中国实用外科杂志2017,Vol.37Issue(7):724-727,4.DOI:10.19538/j.cjps.issn1005-2208.2017.07.03
MDT模式下胰腺癌治疗理念更新与转变
The mode of MDT gives rise to the concept modification about surgical treatments of pancreatic carcinoma
摘要
Abstract
Pancreatic carcinoma has the poorest prognosis in all the digestive cancers,and the management is still challenging. Nowadays the treatment strategy of pancreatic carcinoma has been changed from"surgery first"into the mode of multi-disciplinary team(MDT). Preoperative therapy is recommended for patients with borderline resectable pancreatic carcinoma so as to increase the R0 rates and improve the prognosis. However,there continues to be a blurring about the definitions of borderline resectability,which are all too often institution and operator dependent. Randomized clinical trials are needed to further evaluate the clinical outcome of preoperative therapy. Both the resectable and borderline resectable tumors could be defined as potentially curable pancreatic cancer. The definition change reflects the conversion from the mode of morphology and surgery to biology and oncology.关键词
胰腺癌/分类/定义/新辅助治疗/多学科综合治疗协作组Key words
pancreatic carcinoma/classification/definitio/neoadjurant therapy/multi-disciplinary team分类
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杨尹默..MDT模式下胰腺癌治疗理念更新与转变[J].中国实用外科杂志,2017,37(7):724-727,4.