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甲状腺癌全程管理
$77.50
本书是权威作者团队推出的权威专著,基于“肿瘤多学科合作”、“精准医学”以及“个体化”等核心肿瘤治疗理念,精确阐述甲状腺癌的各种治疗方法的适应证和禁忌证、不同TNM分期甲状腺癌的合理治疗方案,并提出经典的治疗病例。随着大量甲状腺癌的涌现,对群体而言、从公共卫生角度看,患者所经历的每一个临床决策,都可以是一个卫生经济学问题,而对患者个人及家庭、医疗资源、社会经济产生影响。本书阐述了甲状腺癌的卫生经济学意义,使包括临床医师在内的更多的...
本书是权威作者团队推出的权威专著,基于“肿瘤多学科合作”、“精准医学”以及“个体化”等核心肿瘤治疗理念,精确阐述甲状腺癌的各种治疗方法的适应证和禁忌证、不同TNM分期甲状腺癌的合理治疗方案,并提出经典的治疗病例。随着大量甲状腺癌的涌现,对群体而言、从公共卫生角度看,患者所经历的每一个临床决策,都可以是一个卫生经济学问题,而对患者个人及家庭、医疗资源、社会经济产生影响。本书阐述了甲状腺癌的卫生经济学意义,使包括临床医师在内的更多的人认识到日常临床决策有重要的社会影响力,临床治疗决策者、医疗政策制定者都应该对甲状腺癌有更深层的思索、更全面的视野。 医学是一门永远进步的学科,我们期待本书在以简洁明了的方式介绍甲状腺癌全程诊疗、管理方案的同时,也意识到相关领域仍存在着诸多悬而未决的问题。限于时间、观点差别等因素的影响,本书尚存不足,但是我们希望它能够尽量提供新鲜实用的知识,使读者全方位了解和认识甲状腺癌,也能启发同道深入思考,助力甲状腺癌规范化诊疗和科学研究。
主任医师,教授,核医学科副主任。中国协和医科大学、中国医学科学院 核医学专业博士生导师。IAEA(国际原子能机构)RCA项目协调员;863项目评审专家库成员;中国抗癌协会临床肿瘤学协作专业委员会(CSCO)甲状腺癌专业委员会主任委员;《中华肿瘤防治杂志》《中华核医学与分子影像学杂志》编委。作为项目负责人先后三次主持国家自然科学基金项目,完成核医学国家重点实验室青年基金两项。曾获2006年中华医学科技奖(完成人)
章总论/1节甲状腺癌的流行病学/1第二节甲状腺癌的卫生经济学/6第三节甲状腺癌全程管理理念/14第二章甲状腺癌的发病机制/27节甲状腺癌发生的遗传学基础/28第二节甲状腺癌发生的表观遗传学基础/38第三节展望/44第三章甲状腺肿瘤的病理学/47节新版WHO甲状腺肿瘤分类概论/47第二节甲状腺滤泡腺瘤/49第三节甲状腺交界性肿瘤/50第四节甲状腺乳头状癌/55第五节甲状腺滤泡腺癌/65第六节甲状腺嗜酸细胞癌/68第七节甲状腺低分化癌/70第八节甲状腺间变性癌/72第九节甲状腺髓样癌/74第十节甲状腺肿瘤TNM分期/75第四章影像学在甲状腺癌中的应用/79节超声在甲状腺癌中的应用/80第二节放射影像学在甲状腺癌中的应用/116第三节核医学在甲状腺癌中的应用/132第五章甲状腺癌实验室指标的检测及影响因素/159节甲状腺相关激素的测定/159第二节甲状腺癌术后监测标志物的测定/167第三节碘和钙、磷的测定/172第六章甲状腺癌的外科管理/178节甲状腺癌的外科评估原则/178第二节甲状腺癌原发肿瘤的外科处理/183第三节甲状腺癌转移淋巴结的外科处理/194第四节甲状腺微小乳头状癌的外科处理/199第五节持续/复发及转移灶的外科处理/209第六节妊娠期甲状腺癌的外科处理/220第七节儿童分化型甲状腺癌的外科处理/223第七章甲状腺癌的核医学管理/249节甲状腺的碘代谢机制/249第二节131I治疗目标及获益/259第三节131I治疗前评估/271第四节131I治疗后动态评估及风险再分层/279第五节放射性碘难治性甲状腺癌的界定及核医学决策/287第六节儿童甲状腺癌的核医学处理/293第七节分化型甲状腺癌放射性碘(131I)治疗辐射安全管理/298第八节分化型甲状腺癌核医学病房管理/322第八章甲状腺癌的内分泌管理/339节治疗前风险评估/339第二节甲状腺激素治疗/342第三节其他/348第九章甲状腺癌的外照射治疗/364节甲状腺癌的术后辅助外照射/364第二节复发及转移性甲状腺癌的外照射/367第十章甲状腺癌的化学治疗及靶向治疗/372节分化型甲状腺癌/372第二节甲状腺髓样癌/380第三节甲状腺未分化癌/383第十一章甲状腺癌的其他治疗/390节免疫治疗/390第二节放射性粒子植入治疗/396第三节消融治疗/401附录/413附录一甲状腺癌患者长期随访中医患的共同决策/413附录二如何正确认识及预防甲状腺癌/415附录三甲状腺癌患者围手术期的健康教育/419附录四甲状腺癌患者131I治疗期健康教育/427附录五131I治疗前后注意事项/430附录六甲状腺癌患者131I治疗辐射安全与管理/431附录七甲状腺癌与生育/434附录八甲状腺癌患者的营养教育/438附录九甲状腺癌患者的心灵康复/447附录十什么时候才使用靶向药物治疗/451附录十一靶向药物治疗中的注意事项/452
历经十个多月的构思、撰写、讨论及修改,由三十余位活跃在我国临床一线的甲状腺癌专家编纂的《甲状腺癌全程管理》终于问世。全书力求汇集的国内外研究证据,以患者为中心,以临床实践为基础,从多学科角度出发,围绕常见、热点及难点问题,全方位阐述甲状腺癌领域全程管理的理念和方法,旨在为临床医师、医学生和研究人员提供一部实用的甲状腺癌诊治参考书。甲状腺癌具备独特的生物学特性,大多数甲状腺癌生物学行为相对惰性,患者在诊疗过程中需要辗转多个学科,在长期随访中亦会遇到许多诸如疾病预后、治疗风险等问题。多学科协作的全程管理模式极大地促进了各学科之间的充分交流,以患者为中心的理念不断地促进诊治决策的修正、疗效和风险的利弊平衡,终能够真正使患者长期获益。本书立足于国内外诊疗规范,放眼个体化和精准化诊疗方向,按甲状腺癌的“发生—发展—诊断—治疗—随访”的全程管理思路进行阐述,为读者提供了从病理、影像、检验到手术、核素治疗、内分泌治疗、放化疗、靶向治疗,儿童生长发育及妊娠期管理等甲状腺领域前沿的理念和内容,期望在疾病发展的不同阶段,指导临床医师基于循证医学证据给予患者合理、恰当的干预,程度上实现甲状腺癌患者生存时间和生活质量双重获益。同时,从公共卫生角度看,患者所经历的每一个临床决策,都是一个卫生经济学问题,将对患者个人及家庭、医疗资源、社会经济产生影响。临床治疗决策者、医疗政策制定者都应该对甲状腺癌有更深层的思索、更全面的视野。医学是一门永远进步的学科,我们在期待本书以简洁明了的方式介绍甲状腺癌全程诊疗、管理方案的同时,也意识到相关领域仍存在着诸多悬而未决的问题。限于时间、观点差别等因素的影响,本书尚存不足,但是我们希望它能够尽量提供新鲜实用的知识,使读者全方位了解和认识甲状腺癌,也能启发同道深入思考,助力甲状腺癌规范化诊疗和科学研究。林岩松2022 年7 月
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