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结肠癌临床实践指南(2021 年第 2 版),NCCN 肿瘤学临床实践指南。

Colon Cancer, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology.

机构信息

1Robert H. Lurie Comprehensive Cancer Center of Northwestern University.

2UCSF Helen Diller Family Comprehensive Cancer Center.

出版信息

J Natl Compr Canc Netw. 2021 Mar 2;19(3):329-359. doi: 10.6004/jnccn.2021.0012.

Abstract

This selection from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Colon Cancer focuses on systemic therapy options for the treatment of metastatic colorectal cancer (mCRC), because important updates have recently been made to this section. These updates include recommendations for first-line use of checkpoint inhibitors for mCRC, that is deficient mismatch repair/microsatellite instability-high, recommendations related to the use of biosimilars, and expanded recommendations for biomarker testing. The systemic therapy recommendations now include targeted therapy options for patients with mCRC that is HER2-amplified, or BRAF V600E mutation-positive. Treatment and management of nonmetastatic or resectable/ablatable metastatic disease are discussed in the complete version of the NCCN Guidelines for Colon Cancer available at NCCN.org. Additional topics covered in the complete version include risk assessment, staging, pathology, posttreatment surveillance, and survivorship.

摘要

这部分选自 NCCN 肿瘤学临床实践指南(NCCN 指南)中的结肠癌,重点介绍转移性结直肠癌(mCRC)的系统治疗选择,因为该部分最近有了重要更新。这些更新包括对 mCRC 中缺陷错配修复/微卫星不稳定高患者使用检查点抑制剂的一线治疗建议、与生物仿制药使用相关的建议,以及对生物标志物检测的扩展建议。对于 HER2 扩增或 BRAF V600E 突变阳性的 mCRC 患者,系统治疗建议现在包括了靶向治疗选择。在 NCCN.org 上可以获取到 NCCN 结肠癌指南的完整版本,其中讨论了非转移性或可切除/消融转移性疾病的治疗和管理。完整版本中还涵盖了其他主题,包括风险评估、分期、病理学、治疗后监测和生存。

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