转移性鼻咽癌治疗专家共识

转移性鼻咽癌治疗专家共识

中国抗癌协会鼻咽癌专业委员会;陈晓钟;李金高;林少俊;胡超苏

【期刊名称】《中华放射肿瘤学杂志》

【年(卷),期】2018(027)001

【摘要】As the application of intensity modulated-radiotherapy and improvement of local control about nasopharyngeal carcinoma,metastases have been an urgent problem needed to be solved. Due to the great heterogeneities of metastasis NPC,the treatment strategies and prognoses are very different. At present,no treatment guideline has been achieved in this field. This consensus tries to give some directions on the treatment of metastasis NPC.We discuss and summarize treatment models for the metastases at first diagnosis,after radical treatment and after failure of platinum-based chemotherapy respectively by reviewing relevant literatures and clinical trials. For some clinically significant problems without enough supports of clinical data,we draft out it according clinical experiences of experts,in order to reach a consensus about the best treatment strategies for metastasis nasopharyngeal carcinoma.%随着IMRT的应用,鼻咽癌局部控制率进一步提高,远处转移成为治疗中亟待解决的临床问题.由于转移性鼻咽癌异质性大,治疗选择及预后差异非常大,目前尚无针对转移性鼻咽癌的治疗指南.该共识对如何规范转移性鼻咽癌的治疗策略进行指导,通过回顾目前转移性鼻咽癌治疗的相关文献和临床试验,把初诊转移、治疗后转移及转移失败后