中国肺癌杂志2026，Vol.29Issue(2)：81-104,24.DOI:10.3779/j.issn.1009-3419.2026.106.06
磨玻璃样肺腺癌医患共同决策诊疗共识
Expert Consensus on Shared Decision-making in the Diagnosis and Treatment of Ground-glass Opacity-featured Lung Adenocarcinoma
摘要
Abstract
With the popularization of low-dose computed tomography(LDCT)screening,the detection rate of ground-glass opacity(GGO)has been continuously increasing.Ground-glass opacity-featured lung adenocarcinoma is mostly characterized by indolent biological behavior and favorable prognosis.However,its progression is uncertain and recommenda-tions vary among guidelines.This places clinicians in a dilemma between timely intervention and avoiding overdiagnosis and overtreatment,while patients often suffer from follow-up anxiety and decision-making confusion.To standardize the whole-process management on an evidence-based basis and fully incorporate patient values,this expert consensus systematically re-views the entire procedure of GGO diagnosis and treatment,establishes shared decision-making between doctors and patients as the core principle,and emphasizes formulating management strategies by integrating patient values,life goals and risk prefer-ences.The consensus covers key components including the starting and ending ages for screening,limitations of imaging diag-nosis and indications for invasive diagnosis,indications and timing of surgery,strategies for sublobar resection and lymph node management,management of multiple GGOs,non-surgical alternative therapies,reliability of intraoperative frozen-section pathology,postoperative enhanced recovery and pain management,eligible populations for adjuvant therapy,and follow-up strategies.By promoting multidisciplinary collaboration and structured communication,this consensus aims to facilitate the transformation of the diagnosis and treatment model from disease-centered to patient value-centered,improve medical quality and patient satisfaction,reduce overtreatment,and promote doctor-patient harmony.关键词
肺肿瘤/磨玻璃影/磨玻璃样肺腺癌/医患共同决策/专家共识Key words
Lung neoplasms/Ground-glass opacity/Ground-glass opacity-featured lung adenocarcinoma/Shared decision-making/Expert consensus引用本文复制引用
赵晓刚,蔡杰,赵德平,陈昶,磨玻璃样肺腺癌医患共同决策诊疗共识编写委员会..磨玻璃样肺腺癌医患共同决策诊疗共识[J].中国肺癌杂志,2026,29(2):81-104,24.基金项目
This paper was supported by the grants from Shanghai Special Project for Capacity Enhancement of Health Science Popularization Leading Talents(No.JKKPYL-2024-B06,to Xiaogang ZHAO)and the National Natural Science Foundation of China(No.82573891,to Deping ZHAO （No.JKKPYL-2024-B06,to Xiaogang ZHAO）
No.82403885,to Jie CAI). 本文受上海市健康科普引领人才能力提升专项(No.JKKPYL-2024-B06)和国家自然科学基金项目(No.82573891,No.82403885)资助 （No.JKKPYL-2024-B06）
