Jolly Shruti, Soni Payal, Gaffney David K, Biagioli Matthew, Elshaikh Mohamed A, Jhingran Anuja, Kidd Elizabeth, Lee Larissa J, Li Linna, Moore David H, Rao Gautam G, Wahl Andrew O, Williams Ned L, Yashar Catheryn M, Small William
Oncology (Williston Park). 2015 Nov;29(11):867-72, 874-5.
These American College of Radiology consensus guidelines were formed from an expert panel on the appropriate use of adjuvant therapy in vulvar cancer after primary treatment with surgery. The American College of Radiology Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. The panel reviewed the pertinent literature in vulvar cancer and voted on three variants to establish appropriate use of imaging, adjuvant radiation, including dose, fields, and technique, as well as adjuvant chemotherapy. This report will aid clinicians in selecting appropriate patients for adjuvant treatment and will provide guidelines for the optimal delivery of adjuvant radiation therapy and chemotherapy.
这些美国放射学会共识指南由一个关于外阴癌手术后辅助治疗恰当应用的专家小组制定。美国放射学会适宜性标准®是针对特定临床情况的循证指南，每3年由一个多学科专家小组进行审查。指南的制定和审查包括对同行评审期刊上当前医学文献的广泛分析，以及应用成熟的共识方法（改良德尔菲法）由专家小组对外科手术和治疗程序的适宜性进行评分。在缺乏证据或证据不明确的情况下，可采用专家意见来推荐影像检查或治疗。该专家小组查阅了外阴癌的相关文献，并就三个变量进行投票，以确定影像检查、辅助放疗（包括剂量、照射野和技术）以及辅助化疗的恰当应用。本报告将帮助临床医生选择适合辅助治疗的患者，并为辅助放疗和化疗的最佳实施提供指南。
