标准与讨论
ENGLISH ABSTRACT
多发磨玻璃结节样肺癌多学科诊疗中国专家共识(2024年版)
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
作者及单位信息
·
DOI: 10.3760/cma.j.cn112138-20230907-00116
Chinese expert consensus: multidisciplinary diagnosis and treatment of multiple ground-glass nodule like lung cancer (2024 edition)
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
Liu Baodong
Ye Xin
Fan Weijun
Zhi Xiuyi
Authors Info & Affiliations
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
Liu Baodong
Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
Ye Xin
Department of Oncology, the First Affiliated Hospital of Shandong First Medical University, Shandong Provincial Qianfoshan Hospital, Shandong Institute of Lung Cancer, Jinan 250014, China
Fan Weijun
Department of Minimally Invasive Therapy, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
Zhi Xiuyi
Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
·
DOI: 10.3760/cma.j.cn112138-20230907-00116
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摘要

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。

肺磨玻璃结节;多原发肺癌;诊断;治疗;多学科团队;专家共识
ABSTRACT

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.

Pulmonary ground glass nodules;Multiple primary lung cancers;Diagnosis;Treatment;Multidisciplinary team;Consensus
Liu Baodong, Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, Email: mocdef.nabuyilawxgnodoabuil
Ye Xin, Department of Oncology, the First Affiliated Hospital of Shandong First Medical University, Shandong Provincial Qianfoshan Hospital, Shandong Institute of Lung Cancer, Jinan 250014, China, Email: mocdef.3ab610202naiatnixey
Fan Weijun, Department of Minimally Invasive Therapy, Sun Yat-sen University Cancer Center, Guangzhou 510060, China, Email: mocdef.6ab214691nujiewnaf
Zhi Xiuyi, Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, Email: mocdef.oabohayihziyuix
引用本文

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.cn112138-20230907-00116

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肺癌在世界范围内发病率虽位居第2位,但病死率仍高居首位 1 , 2。肺癌在我国发病形势更加严峻,其发病率和病死率均居恶性肿瘤的首位 3。早期发现、早期诊断、早期治疗是降低肺癌病死率的重要手段。
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备注信息
A
刘宝东,首都医科大学宣武医院胸外科,北京 100053,Email: mocdef.nabuyilawxgnodoabuil
B
叶欣,山东第一医科大学第一附属医院肿瘤中心 山东省千佛山医院 山东省肺癌研究所,济南 250014,Email: mocdef.3ab610202naiatnixey
C
范卫君,中山大学肿瘤防治中心微创介入科,广州 510060,Email: mocdef.6ab214691nujiewnaf
D
支修益,首都医科大学宣武医院胸外科,北京 100053,Email: mocdef.oabohayihziyuix
E
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(2): 153-169. DOI: 10.3760/cma.j.cn112138-20230907-00116.
F
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