直肠癌中文版指南 2011

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1、直癌床践指南(中国版)一2011(源自英文版 V.4.2011)Copyright National Comprehensive Cancer Network 2011. All rights reserved. “NCCN”, the NCCN logo, and “National Comprehensive Cancer Network” are registered trademarks of the National Comprehensive Cancer Network. The Chinese edition of NCCN Clinical Practice Guidelin

2、es in Oncology-Rectal Cancer Guideline 2011 is the Chinese adapted version of NCCN Clinical Practice Guidelines in Oncology-Rectal Cancer Guideline, V.4.2011 as permitted and endorsed by NCCN. It is the collaborative outcome of the National Comprehensive Cancer Network and Chinese key opinion leader

3、s of the field.The original guideline and Chinese edition are both available at: http:/www.nccn.org. To view the most recent and complete version of the guideline, go online to www.nccn.org. These Guidelines and illustrations herein may not be reproduced in any form for any purpose without the expre

4、ss written permission of the NCCN.These Guidelines are a work in progress that will be refined as often as new significant data becomes available. The NCCN Guidelines are a statement of consensus of its authors regarding their views of currently accepted approaches to treatment. Any clinician seekin

5、g to apply or consult any NCCN guideline is expected to use independent medical judgment in the context of individual clinical circumstance to determine any patients care or treatment. The National Comprehensive Cancer Network makes no warranties of any kind whatsoever regarding their content, use o

6、r application and disclaims any responsibility for their application or use in any way.This publication should not be used for commercial purpose. It is provided for free to Chinese medical professions with the support of the unrestrictive educational grant of Shanghai Roche Pharmaceuticals Ltd. whi

7、ch exerts no influence to the formation of the Chinese edition of NCCN Clinical Practice Guidelines in Oncology- Rectal Cancer Guideline 2011. National Comprehensive Cancer Network, Inc. All rights reserved. These guidelines and this illustration may not be reproduced in any form without the express

8、 written permission of NCCN. The Chinese edition 2011 is the collaborative outcome of the National Comprehensive Cancer Network and Chinese key opinion leaders of the field. Translated and adapted with permission and endorsement from the National Comprehensive Cancer Network. To view the most recent

9、 and complete version of this or any other guideline, visit www.nccn.org.直肠癌NCCN直肠癌专家组成员* Paul F. Engstrom, MD/Chair Fox Chase Cancer CenterJ. Pablo Arnoletti, MD University of Alabama at Birmingham Comprehensive Cancer Center* Al B. Benson, III, MD Robert H. Lurie Comprehensive Cancer Center of Nor

10、thwestern UniversityEmily Chan, MD, PhD Vanderbilt-Ingram Cancer CenterYi-Jen Chen, MD, PhD City of Hope Comprehensive Cancer Center* Michael A. Choti, MD, MBA The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Harry S. Cooper, MD Fox Chase Cancer CenterRaza A. Dilawari, MD St. Jude Chil

11、drens Research Hospital/University of Tennessee Cancer InstitutePeter C. Enzinger, MD Dana-Farber/Brigham and Womens Cancer CenterMarwan G. Fakih, MD Roswell Park Cancer InstituteJames W. Fleshman, Jr., MD Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of MedicineCh

12、arles S. Fuchs, MD, MPH Dana-Farber/Brigham and Womens Cancer Center Jean L. Grem, MD UNMC Eppley Cancer Center at The Nebraska Medical CenterJames A. Knol, MD University of Michigan Comprehensive Cancer CenterLucille A. Leong, MD City of Hope Comprehensive Cancer CenterEdward Lin, MD Fred Hutchinso

13、n Cancer Research Center/Seattle Cancer Care AllianceMary F. Mulcahy, MD Robert H. Lurie Comprehensive Cancer Center of Northwestern UniversityEric Rohren, MD, PhD The University of Texas MD Anderson Cancer CenterDavid P. Ryan, MD Massachusetts General Hospital Cancer Center* Leonard Saltz, MD Memor

14、ial Sloan-Kettering Cancer CenterSunil Sharma, MD Huntsman Cancer Institute at the University of UtahDavid Shibata, MD H. Lee Moffitt Cancer Center and Research InstituteJohn M. Skibber, MD The University of Texas MD Anderson Cancer CenterWilliam Small, Jr., MD Robert H. Lurie Comprehensive Cancer C

15、enter of Northwestern UniversityConstantinos T. Sofocleous, MD, PhD Memorial Sloan-Kettering Cancer CenterJames Thomas, MD, PhD The Ohio State University Comprehensive Cancer Center - James Cancer Hospital 124:979-994.d 见病理评估原则(REC-A)内镜下切除的恶性息肉。REC-1带蒂息肉或广基息 肉腺瘤 (管状、 绒毛 管状或绒毛状) 伴 浸润癌 病理评估b,c 结肠镜检查 标

16、记癌性息肉部位(结肠镜下切除时或切除后2周内)单个标本, 完整切除, 具有预后良好的组织学 特征d、 切缘阴性 (仅限于T1)带蒂息肉 伴浸润癌广基息肉 伴浸润癌标本破碎或切缘未能评 估或具有预后不良的组 织学特征d观察观察 或 见初始治疗 (REC-3)见初始治疗 和辅助治疗 (REC-3) National Comprehensive Cancer Network, Inc. All rights reserved. These guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN. The Chinese edition 2011 is the collaborative outcome of the Natio

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