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EANO-EURACAN 临床实践指南:用于诊断、治疗和随访青春期后和成年患者的髓母细胞瘤

EANO-EURACAN clinical practice guideline for diagnosis, treatment, and follow-up of post-pubertal and adult patients with medulloblastoma.

机构信息

Department of Medical Oncology, Azienda USL, Bologna, Italy; IRCCS Institute of Neurological Sciences, Bologna, Italy.

Division of Medical Oncology, Luzerner Kantonsspital, Luzern, Switzerland.

出版信息

Lancet Oncol. 2019 Dec;20(12):e715-e728. doi: 10.1016/S1470-2045(19)30669-2.

Abstract

The European Association of Neuro-Oncology (EANO) and EUropean RAre CANcer (EURACAN) guideline provides recommendations for the diagnosis, treatment, and follow-up of post-pubertal and adult patients with medulloblastoma. The guideline is based on the 2016 WHO classification of tumours of the CNS and on scientific developments published since 1980. It aims to provide direction for diagnostic and management decisions, and for limiting unnecessary treatments and cost. In view of the scarcity of data in adults with medulloblastoma, we base our recommendations on adult data when possible, but also include recommendations derived from paediatric data if justified. Our recommendations are a resource for professionals involved in the management of post-pubertal and adult patients with medulloblastoma, for patients and caregivers, and for health-care providers in Europe. The implementation of this guideline requires multidisciplinary structures of care, and defined processes of diagnosis and treatment.

摘要

欧洲神经肿瘤学会(EANO)和欧洲罕见癌症组织(EURACAN)指南为成神经管细胞瘤后和成年患者的诊断、治疗和随访提供了建议。该指南基于 2016 年世界卫生组织中枢神经系统肿瘤分类和自 1980 年以来发表的科学进展。其目的是为诊断和管理决策提供指导,并限制不必要的治疗和费用。鉴于成人生神经管细胞瘤数据稀缺,我们尽可能基于成人数据提出建议,但如果合理,也包括源自儿科数据的建议。我们的建议为参与成神经管细胞瘤后和成年患者管理的专业人员、患者和护理人员以及欧洲的医疗保健提供者提供了资源。本指南的实施需要多学科的护理结构,以及明确的诊断和治疗流程。

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