肝细胞癌全程管理中国专家共识(2023版)  

Chinese expert consensus on the whole‐course management of hepatocellular carcinoma(2023 edition)

作　　者：中国医师协会肝癌专业委员会 李秋[2] 程树群 杨雨 孙居仙 Chinese Association of Liver Cancer of Chinese Medical Doctor Association;Li Qiu;Cheng Shuqun(不详;Department of Medical Oncology,Cancer Center,West China Hospital of Sichuan University,Chengdu 610041,China;Department of Hepatic Surgery VI,Eastern Hepatobiliary Surgery Hospital,Naval Medical University,Shanghai 200438,China)

机构地区：[1]不详 [2]四川大学华西医院肿瘤内科,成都610041 [3]海军军医大学第三附属医院肝外六科,上海200438 [4]四川大学华西医院 [5]海军军医大学第三附属医院

出　　处：《中华消化外科杂志》2023年第7期824-842,共19页Chinese Journal of Digestive Surgery

基　　金：国家重点研发计划(2022YFC2503700);国家自然科学基金面上项目(82072618)。

摘　　要：肝细胞癌是我国常见恶性肿瘤之一。肝细胞癌患者通常合并慢性肝病和(或)肝硬化,必须统筹兼顾、全程管理,根据患者全身状况、基础肝病、肿瘤情况、肿瘤生物学特征、治疗要求以及经济状况等,制订合理、长期和完整的治疗与随访方案。为更好地指导肝细胞癌的全程管理,中国医师协会肝癌专业委员会组织国内相关领域专家,经过多次讨论和修改,形成《肝细胞癌全程管理中国专家共识(2023版)》。本共识基于多学科诊断与治疗模式和现有的临床证据,提出外科及非外科2种肝细胞癌全程管理路径,形成18条推荐意见,内容涵盖围手术期治疗、系统治疗及系统联合局部治疗、转化治疗、特殊人群管理、对症支持治疗以及随访管理等,以供国内同行参考。Hepatocellular carcinoma(HCC)is one of the most common malignant tumors in China.Most HCC patients complicate with chronic liver disease and/or cirrhosis,and need being provided overall consideration and whole-course management on diagnosis,treatment and followup.To develop a reasonable,long-term,and complete management plan,multiple factors need to be considered,including patient′s general condition,basic liver diseases,tumor stage,tumor biological characteristics,treatment requirements and economic cost.To better guide the whole-course management of HCC patients,the Chinese Association of Liver Cancer of Chinese Medical Doctor Association has gathered multidisciplinary experts and scholars in relevant fields to formulate the Chinese Expert Consensus on the Whole-course Management of Hepatocellular Carcinoma(2023 Edition).Based on the current clinical evidences and experiences,this expert consensus proposes surgical and non-surgical HCC management pathways,contains 18 recommendations,including perioperative treatment,systematic treatment or combined with local treatment,conversion treatment,special population management,symptomatic support treatment,and follow-up management,etc,in order to provide references to domestic collegues.

关 键 词：肝细胞癌 全程管理 共识 

分 类 号：R735.7[医药卫生—肿瘤]