2015年V1版《NCCN胃癌临床实践指南》更新解读  

Updates of NCCN clinical practice guidelines for gastric cancer

作　　者：徐泽宽[1] 

机构地区：[1]南京医科大学第一附属医院普外科,江苏南京210029

出　　处：《中国实用外科杂志》2015年第5期512-514,518,共4页Chinese Journal of Practical Surgery

摘　　要：胃癌诊治领域近年来进展迅速,《NCCN胃癌临床实践指南》(《指南》)也不断推出新的版本,以跟进最新的前沿进展。2015年V1版《指南》在原来的基础上引进了新的证据和标准,从四个主要方面进行了修订:(1)更新了"胃癌不可根治性切除的标准";(2)修改了胃癌的风险分析,新增了"肿瘤风险评估"和"遗传学咨询";(3)修改了局部进展期、局部复发或转移性胃癌的部分化疗方案;(4)修改了胃癌放疗的部分内容。新版《指南》对胃癌的治疗理念更规范化、科学化,为今后的临床实践提供指导。In recent years, with the rapid development of diagnosis and treatment of gastric cancer, NCCN gastric cancer clinical practice guidelines also continue to release new versions to follow up the progress of the new frontier. In the new NCCN guideline （Versionl.2015）, new evidence and standard were introduced, and four major aspects were revised, including： （1） The criteria of unresectability for cure was updated, （2） the principles of genetic risk assessment for gastric cancer, the new risk assessment and genetic consultation were modified, （3） the systemic therapy for locally advanced, locally recurrent or metastatic gastric cancer were modified, （4） the partial contents of radiation therapy were revised. The new guideline has included the latest research achievements, which makes the concept of the treatment of gastric cancer more scientific and standardized. It will provide important guidance for the future clinical practice.

关 键 词：胃癌 美国国立综合癌症网 手术 化疗 放疗 

分 类 号：R6[医药卫生—外科学]