{"id":5028,"date":"2021-10-25T02:22:19","date_gmt":"2021-10-24T17:22:19","guid":{"rendered":"http:\/\/mhjn.dothome.co.kr\/?p=5028"},"modified":"2026-08-20T11:40:03","modified_gmt":"2026-08-20T11:40:03","slug":"%ec%88%98%ec%88%a0%ec%9d%80-%ec%a0%84%ec%8b%a0-%ec%9a%94%eb%b2%95%ec%9d%84-%ec%88%98%ec%9a%a9%ed%95%98%eb%8a%94-%eb%82%a8%ec%84%b1-iv%ea%b8%b0-%ec%9c%a0%eb%b0%a9%ec%95%94-%ed%99%98%ec%9e%90%ec%97%90","status":"publish","type":"post","link":"https:\/\/mhjn.dothome.co.kr\/en\/%ec%88%98%ec%88%a0%ec%9d%80-%ec%a0%84%ec%8b%a0-%ec%9a%94%eb%b2%95%ec%9d%84-%ec%88%98%ec%9a%a9%ed%95%98%eb%8a%94-%eb%82%a8%ec%84%b1-iv%ea%b8%b0-%ec%9c%a0%eb%b0%a9%ec%95%94-%ed%99%98%ec%9e%90%ec%97%90\/","title":{"rendered":"\uc218\uc220\uc740 \uc804\uc2e0 \uc694\ubc95\uc744 \uc218\uc6a9\ud558\ub294 \ub0a8\uc131 IV\uae30 \uc720\ubc29\uc554 \ud658\uc790\uc5d0\uac8c \uc0dd\uc874 \uc774\uc810\uc774 \uc788\ub2e4"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2021\/10\/2021_CC_StageIVBreastCancer_LK_v02.jpg\" alt=\"\uc218\uc220\uc740 \uc804\uc2e0 \uc694\ubc95\uc744 \uc218\uc6a9\ud558\ub294 IV\uae30 \uc720\ubc29\uc554 \ub0a8\uc131\uc758 \uc0dd\uc874\uc728\uc744 \ud5a5\uc0c1\uc2dc\ud0ac \uc218 \uc788\uc2b5\ub2c8\ub2e4\"><\/p>\n<p><span>&nbsp;American College of Surgeons(American College of Surgeons)\uc5d0\uc11c \ubc1c\ud45c\ub41c \uc5f0\uad6c\uc5d0 \ub530\ub974\uba74 4\uae30 \uc720\ubc29\uc554 \ubc0f \uc54c\ub824\uc9c4 \uc5d0\uc2a4\ud2b8\ub85c\uac90(ER) \ubc0f \ud504\ub85c\uac8c\uc2a4\ud14c\ub860 \uc218\uc6a9\uccb4(PR) \uc0c1\ud0dc\uac00 \uc788\ub294 \ub0a8\uc131\uc740 \uc678\uacfc\uc801 \uac1c\uc785\uacfc \uc0bc\uc911 \uc694\ubc95(\uc804\uc2e0 \uc694\ubc95, \uc218\uc220 \ubc0f \ubc29\uc0ac\uc120)\uc758 \ud61c\ud0dd\uc744 \ubc1b\uc2b5\ub2c8\ub2e4. ACS) \uc784\uc0c1 \ucf69\uadf8\ub808\uc2a4 2021.<\/span><\/p>\n<p><span>\uc81c1\uc800\uc790\uc778&nbsp;<\/span><span class=\"xn-person\"><span>Kelly A. Stahl<\/span><\/span><span>&nbsp;,&nbsp;<\/span><span class=\"xn-org\"><span>Penn<\/span><\/span><span>&nbsp;\uc758 \uc678\uacfc \ub808\uc9c0\ub358\ud2b8&nbsp;\uc778&nbsp;<span class=\"xn-person\">Kelly A. Stahl<\/span>&nbsp;\ubc15\uc0ac&nbsp;\ub294 IV\uae30 \uc720\ubc29\uc554 \ub0a8\uc131\uc744 \uce58\ub8cc\ud558\uae30 \uc704\ud55c National Comprehensive Cancer Network \uc9c0\uce68\uc740 \uada4\uc591, \ud1b5\uc99d \ub610\ub294 \ucd9c\ud608\uacfc \uac19\uc740 \uc99d\uc0c1\uc744 \ucd5c\uc18c\ud654\ud558\uae30 \uc704\ud574 \uc218\uc220\uc744 \uc0ac\uc6a9\ud558\ub294 \uc804\uc2e0 \uc694\ubc95\uc744 \uad8c\uc7a5\ud55c\ub2e4\uace0 \ub9d0\ud588\uc2b5\ub2c8\ub2e4&nbsp;<span class=\"xn-person\">.&nbsp;<\/span><span class=\"xn-org\">\uc8fc\ub9bd \uc758\uacfc \ub300\ud559<\/span>&nbsp;,&nbsp;<\/span><span class=\"xn-location\"><span>Hershey<\/span><\/span><span>&nbsp;.&nbsp;\uadf8\ub7ec\ub098 \uc0c8\ub85c\uc6b4 \uc5f0\uad6c \uacb0\uacfc\uc5d0 \ub530\ub974\uba74 \uc218\uc220\uc774 4\uae30 \uc720\ubc29\uc554 \ub0a8\uc131\uc5d0\uac8c \uc0dd\uc874\uc5d0 \ub3c4\uc6c0\uc774 \ub41c\ub2e4\uace0 \uadf8\ub140\ub294 \ub9d0\ud588\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<p><span>Penn State Health Milton S\uc758 \uc77c\ubc18 \uc678\uacfc \uc758\uc0ac\uc778 Daleela G. Dodge, FACS \ubc15\uc0ac\ub294 &#8220;\ub0a8\uc131\uc758 IV\uae30 \uc720\ubc29\uc554\uc740 \ub108\ubb34 \uc2ec\uac01\ud558\uc5ec \uc678\uacfc\uc801 \uac1c\uc785\uc5d0 \ub300\ud55c \uc0dd\uc874\uc0c1\uc758 \uc774\uc810\uc774 \uc5c6\ub2e4\ub294 \uac1c\ub150\uc744 \uc7ac\uac80\ud1a0\ud574\uc57c \ud569\ub2c8\ub2e4.&#8221;\ub77c\uace0 \ub9d0\ud588\uc2b5\ub2c8\ub2e4.&nbsp;<\/span><span class=\"xn-location\"><span>\ud39c\uc2e4\ubca0\ub2c8\uc544\uc8fc \ud5c8\uc2dc\uc5d0<\/span><\/span><span>&nbsp;\uc788\ub294 \ud5c8\uc26c \uba54\ub514\uceec \uc13c\ud130&nbsp;\uc774\uba70 \uc774 \uc5f0\uad6c\uc758 \uacf5\ub3d9 \uc800\uc790\uc785\ub2c8\ub2e4.<\/span><\/p>\n<p><span>&#8220;\uc804\uc2e0 \uc694\ubc95\uc5d0 \ubc18\uc751\ud558\uace0 \uc804\uc774 \ubd80\ub2f4\uc774 \ub9ce\uc9c0 \uc54a\uc740 \uc774 \ud558\uc704 \uadf8\ub8f9\uc758 \ud658\uc790\uc5d0 \ub300\ud574 \ubaa8\ubc94 \uc0ac\ub840\uc5d0 \ub300\ud55c \uc7ac\uace0\uac00 \uc788\uae30\ub97c \ubc14\ub78d\ub2c8\ub2e4.&#8221;<\/span><\/p>\n<p><span>\ub0a8\uc131\uc758 \uc720\ubc29\uc554\uc740 \uc804\uccb4 \uc720\ubc29\uc554 \uc0ac\ub840\uc758 1% \ubbf8\ub9cc\uc744 \ucc28\uc9c0\ud558\ub294 \ubc18\uba74, \uc5ec\uc131 8\uba85 \uc911 1\uba85\uc740 \ub0a8\uc131 1,000\uba85 \uc911 1\uba85\uc5d0 \ube44\ud574 \uc720\ubc29\uc554\uc5d0 \uac78\ub9b0\ub2e4\uace0 Dodge \ubc15\uc0ac\ub294 \ub9d0\ud588\uc2b5\ub2c8\ub2e4.&nbsp;\uacb0\uacfc\uc801\uc73c\ub85c \ub0a8\uc131\uc758 \uc720\ubc29\uc554\uc5d0 \ub300\ud55c \ub300\uc911\uc758 \uc778\uc2dd\uc740 \ub0ae\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<p><span>&#8220;\uc6b0\ub9ac\ub294 \ud55c \ub2ec \ub0b4\ub0b4 \uc5ec\uc131\uc744 \uc704\ud55c \uc720\ubc29\uc554 \uc778\uc2dd\uc5d0 \uc804\ub150\ud588\uc9c0\ub9cc \ub0a8\uc131\ub3c4 \uc720\ubc29\uc554\uc5d0 \uac78\ub9b4 \uc218 \uc788\ub294\uc9c0, \uc77c\ubd80 \ub0a8\uc131\uc740 \uc720\uc804\uc801 \uc18c\uc778\uc774 \uc788\uae30 \ub54c\ubb38\uc5d0 \uc798 \uc54c\ub824\uc838 \uc788\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4.&#8221;\ub77c\uace0 Stahl \ubc15\uc0ac\ub294 \ub9d0\ud588\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<p><span>\ubd88\ud589\ud788\ub3c4 \ub0ae\uc740 \ub300\uc911 \uc778\uc2dd\uc740 \ub0a8\uc131\uc758 10%\uc5d0 \ube44\ud574 \uc5ec\uc131\uc758 6%\uac00 4\uae30 \uc554\uc774 \ub420 \ub54c\uae4c\uc9c0 \uc9c4\ub2e8\uc744 \ubc1b\uc9c0 \ubabb\ud55c\ub2e4\ub294 \uc0ac\uc2e4\uc5d0 \uae30\uc5ec\ud588\uc2b5\ub2c8\ub2e4.&nbsp;\ub610\ud55c \ub0a8\uc131 \uc720\ubc29\uc554 \ud658\uc790\uc758 40%\ub294 \uc720\ubc29\uc554\uc774 \ub0a8\uc131 \ud658\uc790 \uc2a4\uc2a4\ub85c \ubc1c\uacac\ud558\uae30 \ub354 \uc27d\ub354\ub77c\ub3c4 III\uae30 \ub610\ub294 IV\uae30\uae4c\uc9c0 \uc9c4\ub2e8\uc744 \ubc1b\uc9c0 \ubabb\ud55c\ub2e4\uace0 Dodge \ubc15\uc0ac\ub294 \ub9d0\ud588\uc2b5\ub2c8\ub2e4.&nbsp;\uc774\uc5b4 &#8220;\ub0a8\uc131\uc774 \ub2a6\uac8c \uc9c4\ub2e8\ud558\uba74 \uc608\ud6c4\uac00 \ub098\ube60\uc9c0\uae30 \ub54c\ubb38\uc5d0 \uc778\uc2dd\uc774 \uc911\uc694\ud558\ub2e4&#8221;\uace0 \ub367\ubd99\uc600\ub2e4.<\/span><\/p>\n<p><b><span>\uc5f0\uad6c\uc5d0 \ub300\ud574<\/span><\/b><\/p>\n<p><span>\uc800\uc790\ub4e4\uc740 \uad6d\ub9bd \uc554 \ub370\uc774\ud130\ubca0\uc774\uc2a4(NCDB)\uc758 \uad11\ubc94\uc704\ud55c \ub370\uc774\ud130 \uc138\ud2b8\ub97c \uc778\uc815\ud558\uba74\uc11c \uc5f0\uad6c\uc758 \ub9e4\uac1c\ubcc0\uc218\uc5d0 \ub9de\ub294 \ud658\uc790\ub97c \ucc3e\uc744 \uc218 \uc788\ub2e4\ub294 \uc0ac\uc2e4\uc5d0 \ub180\ub790\uc2b5\ub2c8\ub2e4.&nbsp;\uc5f0\uad6c\uc790\ub4e4\uc740 NCDB\uc5d0\uc11c 2004\ub144\ubd80\ud130 2017\ub144\uae4c\uc9c0 \uc54c\ub824\uc9c4 ER\/PR \uc0c1\ud0dc\ub97c \uac00\uc9c4 539\uba85\uc758 IV\uae30 \uc720\ubc29\uc554 \ud658\uc790\ub97c \ud655\uc778\ud588\uc2b5\ub2c8\ub2e4.&nbsp;\uce74\uc774\uc81c\uacf1 \uac80\uc815\uc740 \ubc1b\uc740 \uce58\ub8cc \uc591\uc2dd \uac04\uc758 \ud558\uc704 \uadf8\ub8f9 \ucc28\uc774\ub97c \uc870\uc0ac\ud588\uc2b5\ub2c8\ub2e4.&nbsp;\uc804\uccb4 \uc0dd\uc874\uc740 Kaplan-Meier \ubc29\ubc95\uc744 \uc0ac\uc6a9\ud558\uc5ec \ud3c9\uac00\ub418\uc5c8\uc2b5\ub2c8\ub2e4.&nbsp;\ub2e4\ubcc0\ub7c9 Cox \ube44\ub840 \uc704\ud5d8 \ubaa8\ub378\uc740 \uc0dd\uc874\uacfc \uad00\ub828\ub41c \uc694\uc778\uc744 \uc870\uc0ac\ud588\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<p><b><span>\uc8fc\ubaa9\ud560\ub9cc\ud55c \uc0dd\uc874 \uc774\uc810<\/span><\/b><\/p>\n<p><span>\uc5f0\uad6c\uc790\ub4e4\uc740 \uc804\uc2e0 \uc694\ubc95\ub9cc \ubc1b\uc740 \ud658\uc790\uc5d0 \ube44\ud574 \uc0bc\uc911 \uc694\ubc95\uc744 \ubc1b\uc740 \ud658\uc790\uc5d0\uc11c \uc0dd\uc874\uc0c1\uc758 \uc774\uc810\uc744 \ubc1c\uacac\ud588\uc2b5\ub2c8\ub2e4.&nbsp;\uc0bc\uc911 \uc694\ubc95 \ub610\ub294 \uc804\uc2e0 \uc694\ubc95 \ubc0f \uc218\uc220\uc744 \ubc1b\uc740 ER \uc591\uc131 \ud658\uc790\ub294 \uc804\uc2e0 \uc694\ubc95\uc5d0 \ube44\ud574 5\ub144 \uc804\uccb4 \uc0dd\uc874\uc728\uc774 \uac1c\uc120\ub418\uc5c8\uc2b5\ub2c8\ub2e4.&nbsp;\uc0bc\uc911 \uc694\ubc95 \ub610\ub294 \uc804\uc2e0 \uc694\ubc95 \ubc0f \uc218\uc220\uc744 \ubc1b\uc740 PR \uc591\uc131 \ud658\uc790\ub294 \uc804\uc2e0 \uc694\ubc95\uc5d0 \ube44\ud574 5\ub144 \uc804\uccb4 \uc0dd\uc874\uc728\uc774 \uac1c\uc120\ub418\uc5c8\uc2b5\ub2c8\ub2e4.&nbsp;\uce58\ub8cc \uc21c\uc11c\ub294 \uc911\uc694\ud588\uc73c\uba70 \ubcf4\uc870 \ud654\ud559\uc694\ubc95\uc744 \ubc1b\uc740 \ud658\uc790\uc5d0 \ube44\ud574 \uc120\ud589 \ud654\ud559\uc694\ubc95\uc744 \ubc1b\uc740 ER \uc591\uc131 \ud658\uc790\uc5d0\uc11c \uac00\uc7a5 \ud070 \uc0dd\uc874 \uc774\uc810\uc774 \ub098\ud0c0\ub0ac\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<p><span>Dodge \ubc15\uc0ac\ub294 &#8220;\uc6b0\ub9ac\ub294 \uc720\ubc29\uc554\uc5d0 \uac78\ub9b0 \ub0a8\uc131\uc5d0 \ub300\ud55c \ub9de\ucda4 \uce58\ub8cc\ub97c \ub354 \uc798 \ub530\ub77c\uc7a1\uae30 \uc704\ud574 \ub178\ub825\ud558\uace0 \uc788\uc73c\uba70 \uc774 \uc5f0\uad6c\ub294 \uce58\ub8cc\uac00 IV\uae30 \uc9c8\ud658\uc5d0 \ub9de\ucda4\ud654\ub420 \uc218 \uc788\ub294 \ubc29\ubc95\uc744 \ubcf4\uc5ec\uc90d\ub2c8\ub2e4&#8221;\ub77c\uace0 \ub9d0\ud588\uc2b5\ub2c8\ub2e4.<\/span><\/p>\n<p><span>\ub2e4\ub978 \uc5f0\uad6c \uc800\uc790\ub294 Rolfy Perez Holguin, MD\uc785\ub2c8\ub2e4.&nbsp;<\/span><span class=\"xn-person\"><span>\uc70c\ub9ac\uc5c4 \uc6e1<\/span><\/span><span>&nbsp;, DO;&nbsp;<\/span><span class=\"xn-person\"><span>Christopher McLaughlin<\/span><\/span><span>&nbsp;, MD;&nbsp;<\/span><span class=\"xn-person\"><span>\uc5d8\ub9ac\uc790\ubca0\uc2a4 J. \uc62c\ub809\ud0a4<\/span><\/span><span>&nbsp;, MD;&nbsp;<\/span><span class=\"xn-person\"><span>\ucc2c \uc174<\/span><\/span><span>&nbsp;\ubc15\uc0ac<\/span><\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>&nbsp;American College of Surgeons(American College of Surgeons)\uc5d0\uc11c \ubc1c\ud45c\ub41c \uc5f0\uad6c\uc5d0 \ub530\ub974\uba74 4\uae30 \uc720\ubc29\uc554 \ubc0f \uc54c\ub824\uc9c4 \uc5d0\uc2a4\ud2b8\ub85c\uac90(ER) \ubc0f \ud504\ub85c\uac8c\uc2a4\ud14c\ub860 \uc218\uc6a9\uccb4(PR) \uc0c1\ud0dc\uac00 \uc788\ub294 \ub0a8\uc131\uc740 \uc678\uacfc\uc801 \uac1c\uc785\uacfc \uc0bc\uc911 \uc694\ubc95(\uc804\uc2e0 \uc694\ubc95, \uc218\uc220 \ubc0f \ubc29\uc0ac\uc120)\uc758 \ud61c\ud0dd\uc744 \ubc1b\uc2b5\ub2c8\ub2e4. ACS) \uc784\uc0c1 \ucf69\uadf8\ub808\uc2a4 2021. \uc81c1\uc800\uc790\uc778&nbsp;Kelly A. Stahl&nbsp;,&nbsp;Penn&nbsp;\uc758 \uc678\uacfc \ub808\uc9c0\ub358\ud2b8&nbsp;\uc778&nbsp;Kelly A. Stahl&nbsp;\ubc15\uc0ac&nbsp;\ub294 IV\uae30 \uc720\ubc29\uc554 \ub0a8\uc131\uc744 \uce58\ub8cc\ud558\uae30 \uc704\ud55c National Comprehensive Cancer Network \uc9c0\uce68\uc740 \uada4\uc591, \ud1b5\uc99d \ub610\ub294 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":29521,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27,55],"tags":[],"class_list":["post-5028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-life-fitness","category-55"],"blog_post_layout_featured_media_urls":{"thumbnail":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02-150x150.jpg",150,150,true],"full":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",400,209,false]},"categories_names":{"27":{"name":"Life &amp; Fitness","link":"https:\/\/mhjn.dothome.co.kr\/en\/category\/life-fitness\/"},"55":{"name":"Overseas","link":"https:\/\/mhjn.dothome.co.kr\/en\/category\/%ed%95%b4%ec%99%b8\/"}},"tags_names":[],"comments_number":"0","wpmagazine_modules_lite_featured_media_urls":{"thumbnail":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02-150x150.jpg",150,150,true],"cvmm-medium":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",300,157,false],"cvmm-medium-plus":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",305,159,false],"cvmm-portrait":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",400,209,false],"cvmm-medium-square":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",400,209,false],"cvmm-large":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",400,209,false],"cvmm-small":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",130,68,false],"full":["https:\/\/mhjn.dothome.co.kr\/wp-content\/uploads\/2026\/08\/2021_CC_StageIVBreastCancer_LK_v02.jpg",400,209,false]},"_links":{"self":[{"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/posts\/5028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/comments?post=5028"}],"version-history":[{"count":1,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/posts\/5028\/revisions"}],"predecessor-version":[{"id":29522,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/posts\/5028\/revisions\/29522"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/media\/29521"}],"wp:attachment":[{"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/media?parent=5028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/categories?post=5028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mhjn.dothome.co.kr\/en\/wp-json\/wp\/v2\/tags?post=5028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}