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软组织肉瘤诊治上海共识(2020)
$37.89
简明扼要的专家共识,注重推荐意见的实用性、可操作性、时效性、权威性。
本书对通图表和文字相结合的方式,阐述了软组织肉瘤主要诊断方式、各种...
本书对通图表和文字相结合的方式,阐述了软组织肉瘤主要诊断方式、各种治疗方法、各个部位和各种病理类型肉瘤的临床特点和治疗。可对从事软组织肉瘤医教研工作的临床医师进行临床实践指导,对其他肿瘤专科的医师亦有极好的参考价值。
上海市级医院肉瘤临床诊治中心:2017年8月18日在上海市公共卫生临床中心(中山医院南院)成立。该中心由上海交大附属第六人民医院肿瘤内科主任姚阳教授倡议,上海交大医学院附属第九人民医院口腔颌面-头颈肿瘤科张陈平教授、上海长征医院骨肿瘤外科主任肖建如教授、复旦大学附属中山医院普外科陆维祺教授和上海市质子重离子医院副院长陆嘉德教授五位医学专家共同附议,同时由30余位来自不同系统、不同单位、不同学科的骨软肉瘤领域专家学者加盟,集“医联体”、“MDT(多学科诊治)”优势于一身。
姚阳:上海交通大学附属第六人民医院肿瘤内科主任、肿瘤研究室主任、上海交通大学六院临床医学院肿瘤学教研室主任,主任医师、教授、博士生导师。
一、 诊断 /
(一) 总论 / (二) 影像学诊断 / 放射诊断 / 超声诊断 / 核医学诊断 / (三) 病理学诊断 /
二、 治疗 /
(一) 综合诊治的原则 / (二) 治疗方式 / 外科治疗 / 放射治疗 / 内科治疗 / 其他治疗 / (三) 不同原发部位软组织肉瘤的治疗 / 头颈部 / 胸部 / 腹部及腹膜后 / 子宫 / 脊柱 / 四肢 / 骨盆 / (四) 特殊病理类型软组织肉瘤的治疗 / 横纹肌肉瘤 / 平滑肌肉瘤 / 脂肪肉瘤 / 滑膜肉瘤 / 腺泡状软组织肉瘤 / 上皮样肉瘤 / 透明细胞肉瘤 / 孤立性纤维瘤 / 隆突性皮肤纤维肉瘤 / 炎性肌纤维母细胞瘤 / 侵袭性纤维瘤病 / 促结缔组织增生性小圆细胞肿瘤 / (五) 儿童软组织肉瘤的治疗 / 儿童横纹肌肉瘤 / 非横纹肌肉瘤软组织肉瘤 / (六) 软组织肉瘤复发转移的治疗 /
三、 预后 /
四、 随访 /
五、 附表 /
《软组织肉瘤诊治中国专家共识(2015)》出版已经过去了4年,这本书作为我国本软组织肉瘤专家共识,为普及软组织肉瘤的基本知识和诊治规范起到了重要的作用。在这4年中,软组织肉瘤分子病理诊断和基因分型的发展,带动了对软组织肉瘤各亚型的认识,从而使临床治疗更加合理化;软组织肉瘤外科治疗与内科治疗和放疗的密切配合,让很多患者获得R0切除;立体定向放射治疗技术的发展,弥补了手术治疗的缺憾;新辅助化疗、分子靶向药物的内科治疗给部分晚期患者带来了明显的生存获益。 这4年来,我国软组织肉瘤的临床研究空前活跃,已经取得了越来越有影响力的研究成果,部分处于的地位。上海是中国创新能力的城市之一,凝聚了我国一大批多年从事各部位软组织肉瘤诊治的高级人才,为国内疑难复杂的软组织肉瘤临床诊治做出了突出的贡献。长期的临床实践使上海软组织肉瘤临床专家们积累了大量的临床经验,富有创造力的研究成果饱含他们的汗水和心血,让他们拓展了知识,开阔了视野,大家也愿意把自己的研究成果和临床经验,以共识的形式贡献给国内同行。 2017年,各专业的上海软组织肉瘤专家打破专业的壁垒,同心协力,成立了上海市级医院肉瘤临床诊治中心(SSCC)。2年多来,各位专家通力合作,各抒己见,已经为百名复杂疑难软组织肉瘤患者开展了多学科综合诊治(MDT),取得了良好的临床疗效。我们在分工协作的临床实践工作中与国内的同行从各专业角度进行了沟通,深刻体会到国外的软组织肉瘤诊治指南和共识虽有借鉴,但未必完全适合中国的国情,我们应该根据各自的研究成果和临床实践,制订适合我国实际情况的临床规范、指南或共识,切实为各地基层医疗单位服务,提高国内软组织肉瘤的诊治水平,造福患者。 在《软组织肉瘤诊治中国专家共识(2015)》的基础上,这本共识广泛收集了各地软组织肉瘤专家的建议,仍然强调以“临床为主、适用为要”的原则。我们除了吸收近4年新知识和新疗法的更新以外,还参考了国际上几乎所有的软组织肉瘤共识,听取各位编写专家的建议,做了一些更新。首先,在临床治疗方面,在强调综合治疗的前提下,着重于不同亚型软组织肉瘤的综合治疗模式介绍。其次,邀请了著名的头颈部、胸腹腔、妇科和脊柱软组织肉瘤专家执笔撰写了相关章节。此外,根据软组织肉瘤病理类型多、治疗方法差异大的特点,我们将常见软组织肉瘤的内容单独设立,以方便临床查阅。后,我们对内科治疗方案进行了仔细的剂量核实,并做了逐级推荐;放射治疗章节推荐了SBRT治疗,还介绍了质子重离子治疗。 在这本共识即将为临床服务之际,我们恳请全国各位专家和一线的临床医师不吝赐教,给我们提出宝贵的意见,我们将根据诸位的诉求在下一版本中改进。 姚 阳 肖建如 张陈平 陆嘉德 陆维祺2020年2月
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