患者和多学科团队的观点观察和等待直肠癌
Helen Mohan1,2,3, Mohammed Rabie2, Ciaran Walsh4
1ACPGBI Advanced Malignancy Subcommittee, London, UK.
观察和等待方法为具有完全临床反应的患者提供了替代方案,但在评估反应和预测复发方面仍然存在挑战. 早期检测再生的生长对于成功的救援手术至关重要.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 观察和等待方法越来越多地讨论患者实现完整的临床反应.
- 共享决策需要探索所有可行的治疗选择.
研究的目的:
- 讨论观察和等待方法的多学科考虑和挑战.
- 在完整的临床反应的背景下,评估观察和等待的作用.
主要方法:
- 多学科审查涉及手术,瘤学和放射学.
- 将患者的观点纳入讨论中.
- 对诊断挑战和监测策略的分析.
主要成果:
- 观察和等待是一个可行的选择,但不是黄金标准.
- 挑战包括准确评估完整的临床反应和预测复发.
- 挽救手术提供了良好的结果 (90%的挽救率),如果早期检测到再生.
结论:
- 有关风险和替代方案的有效患者沟通至关重要.
- 建议在潜在的注册表或临床试验中注册患者的观察和等待.
- 需要进一步的研究来优化监控和管理策略.
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