中国食管癌放射治疗指南(2020年版)

摘要/Abstract

中国医师协会放射肿瘤治疗医师分会;中华医学会放射肿瘤治疗学分会;中国抗癌协会肿瘤放射治疗专业委员会. 中国食管癌放射治疗指南(2020年版)[J]. 国际肿瘤学杂志, 2020, 47(11): 641-655.

图/表11

图1

图2

图1

	N₀	N₁	N₂	N₃	M₁
T₀	Ⅰ	ⅢA	ⅢB	ⅣA	ⅣB
Tis	Ⅰ	ⅢA	ⅢB	ⅣA	ⅣB
T₁	Ⅰ	ⅢA	ⅢB	ⅣA	ⅣB
T₂	Ⅰ	ⅢA	ⅢB	ⅣA	ⅣB
T₃	Ⅱ	ⅢB	ⅢB	ⅣA	ⅣB
T_4a	ⅢB	ⅣA	ⅣA	ⅣA	ⅣB
T_4b	ⅣA	ⅣA	ⅣA	ⅣA	ⅣB

表1

表2

食管鳞癌pTNM分期"

			N₀		N₁	N₂	N₃	M₁
			下段	上/中段	N₁	N₂	N₃	M₁
Tis		0
T_1a	G1		ⅠA		ⅡB	ⅢA	ⅣA	ⅣB
	G2-3		ⅠB
T_1b			ⅠB		ⅡB	ⅢA	ⅣA	ⅣB
T₂	G1		ⅠB		ⅢA	ⅢB	ⅣA	ⅣB
	G2-3		ⅡA
T₃	G1		ⅡA		ⅢB	ⅢB	ⅣA	ⅣB
	G2-3		ⅡA ⅡB
T_4a			ⅢB		ⅢB	ⅣA	ⅣA	ⅣB
T_4b			ⅣA		ⅣA	ⅣA	ⅣA	ⅣB

表2

表3

食管腺癌pTNM分期"

			N₀	N₁	N₂	N₃	M₁
Tis		0
	G1		ⅠA
T_1a	G2		ⅠB	ⅡB	ⅢA	ⅣA	ⅣB
	G3		ⅠC
	G1		ⅠB
T_1b	G2			ⅡB	ⅢA	ⅣA	ⅣB
	G3		ⅠC
	G1		ⅠC
T₂	G2			ⅢA	ⅢB	ⅣA	ⅣB
	G3		ⅡA
T₃			ⅡB	ⅢB	ⅢB	ⅣA	ⅣB
T_4a			ⅢB	ⅢB	ⅣA	ⅣA	ⅣB
T_4b			ⅣA	ⅣA	ⅣA	ⅣA	ⅣB

表3

		N₀	N₁	N₂	N₃	M₁
Tis	0
T₁		Ⅰ	Ⅰ	Ⅲ	ⅣA	ⅣB
T₂		Ⅱ	Ⅱ	Ⅲ	ⅣA	ⅣB
T₃		Ⅱ	Ⅲ	Ⅲ	ⅣA	ⅣB
T_4a		ⅣA	ⅣA	ⅣA	ⅣA	ⅣB
T_4b		ⅣA	ⅣA	ⅣA	ⅣA	ⅣB

表4

		N₀	N₁	N₂	N₃	M₁
Tis	0
T₁		Ⅰ	ⅡA	ⅣA	ⅣA	ⅣB
T₂		ⅡB	Ⅲ	ⅣA	ⅣA	ⅣB
T₃		Ⅲ	Ⅲ	ⅣA	ⅣA	ⅣB
T_4a		Ⅲ	Ⅲ	ⅣA	ⅣA	ⅣB
T_4b		ⅣA	ⅣA	ⅣA	ⅣA	ⅣB

表5

诊断标准	肿瘤退缩分级
无存活癌细胞	0(完全反应)
单个或小簇癌细胞残留	1(中度反应)
残留癌灶伴间质纤维化	2(轻度反应)
少数或无肿瘤细胞消退;大量癌细胞残留	3(反应不良)

分级	体力状况
0	正常活动
1	症轻状,生活自理,能从事轻体力活动
2	能耐受肿瘤的症状,生活自理,但白天卧床时间不超过50%
3	症状严重,白天卧床时间超过50%,但还能起床站立,部分生活自理
4	病重,卧床不起,生活不能自理
5	死亡

评分	体力状况
100	正常,无症状和体征,无疾病证据
90	能正常活动,有轻微症状和体征
80	勉强可进行正常活动,有一些症状或体征
70	生活可自理,但不能维持正常生活或工作
60	生活能大部分自理,但偶尔需要别人帮助,不能从事正常工作
50	需要一定帮助和护理,以及给与药物治疗
40	生活不能自理,需要特别照顾和治疗
30	生活严重不能自理,有住院指征,尚不到病重
20	病重,完全失去自理能力,需要住院和积极的支持治疗
10	重危,临近死亡
0	死亡

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中国食管癌放射治疗指南(2020年版)

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