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骨与软组织肿瘤多学科诊疗的专家共识(2026版)

Expert consensus on multidisciplinary diagnosis and treatment of bone and soft tissue tumors(2026 Edition)

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【作者】 中国临床肿瘤学会肉瘤专家委员会中国抗癌协会肉瘤专业委员会多学科诊疗学组范丽叶挺尹军强沈靖南牛晓辉陈静

【Author】 the Sarcoma Expert Committee of Chinese Society of Clinical Oncology;the Multidisciplinary Team Working Group of Sarcoma Professional Committee, Chinese Anti-Cancer Association;CHEN Jing;NIU Xiao-hui;SHEN Jing-nan;

【通讯作者】 沈靖南;牛晓辉;陈静;

【机构】 华中科技大学同济医学院附属协和医院肿瘤中心首都医科大学附属北京积水潭医院骨肿瘤科中山大学附属第一医院骨肿瘤科

【摘要】 <正>骨与软组织肿瘤总体发病率低,病理亚型繁多,临床异质性大,初诊误判率高。其精准诊断需整合临床、影像、病理及分子信息,治疗也高度依赖多学科协作[1-7]。因此,多学科诊疗(multidisciplinary team,MDT)在骨与软组织肿瘤的治疗中发挥着日益重要的作用[8-9]。但当前我国MDT实践存在区域发展不均衡、流程标准化不足等挑战。为响应《“健康中国2030”规划纲要》对肿瘤规范化诊疗的要求,中国临床肿瘤学会(Chinese Society of Clinical Oncology,CSCO)肉瘤专家委员会联合中国抗癌协会(Chinese Anti-Cancer Association,CACA)肉瘤专业委员会MDT学组,组织全国权威专家制定本共识。

【Abstract】 Bone and soft tissue tumors exhibit considerable pathological diversity and marked clinical heterogeneity,resulting in a high rate of initial misdiagnosis.Moreover,optimal treatment strategies are critically dependent on histologic subtype and anatomic location,rendering traditional single-discipline approaches inadequate for delivering optimal care.Multidisciplinary team(MDT) management-integrating expertise from surgery,medical oncology,radiation oncology,radiology,pathology,and other relevant specialties-enables more precise diagnosis,rational therapeutic sequencing,and improved clinical efficiency,thereby significantly enhancing both survival outcomes and quality of life.In response to current clinical needs and evolving practice standards,the Sarcoma Expert Committee of the Chinese Society of Clinical Oncology(CSCO) and the MDT Working Group of the Sarcoma Professional Committee of the Chinese Anti-Cancer Association(CACA) convened a panel of multidisciplinary experts to develop this consensus statement.It systematically outlines the organizational framework,standardized workflow,and quality assurance mechanisms for MDT-based management of bone and soft tissue tumors,with the aim of promoting its standardized and institutionalized implementation and ensuring comprehensive,team-driven decision-making for patients.

  • 【文献出处】 中国骨与关节杂志 ,Chinese Journal of Bone and Joint , 编辑部邮箱 ,2026年05期
  • 【分类号】R738
  • 【下载频次】81
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