Uwer Lionel, Rios Maria, Sommelet Danièle, Mole Daniel, Sirveaux François, Verhaeghe Jean-Luc, Stines Joseph, Bey Pierre
Centre régional de lutte contre le cancer Alexis-Vautrin, avenue de Bourgogne 54511 Vandoeuvre-lès-Nancy.
Bull Cancer. 2003 Mar;90(3):269-77.
Tumors of bone and soft tissues in adults are rare accounting in France for 2000 to 2500 new cases per year. These tumors are heterogenous and their diagnosis is made after first surgery. Therefore, an early pluridisciplinary approach, by physicians who have acquired an expertise in this field, is advised before any biopsy or surgical resection and at all the further step in the subfrequent management. This paper describes the experience of a pluridisciplinary committee, specialized in malignant tumors of bone and soft tissues in adults, with a highly specialized team which is part of a network in the treatment of cancer in Lorraine, the Oncolor network, before the distribution of regional guidelines. After a description of the organisation of this committee, we made a retrospective analysis of all the cases submitted to these experts advice for the first time, between January and December 2000. This study reveals an insufficient pluridisciplinary coordination at the initial management, which has been done by making regional referentials available, and therefore some errors which lead in some cases to inadapted treatment. It underlines therefore the necessity to implement more actively the present data of science, and to develop the management in multidisciplinary committees. Oncolor aims to harmonize this pluridisciplinary approach as well as to diffuse standard recommendations.
成人骨与软组织肿瘤较为罕见，在法国每年新增病例为2000至2500例。这些肿瘤具有异质性，其诊断在首次手术后做出。因此，建议在进行任何活检或手术切除之前，以及在不常见治疗的所有后续步骤中，由该领域的专业医生采取早期多学科方法。本文描述了一个专门处理成人骨与软组织恶性肿瘤的多学科委员会的经验，该委员会拥有一支高度专业化的团队，是洛林癌症治疗网络Oncolor网络的一部分，这是在区域指南发布之前。在描述了该委员会的组织情况后，我们对2000年1月至12月期间首次提交给这些专家建议的所有病例进行了回顾性分析。这项研究表明，在初始管理中多学科协调不足，这是通过提供区域参考资料来完成的，因此存在一些错误，在某些情况下导致治疗不当。因此，它强调有必要更积极地应用当前的科学数据，并发展多学科委员会的管理。Oncolor旨在协调这种多学科方法，并传播标准建议。
