Zhonghua Zhong Liu Za Zhi. 2022 Jul 23;44(7):667-672. doi: 10.3760/cma.j.cn112152-20211221-00959.
Although there are many treatment options for patients with stage Ⅳ primary lung cancer, the problems in the diagnosis and treatment process may involve multiple systems and organs due to their complex condition and heterogeneity. Therefore, cooperation between different disciplines is often required in the process of clinical practice. Multi-disciplinary team (MDT) refers to a fixed working group composed of more than two related disciplines, which puts forward the best treatment strategy for individual patient in the form of regular consultation for a certain system disease, and then the related disciplines implement the treatment strategy alone or jointly. MDT is widely used for disease diagnosis and treatment, and especially suitable for cancer patients. MDT has become a standard procedure for cancer treatment worldwide, including stage Ⅳ primary lung cancer. In order to promote the healthy development of MDT and generally improve the level of diagnosis and treatment of stage Ⅳ primary lung cancer in China, Chinese Association for Clinical Oncologists and Medical Oncology Branch of Chinese International Exchange and Promotion Association for Medical and Healthcare co-organized the national experts committee to formulate "Clinical practice guideline for multi-disciplinary team diagnosis and treatment of stage Ⅳ primary lung cancer in China" .
虽然Ⅳ期原发性肺癌患者有多种治疗选择，但由于其病情复杂且具有异质性，诊疗过程中的问题可能涉及多个系统和器官。因此，临床实践过程中常需要不同学科之间的协作。多学科团队（MDT）是指由两个以上相关学科组成的固定工作小组，针对某一系统疾病，以定期会诊的形式为个体患者提出最佳治疗策略，然后相关学科单独或联合实施治疗策略。MDT广泛应用于疾病的诊断和治疗，尤其适用于癌症患者。MDT已成为全球癌症治疗的标准程序，包括Ⅳ期原发性肺癌。为推动MDT健康发展，普遍提高我国Ⅳ期原发性肺癌的诊疗水平，中国临床肿瘤学会和中国国际医疗保健交流促进会肿瘤内科分会联合组织全国专家委员会制定了《中国Ⅳ期原发性肺癌多学科团队诊疗临床实践指南》。
