孙海燕①, 潘战宇①, 张新伟②, 赵路军③, 肖建宇④, 史业辉⑤, 刘方⑥, 邢文阁⑥, 张杰①. 40例多原发癌姑息治疗多学科会诊临床分析*[J]. 中国肿瘤临床, 2016, 43(15): 674-678. DOI: 10.3969/j.issn.1000-8179.2016.15.595
引用本文: 孙海燕①, 潘战宇①, 张新伟②, 赵路军③, 肖建宇④, 史业辉⑤, 刘方⑥, 邢文阁⑥, 张杰①. 40例多原发癌姑息治疗多学科会诊临床分析*[J]. 中国肿瘤临床, 2016, 43(15): 674-678. DOI: 10.3969/j.issn.1000-8179.2016.15.595
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Haiyan SUN1, Zhanyu PAN1, Xinwei ZHANG2, Lujun ZHAO3, Jianyu XIAO4, Yehui SHI5, Fang LIU6, Wenge XING6, Jie ZHANG1. Clinical analysis of 40 patients with multiple primary carcinomas using multidisciplinary consultation for palliative treatment[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2016, 43(15): 674-678. DOI: 10.3969/j.issn.1000-8179.2016.15.595
Citation: Haiyan SUN1, Zhanyu PAN1, Xinwei ZHANG2, Lujun ZHAO3, Jianyu XIAO4, Yehui SHI5, Fang LIU6, Wenge XING6, Jie ZHANG1. Clinical analysis of 40 patients with multiple primary carcinomas using multidisciplinary consultation for palliative treatment[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2016, 43(15): 674-678. DOI: 10.3969/j.issn.1000-8179.2016.15.595
shu

40例多原发癌姑息治疗多学科会诊临床分析*

Clinical analysis of 40 patients with multiple primary carcinomas using multidisciplinary consultation for palliative treatment

    摘要
  • 摘要: 目的：分析多原发癌临床特点，评价肿瘤姑息治疗多学科专家协作组（multidisciplinaryteam ，MDT ）模式在多原发癌治疗中的作用。方法：回顾性分析2014年1 月至2016年4 月天津医科大学肿瘤医院肿瘤姑息治疗MDT 会诊40例多原发癌患者的临床资料，总结其基本特征、MDT 决策执行情况及其最终达到MDT 预期情况。结果：全组参加会诊的629 例患者中，多原发癌占总会诊例数的6.4%（40/ 629）。 随访的39例患者中，完全执行MDT 决策为26例（65.0%），达到MDT 预期25例（96.2%）；部分执行MDT决策为7 例（17.5%），达到MDT 预期4 例（57.1%）；完全不执行为6 例（15.0%），达到MDT 预期1 例（16.7%）。 结论：肿瘤姑息治疗MDT 会诊能为多原发癌患者提供合理的个体化综合治疗建议，值得进一步完善和推广。

     

    Abstract: Objective:The implementation of a multidisciplinary team (MDT) approach for palliative treatment of patients with multi-ple primary carcinomas (MPCs) was evaluated in Tianjin Medical University Cancer Institute and Hospital. Methods:A total of 40pa-tients with MPCs who attended the consultation by MDT in our hospital from January 1, 2014to April 21, 2016were analyzed retro-spectively. Clinical data of the 40cancer patients were reviewed. The essential characteristics and results of MDT treatment decisions were summarized and expected outcomes were evaluated.Results:A total of 40cases with MPCs were included in MDT assessment, accounting for 6. 4% of the 629 patients who were handled by the MDT. A total of39MDT decisions were followed up successfully. Among these MDT decisions, 26(65%) were fully implemented,7 (17. 5%) were partially implemented, and 6 (15. 0%) were unimple-mented. Expected outcomes were achieved in25(96. 2%) patients of the fully implemented concordant group,4 (57. 1%) patients of the partially concordant group, and 1 (16. 7%) patient from the unimplemented group. Conclusion: MDT specializing on palliative treat-ment can provide recommendations for standardized individualized comprehensive treatment of patients with MPCs. MDT modality should be further improved and widely used for palliative treatment.

     

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