多发磨玻璃结节(GGN)样肺癌是同时性多原发肺癌的一种特殊类型,同时存在2个及2个以上病灶,具有“惰性”发展、极少淋巴结或远处转移、病理阶段相同或不同、驱动基因突变具有差异性、影像学表现多样化和预后较好等特点。为规范多发GGN样肺癌的诊疗行为,降低过度诊治和诊治不足等问题,由中国医药教育协会肺癌医学教育委员会、中国胸外科肺癌联盟、中国抗癌协会肿瘤消融治疗专业委员会、中国临床肿瘤学会(CSCO)肿瘤消融专家委员会、中国医师协会介入医师分会肿瘤消融专家工作组组织国内有关专家,讨论制订了《多发磨玻璃结节样肺癌多学科诊疗中国专家共识(2024年版)》。主要内容包括:多发GGN样肺癌的随访策略、鉴别诊断、诊断与分期、治疗手段和治疗后随访。
Multiple ground glass nodules (GGN) like lung cancer is a special type of synchronous multiple primary lung cancer, with two or more lesions present simultaneously. It has characteristics such as“indolent”development, less lymph node or distant metastasis, identical or different pathological stages, differential driving gene mutations, diverse imaging manifestations, and good prognosis. In order to standardize the diagnosis and treatment behavior of multiple GGN-like lung cancer, reduce issues such as over diagnosis and insufficient treatment, relevant domestic experts are organized by The Lung Cancer Medical Education Committee of the Chinese Medical Education Association, Lung Cancer Alliance of Chinese Thoracic Surgery, the Society of Tumor Ablation Therapy of the Chinese Anti-Cancer Association, the Tumor Ablation Expert Committee of the Chinese Society of Clinical Oncology, the Tumor Ablation Expert Group of the Chinese College of Interventionalists, The Chinese Expert Consensus:Multidisciplinary Diagnosis and Treatment of Multiple Ground-Glass Nodule Like Lung Cancer (2024 Edition) was discussed and formulated. The main content includes: follow-up strategies, differential diagnosis, diagnosis and staging, treatment methods, and post treatment follow-up for multiple GGN-like lung cancer.
中国医药教育协会肺癌医学教育委员会,中国胸外科肺癌联盟,中国抗癌协会肿瘤消融治疗专业委员会,等. 多发磨玻璃结节样肺癌多学科诊疗中国专家共识(2024年版)[J]. 中华内科杂志,2024,63(02):153-169.
DOI:10.3760/cma.j.cn112138-20230907-00116Request permissions for this article from CCC.
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