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意大利胆管癌临床实践指南 - 第二部分:治疗。

Italian Clinical Practice Guidelines on Cholangiocarcinoma - Part II: Treatment.

出版信息

Dig Liver Dis. 2020 Dec;52(12):1430-1442. doi: 10.1016/j.dld.2020.08.030. Epub 2020 Sep 18.

Abstract

Currently, the only curative treatment for cholangiocarcinoma (CCA) is surgical resection, though this treatment is possible in less than 40% of patients. However, recent improvements in preoperative management have led to a higher number of patients who are candidates for this procedure. For unresectable patients, progress is ongoing in terms of locoregional and chemoradiation treatments and target therapies, especially in the definition of patient selection criteria. This is the second part of the Italian CCA guidelines, dealing with CCA treatment, that have been formulated in accordance with Italian National Institute of Health indications and developed according to the GRADE method and related advancements.

摘要

目前,胆管癌(CCA)唯一的根治性治疗方法是手术切除,但只有不到 40%的患者适用这种治疗方法。然而,最近术前管理的改进使得更多的患者有机会接受这种手术。对于不可切除的患者,局部和放化疗以及靶向治疗方面正在取得进展,尤其是在患者选择标准的定义方面。这是意大利 CCA 指南的第二部分,涉及 CCA 的治疗,该指南是根据意大利国家卫生研究院的指示制定的,并根据 GRADE 方法和相关进展进行了开发。

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