中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (09): 722-726.

• 专题笔谈 • 上一篇    下一篇

胃癌多学科综合治疗模式

詹文华   

  1. 中山大学附属第一医院，广东广州510080
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-09-01 发布日期:2009-09-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-09-01 Published:2009-09-01

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摘要：

胃癌是世界性的健康问题。胃癌病人就诊往往较晚，以至诊断时疾病已处于晚期状态。胃癌病人的最重要的治疗方式是根治性手术切除，其重点是将并发症发生率和病死率降到最低。由于单纯手术治疗的局部、区域和全身的复发率较高，化疗和放疗已经成为这一肿瘤综合治疗的一部分。手术前和围手术期使用化、放疗最近已经获得多个临床试验的验证。虽然各地的标准治疗方案有所不同，但资料显示，多学科的综合治疗是胃癌病人改善结局的最好的模式。

关键词: 胃癌, 多学科综合治疗

Abstract:

Multidisciplinary approach to treatment for gastric cancer ZHAN Wen-hua. The First Hospital, SUN Yat-sen University, Guangzhou510080, China Abstract Gastric cancer is a worldwide healthy problem. Gastric cancer tended to be diagnosed late and typically is advanced at presentation. The mainstay of treatment for patients with gastric cancer is curative surgical resection, with emphasis on minimizing morbidity and mortality. Because of the high rate of locoregional and systemic recurrence with surgery alone, chemotherapy and radiation therapy have become integrated into the management of gastric cancer. The use as pre- or peri-operative treatments in particular has been validated by several recent clinical trials. Although exact treatment regimens may vary on a regional level, the data suggest that the multidisciplinary approach affords the best hope for improved outcomes in patients with gastric cancer.

Key words: gastric cancer, multidisciplinary approach