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临床实践指南:2006年软组织肉瘤(肢体肉瘤、子宫肉瘤和腹膜后肉瘤)患者放射治疗管理建议的更新

[Clinical practice guidelines: 2006 update of recommendations for the radiotherapeutic management of patients with soft tissue sarcoma (sarcoma of the extremity, uterine sarcoma and retroperitoneal sarcoma].

作者信息

Le Péchoux C, Pautier P, Delannes M, Bui B N, Bonichon F, Bonvalot S, Chevalier-Place A, Coindre J-M, Le Cesne A, Morice P, Ray-Coquard I, Stöeckle E, Taieb S

机构信息

Institut Gustave-Roussy, Villejuif, France.

出版信息

Cancer Radiother. 2006 Jun;10(4):185-207. doi: 10.1016/j.canrad.2006.04.001.

DOI:10.1016/j.canrad.2006.04.001
PMID:16917992
Abstract

CONTEXT

The National French Federation of Comprehensive Cancer Centres (FNCLCC) initiated the update of clinical practice guideline for the management of patients with soft tissue sarcoma in collaboration with the French Sarcoma Group (GSF-GETO), specialists from French public universities, general hospitals and private clinics and with the French National Cancer Institute. This work is based on the methodology developed in the "Standards, Options and Recommendations" (SOR) project.

OBJECTIVES

To update SOR guidelines for the management of patients with soft tissue sarcoma previously validated in 1995.

METHODS

The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts who define the CPGsaccording to the definitions of the Standards, Options and Recommendations project. Once the guidelines have been developed, they are reviewed by independent reviewers.

RESULTS

This article presents the updated recommendations for radiotherapeutic management. The main recommendations are: 1) irradiation before or after surgical treatment is the standard for soft tissue sarcoma of the extremity and uterine sarcoma; 2) no systematic irradiation should be done in case of retroperitoneal sarcoma.

摘要

背景

法国综合癌症中心全国联合会(FNCLCC)与法国肉瘤研究组(GSF - GETO)、法国公立大学、综合医院及私立诊所的专家以及法国国家癌症研究所合作,启动了软组织肉瘤患者管理临床实践指南的更新工作。这项工作基于“标准、选项及建议”(SOR)项目所制定的方法。

目的

更新1995年已验证的软组织肉瘤患者管理的SOR指南。

方法

该方法基于多学科专家小组的文献综述和批判性评估,这些专家根据“标准、选项及建议”项目的定义来制定临床实践指南。指南制定完成后,由独立评审人员进行审核。

结果

本文介绍了放射治疗管理的更新建议。主要建议如下:1)手术治疗前或后进行放疗是肢体软组织肉瘤和子宫肉瘤的标准治疗方法;2)腹膜后肉瘤患者不应进行系统性放疗。

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