论我国胃肠道癌腹膜转移诊治的难点和痛点  

On the difficulties and pains in managing peritoneal metastasis from gastrointestinal cancer in China

作　　者：李雁 姬忠贺 Li Yan;Ji Zhonghe(Department of Surgical Oncology,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院肿瘤外科,北京102218

出　　处：《中华胃肠外科杂志》2023年第5期410-413,共4页Chinese Journal of Gastrointestinal Surgery

基　　金：北京市医管局登峰人才培养计划(DFL20180701)。

摘　　要：经过一个半世纪的发展,近现代临床肿瘤学研究取得了巨大成就。作为三大常见转移途径之一,直到20世纪末,胃肠道癌腹膜种植转移,才开始被重新认识,至今日才逐渐开始形成规范性诊断治疗体系。本文回顾腹膜转移癌诊治研究的发展历史,反思临床实践中的教训与经验,阐述腹膜转移癌在疾病再认识、机制深入理解和临床诊治策略上的难点,以及在理论建设、技术培训和学科建设中的痛点,并提出了认清客观现实、夯实技术培训和推进协同研究的解决方案,为腹膜肿瘤学稳步发展提供参考。Modern clinical oncology has made great achievements over the last century.However,peritoneal metastasis from gastrointestinal cancer,as one of three most common metastasis modalities,was not re-recognized until the end of the last century,and a normative diagnosis and treatment system has been gradually beginning to be formed until today.This comment is to review the development history,reflect on the lessons and experiences in clinical practice,analyze the difficulties on redefinition,deep understanding and clinical management,and pain points on theory construction,technique practice and discipline construction,in the field of gastrointestinal cancer peritoneal metastasis.We suggested a solution to the difficulties and pain points by realizing the fact of burden of peritoneal metastasis,reinforcing technical training,and promoting collaborative researches,aiming to provide reference for the steady development of peritoneal surface oncology.

关 键 词：胃肠道肿瘤 腹膜转移癌 腹膜肿瘤学 

分 类 号：R735[医药卫生—肿瘤]