But obviously, it's metastatic, meaning that it's now everywhere.

但很明显，这是转移性的，意味着它现在已经扩散到全身。

I know these reactions can lead to deep corrective experiences, the transference kind of transference.

我知道这些反应能引发深刻的矫正体验，即那种转移性的转移。

You've got a patient metastatic cancer confirmed, but you just cannot find the source tumor.

你有一个转移性癌症确诊的患者，但就是找不到原发。

Oligometastatic (OM) disease is an intermediate state between localized malignancy and widespread metastatic disease.

少转移（OM）疾是介于局部恶性广泛转移性疾之间的中间状态。

And the thing about metastatic breast cancer now is that it's not always the immediate death sentence that it used to be.

如今，转移性乳腺癌的情况有所不同，它并非总是过去那种立即宣判死刑的绝症。

The management of oligometastatic disease is discussed in Chapter 8. The choice of initial therapy is guided by the patient's molecular characteristics.

寡转移性疾的治疗将在第 8 章中讨论。初始治疗的选以患者的分子特征为指导。

This serves as a first step in providing rational selection criteria for surgical treatment of oligometastatic disease in clinical trials (see Chapter 8).

这是为临床试验中寡转移性疾的手术治疗提供合理选的第一步（见第 8 章）。

You can actually live a pretty long time with metastatic breast cancer depending on where it is in your body and how quickly it grows.

实际上，根据癌症在体内的位置以及其生长速度，患有转移性乳腺癌的患者可以存活相当长的时间。

Brain metastases Given the ability of the blood- -brain barrier to prevent drug penetration, the brain has traditionally been considered a sanctuary site for metastatic disease.

脑转移 鉴于血脑屏障具有阻止药物渗透的能力，大脑传统上被认为是转移性疾的避难所。

I think of the people that we have failed, and so I take, obviously, joy and pleasure from seeing people recover, and we can cure patients with widely metastatic cancer now with immunotherapy.

我想到的是我们治疗失败的人，因此，很显然，我看到人们康复后会感到欣喜愉悦，现在我们可以通过免疫疗法治愈患有广泛转移性癌症的患者。

The successful application of checkpoint inhibitors in metastatic NSCLC without targetable mutations (see Chapter 6) has inspired ongoing efforts to incorporate the same strategy into the treatment of early-stage disease.

检查点抑制剂在无靶向突变的转移性非小细胞肺癌中的成功应用（见第6章）激发了人们不断努力将相同的策略纳入早期疾的治疗中。

But people who have terminal metastatic disease who aren't ready to die, who are sent home to die on hospice, somehow find me and go, can you help me with this cancer?

但那些患有晚期转移性疾的人， 他们还没有备好死去，被送回家接受临终关怀，却不知怎么找到了我， 问我能否帮助他们应对这种癌症。

Key points - oligometastatic disease and brain metastases OM disease is an intermediate state between localized and widespread metastatic disease, and is further split into subcategories based on the chronicity of development of metastatic disease.

要点 - 寡转移性疾脑转移 OM 疾是局限性转移性疾广泛性转移性疾之间的中间状态，并根据转移性疾发展的慢性程度进一步分为亚类。

Now going to management strategies, could you elaborate a little bit upon the neoadjuvant data currently or the metastatic data which I think more people are familiar with for immunotherapy in individuals with MSI high cancers?

谈到管理策略，您能否详细阐述一下目前关于新辅助治疗的数据，或者在MSI高癌症患者中，人们更为熟悉的转移性疾免疫治疗数据？

But some of the early studies would suggest that patients who have metastatic lymphoma, which you can see spread throughout this person's body on their CAT scan, that they may have a remarkable response to these types of drugs.

但一些早期研究表明患有转移性淋巴的患者，你可以在他们的 CAT 扫描中看到扩散到这个人的全身，他们可能对这些类型的药物有显着的反应.