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碘难治性分化型甲状腺癌的诊治管理共识（2019年版）

2019-06-30 中国临床肿瘤学会 中国癌症杂志.2019,29(6):476-480.

碘难治性分化型甲状腺癌

目前，关于碘难治性分化型甲状腺癌(RAIR-DTC)的界定、临床评估、多学科综合治疗及随访策略等热点问题仍存在争议，在中国RAIR-DTC靶向药物仍相对匮乏，各种靶向药物在RAIR-DTC的应用指征仍相对受限。由于RAIR的判断和识别是DTC诊治中的重要环节，有必要基于目前中国的诊治现状进一步规范RAIR-DTC的诊治及管理，本共识将综合目前国内外循证医学证据，以及包括核医学、外科学、肿瘤学、内科

中文标题：

碘难治性分化型甲状腺癌的诊治管理共识（2019年版）

发布机构：

中国临床肿瘤学会

发布日期：

2019-06-30

简要介绍：

目前，关于碘难治性分化型甲状腺癌(RAIR-DTC)的界定、临床评估、多学科综合治疗及随访策略等热点问题仍存在争议，在中国RAIR-DTC靶向药物仍相对匮乏，各种靶向药物在RAIR-DTC的应用指征仍相对受限。由于RAIR的判断和识别是DTC诊治中的重要环节，有必要基于目前中国的诊治现状进一步规范RAIR-DTC的诊治及管理，本共识将综合目前国内外循证医学证据，以及包括核医学、外科学、肿瘤学、内科学及诊断学等多学科团队专家的意见，针对RAIR-DTC的界定、判断、临床处置及随诊管理提出相应的处理建议。 

拓展指南：与甲状腺相关指南：

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碘难治性分化型甲状腺癌的诊治管理共识（2019年版）
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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1075620, encodeId=f17410e562095, content=要是不扣积分就能下载就更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ed1f1300617, createdName=wenas0, createdTime=Tue Nov 30 23:07:14 CST 2021, time=2021-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975909, encodeId=3d909e59096d, content=太好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49db5104520, createdName=爱灵魂, createdTime=Tue Jun 22 19:57:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946135, encodeId=ec1e94613503, content=很不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf5089994, createdName=Hurry Goodsir, createdTime=Sun Mar 07 12:18:34 CST 2021, time=2021-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=808198, encodeId=8ffa8081984f, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200812/12eb84ac55704e4aa15521e988eacf3e/5d748f9a49f0441bba9be10a68081920.jpg, createdBy=61bc5410479, createdName=李和家, createdTime=Wed Aug 12 14:13:03 CST 2020, time=2020-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370387, encodeId=f09d3e038731, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bbc11488193, createdName=thm112988, createdTime=Sun Jul 28 07:01:29 CST 2019, time=2019-07-28, status=1, ipAttribution=)]
    2021-11-30 wenas0

    要是不扣积分就能下载就更好了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1075620, encodeId=f17410e562095, content=要是不扣积分就能下载就更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ed1f1300617, createdName=wenas0, createdTime=Tue Nov 30 23:07:14 CST 2021, time=2021-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975909, encodeId=3d909e59096d, content=太好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49db5104520, createdName=爱灵魂, createdTime=Tue Jun 22 19:57:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946135, encodeId=ec1e94613503, content=很不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf5089994, createdName=Hurry Goodsir, createdTime=Sun Mar 07 12:18:34 CST 2021, time=2021-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=808198, encodeId=8ffa8081984f, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200812/12eb84ac55704e4aa15521e988eacf3e/5d748f9a49f0441bba9be10a68081920.jpg, createdBy=61bc5410479, createdName=李和家, createdTime=Wed Aug 12 14:13:03 CST 2020, time=2020-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370387, encodeId=f09d3e038731, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bbc11488193, createdName=thm112988, createdTime=Sun Jul 28 07:01:29 CST 2019, time=2019-07-28, status=1, ipAttribution=)]
    2021-06-22 爱灵魂

    太好了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1075620, encodeId=f17410e562095, content=要是不扣积分就能下载就更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ed1f1300617, createdName=wenas0, createdTime=Tue Nov 30 23:07:14 CST 2021, time=2021-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975909, encodeId=3d909e59096d, content=太好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49db5104520, createdName=爱灵魂, createdTime=Tue Jun 22 19:57:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946135, encodeId=ec1e94613503, content=很不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf5089994, createdName=Hurry Goodsir, createdTime=Sun Mar 07 12:18:34 CST 2021, time=2021-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=808198, encodeId=8ffa8081984f, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200812/12eb84ac55704e4aa15521e988eacf3e/5d748f9a49f0441bba9be10a68081920.jpg, createdBy=61bc5410479, createdName=李和家, createdTime=Wed Aug 12 14:13:03 CST 2020, time=2020-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370387, encodeId=f09d3e038731, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bbc11488193, createdName=thm112988, createdTime=Sun Jul 28 07:01:29 CST 2019, time=2019-07-28, status=1, ipAttribution=)]
    2021-03-07 Hurry Goodsir

    很不错

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1075620, encodeId=f17410e562095, content=要是不扣积分就能下载就更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ed1f1300617, createdName=wenas0, createdTime=Tue Nov 30 23:07:14 CST 2021, time=2021-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975909, encodeId=3d909e59096d, content=太好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49db5104520, createdName=爱灵魂, createdTime=Tue Jun 22 19:57:21 CST 2021, time=2021-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946135, encodeId=ec1e94613503, content=很不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf5089994, createdName=Hurry Goodsir, createdTime=Sun Mar 07 12:18:34 CST 2021, time=2021-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=808198, encodeId=8ffa8081984f, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200812/12eb84ac55704e4aa15521e988eacf3e/5d748f9a49f0441bba9be10a68081920.jpg, createdBy=61bc5410479, createdName=李和家, createdTime=Wed Aug 12 14:13:03 CST 2020, time=2020-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370387, encodeId=f09d3e038731, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bbc11488193, createdName=thm112988, createdTime=Sun Jul 28 07:01:29 CST 2019, time=2019-07-28, status=1, ipAttribution=)]
    2020-08-12 李和家

    非常好

    0

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    2019-07-28 thm112988

    好

    0