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日本第15版《胃癌处理规约》及第5版《胃癌治疗指南》更新内容解读

胡    祥   

  1. 大连医科大学附属第一医院普通外科,辽宁大连116011
  • 出版日期:2017-04-01 发布日期:2017-03-31

  • Online:2017-04-01 Published:2017-03-31

摘要:

日本《胃癌处理规约》及《胃癌治疗指南》(以下分别简称规约和指南)对全球胃癌诊治具有重大影响,且其迅速筛选并汲取新研究、新理念,及时进行充实修订。在2016年和2017年的第88、89届日本胃癌学会年会,分别对规约和指南再度修订要点进行了严谨而深入的讨论。规约对胃区域淋巴结的亚分类、胃癌腹膜转移程度的判定标准、病理学分类等相关内容进行补充和修订。指南更新部分主要集中在外科治疗、化疗(推荐新的药物及化疗方案)、内镜治疗(内镜切除适应证扩大)和指南的文书形式方面。修订后新版规约及指南将于2017年出版。此次修订汇集当今最新的科学研究成果, 将对胃癌临床诊治产生重要影响。

关键词: 胃癌, 规约, 指南, 循证医学, 化学治疗

Abstract:

New treatment modalities for Japanese gastric cancer treatment guidelines and classification        HU Xiang. Department of Gastrointestinal Surgery,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China
Abstract    The Japanese Gastric Cancer Treatment Guidelines (referred to as Guidelines) and Japanese Classification of gastric carcinoma(referred to as Classification) have a significant impact on the global treatment for gastric cancer. Based on the latest research results,classification and guidelines will be revised again in 2017. In 2016 and 2017,the 88th and 89th Japanese gastric cancer association discussed the future revisions,protocol will revise the sub classification of regional lymph nodes,the criteria of peritoneal metastasis,pathological classification and other related content complement. The guidelines part mainly focused on surgery treatment;chemical therapy (recommend new drugs and chemotherapy);endoscopic treatment (indication expanded). The revised version of the classification and guidelines will be published in 2017,the revision is based on the latest research results,will have a significant impact on clinical diagnosis and treatment.

Key words: gastric cancer, classification, guidelines, evidence-based medicine, chemical therapy