The important role of multidisciplinary team in treatment of recurrent and drug-resistant gynecological malignant tumor.

doi:10.7504/fk2015020122

Abstract

Abstract:

Abstract：For the patients with recurrent gynecological malignant tumor, especially those combined with drug-resistantce, according to the very complicated situation of each patient, we need to organize the specialized experts to discuss, study and formulate individualized treatment, making sure the patients can have the most advanced technology and/or treatment by the best path for reasonable treatment, to maximize the clinical curative effect. This fully embodies the biological - psychological - social treatment concept of being.people-oriented and the patient being the main body in modern medicine.

Key words: MDT, malignant tumor

摘要：

妇科恶性肿瘤复发，特别是耐药复发非常复杂，根据每例患者的具体情况，组织相关亚专科专家共同讨论、研究制定个体化的治疗方案，使患者得到临床医学上最先进的技术手段和（或）通过最佳治疗路径进行合理的治疗，从而获得最大临床疗效。这充分体现了现代医学以人为本、以病人为主体的生物-心理-社会治疗理念。

关键词: 多学科综合治疗团队, 恶性肿瘤

CLC Number:

R737.3

LI Xiu-qin.. The important role of multidisciplinary team in treatment of recurrent and drug-resistant gynecological malignant tumor.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2015020122.

李秀琴. 多学科协作医疗在复发性耐药性妇科恶性肿瘤治疗中的重要作用[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2015020122.

References

［1］   Bristow RE， Puri I， Chi DS.Cytoreductive surgery for recurrent ovarian cancer: a meta-analysis［J］. Gynecol Oncol，2009，112(1):265-274.

［2］   NCCN Clinical Practice Guidelines in Oncology . Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer.Version 3.2014

［3］   连立娟.林巧稚妇科肿瘤学［M］. 3版.北京：人民卫生出版社，2000：312.

［4］   陈晓红.青年妇女患宫颈癌的临床研究及预后分析［J］.现代预防医学，2012，39(22)：5832-5834.

［5］   庄甲花.全盆腔器官切除加放疗治疗局部晚期宫颈癌20例临床分析［J］.实用癌症杂志，2007，22(4)：411.

［6］   Brunshwig A.Complete excision of pelvic viscera for advanced carcinoma［J］.Cancer，1948，1(2)：177-183.

［7］   Vermaas M，Ferenschild FT，Verhoef C，et al.Total pelvic exenteration for primary locally advanced and locally recurrent rectal cancer［J］.Eur J Surg Oncol，2007，33(4)：452-458.

［8］   Yamada K.Pelvic exenteration and sacral resection for locally advanced primary and recurent rectal cancer［J］.Dis Colon Rectum，2002，45(8)：1078-1084.

［9］   Mitchell AJ，Ferguson DW，Gill J，et al.Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls：a systematic review and meta—analysis［J］.Lancet Oncol，2013，14(8)：721-732.

［10］    Shi M，Liu D，Yang Z，at al.Central and peripheral nervous systems：master controllers in cancer metastasis［J］.Cancer Metastasis Rev，2013，32(3-4)：603-621.

［11］    Hsiao FH，Jow GM，Kuo WH，et al.The effects of psychotherapy on psychological well—being and diurnal cortisol patterns in breast cancer survivors［J］.Psychother Psychosom，2012，81(3)：173-182.

（2014-12-09收稿）

[1]	CHENG Ao-shuang, LIN Zhong-qiu. Protection and preservation of the fertility of female malignant tumor patients. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(6): 604-609.
[2]	HUANG Chen-yang, SUN Hai-xiang. Selection of protocols about ovulation induction and embryo transfer for patients with gynecological malignant tumors. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(6): 614-618.
[3]	CAO Dong-yan, XIANG Yang. Quality control of surgery for ovarian cancer. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(1): 29-32.
[4]	. [J]. Acta Metallurgica Sinica, 2021, 37(5): 554-557.
[5]	. [J]. Acta Metallurgica Sinica, 2019, 35(6): 609-611.
[6]	. [J]. Acta Metallurgica Sinica, 2019, 35(6): 612-613.
[7]	HAN Li-ping，LIU Li-ya. Fertility preservation in nonepithelial ovarian malignancy. [J]. Acta Metallurgica Sinica, 2019, 35(6): 626-631.
[8]	YANG Xiao-ming，WANG Yu-dong. Prevention of chemotherapy-induced ovarian damage in patients with gynecological malignant tumors. [J]. Acta Metallurgica Sinica, 2019, 35(6): 631-635.
[9]	DENG Xiao-hui，CUI Yan-ting. Gynecological malignant tumor and assisted reproductive technology. [J]. Acta Metallurgica Sinica, 2019, 35(6): 644-646.
[10]	. [J]. Acta Metallurgica Sinica, 2019, 35(2): 194-201.
[11]	. [J]. Acta Metallurgica Sinica, 2018, 34(11): 1227-1229.
[12]	. [J]. Acta Metallurgica Sinica, 2018, 34(10): 1073-1075.
[13]	. [J]. Acta Metallurgica Sinica, 2016, 32(9): 825-827.
[14]	. [J]. Acta Metallurgica Sinica, 2016, 32(1): 44-46.
[15]	KANG Shan .. Complications and their management in lymphadenectomy for laparoscopic gynecologic malignancies. [J]. Acta Metallurgica Sinica, 2015, 31(5): 395-398.