中国癌症杂志 ›› 2015, Vol. 25 ›› Issue (11): 849-853.doi: 10.3969/j.issn.1007-3969.2015.11.002

• 特约专家述评及综述 • 上一篇    下一篇

结直肠癌NCCN、NICE及ESMO指南的对比分析和解读

王贵玉   

  1. 哈尔滨医科大学附属第二医院结直肠肿瘤外科,哈尔滨医科大学大肠癌研究所,黑龙江 哈尔滨 150086
  • 出版日期:2015-11-30 发布日期:2016-02-01
  • 通信作者: 王贵玉 E-mail:guiywang@163.com

Comparative analysis and interpretation of NCCN, NICE and ESMO guidelines for colorectal cancer

WANG Guiyu   

  1. Department of Colorectal Surgery, the Second Affiliated Hospital of Harbin Medical University, Colorectal Cancer Institute of Harbin Medical University, Harbin 150086, Heilongjiang, China
  • Published:2015-11-30 Online:2016-02-01
  • Contact: Guiyu Wang E-mail: guiywang@163.com

摘要: 结直肠癌的规范化治疗是患者得到正确合理治疗的一个重要保障。国外有很多重要诊断治疗指南指导结直肠癌的规范化治疗,其中影响力最大的指南分别是结直肠癌NCCN指南、ESMO指南和NICE指南。NCCN指南是由美国牵头制定的极具影响力的规范化治疗指南,ESMO指南是由欧洲肿瘤内科学会颁布,NICE指南是由英国国家卫生与临床优化研究所发布的成人结直肠癌诊断和管理临床实践指南。这三个指南在结直肠癌的诊断和治疗上存在着一些共同和不同之处,拟就其中的一些关注点进行分析解读,希望对我国的结直肠癌规范化治疗能起到一些参考借鉴作用。

关键词: 结直肠癌, NCCN指南, ESMO指南, NICE指南

Abstract: It is important for patients with colorectal cancer to receive standard and reasonable treatment. There are many clinical practice guidelines for diagnosis and treatment of colorectal cancer. However, the most influential guidelines are NCCN, ESMO and NICE guidelines. NCCN guidelines are the most world-renowned
guidelines from National Comprehensive Cancer Network of the United States; ESMO guidelines are promulgated by the European Society for Medical Oncology; NICE guidelines are guidance of diagnosis and management for colorectal cancer issued by the National Institute for Health and Care Excellence of the United Kingdom. They are very similar in case management and treatment principles. However, there are still some differences in indications for drugs, treatment of hereditary colorectal cancer, laparoscopy indication and management of ileus. Here we discuss some of these differences and provide a reference for standardization of colorectal cancer treatment in China.

Key words: Colorectal cancer, NCCN guideline, ESMO guideline, NICE guideline