神经内分泌肿瘤中西医结合治疗的思路和体会  

Considerations and experiences of the treatment of neuroendocrine neoplasms with integrated traditional Chinese and Western medicine

作　　者：陈莹莹 程梓轩 谭煌英[2] CHEN Yingying;CHENG Zixuan;TAN Huangying(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Integrative Oncology,China-Japan Friendship Hospital,Beijing 100029,China.)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中日友好医院中西医结合肿瘤内科,北京100029

出　　处：《现代肿瘤医学》2023年第7期1340-1343,共4页Journal of Modern Oncology

基　　金：中央高水平医院临床科研业务费资助(编号:2022-NHLHCRF-LX-02-0110)。

摘　　要：神经内分泌肿瘤是一组散见于全身各处、异质性强的少见肿瘤,但常见于消化道和胰腺;其中分化良好的神经内分泌肿瘤可表现出较好的生存预后,而部分肿瘤则具有较恶的生物学行为导致较高的死亡率,总体治疗效果不尽人意。笔者多年来专注于神经内分泌肿瘤诊疗领域,紧跟国内外研究前沿。同时,在神经内分泌肿瘤不同部位及分化良差等多个切入点进行了中西医结合治疗的探索。笔者认为,“益气健脾和胃”应贯穿于神经内分泌肿瘤治疗的始终,同时还需注重疏肝理气,强调“肝脾同调”。另外,还要结合某些原发部位的特殊性,采用“辨证”加“辨病”的方式,进行个体化诊治,在临床上取得了良好的效果。Neuroendocrine neoplasms(NENs) are a group of rare tumors that spread throughout the body with strong heterogeneity,but are commonly observed in the digestive tract and pancreas.Among them,well-differentiated neuroendocrine tumors can show relatively good survival prognosis,while some tumors have malignant biological behaviors,resulting in high mortality,and overall efficacy is still unsatisfactory.The author has been focusing on the diagnosis and treatment of neuroendocrine tumors for many years,keeping up with the research frontiers at home and abroad.At the same time,we explored the treatments of integrated traditional Chinese and Western medicine in different sites of neuroendocrine tumors and various entry points such as well-differentiated and poor-differentiated tumors.The author believes that "benefiting qi,strengthening spleen and harmonizing stomach" should be considered throughout the entire process of neuroendocrine tumor treatment.At the same time,it is necessary to pay attention to soothing the liver and regulating qi,emphasizing the "harmonization of the liver and spleen".In addition,treatments according to combination of diseases differentiation and syndromes differentiation can provide patients with individualized treatments,which can lead a good clinical effectiveness.

关 键 词：神经内分泌肿瘤 中西医结合 治疗 思路 

分 类 号：R739.4[医药卫生—肿瘤]