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2017. V1版《NCCN 结直肠癌诊治指南》更新解读

邵仟仟 林国乐

中国全科医学2017,Vol.20Issue(6):635-638,4.
中国全科医学2017,Vol.20Issue(6):635-638,4.DOI:10.3969/j.issn.1007-9572.2017.06.001

2017. V1版《NCCN 结直肠癌诊治指南》更新解读

Interpretation of Updated NCCN Guidelines for Colon Cancer and Rectal Cancer(Version 1. 2017)

邵仟仟 1林国乐1

作者信息

  • 1. 100730 北京市,中国医学科学院 北京协和医学院,北京协和医院基本外科
  • 折叠

摘要

Abstract

This paper interpreted NCCN Guidelines for Colon Cancer and Rectal Cancer(Version 1. 2017). Compared with Version 2. 2016,the latest guideline made some significant updates,and the most important points included: (1) considering low - dose aspirin as the secondary chemoprevention for colorectal cancer(CRC)survivors;(2)in the first - line targeted therapy of RAS wide - type CRC(mCRC),EGFR inhibitors(cetuximab or panitumumab)should only be offered to patients whose primary tumors originated on the left side of the colon and rectum; ( 3 )the panel recommends against panitumumab and cetuximab in the neoadjuvant chemotherapy of resectable metastatic liver or lung neoplasms;(4)the panel recommends programmed death receptor - 1(PD - 1)inhibitors as treatment options in mCRC patients with metastatic deficient MMR(dMMR)or MSI - H in second - or third - line therapy.

关键词

结直肠肿瘤/NCCN指南/2017.V1版更新

Key words

Colorectal neoplasms/NCCN guideline/Updates in Version 1.2017

分类

医药卫生

引用本文复制引用

邵仟仟,林国乐..2017. V1版《NCCN 结直肠癌诊治指南》更新解读[J].中国全科医学,2017,20(6):635-638,4.

中国全科医学

OA北大核心CSTPCD

1007-9572

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