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小胃肠间质瘤诊疗中国专家共识(2020年版)

2020-04-20 中国临床肿瘤学会 临床肿瘤学杂志.2020,25(4):349-355.

胃肠间质瘤( gastrointestinal stromal tumor,GIST) 是胃肠道最常见的间叶源性肿瘤,根据发病部位、大小、核分裂象及有无破裂等,GIST 的恶性潜能从极低危至高危不等。

中文标题:

小胃肠间质瘤诊疗中国专家共识(2020年版)

发布机构:

中国临床肿瘤学会

发布日期:

2020-04-20

简要介绍:

胃肠间质瘤( gastrointestinal stromal tumor,GIST) 是胃肠道最常见的间叶源性肿瘤,根据发病部位、大小、核分裂象及有无破裂等,GIST 的恶性潜能从极低危至高危不等。中国临床肿瘤学会胃肠间质瘤专家委员会于2008 年、2011 年、2013 年和2017 年分别制定了中国GIST 诊断和治疗的专家共识,这些共识的颁布和推广极大地规范和提高了我国GIST 临床诊治水平。小GIST 特指直径<2cm 的GIST。尽管大多数小GIST 病例在临床上呈良性或惰性表现,但确有少数病例显示出侵袭性行为,尤其是核分裂象计数>5 /5mm2 者。既往共识中有关小GIST 的推荐证据较少。鉴于此,中国临床肿瘤学会胃肠间质瘤专家委员会联合中国抗癌协会胃肠间质瘤专业委员会、中国医师协会外科医师分会胃肠道间质瘤诊疗专业委员会在借鉴国内外最新研究的基础上,组织国内一批GIST 治疗领域的专家,基于文献和专家经验整理了本版共识,力求能使小GIST 的诊疗更加规范化和标准化。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=999973, encodeId=37199999e3d2, content=肝部的小间质瘤没提啊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fa65083708, createdName=刁锐, createdTime=Fri Jul 16 10:28:07 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946993, encodeId=5bc394699336, content=非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5f325410647, createdName=ms3000000449394493, createdTime=Wed Mar 10 08:06:30 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892060, encodeId=613089206027, content=拜读了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f5c65425854, createdName=ms8000000818666259, createdTime=Wed Oct 14 17:25:09 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892057, encodeId=5fbd89205e44, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0f921974634, createdName=小马过河我, createdTime=Wed Oct 14 16:33:24 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889690, encodeId=22b9889690c1, content=刚好床上有个间质瘤,规培一年级认真学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211028/9b9670e4f0f14174884f7247f527d0f1/ca29abf585ec4a1a96495ecdc3bf50f7.jpg, createdBy=e8675398491, createdName=ms8000000897014883, createdTime=Fri Oct 02 13:56:22 CST 2020, time=2020-10-02, status=1, ipAttribution=)]
    2021-07-16 刁锐

    肝部的小间质瘤没提啊

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=999973, encodeId=37199999e3d2, content=肝部的小间质瘤没提啊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fa65083708, createdName=刁锐, createdTime=Fri Jul 16 10:28:07 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946993, encodeId=5bc394699336, content=非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5f325410647, createdName=ms3000000449394493, createdTime=Wed Mar 10 08:06:30 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892060, encodeId=613089206027, content=拜读了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f5c65425854, createdName=ms8000000818666259, createdTime=Wed Oct 14 17:25:09 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892057, encodeId=5fbd89205e44, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0f921974634, createdName=小马过河我, createdTime=Wed Oct 14 16:33:24 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889690, encodeId=22b9889690c1, content=刚好床上有个间质瘤,规培一年级认真学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211028/9b9670e4f0f14174884f7247f527d0f1/ca29abf585ec4a1a96495ecdc3bf50f7.jpg, createdBy=e8675398491, createdName=ms8000000897014883, createdTime=Fri Oct 02 13:56:22 CST 2020, time=2020-10-02, status=1, ipAttribution=)]
    2021-03-10 ms3000000449394493

    非常有用

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=999973, encodeId=37199999e3d2, content=肝部的小间质瘤没提啊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fa65083708, createdName=刁锐, createdTime=Fri Jul 16 10:28:07 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946993, encodeId=5bc394699336, content=非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5f325410647, createdName=ms3000000449394493, createdTime=Wed Mar 10 08:06:30 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892060, encodeId=613089206027, content=拜读了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f5c65425854, createdName=ms8000000818666259, createdTime=Wed Oct 14 17:25:09 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892057, encodeId=5fbd89205e44, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0f921974634, createdName=小马过河我, createdTime=Wed Oct 14 16:33:24 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889690, encodeId=22b9889690c1, content=刚好床上有个间质瘤,规培一年级认真学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211028/9b9670e4f0f14174884f7247f527d0f1/ca29abf585ec4a1a96495ecdc3bf50f7.jpg, createdBy=e8675398491, createdName=ms8000000897014883, createdTime=Fri Oct 02 13:56:22 CST 2020, time=2020-10-02, status=1, ipAttribution=)]
    2020-10-14 ms8000000818666259

    拜读了!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=999973, encodeId=37199999e3d2, content=肝部的小间质瘤没提啊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5fa65083708, createdName=刁锐, createdTime=Fri Jul 16 10:28:07 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946993, encodeId=5bc394699336, content=非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5f325410647, createdName=ms3000000449394493, createdTime=Wed Mar 10 08:06:30 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892060, encodeId=613089206027, content=拜读了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f5c65425854, createdName=ms8000000818666259, createdTime=Wed Oct 14 17:25:09 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892057, encodeId=5fbd89205e44, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0f921974634, createdName=小马过河我, createdTime=Wed Oct 14 16:33:24 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889690, encodeId=22b9889690c1, content=刚好床上有个间质瘤,规培一年级认真学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211028/9b9670e4f0f14174884f7247f527d0f1/ca29abf585ec4a1a96495ecdc3bf50f7.jpg, createdBy=e8675398491, createdName=ms8000000897014883, createdTime=Fri Oct 02 13:56:22 CST 2020, time=2020-10-02, status=1, ipAttribution=)]
    2020-10-14 小马过河我

    非常好

    0

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    2020-10-02 ms8000000897014883

    刚好床上有个间质瘤,规培一年级认真学习了

    0

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