妇科恶性肿瘤多学科诊疗中国专家共识（2022年版）

doi:10.19401/j.cnki.1007-3639.2022.08.010

摘要/Abstract

摘要：

近年来,随着妇科恶性肿瘤综合治疗新策略的不断涌现,以及生殖肿瘤学和遗传肿瘤理念的演进,传统的“单学科诊疗”模式已难于以最优的方案解决患者的诊疗问题。多学科诊疗（multidisciplinary team,MDT）可以使患者获得最科学、最合理的诊疗,有利于改进和完善现有的治疗方式,从而提高医疗效率及质量。基于MDT领域国内外最新研究进展及临床实践经验,中国抗癌协会妇科肿瘤专业委员会组织国内妇科肿瘤及相关领域的专家,针对妇科恶性肿瘤MDT运行流程、监测评估及质量控制,制订了《妇科恶性肿瘤多学科诊疗中国专家共识（2022年版）》,希望通过本共识,提高中国临床工作者对于妇科恶性肿瘤MDT的认识,以指导和规范MDT在妇科恶性肿瘤诊疗中的临床运用。

关键词: 妇科, 肿瘤, 多学科综合治疗, 共识

Abstract:

Recently, new strategies for the integrated treatment of gynecological malignancies have been improved along with the development of reproductive oncology and hereditary tumors concepts. The traditional “single-disciplinary treatment” mode is difﬁcult to optimally solve the diagnosis and treatment problems of patients. The application of multidisciplinary team (MDT) can provide the most scientiﬁc and reasonable diagnosis and treatment plan for patients and reﬁne the existing therapies to improve the efﬁcacy and quality of medical treatment. Based on the most recent advances and clinical practice experience in MDT of gynecological malignancies, The Society of Gynecological Cancer of China Anti-Cancer Association organized multidisciplinary experts in gynecologic oncology and related area to formulate “Consensus of Chinese experts on multidisciplinary team of gynecological malignant tumors (2022 edition)”, in order to improve the understanding of MDT among Chinese gynecologic oncologists and further standardize the application of MDT in gynecological malignancies.

Key words: Gynecology, Tumor, Multidisciplinary team, Consensus

中图分类号:

R737.3

中国抗癌协会妇科肿瘤专业委员会, 中国抗癌协会肿瘤多学科诊疗（MDT）专业委员会, 中国医师协会肿瘤多学科诊疗专业委员会. 妇科恶性肿瘤多学科诊疗中国专家共识（2022年版）[J]. 中国癌症杂志, 2022, 32(8): 747-756.

The Society of Gynecological Cancer of China Anti-Cancer Association, Multidisciplinary Diagnosis and Treatment (MDT) Committee of China Anti-Cancer Association, Multidisciplinary Cancer Diagnosis and Treatment Committee of Chinese Medical Doctor Association. Consensus of Chinese experts on multidisciplinary team of gynecological malignant tumors (2022 edition)[J]. China Oncology, 2022, 32(8): 747-756.

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×××MDT日志
MDT地点								MDT时间
首席专家								主持人
单位科室								主管医师
参与科室
参与专家
患者基线特征	患者姓名：		住院/门诊号：							MDT次数：
	年龄：		性别：							ECOG评分：
	主诉
	现病史
	月经及婚育
	既往史
	个人史
	家族史
患者临床特征	血压（mmHg）							体温（℃）
	心率（次/分）							呼吸（次/分）
	体格检查
	实验室检查
	影像学诊断
	影像学检查时间（填写检测日期,非报告日期）：
	病理学诊断
	病理学检查时间（填写活检的日期,非报告日期）：
	基因突变检测
	基因检测时间（填写活检的日期,非报告日期）：
	既往治疗&疗效评估
	既往治疗：填写治疗方案开始日期,初始治疗者填写“无”
目前诊断（分期）：
MDT目的/拟讨论问题：
MDT专家意见
各科专家意见
	首席专家意见
	MDT共识及意见
	循证医学证据
	参考指南
参照临床试验
参考文献
执行反馈否全部完成
完全执行			部分执行					未执行
随访信息
随访时间			是否死亡					是 □ 否 □
如果是则死亡日期						死亡原因
肿瘤评价		□ 好转;□ 复发;□ 转移;□ 进展;□ 稳定
复发情况	局部										目前诊断
复发情况	远处										目前诊断
不良反应	≥3级不良反应						发生时间
	1级不良反应
	2级不良反应
	3级不良反应
复发后治疗方式
外科
内科
放疗
疗效评价指标
DFS：月	PFS：月				OS：月				QOL：
是否纳入临床试验
患者是否满足入排标准：				否□				是□
如果“是”请填写入组临床试验注册号