2023年第1版《NCCN头颈部癌临床实践指南》更新解读  

Interpretation of updated NCCN guidelines for head and neck cancer,version 1.2023

作　　者：钟江涛 周水洪[1] Zhong Jiangtao;Zhou Shuihong(Department of Otolaryngology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院耳鼻咽喉头颈外科,浙江杭州310003

出　　处：《实用肿瘤杂志》2023年第3期203-210,共8页Journal of Practical Oncology

基　　金：浙江省“尖兵”“领雁”研发攻关计划(2023C03066)。

摘　　要：美国国家综合癌症网络(National Comprehensive Cancer Network,NCCN)是由32家权威癌症中心组成的非盈利联盟组织,致力于提供更优质、高效和合理的癌症医疗服务。NCCN每年定期更新发布临床实践指南,旨在提供基于实证和共识的癌症管理方案。NCCN指南是癌症管理中临床指导和政策的公认标准,也是全球肿瘤临床实践最广泛的指南。目前2023年《NCCN头颈部癌临床实践指南》第1版已出版,其较2022年第2版主要在口腔癌、口咽癌、下咽癌、鼻咽癌、声门型喉癌、声门上型喉癌、筛窦肿瘤、上颌窦肿瘤、晚期头颈部癌、隐匿性原发性肿瘤、涎腺肿瘤和黏膜黑色素瘤患者的手术治疗、放疗原则、系统性治疗原则及营养支持治疗原则等方面进行了更新,本文就新版指南的更新内容进行逐一解读。The National Comprehensive Cancer Network(NCCN)is a nonprofit consortium of 32 leading cancer centers dedicated to pro-viding better,more efficient and rational cancer care.NCCN regularly updates and releases clinical practice guidelines every year,aiming to provide evidence-based and consensus-based cancer management solutions.The NCCN guidelines are the accepted standard for clinical guidance and policy in cancer management and are the most widely used guidelines for clinical practice in oncology worldwide.The NCCN guidelines for head and neck cancer,version 1.2023,has been published.Compared with version 2.2022,the updated version mainly focused on the principles of surgical treatment,radiation therapy,systemic therapy,and nutritional support for patients with oral cancer,oropharyngeal cancer,hypopharyngeal cancer,nasopharyngeal cancer,glottic laryngeal cancer,supraglottic laryngeal cancer,ethmoid sinus tumor,maxillary sinus tumor,advanced head and neck cancer,occult primary tumor,salivary gland tumor,and mucosal melanoma.This article will interpret the updated content of the new version of the guidelines.

关 键 词：头颈部癌 手术疗法 放疗 NCCN指南 指南更新 

分 类 号：R739.91[医药卫生—肿瘤]