资源描述：
《台北荣总肺癌诊疗共识》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、台北榮總肺癌診療共識V.1.02009台北榮總肺癌團隊Revisedon2009/04/13Releasedon2009/05/04台北榮總肺癌診療共識MultidisciplinaryTeamTaipeiVGHLungCancerPanelMembersTNMstagingTaipeiVGHsupplementtoTNMstagingTableofstagegroupingEvaluationandtreatmentStageo(Tis)StageI(T1-2,N0)andStageII(T1-2,N1)StageIIB(T3,N0)andstageIIIA(T3,N1
2、)StageIIIA(T1-3,N3)andstageIIIB(T4,N0-1)StageIIIB(T1-3,N3)StageIIIB(T4,N2-3)(T4:pleuraleffusionorpericardialeffusion)StageIV(M1:solitarysiteordisseminated)SurveillanceTherapyforRecurrenceandMetastasesOccult(Tx,N0,M0),EvaluationandTreatmentSecondLungPrimary,Evaluation,andTreatmentPrinciple
3、sofSurgicalResectionPrinciplesofPathologyPrinciplesofRadiationTherapy-RecommendedRadiationDoses-DoseVolumeDataforRadiationPneumonitisPrinciplesofCCRTPrinciplesofChemotherapy-Non-SmallCellLungCancer-SmallCellLungCancerAdjuvantChemotherapyNeoadjuvantChemotherapyClinicalTrialsforAdvanced/Met
4、astaticNSCLCTrachealcancerReferences關於此臨床指引：肺癌的診療仍在發展階段，本指引主要在呈現目前肺癌診療的進展與共識，醫師應鼓勵病患參與臨床試驗，使其有機會得到最好的治療。在本指引中的化療用藥建議是基於現有的臨床證據，和目前的衛生署或健保局規定無關。癌委會胸內核心成員召集人：蔡俊明、許文虎 副召集人：賴信良、吳玉琮肺癌委員會暨肺癌多專科團隊非核心成員胸外放射病理骨科核醫社工營養放療台北榮總肺癌委員會暨肺癌多專科團隊組織架構藥劑部個案管理師：宋易珍台北榮總肺癌多專科團隊核心人員胸腔內科陳育民賴信良李毓芹蔡俊明胸外吳玉琮許文虎放射吳美翰許明
5、輝病理林可瀚周德盈放療陳一瑋顏上惠邱昭華陳俊谷核醫王世楨NSCLCTNMStagingLababede,O.etal.Chest1999;115:233-235CliftonF.Mountain,CHEST1997RegionalLymphNodeClassificationforLungCancerStaging-Extendedmediastinoscopy-Mediastinotomy-VATS-EUS-FNA-VATS-EBUS-TBNA-VATS(limitedto10and11)-MediastinoscopyEUS-FNAEBUS-TBNAVATS-Medi
6、astinoscopy;EUS-FNA,EBUS-TBNAN1=IpisilateralhilarnodesN2=Subcarinal,ipisilateralmediastinalnodesN3=Contralateralhilar/mediastinal,orsupraclavicularorscalenenodesHowtoApproachEUS:EndoscopicUltrasound;EBUS:Endobronchoscopicultrasound;FNA:FineNeedleAspiration;TBNA:TransbronchoscopicNeedleAsp
7、iration;VATS:VideoAssistedThoracoscopicSurgerySummaryofEvaluationandTreatmentPFT:NecessaryforalloperablestagesPET(PET/CT):recommendforallclinicalstages,exceptWetIIIBorstageIVwithdisseminateM1Mediastinoscopy:recommendforallclinicalstages,exceptPeripheralT1N0WetIIIBor
