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2016 NCCN临床实践指南:前列腺癌(Version3.2016)

2016-07-14 MedSci MedSci原创

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英文标题:NCCN Clinical Practice Guidelines in Oncology:Prostate Cancer Updates(Version 3. 2016)

简要介绍:2016年7月,美国国家综合癌症网络(NCCN)发布了前列腺癌指南2016年第3版,指南更新摘要如下:

初步诊断(PROS-1)

极低危肿瘤的初始治疗、辅助治疗(PROS-2)

低危肿瘤的初始治疗、辅助治疗(PROS-3)

中危肿瘤的初始治疗、辅助治疗(PROS-4)

高危肿瘤、极高危、局限性以及转移性肿瘤的初始治疗、辅助治疗(PROS-5)

监测和复发(PROS-6)

前列腺切除生物化学治疗失败后放疗(PROS-7)

放疗后复发(PROS-8)

睾丸切除后仍然进展的肿瘤的全身治疗(PROS-9)

M0期去势抵抗性前列腺癌的全身治疗(PROS-10)

M1期去势抵抗性前列腺癌的全身治疗(PROS-11)

无内脏转移的M1期去势抵抗性前列腺癌全身治疗(PROS-12)

内脏转移的M1期去势抵抗性前列腺癌全身治疗(PROS-13)

评估生存时间(PROS-A)

影像学(PROS-B)

主动监测和观察的原则(PROS-C)

放疗原则(PROS-D)

手术原则(PROS-E)

雄激素剥夺治疗的原则(PROS-F)

免疫治疗和化疗的原则(PROS-G)

分期(ST-1)

例如:PROS-7加入:“考虑胸部X线检查”

PROS-2、3加入在主动监测条目下加入“对于前置性和或进展性肿瘤,如果PSA高但是前列腺活检阴性,考虑使用mpMRI 检查。”


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  1. 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  2. 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    2017-02-21 仁者大医
  3. 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    2016-09-12 1e10c84am36(暂无匿称)

    文章不错

    0

  4. 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    2016-08-02 ljh0111

    分层管理,更精准

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2031005, encodeId=383b2031005a8, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Mon Nov 21 14:57:00 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1878175, encodeId=01c918e81752e, content=<a href='/topic/show?id=c157696175' target=_blank style='color:#2F92EE;'>#ERS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6961, encryptionId=c157696175, topicName=ERS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, 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    2016-07-31 oo902

    讲的很详细

    0

  6. 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    2016-07-18 doctorJiangchao

    值得学习

    0

  7. 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    2016-07-18 doctorJiangchao

    指导了临床

    0

  8. 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    2016-07-18 doctorJiangchao

    值得收藏

    0

  9. 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    2016-07-17 时光里

    宝贵的资料啊

    0

  10. 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7月6日华盛顿大学的科学家们在《新英格兰医学》(NEJM)上发表了一项前列腺癌研究,认为DNA修复基因的遗传性突变在转移性前列腺癌中相当普遍。这些突变对转移性前列腺癌做出的贡献比人们想象的更为广泛,超过10%的人群,这从另一角度也显示出转移性前列腺癌的复杂性和异质性。 在总计7个系列研究,合计692位转移性前列腺癌患者中,超过10% (82位)的侵袭性前列腺癌男性患者,携带DNA

Nat Commun:手术前利用液体活检标记物检测前列腺癌侵袭性

近日,来自加拿大多伦多大学的研究人员利用非侵入性液体活检方法发现了前列腺癌生物标记物,能够在手术前帮助鉴定侵袭性前列腺癌。   该研究发表在国际学术期刊Nature Communication上,研究人员认为对于许多男性来说生长缓慢低风险的前列腺癌可能永远都不需要进行手术治疗,而目前全世界存在许多过度治疗问题,该研究将推动精确的非侵入性诊断工具的开发。   目前临床

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