中国实用外科杂志2017，Vol.37Issue(6)：641-643,659,4.DOI:10.19538/j.cjps.issn1005-2208.2017.06.12
2017年NCCN《直肠癌临床实践指南》外科诊治部分更新解读
Interpretation of surgical treatment part of updated NCCN clinical practice guideline for rectal cancer
申占龙 1叶颖江 1周静 1王杉1
作者信息
- 1. 北京大学人民医院胃肠外科,北京100044
- 折叠
摘要
Abstract
NCCN (National Comprehensive Cancer Network) clinical practice guideline updated in many areas of diagnosis,treatment and follow-up in 2017.Main content include tumor budding is added to an adverse histological feature with adverse outcome after operation of malignant polyps;options of "watch and wait" after chemoradiation and chemotherapy is recommended to cT1N0M0 rectal cancer patients who underwent transanal local resection with unfavorable histopathological features;postoperative treatment of pT3-4N0M0 rectal cancer patients whose preoperative stage is cT1-2N0M0 could be "watch and wait" or chemotherapy;the patients underwent preoperative therapy is not necessary to get postoperative treatment;perioperative target therapy is deleted from the strategy of resectable synchronous liver metastasis of rectal cancer;short course radiotherapy is permitted in the treatment of primary tumor of resectable liver metastasis of rectal cancer;the effect of cytoreductive surgery combined with intraperitoneal chemotherapy in the treatment of peritoneal carcinomatosis of colorectal cancer is affirmed cautiously.关键词
直肠癌/美国国家综合癌症网络/指南Key words
rectal cancer/National Comprehensive Cancer Network/guideline分类
医药卫生引用本文复制引用
申占龙,叶颖江,周静,王杉..2017年NCCN《直肠癌临床实践指南》外科诊治部分更新解读[J].中国实用外科杂志,2017,37(6):641-643,659,4.
