• 摘要: 肝脏是结直肠癌血行转移最主要的靶器官,结直肠癌肝转移是结直肠癌治疗的重点和难点之一。为了提高我国结直肠癌肝转移的诊断和综合治疗水平,自2008年起联合编写《中国结直肠癌肝转移诊断和综合治疗指南》(以下简称指南)并后续进行了多次修订,以期指导对患者进行全面评估,精准地制订个体化的治疗目标,开展综合治疗,达到预防肝转移发生、提高肝转移灶局部毁损率、延长长期生存时间和改善生命质量的目的。本次修订后的2025版指南对以往结直肠癌肝转移的诊断和随访、预防、多学科团队作用、手术等毁损治疗、新辅助和辅助治疗、综合治疗等6部分内容进行更新,强调基于基因分子分型的精准治疗,尤其推荐错配修复缺陷/微卫星高度不稳定患者行免疫检查点抑制剂治疗,并丰富了局部治疗手段,如肝移植、钇⁃90微球选择性内放射治疗等。指南汇集总结国内外先进经验和最新成果,内容详尽,可操作性强。

     

    Abstract: The liver is the main target organ for hematogenous metastases of colorectal cancer, and colorectal liver metastasis is one of the most difficult and challenging situations in the treatment of colorectal cancer. In order to improve the diagnosis and comprehensive treatment in China, the Guideline for diagnosis and comprehensive treatment of colorectal liver metastases (here in after referred to as the Guideline) has been edited and revised for many times since 2008, including the overall evaluation, personalized treatment goals and comprehensive treatments, to prevent the occurrence of liver metastases, increase the local damage rate of liver metastases, prolong long-term survival, and improve quality of life. The revised Guideline 2025 edition includes the diagnosis and follow-up, prevention, multidisciplinary team, surgery and local ablative treatment, neoadjuvant and adjuvant therapy, and comprehensive treatment. The revised guideline emphasizes precision treat-ment based on genetic molecular typing, especially recommending immune checkpoint inhibitors for mismatch repair-deficient/microsatellite instability-high patients and enriched local treatment methods, such as liver transplantation, yttrium-90 microsphere selective internal radiotherapy, etc. The revised guideline collects and summarizes the advanced experience and latest achievements in this field at home and abroad, with detailed contents and strong operability.

     

/

返回文章
返回