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孤立性脑转移非小细胞肺癌患者的临床决策探讨

Clinical decision on solitary brain metastasis in patients with nonsmall cell lung cancer

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【作者】 王斌孟斌肖渤瀚宫立群王晓光赵路军潘战宇

【Author】 Bin WANG;Bin MENG;Bohan XIAO;Liqun GONG;Xiaoguang WANG;Lujun ZHAO;Zhanyu PAN;Department of Integrated Traditional and Western Medicine,Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Therapy;Department of Pathology,Tianjin Medical University Cancer Institute and Hospital;Department of Radiology,Tianjin Medical University Cancer Institute and Hospital;Departments of Lung Cancer,Tianjin Medical University Cancer Institute and Hospital;Department of Neurosurgery and Neuro-Oncology,Tianjin Medical University Cancer Institute and Hospital;Department of Radiation Oncology,Tianjin Medical University Cancer Institute and Hospital;

【机构】 天津医科大学肿瘤医院中西医结合科,国家肿瘤临床医学研究中心,天津市肿瘤防治重点实验室天津医科大学肿瘤医院病理科天津医科大学肿瘤医院放射科天津医科大学肿瘤医院肺部肿瘤科天津医科大学肿瘤医院脑系肿瘤科天津医科大学肿瘤医院放射治疗科

【摘要】 既往认为孤立性脑转移非小细胞肺癌(NSCLC)患者属于Ⅳ期,一般不考虑手术治疗,仅给予化疗或放疗等治疗,但很难达到理想的疗效。近年来通过多学科协作体系(MDT)给予规范化、个体化治疗,使患者的获益程度明显增加,甚至可以达到治愈。现介绍2例天津医科大学肿瘤医院多学科协作治疗孤立性脑转移NSCLC患者的病例,以期探讨和制定相应诊疗规范,让更多的患者受益。

【Abstract】 Solitary brain metastasis in non-small cell lung cancer(NSCLC) patients was previously considered as Stage IV. Generally, only chemotherapy or radiotherapy rather than surgery was considered the treatment for these patients; hence, achieving the desired effect was difficult. In recent years, the treatment benefit for these patients significantly increased. Several patients were even provided the chance of being cured through standardized and individualized treatment by a multiple disciplinary team(MDT). This article introduces two solitary brain metastasis patients with NSCLC who were treated by MDT in Tianjin Medical University Cancer Institute and Hospital. This article aims to explore a complete set of diagnostic and treatment practices for the benefit of more patients.

  • 【文献出处】 中国肿瘤临床 ,Chinese Journal of Clinical Oncology , 编辑部邮箱 ,2015年05期
  • 【分类号】R734.2
  • 【被引频次】1
  • 【下载频次】136
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