40例多原发癌姑息治疗多学科会诊临床分析  

Clinical analysis of 40 patients with multiple primary carcinomas using multidisciplinary consultation for palliative treatment

作　　者：孙海燕[1] 潘战宇[1] 张新伟[2] 赵路军[3] 肖建宇[4] 史业辉[5] 刘方[6] 邢文阁[6] 张杰[1] 

机构地区：[1]天津医科大学肿瘤医院中西医结合科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市300060 [2]天津医科大学肿瘤医院生物治疗科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市300060 [3]天津医科大学肿瘤医院放射治疗科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市300060 [4]天津医科大学肿瘤医院放射诊断科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市300060 [5]天津医科大学肿瘤医院乳腺肿瘤内科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市300060 [6]天津医科大学肿瘤医院介入治疗科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市300060

出　　处：《中国肿瘤临床》2016年第15期674-678,共5页Chinese Journal of Clinical Oncology

基　　金：国家临床重点专科建设项目(编号:2013-544)资助~~

摘　　要：目的:分析多原发癌临床特点,评价肿瘤姑息治疗多学科专家协作组(multidisciplinary team,MDT)模式在多原发癌治疗中的作用。方法:回顾性分析2014年1月至2016年4月天津医科大学肿瘤医院肿瘤姑息治疗MDT会诊40例多原发癌患者的临床资料,总结其基本特征、MDT决策执行情况及其最终达到MDT预期情况。结果:全组参加会诊的629例患者中,多原发癌占总会诊例数的6.4%(40/629)。随访的39例患者中,完全执行MDT决策为26例(65.0%),达到MDT预期25例(96.2%);部分执行MDT决策为7例(17.5%),达到MDT预期4例(57.1%);完全不执行为6例(15.0%),达到MDT预期1例(16.7%)。结论:肿瘤姑息治疗MDT会诊能为多原发癌患者提供合理的个体化综合治疗建议,值得进一步完善和推广。Objective：The implementation of a multidisciplinary team （MDT） approach for palliative treatment of patients with multi-ple primary carcinomas （MPCs） was evaluated in Tianjin Medical University Cancer Institute and Hospital. Methods：A total of 40 pa-tients with MPCs who attended the consultation by MDT in our hospital from January 1, 2014 to April 21, 2016 were analyzed retro-spectively. Clinical data of the 40 cancer patients were reviewed. The essential characteristics and results of MDT treatment decisions were summarized and expected outcomes were evaluated. Results：A total of 40 cases with MPCs were included in MDT assessment, accounting for 6.4%of the 629 patients who were handled by the MDT. A total of 39 MDT decisions were followed up successfully. Among these MDT decisions, 26 （65%） were fully implemented, 7 （17.5%） were partially implemented, and 6 （15.0%） were unimple-mented. Expected outcomes were achieved in 25 （96.2%） patients of the fully implemented concordant group, 4 （57.1%） patients of the partially concordant group, and 1 （16.7%） patient from the unimplemented group. Conclusion：MDT specializing on palliative treat-ment can provide recommendations for standardized individualized comprehensive treatment of patients with MPCs. MDT modality should be further improved and widely used for palliative treatment.

关 键 词：多学科会诊模式 多学科团队 多原发癌 临床分析 预期 评估 治疗 

分 类 号：R730.5[医药卫生—肿瘤]