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唾液腺癌整合诊治专家共识

Expert consensus on holistic integrative management of salivary gland cancer

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【作者】 孙沫逸; 何宗轩; 李昀; 徐豪越; 李小莹; 展晓红; 席庆; 郝大鹏; 陆海军; 赵诚; 胡漫; 张杰; 郭伟; 唐瞻贵; 任国欣; 孙志军; 孟箭; 李吉辰; 何悦; 李春洁; 秦力铮; 杨凯; 韩冰; 龚忠诚; 吴炜; 卜令学; 李波; 王宪; 倪前伟; 宋凯; 李洁莹; 徐名金; 尚伟;

【Author】 SUN Moyi;HE Zongxuan;LI Yun;XU Haoyue;LI Xiaoying;ZHAN Xiaohong;XI Qing;HAO Dapeng;LU Haijun;ZHAO Cheng;HU Man;ZHANG Jie;GUO Wei;TANG Zhangui;REN Guoxin;SUN Zhijun;MENG Jian;LI Jichen;HE Yue;LI Chunjie;QIN Lizheng;YANG Kai;HAN Bing;GONG Zhongcheng;WU Wei;BU Lingxue;LI Bo;WANG Xian;NI Qianwei;SONG Kai;LI Jieying;XU Mingjin;SHANG Wei;State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Oral and Maxillofacial Surgery,School of Stomatology,The Fourth Military Medical University;Department of Oral & MaxillofacialSurgery,the Affiliated Hospital of Qingdao University;State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratoryof Stomatology,Department of Medical Rehabilitation,School of Stomatology,The Fourth Military Medical University;Department of Pathology,the Affiliated Hospital of Qingdao University;Oral Department of 1st Medical Center,Chinese PLA General Hospital;Department of Radiotherapy,Affiliated Hospital of Qingdao University;Department of Radiology,Affiliated Hospital of Qingdao University;Ultrasound Department of Qingdao University Affiliated Hospital;Department of Radiation Oncology,Shandong Cancer Hospital and Institute,Shandong First Medical University and Shandong Academy of Medical Sciences;Department of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,Peking University;Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People’s Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine;Department of Oral and Maxillofacial Surgery,Xiangya School of Stomatology,Central South University;Department of Oral and Maxillofacial-Head Neck Oncology Surgery,School and Hospital of Stomatology,Wuhan University;Department of Oral and Maxillofacial Surgery,Xuzhou Central Hospital;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Harbin Medical University;Department of Head and Neck Oncology Surgery,West China Hospital of Stomatology,Sichuan University;Department of Maxillofacial Oncology,Beijing Stomatological Hospital Affiliated to Capital Medical University;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Chongqing Medical University;Department of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,Jilin University;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital/Affiliated Stomatological Hospital of Xinjiang Medical University;Department of Oral and Maxillofacial Surgery,Affiliated Dental Hospital of Guilin Medical University;State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Clinical Research Center for Oral Diseases,Department of Imaging Medicine,School of Stomatology,The Fourth Military Medical University;Maxillofacial Surgery Department of Xinjiang Military Region General Hospital;

【通讯作者】 尚伟;

【机构】 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学口腔医院口腔颌面头颈肿瘤科; 青岛大学附属医院口腔颌面外科,青岛大学口腔医学院; 空军军医大学口腔医院医疗康复科; 青岛大学附属医院病理科; 中国人民解放军总医院第一医学中心口腔科; 青岛大学附属医院肿瘤放疗科; 青岛大学附属医院放射科; 青岛大学附属医院超声科; 山东第一医科大学附属肿瘤医院(山东省肿瘤医院)放疗科; 北京大学口腔医学院口腔颌面外科; 上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科; 中南大学湘雅口腔医学院口腔颌面外科; 武汉大学口腔医学院口腔颌面-头颈肿瘤外科; 徐州市中心医院口腔颌面外科; 哈尔滨医科大学附属第一医院口腔颌面外科; 四川大学华西口腔医学院头颈肿瘤外科; 首都医科大学附属北京口腔医院口腔颌面头颈肿瘤科; 重庆医科大学附属第一医院口腔颌面外科; 吉林大学口腔医院口腔颌面外科; 新疆医科大学第一附属医院口腔颌面肿瘤外科; 桂林医科大学附属口腔医院口腔颌面外科; 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院影像医学科; 新疆军区总医院颌面外科;

【摘要】 唾液腺癌(SGCs)是头颈部恶性肿瘤的重要组成部分,其组织学类型复杂,生物学行为差异显著,诊治策略亦不尽相同。目前,手术切除是主要治疗手段,放射治疗及个体化综合治疗为重要辅助手段。针对SGCs在病理分类、影像评估、手术切除范围、神经功能保留及区域淋巴处理等方面存在的诊疗差异,本共识在系统性文献回顾及多学科专家讨论基础上,结合中国临床实践,提出规范化的诊断与综合治疗建议,旨在通过优化SGCs的诊疗路径,提高临床诊疗的一致性,为推动我国唾液腺癌的标准化治疗提供参考。

【Abstract】 Salivary gland cancers(SGCs) represent a critical subset of head and neck cancers,characterized by heterogeneous histological types and diverse biological behaviors necessitating tailored diagnostic and therapeutic strategies.Surgical resection remains the primary curative modality,while radiotherapy and individualized multimodal approaches serve as essential adjuncts.To address current challenges in pathological classification,imaging assessment,surgical resection margins,neurofunctional preservation,and management of regional lymph nodes,this consensus proposes standardized diagnostic and comprehensive treatment recommendations through a systematic literature review and multidisciplinary expert consensus.By optimizing clinical pathways for SGCs,we aim to enhance diagnostic and therapeutic consistency in Chinese clinical practice and establish a foundation for advancing standardized care for SGCs in China.

【基金】 空军军医大学第三附属医院新技术新业务项目(编号:LX2021-402);青岛大学附属医院项目(编号:QDFYQN2023203,QDFY+X2024221)
  • 【文献出处】 实用口腔医学杂志 ,Journal of Practical Stomatology , 编辑部邮箱 ,2026年01期
  • 【分类号】R739.87
  • 【下载频次】46
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