中国胃肠间质瘤诊断治疗专家共识（2011版）

2012-04-11 张辉摘编医学论坛网

　　中国抗癌协会临床肿瘤学协作专业委员会（CSCO）胃肠间质瘤（GIST）专家委员会制定了中国胃肠间质瘤诊断治疗专家共识（2011年版）。该专家共识发表在2012年第3期《中华胃肠外科杂志》[2012,15(3):301]。　　该共识是基于2009年版问世的，其更新内容主要包括：　　1） 病理诊断部分更强调了基因检测，推荐对所有复发转移性GIST应进行基因突变分析。　　2）&

　　中国抗癌协会临床肿瘤学协作专业委员会（CSCO）胃肠间质瘤（GIST）专家委员会制定了中国胃肠间质瘤诊断治疗专家共识（2011年版）。该专家共识发表在2012年第3期《中华胃肠外科杂志》[2012,15(3):301]。　　该共识是基于2009年版问世的，其更新内容主要包括：　　1）病理诊断部分更强调了基因检测，推荐对所有复发转移性GIST应进行基因突变分析。　　2）重申了对于肿瘤最大径＜2cm的可以局限性GIST和有症状者应进行手术，＜2cm的肿瘤可不必急于手术，手术原则中提出如果首次手术仅为R1切除，预计再次手术难度低并且可控制风险，不会造成主要功能脏器的损伤，可以考虑二次手术。　　3） GIST起源于黏膜下，生长方式多样，内镜治疗不常规推荐。　　4）重新明确了分子靶向治疗为 “术前治疗”，代替了以往的“新辅助治疗”，而且包括了首次手术及日后反复手术的术前用药。明确了两项用药指征，即肿瘤体积巨大（＞10cm）、术中易出血、破裂和可能造成医源性播散者；肿瘤虽可切除，但估计手术风险较大，术后复发率和死亡率高者。　　

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2012-06-17 snowpeakxu

#专家共识#

98 0
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2012-05-20 myscience

thanks!

168 0
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2012-04-13 feifers

#诊断治疗#

86 0
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2012-04-13 zhty5338

#间质瘤#

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