在INDEPSO-ISPSM共识围恶性瘤-诊断和管理围间皮瘤共识
Ambarish Chatterjee1, Ashwin K Rajagopal2, Vivekanand Sharma3
1Department of Surgical Oncology, Apollo Hospital, Nashik, India.
Indian journal of surgical oncology
|December 19, 2025
概括
细胞还原性手术 (CRS) 和高热性腹膜内化学疗法 (HIPEC) 是切除性腹膜间皮瘤 (PeM) 的标准治疗方法. 这种共识建立了PM管理的指导方针,包括诊断评估和手术技术.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 腹膜间皮瘤 (PeM) 的管理需要标准化的方法.
- 专家的共识对于优化诊断和治疗策略至关重要.
研究的目的:
- 建立关于腹膜间皮瘤 (PeM) 管理的共识.
- 定义诊断评估,患者选择,以及细胞还原手术 (CRS) 和PeM的腹腔内治疗的技术方面.
主要方法:
- 经过修改的德尔菲方法,有两轮投票.
- 27个问题涵盖了诊断,CRS程度,淋巴切除术,HIPEC疗程,化疗,监测和息护理.
- 共识定义为>70%的协议 (强大的共识>90%).
主要成果:
- 在22/27 (48.14%) 问题上达成共识;在33.33%问题上达成强烈共识.
- 百分之百同意CRS-HIPEC是可切除PeM的标准护理,没有任何禁忌.
- 加强了对西斯丁-多克索鲁比辛HIPEC,全身外周切除术和新辅助化疗的建议.
结论:
- 在PM管理的关键方面达成共识,包括外科手术期间的全身化疗指示.
- 开发的治疗算法作为印度临床医生的临床决策工具.
- 强有力的共识突出了改善PeM患者护理的关键领域.
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