2011年《NCCN多发性骨髓瘤临床实践指南》解读(附指南)

2011-04-05 MedSci原创 MedSci原创

作者:北京大学血液病研究所 黄晓军 来源:中国医学论坛报      黄晓军教授现任北京大学人民医院血液病研究所所长,兼任第八届中华医学会血液学分会候任主任委员,中国医师协会血液科医师分会会长,中华医学会血液分会造血干细胞移植应用学组组长   《美国国立综合癌症网络(NCCN)肿瘤学临床实践指南》是由美国21 家顶级癌症中心组成的非营利性学术联盟制订的指南,自1995年起每年发表各

作者:北京大学血液病研究所 黄晓军 来源:中国医学论坛报      黄晓军教授现任北京大学人民医院血液病研究所所长,兼任第八届中华医学会血液学分会候任主任委员,中国医师协会血液科医师分会会长,中华医学会血液分会造血干细胞移植应用学组组长   《美国国立综合癌症网络(NCCN)肿瘤学临床实践指南》是由美国21 家顶级癌症中心组成的非营利性学术联盟制订的指南,自1995年起每年发表各类肿瘤的临床诊治规范。这些指南  既是美国肿瘤领域临床决策的标准,也已成为全球肿瘤临床实践中应用最广泛的指南。NCCN的指南更新很快,体现了学科的最新发展,均按类似决策树的路线图进行组织,便于临床医师方  便快捷地找到正确的治疗路线。本文主要解读2011 年《NCCN多发性骨髓瘤(MM)临床实践指南》(以下简称《指南》)。   2011 版《指南》重要更新点初诊项目和临床表现中,血清游离轻链(FLC)的检测被加入初诊项目而非之前的“在某些情况下检查”,增加荧光原位杂交(FISH)1q21 扩增检测。MM 的诱导治疗及随访中,将冒烟型(无症状)“ 进展

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    2011-07-05 jml2009
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