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结直肠癌肺转移多学科综合治疗专家共识(2018版)
作者:中国医师协会外科医师分会多学科综合治疗专业委员会  中国抗癌协会大肠癌专业委员会 
单位: 
关键词:结直肠癌 肺转移 共识 中国 多学科治疗 
DOI:10.13267/j.cnki.syzlzz.2018.06.001
出版年,卷(期):页码:2018,33(6):487-501
摘要:

肝和肺是结直肠癌远处转移的常见部位。二者的预后和生物学特征不同。已有很多研究来优化肝转移的治疗策略,但是,关于肺转移应如何处理的文献非常有限。因此,我们邀请了100余位专家,最终达成结直肠癌肺转移的管理共识。本共识推荐肺转移的诊断和鉴别诊断方法,也提供对于性质未明肺结节的处理流程。在定义不同类型肺转移的基础上,专家组针对各种常见的临床状况提供详细的多学科治疗策略。在可根治的肺转移中,本共识着重讨论可根治性肺转移的局部治疗选择以及围手术期方案;在不可根治性的肺转移中,则讨论姑息性局部治疗的地位,并推荐全身系统治疗的合适方案。希望这一共识可以更好地帮助中国肿瘤医师处理结直肠癌肺转移。

Liver and lungs are the most common sites of distal metastases of colorectal cancer (CRC). Liver metastases and lung metastases are different in prognosis and biological features. Lots of studies have been currently published on optimizing management of liver metastases, however, only limited literatures are available on the management of lung metastases. Therefore, we invited more than 100 well-experienced oncologists to reach a consensus on the management of lung metastases. This consensus recommended approaches of diagnosis and differential diagnosis and provided management strategies for indeterminate pulmonary nodules. With different subtypes of lung metastases defined, detailed recommendations of multidisciplinary therapies for common clinical situations are provided. For patients with curable dis365bet娱乐官网网址eases, it has been clarified how to choose ablation treatments and preoperative therapies. In patients who cannot be cured, the role of palliative local treatments and recommended proper systemic therapies are discussed. It is hoped that this consensus can help oncologists in China to better deal with colorectal cancer with lung me365bet娱乐官网网址tastases.

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