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《中国结直肠癌诊疗规范(2023年版)》专家共识

[Expert consensus on the early diagnosis and treatment of colorectal cancer in China (2023 edition)].

出版信息

Zhonghua Yi Xue Za Zhi. 2023 Dec 26;103(48):3896-3908. doi: 10.3760/cma.j.cn112137-20230804-00164.

Abstract

Colorectal cancer (CRC) has been a common malignant tumor in China. Through the great effort in cancer prevention and treatment, the 5-year survival rate of patients with CRC in China has been largely improved. However, insufficient early diagnosis and treatment have seriously impeded the prognosis of Chinese CRC patients. The Early Diagnosis and Treatment Group of the Chinese Medical Association, Oncology Branch organized experts in the area of CRC to write the Expert Consensus on the Early Diagnosis and Treatment of Colorectal Cancer in China and issued it publicly (2020 edition). The 2020 edition of expert consensus has been meaningful to the early diagnosis and standardized treatment of CRC. Based on the prior edition, the Early Diagnosis and Treatment Group of the Chinese Medical Association, Oncology Branch revise the consensus focused on the early screening and diagnosis protocols for colorectal cancer, endoscopic/surgical management of early colorectal tumor, as well as adjuvant treatment and remedial measures and follow-up monitoring protocols. The 2023 edition of the consensus not only synthesized the latest evidence from China and combined it with the specific national condition and clinical practice, but also referred to the international guidelines. This 2023 edition consensus, developed for clinicians working on the screening, early diagnosis and treatment for CRC, would further promote the standardization and advances in the diagnosis and treatment of CRC at the early stage in China, and improve the survival and prognosis of CRC.

摘要

结直肠癌(CRC)在中国一直是一种常见的恶性肿瘤。通过在癌症防治方面的巨大努力,中国CRC患者的5年生存率有了很大提高。然而,早期诊断和治疗不足严重阻碍了中国CRC患者的预后。中华医学会肿瘤学分会结直肠癌早期诊断与治疗学组组织该领域专家撰写了《中国结直肠癌诊疗规范(2020年版)》并公开发布。2020年版专家共识对CRC的早期诊断和规范化治疗具有重要意义。在此基础上,中华医学会肿瘤学分会结直肠癌早期诊断与治疗学组对共识进行修订,重点围绕结直肠癌的早期筛查与诊断方案、早期结直肠肿瘤的内镜/外科处理,以及辅助治疗、补救措施和随访监测方案等方面。2023年版共识不仅综合了来自中国的最新证据,并结合我国具体国情和临床实践,还参考了国际指南。本2023年版共识是为从事CRC筛查、早期诊断和治疗的临床医生制定的,将进一步推动中国CRC早期诊断和治疗的规范化及进步,提高CRC患者的生存率和预后。

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