Jaffe N
Can J Surg. 1977 Nov;20(6):537-9.
Disseminated malignant disease should be approached with the intention of curing the patient. This requires a multidisciplinary approach. Essential to the successful application of multidisciplinary treatment is the administration of effective chemotherapy, which may achieve reduction in both microscopic disease and overt tumour. In Ewing's sarcoma, the latter should be treated also by irradiation. Limited areas of bulk tumour that have failed to respond or have responded only partially may be removed surgically. Chemotherapy and radiation therapy should be used extensively for palliation; surgery may be required occasionally for control of pain. The decision to treat palliatively should be reached only after patients have received multidisciplinary consultation.
对于播散性恶性疾病，治疗目的应是治愈患者。这需要多学科方法。成功应用多学科治疗的关键是给予有效的化疗，这可能使微小病灶和明显肿瘤都缩小。在尤因肉瘤中，后者还应接受放疗。对化疗无反应或仅部分有反应的局限性大块肿瘤可通过手术切除。化疗和放疗应广泛用于姑息治疗；偶尔可能需要手术来控制疼痛。只有在患者接受多学科会诊后，才能做出姑息治疗的决定。
