胃癌早诊早治中国专家共识(2023版)  

Chinese expert consensus on early diagnosis and treatment of gastric cancer(2023 edition)

作　　者：中华医学会肿瘤学分会早诊早治学组 苗智峰[2] 徐忠法 王振宁[4] Early Diagnosis and Treatment Group,Chinese Society of Oncology,Chinese Medical Association;Miao Zhifeng;Xu Zhongfa;Wang Zhenning(不详;Department of Surgical Oncology,The First Hospital of China Medical University,Shenyang 110801,China;Department of Gastrointestinal Surgery,The Third Affiliated Hospital of Shandong First Medical University,Institute of Gastroenterology(Clinical Center),Shandong First Medical University,Ji'nan 250031,China;Key Laboratory of Precision Diagnosis and Treatment of Gastrointestinal Tumors,Ministry of Education,China Medical University,Shenyang 110122,China)

机构地区：[1]不详 [2]中国医科大学附属第一医院肿瘤外科,沈阳110801 [3]山东第一医科大学第三附属医院胃肠外科山东第一医科大学胃肠病研究所(临床中心),济南250031 [4]中国医科大学胃肠道肿瘤精准诊断与治疗教育部重点实验室,沈阳110122

出　　处：《中华消化外科杂志》2024年第1期23-36,共14页Chinese Journal of Digestive Surgery

基　　金：国家重点研发计划(2022YFA1105300);国家自然科学基金(82072724);辽宁省自然科学基金(QNZR202004, 2021-YQ-07)。

摘　　要：我国胃癌发病率和病死率均位居世界前列。近年来,虽然早期胃癌治愈率远高于进展期胃癌,但由于早期胃癌症状不典型,诊断率偏低,进展后极大影响胃癌患者的治疗和生存情况。鉴于此,中华医学会肿瘤学分会早诊早治学组制订《胃癌早诊早治中国专家共识(2023版)》(以下简称共识),旨在提高胃癌早期管理水平,改善患者的预后和生存情况。胃癌早期筛查、早期诊断是早期管理的关键,早期筛查包括X线钡剂造影检查、内镜检查、血清学检查及幽门螺杆菌感染检测等,早期诊断包括内镜、病理学及影像学分期诊断。除了传统手术治疗,依据有无淋巴结转移及肿瘤侵犯深度,早期胃癌治疗还包括内镜及术后辅助治疗。术后应行系统肿瘤监测,尽早识别复发和转移。该共识旨在为临床医师、医疗机构和患者提供权威、可靠参考。The incidence and mortality rates of gastric cancer(GC)in China are at the forefront of the world.In recent years,although the cure rate of early gastric cancer(EGC)is much higher than that of advanced gastric cancer.Due to the atypical symptoms and low diagnosis rate of EGC,the treatment and survival of patients with GC have been greatly affected after progression.In view of this,the Early Diagnosis and Treatment Group in the Chinese Society of Oncology has formulated the Chinese expert consensus on early diagnosis and treatment of gastric cancer(2023 Edition)(hereinafter referred to as the consensus),aiming to improve the level of early management,and the prognosis and survival of GC patients.Early screening and diagnosis of GC are the key points in early management.Early screening includes X-ray barium,endoscopy,serological examination and the detection of Helicobacter pylori infection,etc.Early diagnosis includes endoscopy,pathology and imaging staging diagnosis.In addition to traditional surgical treatment,based on lymph node metastasis and the depth of tumor invasion,the treatment of EGC also includes endoscopy and postoperative adjuvant treatment.Patients should undergo postoperative systematic tumor surveillance to identify the recurrence and metastasis as early as possible.This consensus aims to provide an authoritative and reliable reference for clinicians,medical institutions and patients.

关 键 词：胃肿瘤 早诊 早治 中国 专家共识 

分 类 号：R735.2[医药卫生—肿瘤]