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贾牧原, 李泽, 刘羽阳, 刘嘉霖, 郑晓缺, 白云娟, 陈凌. 家族性脑肿瘤多学科诊疗进展[J]. 肿瘤防治研究, 2022, 49(6): 514-521. DOI: 10.3971/j.issn.1000-8578.2022.21.1511
引用本文: 贾牧原, 李泽, 刘羽阳, 刘嘉霖, 郑晓缺, 白云娟, 陈凌. 家族性脑肿瘤多学科诊疗进展[J]. 肿瘤防治研究, 2022, 49(6): 514-521. DOI: 10.3971/j.issn.1000-8578.2022.21.1511
JIA Muyuan, LI Ze, LIU Yuyang, LIU Jialin, ZHENG Xiaoque, BAI Yunjuan, CHEN Ling. Progress in Multidisciplinary Diagnosis and Treatment of Familial Brain Tumors[J]. Cancer Research on Prevention and Treatment, 2022, 49(6): 514-521. DOI: 10.3971/j.issn.1000-8578.2022.21.1511
Citation: JIA Muyuan, LI Ze, LIU Yuyang, LIU Jialin, ZHENG Xiaoque, BAI Yunjuan, CHEN Ling. Progress in Multidisciplinary Diagnosis and Treatment of Familial Brain Tumors[J]. Cancer Research on Prevention and Treatment, 2022, 49(6): 514-521. DOI: 10.3971/j.issn.1000-8578.2022.21.1511

家族性脑肿瘤多学科诊疗进展

Progress in Multidisciplinary Diagnosis and Treatment of Familial Brain Tumors

  • 摘要: 中枢神经系统肿瘤指起源于中枢神经系统内的组织或结构的一组良恶性疾病。常见的中枢神经系统肿瘤为散发性的,但也有少数出现家族性发病。相比散发性脑肿瘤,家族性脑肿瘤的临床症状、诊断思路和随诊复查计划更复杂。多学科诊疗(MDT)模式,通常指针对某种涉及多器官、多系统的病例进行讨论,在综合各学科意见的基础上为患者制定出最佳的治疗方案的治疗模式。由于家族性脑肿瘤常涉及多器官、多学科、多系统,并且发病率较低,神经外科医生对其临床经验较少,所以MDT模式更有利于高效率诊治、管理家族性脑肿瘤。本文将详细阐述以神经外科医生为主导的MDT模式,以常见的家族性脑肿瘤为引导,针对关于家族性脑肿瘤的流行病学、遗传特点、临床表现、诊断思路和多学科管理办法方面进行综述并对最新研究加以介绍。

     

    Abstract: The tumors of central nervous system refer to a group of benign and malignant diseases originating from tissues or structures within the central nervous system. Common tumors of central nervous system are sporadic, but a few have familial onset. Compared with sporadic brain tumors, the clinical symptoms, diagnostic ideas and follow-up review plans of familial brain tumors are more complicated. The multidisciplinary diagnosis and treatment (MDT) mode usually refers to a treatment mode in which a case involving multiple organs and systems is discussed, and the best treatment plan is formulated for the patient based on the comprehensive opinions of various disciplines. Because familial brain tumors often involve multiple organs, multiple disciplines and multiple systems, and their low incidence leads to less clinical experience for neurosurgeons, the MDT model is more conducive to efficient diagnosis, treatment and management of familial brain tumors. This review elaborates on the neurosurgeon-led MDT model, and introduces the latest research on the epidemiology, genetic characteristics, clinical manifestations, diagnostic ideas and multidisciplinary management of familial brain tumors.

     

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