06cc \u0645\u0639\u062f\u0647 \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f \u0648 \u0628\u0627 \u0633\u0646\u062f\u0631\u0645 \u0644\u06cc\u0646\u0686 \u0645\u0631\u062a\u0628\u0637 \u0627\u0633\u062a. \u0627\u0632 \u0637\u0631\u06cc\u0642\u00a0\u00a0\u00a0 \u00a0\u00a0PCR (\u0628\u0631\u0631\u0633\u06cc \u062c\u0627\u06cc\u06af\u0627\u0647\u0647\u0627\u06cc \u0631\u06cc\u0632\u06af\u0631\u062f) \u06cc\u0627 IHC \u0628\u0631\u0627\u06cc \u067e\u0631\u0648\u062a\u0626\u06cc\u0646\u0647\u0627\u06cc \u062a\u0631\u0645\u06cc\u0645 \u0646\u0627\u0647\u0645\u0633\u0627\u0646\u06cc \u00a0(MMR) \u060c \u0634\u0627\u0645\u0644,MLH1 PMS2\u060c \u00a0\u00a0\u00a0\u00a0MSH6\u0648MSH2 \u00a0\u00a0\u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0645\u06cc\u0634\u0648\u062f. \u062a\u0648\u0645\u0648\u0631\u0647\u0627\u06cc MSI-H \u0628\u0647 \u0627\u06cc\u0645\u0648\u0646\u0648\u062a\u0631\u0627\u067e\u06cc (\u0645\u0627\u0646\u0646\u062f \u067e\u0645\u0628\u0631\u0648\u0644\u06cc\u0632\u0648\u0645\u0627\u0628) \u067e\u0627\u0633\u062e \u062e\u0648\u0628\u06cc \u0645\u06cc\u062f\u0647\u0646\u062f.<\/li><li><strong>\u0648\u06cc\u0631\u0648\u0633 \u0627\u067e\u0634\u062a\u06cc\u0646-\u0628\u0627\u0631<\/strong><strong> (EBV)<\/strong> : \u062f\u0631 \u06f8-\u06f1\u06f0\u066a \u0627\u0632 \u0633\u0631\u0637\u0627\u0646\u0647\u0627\u06cc \u0645\u0639\u062f\u0647 \u0627\u0632 \u0637\u0631\u06cc\u0642 EBER-ISH \u0634\u0646\u0627\u0633\u0627\u06cc\u06cc \u0645\u06cc\u0634\u0648\u062f. \u0627\u06cc\u0646 \u0645\u0648\u0636\u0648\u0639 \u0628\u0627 \u062c\u0647\u0634\u0647\u0627\u06cc PIK3CA\u060c \u0628\u06cc\u0627\u0646 PD-L1 \u0648 \u0646\u0641\u0648\u0630 \u0644\u0646\u0641\u0648\u0633\u06cc\u062a\u06cc \u0645\u062a\u0631\u0627\u06a9\u0645 \u0647\u0645\u0631\u0627\u0647 \u0627\u0633\u062a.<\/li><li><strong>\u0628\u06cc\u0627\u0646<\/strong><strong>PD-L1<\/strong> : \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632) IHC \u0646\u0645\u0631\u0647 \u062a\u0631\u06a9\u06cc\u0628\u06cc \u0645\u062b\u0628\u062a) \u0628\u0631\u0627\u06cc \u067e\u06cc\u0634 \u0628\u06cc\u0646\u06cc \u067e\u0627\u0633\u062e \u0628\u0647 \u0645\u0647\u0627\u0631\u06a9\u0646\u0646\u062f\u0647 \u0647\u0627\u06cc \u0627\u06cc\u0633\u062a \u0627\u06cc\u0645\u0646\u06cc \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0645\u06cc\u0634\u0648\u062f.<\/li><li><strong>\u0628\u0627\u0631 \u062c\u0647\u0634 \u062a\u0648\u0645\u0648\u0631<\/strong><strong> (TMB)<\/strong> : TMB \u0628\u0627\u0644\u0627 \u0628\u0627 \u0627\u062b\u0631\u0628\u062e\u0634\u06cc \u0627\u06cc\u0645\u0648\u0646\u0648\u062a\u0631\u0627\u067e\u06cc \u0645\u0631\u062a\u0628\u0637 \u0627\u0633\u062a \u0648 \u0627\u0632 \u0637\u0631\u06cc\u0642 NGS \u0628\u0631\u0631\u0633\u06cc \u0645\u06cc\u0634\u0648\u062f.<\/li><li><strong>\u062c\u0647\u0634\u0647\u0627\u06cc \u0698\u0646\u062a\u06cc\u06a9\u06cc<\/strong>: \u062c\u0647\u0634\u0647\u0627\u06cc TP53 (\u0634\u0627\u06cc\u0639\u062a\u0631\u06cc\u0646)\u060c KRAS\u060c BRAF\u060c PIK3CA \u0648 MET \u062f\u0631 \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647 \u0634\u0627\u06cc\u0639 \u0647\u0633\u062a\u0646\u062f. \u00a0\u0627\u062f\u063a\u0627\u0645\u0647\u0627\u06cc CLDN18-ARHGAP \u062f\u0631 \u0646\u0648\u0639 \u0645\u0646\u062a\u0634\u0631 \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647 \u0647\u062f\u0641\u06af\u06cc\u0631\u06cc \u0645\u06cc\u0634\u0648\u0646\u062f.<\/li><li><strong>\u0633\u0646\u062f\u0631\u0645\u0647\u0627\u06cc \u0627\u0631\u062b\u06cc<\/strong>: \u062c\u0647\u0634\u0647\u0627\u06cc CDH1 \u062f\u0631 \u0633\u0631\u0637\u0627\u0646 \u0645\u0646\u062a\u0634\u0631 \u0627\u0631\u062b\u06cc \u0645\u0639\u062f\u0647\u060c \u0646\u06cc\u0627\u0632\u0645\u0646\u062f \u0622\u0632\u0645\u0627\u06cc\u0634 \u0698\u0646\u062a\u06cc\u06a9 \u0698\u0631\u0645\u0644\u0627\u06cc\u0646 \u0645\u06cc \u0628\u0627\u0634\u062f.<\/li><\/ul><h3>\u06f3. \u00a0\u0631\u0648\u0634\u0647\u0627\u06cc \u062a\u0634\u062e\u06cc\u0635\u06cc<\/h3><ul><li><strong>\u0627\u06cc\u0645\u0648\u0646\u0648\u0647\u06cc\u0633\u062a\u0648\u0634\u06cc\u0645\u06cc<\/strong><strong> (IHC)<\/strong> : \u0634\u0646\u0627\u0633\u0627\u06cc\u06cc \u067e\u0631\u0648\u062a\u0626\u06cc\u0646\u0647\u0627\u06cc HER2\u060c MMR \u0648. PD-L1<\/li><li><strong>\u0647\u06cc\u0628\u0631\u06cc\u062f\u0627\u0633\u06cc\u0648\u0646 \u0641\u0644\u0648\u0631\u0633\u0646\u062a \u062f\u0631\u062c\u0627<\/strong><strong> (FISH)<\/strong> : \u062a\u0623\u06cc\u06cc\u062f \u062a\u0642\u0648\u06cc\u062a HER2<\/li><li><strong>PCR <\/strong><strong>\u0648<\/strong><strong>: NGS <\/strong><strong>\u00a0\u00a0<\/strong>\u00a0PCR \u0628\u0631\u0627\u06cc MSI\u061b NGS \u0628\u0631\u0627\u06cc \u0634\u0646\u0627\u0633\u0627\u06cc\u06cc \u062c\u0647\u0634\u0647\u0627\u060c \u0627\u062f\u063a\u0627\u0645\u0647\u0627 \u0648 TMB<\/li><li><strong>\u0628\u06cc\u0648\u067e\u0633\u06cc \u0645\u0627\u06cc\u0639<\/strong>: \u062a\u062d\u0644\u06cc\u0644 DNA \u062a\u0648\u0645\u0648\u0631 \u06af\u0631\u062f\u0634\u06cc (ctDNA) \u0628\u0631\u0627\u06cc \u067e\u0627\u06cc\u0634 \u062f\u06cc\u0646\u0627\u0645\u06cc\u06a9 \u0648 \u062c\u0647\u0634\u0647\u0627\u06cc \u0645\u0642\u0627\u0648\u0645\u062a ( \u0645\u0627\u0646\u0646\u062f \u0627\u0632 \u062f\u0633\u062a \u062f\u0627\u062f\u0646 HER2 \u067e\u0633 \u0627\u0632 \u062f\u0631\u0645\u0627\u0646).<\/li><li><strong>EBER-ISH<\/strong> : \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f \u0637\u0644\u0627\u06cc\u06cc \u0628\u0631\u0627\u06cc \u062a\u0634\u062e\u06cc\u0635 EBV<\/li><\/ul><h3>\u06f4. \u00a0\u06a9\u0627\u0631\u0628\u0631\u062f\u0647\u0627\u06cc \u0628\u0627\u0644\u06cc\u0646\u06cc<\/h3><ul><li><strong>\u0632\u06cc\u0631\u06af\u0648\u0646\u0647 \u0628\u0646\u062f\u06cc<\/strong>: \u0637\u0628\u0642\u0647 \u0628\u0646\u062f\u06cc TCGA \u0634\u0627\u0645\u0644 \u0632\u06cc\u0631\u06af\u0648\u0646\u0647 \u0647\u0627\u06cc EBV-\u0645\u062b\u0628\u062a\u060c MSI\u060c \u067e\u0627\u06cc\u062f\u0627\u0631 \u0698\u0646\u0648\u0645\u06cc \u0648 \u0646\u0627\u067e\u0627\u06cc\u062f\u0627\u0631 \u06a9\u0631\u0648\u0645\u0648\u0632\u0648\u0645\u06cc \u0627\u0633\u062a \u06a9\u0647 \u0647\u0631 \u06a9\u062f\u0627\u0645 \u067e\u06cc\u0627\u0645\u062f\u0647\u0627\u06cc \u062f\u0631\u0645\u0627\u0646\u06cc \u0645\u062a\u0641\u0627\u0648\u062a\u06cc \u062f\u0627\u0631\u0646\u062f.<\/li><li><strong>\u062f\u0631\u0645\u0627\u0646 \u0647\u062f\u0641\u0645\u0646\u062f<\/strong>: \u062f\u0631\u0645\u0627\u0646\u0647\u0627\u06cc \u0636\u062f) HER2 \u062a\u0631\u0627\u0633\u062a\u0648\u0632\u0648\u0645\u0627\u0628)\u060c \u0645\u0647\u0627\u0631\u06a9\u0646\u0646\u062f\u0647 \u0647\u0627\u06cc MET \u0648 \u062f\u0631\u0645\u0627\u0646\u0647\u0627\u06cc \u0636\u062f2 \u00a0\u00a0<\/li><li><strong>\u0627\u06cc\u0645\u0648\u0646\u0648\u062a\u0631\u0627\u067e\u06cc<\/strong>: \u0645\u0647\u0627\u0631\u06a9\u0646\u0646\u062f\u0647 \u0647\u0627\u06cc PD-1 \u0628\u0631\u0627\u06cc \u062a\u0648\u0645\u0648\u0631\u0647\u0627\u06cc MSI-H \u0648 PD-L1+<\/li><li><strong>\u067e\u06cc\u0634 \u0622\u06af\u0647\u06cc<\/strong>: \u062a\u0648\u0645\u0648\u0631\u0647\u0627\u06cc MSI-H \u0648 EBV+ \u067e\u06cc\u0634 \u0622\u06af\u0647\u06cc \u0628\u0647\u062a\u0631\u06cc \u062f\u0627\u0631\u0646\u062f\u061b \u062c\u0647\u0634\u0647\u0627\u06cc TP53 \u0646\u0634\u0627\u0646 \u062f\u0647\u0646\u062f\u0647 \u062a\u0647\u0627\u062c\u0645\u06cc \u0628\u0648\u062f\u0646 \u0647\u0633\u062a\u0646\u062f.<\/li><li><strong>\u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u062e\u0637\u0631 \u0627\u0631\u062b\u06cc<\/strong>: \u0622\u0632\u0645\u0627\u06cc\u0634 CDH1 \u0628\u0631\u0627\u06cc \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u0627\u0646\u062c\u0627\u0645 \u06af\u0627\u0633\u062a\u0631\u06a9\u062a\u0648\u0645\u06cc \u067e\u06cc\u0634\u06af\u06cc\u0631\u0627\u0646\u0647 \u062f\u0631 \u0645\u0648\u0627\u0631\u062f \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c787e95 e-con-full e-flex e-con e-child\" data-id=\"c787e95\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2d5adbe e-flex e-con-boxed e-con e-parent\" data-id=\"2d5adbe\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3dacb77 elementor-widget elementor-widget-spacer\" data-id=\"3dacb77\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d26c4c e-flex e-con-boxed e-con e-parent\" data-id=\"4d26c4c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4ff0cf8 e-con-full e-flex e-con e-child\" data-id=\"4ff0cf8\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bc920f7 e-con-full e-flex e-con e-child\" data-id=\"bc920f7\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c1005e6 elementor-widget elementor-widget-spacer\" data-id=\"c1005e6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b353e2 elementor-widget elementor-widget-text-editor\" data-id=\"6b353e2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3>\u06f5. \u00a0\u0686\u0627\u0644\u0634\u0647\u0627<\/h3><ul><li><strong>\u0646\u0627\u0647\u0645\u06af\u0648\u0646\u06cc \u062a\u0648\u0645\u0648\u0631<\/strong>: \u062a\u0646\u0648\u0639 \u0641\u0636\u0627\u06cc\u06cc \u0648 \u0632\u0645\u0627\u0646\u06cc\u060c \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0646\u0634\u0627\u0646\u06af\u0631\u0647\u0627 \u0631\u0627 \u067e\u06cc\u0686\u06cc\u062f\u0647 \u0645\u06cc\u06a9\u0646\u062f.<\/li><li><strong>\u0645\u062d\u062f\u0648\u062f\u06cc\u062a\u0647\u0627\u06cc \u0641\u0646\u06cc<\/strong>: \u06a9\u0641\u0627\u06cc\u062a \u0646\u0645\u0648\u0646\u0647\u060c \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f\u0633\u0627\u0632\u06cc \u0628\u06cc\u0646 \u0622\u0632\u0645\u0627\u06cc\u0634\u06af\u0627\u0647\u0647\u0627 \u0648 \u062a\u0641\u0633\u06cc\u0631 \u0648\u0627\u0631\u06cc\u0627\u0646\u062a\u0647\u0627\u06cc NGS (VUS).<\/li><li><strong>\u062f\u0633\u062a\u0631\u0633\u06cc \u0648 \u0647\u0632\u06cc\u0646\u0647<\/strong>: \u0645\u062d\u062f\u0648\u062f\u06cc\u062a \u062f\u0633\u062a\u0631\u0633\u06cc \u0628\u0647 NGS \u0648 \u0628\u06cc\u0648\u067e\u0633\u06cc \u0645\u0627\u06cc\u0639 \u062f\u0631 \u0645\u0646\u0627\u0637\u0642 \u06a9\u0645 \u0645\u0646\u0628\u0639<\/li><\/ul><h3>\u06f6. \u062c\u0647\u062a \u06af\u06cc\u0631\u06cc\u0647\u0627\u06cc \u0622\u06cc\u0646\u062f\u0647<\/h3><ul><li><strong>\u067e\u0646\u0644\u0647\u0627\u06cc \u062a\u0644\u0641\u06cc\u0642\u06cc \u0646\u0634\u0627\u0646\u06af\u0631\u0647\u0627<\/strong>: \u062a\u0631\u06a9\u06cc\u0628 \u062f\u0627\u062f\u0647 \u0647\u0627\u06cc \u0698\u0646\u0648\u0645\u06cc\u06a9\u060c \u062a\u0631\u0627\u0646\u0633\u06a9\u0631\u06cc\u067e\u062a\u0648\u0645\u06cc\u06a9 \u0648 \u067e\u0631\u0648\u062a\u0626\u0648\u0645\u06cc\u06a9<\/li><li><strong>\u0647\u0648\u0634 \u0645\u0635\u0646\u0648\u0639\u06cc \u0648 \u06cc\u0627\u062f\u06af\u06cc\u0631\u06cc \u0645\u0627\u0634\u06cc\u0646<\/strong>: \u0628\u0647\u0628\u0648\u062f \u062a\u0634\u062e\u06cc\u0635 \u0627\u0644\u06af\u0648 \u062f\u0631 \u062f\u0627\u062f\u0647 \u0647\u0627\u06cc \u067e\u06cc\u0686\u06cc\u062f\u0647<\/li><li><strong>\u067e\u0627\u06cc\u0634 \u063a\u06cc\u0631\u062a\u0647\u0627\u062c\u0645\u06cc<\/strong>: \u067e\u06cc\u0634\u0631\u0641\u062a \u0628\u06cc\u0648\u067e\u0633\u06cc \u0645\u0627\u06cc\u0639 \u0628\u0631\u0627\u06cc \u062a\u0634\u062e\u06cc\u0635 \u0632\u0648\u062f\u0647\u0646\u06af\u0627\u0645 \u0648 \u067e\u0627\u06cc\u0634 \u0639\u0648\u062f.<\/li><li><strong>\u062f\u0631\u0645\u0627\u0646\u0647\u0627\u06cc \u0646\u0648\u06cc\u0646<\/strong>: \u0647\u062f\u0641\u06af\u06cc\u0631\u06cc \u0646\u0634\u0627\u0646\u06af\u0631\u0647\u0627\u06cc \u062c\u062f\u06cc\u062f \u0645\u0627\u0646\u0646\u062f FGFR2\u060c \u0627\u062f\u063a\u0627\u0645\u0647\u0627\u06cc NTRK \u0648 \u0627\u06cc\u0633\u062a\u0647\u0627\u06cc \u0627\u06cc\u0645\u0646\u06cc.<\/li><\/ul><h3>\u0646\u062a\u06cc\u062c\u0647 \u06af\u06cc\u0631\u06cc<\/h3><p>\u062a\u0634\u062e\u06cc\u0635 \u0645\u0648\u0644\u06a9\u0648\u0644\u06cc \u0645\u062f\u06cc\u0631\u06cc\u062a \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647 \u0631\u0627 \u0628\u0627 \u0627\u0645\u06a9\u0627\u0646\u067e\u0630\u06cc\u0631 \u06a9\u0631\u062f\u0646 \u067e\u0632\u0634\u06a9\u06cc \u062f\u0642\u06cc\u0642 \u0645\u062a\u062d\u0648\u0644 \u06a9\u0631\u062f\u0647 \u0627\u0633\u062a. \u062a\u062d\u0642\u06cc\u0642\u0627\u062a \u062c\u0627\u0631\u06cc \u0628\u0647 \u062f\u0646\u0628\u0627\u0644 \u063a\u0644\u0628\u0647 \u0628\u0631 \u0645\u062d\u062f\u0648\u062f\u06cc\u062a\u0647\u0627\u06cc \u06a9\u0646\u0648\u0646\u06cc \u0648 \u06af\u0633\u062a\u0631\u0634 \u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062f\u0631\u0645\u0627\u0646\u06cc \u0627\u0633\u062a \u062a\u0627 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0631\u0627\u0647\u0628\u0631\u062f\u0647\u0627\u06cc \u0634\u062e\u0635\u06cc \u0633\u0627\u0632\u06cc \u0634\u062f\u0647\u060c \u0646\u062a\u0627\u06cc\u062c \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0631\u0627 \u0628\u0647\u0628\u0648\u062f \u0628\u062e\u0634\u062f.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b48cb63 e-con-full e-flex e-con e-child\" data-id=\"b48cb63\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u062a\u0634\u062e\u06cc\u0635 \u062f\u0642\u06cc\u0642 \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647 \u06f1. \u00a0\u0645\u0642\u062f\u0645\u0647 \u062a\u0634\u062e\u06cc\u0635 \u0645\u0648\u0644\u06a9\u0648\u0644\u06cc \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647 (GC) \u0634\u0627\u0645\u0644 \u0634\u0646\u0627\u0633\u0627\u06cc\u06cc \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0698\u0646\u062a\u06cc\u06a9\u06cc\u060c \u0627\u067e\u06cc \u0698\u0646\u062a\u06cc\u06a9\u06cc \u0648 \u067e\u0631\u0648\u062a\u0626\u06cc\u0646\u06cc \u0628\u0631\u0627\u06cc \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u062f\u0631 \u062a\u0634\u062e\u06cc\u0635\u060c \u067e\u06cc\u0634 \u0622\u06af\u0647\u06cc \u0648 \u062f\u0631\u0645\u0627\u0646 \u0627\u0633\u062a. \u0627\u06cc\u0646 \u0631\u0648\u0634 \u0628\u0647 \u0647\u0645\u0631\u0627\u0647 \u0622\u0633\u06cc\u0628 \u0634\u0646\u0627\u0633\u06cc \u0633\u0646\u062a\u06cc\u060c \u0627\u0645\u06a9\u0627\u0646 \u062f\u0631\u0645\u0627\u0646 \u0634\u062e\u0635\u06cc \u0633\u0627\u0632\u06cc \u0634\u062f\u0647 \u0631\u0627 \u0641\u0631\u0627\u0647\u0645 \u0645\u06cc\u06a9\u0646\u062f. \u06f2. \u00a0\u0646\u0634\u0627\u0646\u06af\u0631\u0647\u0627\u06cc \u0645\u0648\u0644\u06a9\u0648\u0644\u06cc \u06a9\u0644\u06cc\u062f\u06cc HER2\/neu: \u00a0\u062f\u0631 \u06f1\u06f5-\u06f2\u06f0\u066a \u0627\u0632 \u0645\u0648\u0627\u0631\u062f \u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\u060c \u0628\u0647 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1854","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/pages\/1854","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/comments?post=1854"}],"version-history":[{"count":40,"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/pages\/1854\/revisions"}],"predecessor-version":[{"id":3802,"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/pages\/1854\/revisions\/3802"}],"wp:attachment":[{"href":"https:\/\/gimed.ir\/gastric-cancer\/wp-json\/wp\/v2\/media?parent=1854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}