J Natl Compr Canc Netw. 2018 Jul;16(7):852-871. doi: 10.6004/jnccn.2018.0060.
The NCCN Guidelines for Anal Carcinoma provide recommendations for the management of patients with squamous cell carcinoma of the anal canal or perianal region. Primary treatment of anal cancer usually includes chemoradiation, although certain lesions can be treated with margin-negative local excision alone. Disease surveillance is recommended for all patients with anal carcinoma because additional curative-intent treatment is possible. A multidisciplinary approach including physicians from gastroenterology, medical oncology, surgical oncology, radiation oncology, and radiology is essential for optimal patient care.
NCCN 肛门癌临床实践指南为肛管或肛门周围鳞状细胞癌患者的管理提供了建议。肛门癌的主要治疗方法通常包括放化疗,尽管某些病变可以单独采用切缘阴性的局部切除术治疗。推荐对所有肛门癌患者进行疾病监测,因为可能需要进行额外的治愈性治疗。包括胃肠病学、肿瘤内科、肿瘤外科、放射肿瘤学和放射科医生在内的多学科方法对于患者的最佳护理至关重要。