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论文摘要

口腔鳞状细胞癌临床诊治的规范化和个体化:机遇与挑战

Standardized and individualized diagnosis and treatment of oral squamous cell carcinoma: opportunities and challenges

作者:钟来平

Author:Zhong Laiping

收稿日期:2020-02-20          年卷(期)页码:2020,38(5):484-484-488

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:口腔鳞状细胞癌,规范化诊治,个体化治疗,

Key words:oral squamous cell carcinoma,standardized diagnosis and treatment,individualized treatment,

基金项目:国家自然科学基金(81972525);国家自然科学基金(81672660);上海市卫生健康委员会学科带头人计划(2018BR41);上海交通大学医学院附属第九人民医院临床研究型MDT项目(201916)

中文摘要

如何提高口腔鳞状细胞癌(OSCC)患者的疗效,一直是临床与基础研究的重点。恶性肿瘤规范化诊治的目的就是提高疗效,而在规范化诊治基础上的个体化治疗,有可能进一步提高疗效。本文在OSCC现有诊治指南的基础上,针对OSCC临床分期的更新内容、外科治疗的肿瘤手术切缘、早期OSCC的颈部淋巴结清扫、局晚期OSCC术前诱导治疗和术后辅助治疗等方面,探讨OSCC的规范化和个体化诊治的机遇与挑战,分享临床研究思路,旨在优化现有治疗方案、提高治疗效果、完善治疗指南。

英文摘要

How to improve the effects of treatment on patients with oral squamous cell carcinoma (OSCC) has always been the focus of clinical and basic studies. The standardized diagnosis and treatment of malignant tumors aim to improve the effects of treatment, and individualized treatment based on standardized diagnosis and treatment may further improve these effects. On the basis of the existing guidelines for the diagnosis and treatment of patients with OSCC, this study explored the opportunities and challenges of standardized and individualized diagnosis and treatment of OSCC. These challenges and opportunities were related to the updates of clinical and pathological staging system, surgical margins, and neck dissection in patients with OSCC at early stage and preoperative induction therapy and postoperative adjuvant treatment in patients with advanced OSCC. This study also shared ideas on clinical studies of OSCC to optimize the existing treatment schemes, improve the treatment effects, and enhance the guidelines.

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