NCCN临床实践指南:黑色素瘤(2015.V2)._第1页
NCCN临床实践指南:黑色素瘤(2015.V2)._第2页
NCCN临床实践指南:黑色素瘤(2015.V2)._第3页
NCCN临床实践指南:黑色素瘤(2015.V2)._第4页
NCCN临床实践指南:黑色素瘤(2015.V2)._第5页
已阅读5页,还剩42页未读 继续免费阅读

下载本文档

版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领

文档简介

1、r Nat iofud(xwnpirFxnic Cancer I Ncruvrl*NCCN Clinical Practice Guidelines in Oncology (NCCN Guideline)MelanomaVersion 2.2015NCCN.orjNCCN Guidelines for Patients* available at /patlentsContinuegukte medtive onNmbicuIMCCM Guidelines Version 2.2015 Panel Members M&lanoma.i_q匸亠j y亠m berr aa

2、 $ IT0OAlU&Continue2CCH WeOlxt Panel DtscIcsMtb. e*. goqc f ColterJtAK)Fr*4lC* * *CWSz Cm CmkotABDMB.MD ttUCSfrMw Mrf MiilvC oapraherirf* Cine or Cantc0mvcI CMtM.UO*UMWC Cptev Cancer Cemtw stTh# NflrjU3M4lOl CfWim MbfScew C Corner M* arW WahlniaR gHt| Shxl “ MManf,O. FiMBine. K) VThUMwoltv HmMK SeRc

3、e C.wrerRm gMc. iOt bUwrorv 冲 Cotor Cancer CwiterVatorteOuM Ataa t MMmio AEn G 蚀 mH ”Sw-an-KMtonAf Cam CMtfeeF. W 忙 rvXTdfRlthori M Jowh. MD :Maia Clink Cim CantorM*1 C KeMvJMOIVs ndirtMtMgram Cancor ContarNitiuH KmhaUm MOtRotwetl Cancer In wtut4JuM R Lt. VDTh# SiMf Klw ; Coep WWW*Cmm tr Chw m JihRC

4、 N4MmMinr C Mirw*. X LMfieCamr CmwfUnrwrMTfa mwm. wetDe C-v*r Cb4e*Slw Canr4. Oum A MO tFb Chwe CfMr CwMtfgrrk i Rots. MO f Un*vwrit| “ x O An4rofi EMJnmEWW1 |R . fwHWT.DYttnfoETW.C Nicer CnwF.TxtcGo. MD|WWM Cancer CmVIW rmil MD1Cr of K* Cwipreh on tigCcer CMvtorMiMhSl M Uf1 MDTUvwwxev sf AisftiRis

5、stC尸 D rtMfM * C trnw CtnlMI CelUghH, UPS RhOMini Mo, PhDNkeU MeMillier. MMrlh. Trlkhi. FhannOin gulOe fnedfevecnRoOMl AntfOlcHa. M01lltdKsntanvm Cancer Inc Muto the Uinmity of UtahNmbkuINCCN Guidelines Version 2.2015 Sub-Comrnrttee M&lanoma丿匚 GT4a alRerw Ocnziz. MDf D iMvwmity on Corrado Cancer Cen

6、terNMNII. MlutMatM.D f貝ovall Parti Cancer InecnuceAM tUme NDKXMiCMeriFititut4JeleeF “e4x MOfMoff tt Cancer CenterSwtn M. Swvftvr MD siltedMonro rd Cancer ImMutiVtrnelil Rets MOf/Co4.MTha Uvmvrii flif T)eafcUDA044H4A CaMArC*MrR24ft ArdWct. U01 HuntemanCwK r tnaotuteM trt Univer*ngl aUnoT4 *abQ xtirtt

7、 J 的einical THate: ZC 6 belf 12 the bst m angme for any ckw MlltHt 好 cWcol IvlelParticipabon K cMca triincaura9dTb FM eweMlfW NCCNmawber nttMiori UiOUULL4n orflVW n WhIGtftgvrM of IvfMmv aoti CfffisMurs. Al recoenmtnoiliwis Mt C.t0(xy 2A 5lm dhtnMM spMfWd卜兀6 Soaom 肖 oC EW.zNCCN Guidelines.foe Paiien

8、tr avwlaMa al www.neen.oroNmbkuI(“心 NCCN Guidelines Version 2.2015 Table of ContentsMe,anorraNCCN Mclanona Pond Mcner$Sumnary of th. Giridolkrnt Upse w. iM6:lOjPrinciple of Bop划Pothofody (ME州Pnncples of Surgic al Margins for Wide Excision of Primal Meiancnna iME-BjPrmcple$ of Complete lymph Nod Olss

9、ection (ME-C)PnntiblG of RcMe Thertpy kx beMnomo 1ME-D)SystenwTThQGDV OptiE 仙 Adncad oFMeiastMw Mol釦oma MEE) Stianfl iST-1)Tne8 yawurf of noenewcorenuA of vesrKnrejrtnjtrerrsK“cc7gacro駅EK刊irmrr Ar # dnoen Mnotx cr conuit me HCCH Gfilras sipecadM)lm orer.C8at madcal(udgnerr :r tne cortflt! of ndr/ixj

10、tf otncii oaurtUBnoH so Mwnirw ar/ n(t cr or tMtmont Natcrw ComMWmCrKjBf NtfwMrwccrHm小 r)Ofeprt%rMoa&ar wrrroet cr3 rtorQma trwif carrrt uie ar tcpiicoc and 0u3#r mpccmwitv tr rw waccn or usnw 代那 Trw NCCN 0门如轲e怯 护刖C*w ”加2计b瞥yi TImnCOJ G丿費耕 穴(橱啊 natrMneotUMdwan“fvmmME4tjr atimc pinwritNOCW 02015guide

11、 medfav onNmblwmIi“心】“ NCCN Guidelines Version 2.2015 Updates mwnaNCCM工4tn 钳M hw cMnte In lh) 30tdL4 SiagB IN (aertwwl n4e roMvr phway Xn怔T remr4 rimery treetmeeM 屮“ rvtepoodk rofwe CIMceltfialsundal2nemvtd-P rvlrvtw vM * nrw Iv (E #vrRtk HtWnwC.Ffy ” rr%vnnrTrnJW W*ni %wfwir Mr rME hfve (rrrwr*i4.

12、6uC noc recommtntfed forMrra who wsmr/” NSQ,*-Footrott d” ” rtmtd 1 me mpect or comiicsecnoH in pMimfs wn 4tA(?e Wfsemnef nop(Mpn tK(卜ME曼 Vagi IN mMRMI* Mrthwvyi Wbrtup firw buM nvnM. TNAry !rotmH Under *lxH thrpy onions * lh fourthm rvvited 七6皿,.4山 RT for ajcrwdabY 4M&a)cMeey 2B|MK4 Fatnot* y rvteJ

13、: aWtttl clivMc r*currnce houM b ccnflnned pvtfwlo9erezpors4fe or tf* dMcalty wvcaCed 8tr* *ersrvaiytH .kF lhe irMaMf liMty rorpertictpavxi lechwv F 凶k w for 91tgi XV hCD ThEal e 利 Xwd5 irr CT arwmr fffTfCr team twtry 4-H J-11 me (uri oMrwy&nk ElpartclpoonHo Kftn for rcurrtnumtt*stDc(aes icattQory 2

14、Br*b Latt BulKtrWd RmHm rMooMlfRM悒oaeywviwiatiet* M fMt rxamtRdHl ter J4-y*W* F olnl P n nd FoH-s Scxd bullt tduc at. pMUnt Inselfavid lyvaph node wM ,.bXQ * tif!h by 横015ymR nd* vltnooMntf mvy bt “MtMX wtti qivx lynrh nodv ptv* pattwrtt X。xr offered bm not ur*4erQO SLN6 p!/ An irom SLA/B *, or poti

15、ants with a poalbvc SLNB Ko 0wts4rQO complete hrmp* nwi9 dltstctton. AttM pemt tMin utWcnndb*e trown to a uMItute frSLNB orWn tfCUTOJ -Fatrot *7* wa飞ot mile pemMMUumab * mcftumiD f rv mtfciM tor* re prorvirionter rrvstmtf rim。如eWna Mnoiwe 片4声 inMMOf mtft u concnfui tmonp r/w MCCM* pnei rrwf Mb run z

16、” rxanr v*poniiciMrume jRd mH MR w houltf Bt jnelutfe opfionw lr Hr*!dr00fAWf Aalltll,hdtflVeMA AMb ” ro(S th” of 46thr Active Rogirta* rarrtd ftmens Ftr- “- RwMbroiiruma mry cut* irmvun-dtat44 *dvr4 rvsctSni D尸on tn fU unmto meunfH 检3俺t霄如z収 MQrvrury fW/orv or 3oEif $LNH) M 2”cXMnnM cnXfWe 0/ cAUUca

17、I UI lAuSof / .im 治 Rconiwed ifpOenfs ire grtg conseretfeimer rounne trwHmer* rcJwfeel melt but not re ommerMd for eftnf fo trwofPMmive MfD*-FOtf ot , klx wm* EW CkTn Qrr F0tetf fmi * SLWciior.r irFFurv tfMmepKsnc fntftrwtK. n i invortam Ihtf an aiprlenso!* ttiy$ZrJrUlM f cMrvg4 8tgt IA 冈7i *nmmck.n

18、cwKeraMn,mnocxrtteiQper omn Stage lAfO f许 9 mm tUM.rw uteerMtr mooc r*e*fOpr mmMMEJF6eende *i*wm rtvited CMHarnodal batm Ufcm&AdQMr H St NB for EU“n |M*3nS qsvc ai r9nsl lyvnho4 physic tl eiain Ndel bteln oirttourMl It ubt)tut ft SLlie. reyive notfl bfln 4”oE ” noe soOstut for Wop.jr Miafciout 护V. f

19、. AtonormelJlxi er n nod b$KJtr40nd hzW X *nAnrvetfh*t*() d ” 利 Hih-doe WfaKffcrs f umcMar IcattQory 28| wumvnsry oFtfw chr9 tn 1 2W verwlon of the NCCN Cddth for MelarKa -from th# 4.?0H on IfxlodeCorfin uc urOATfS10F5guide medfcvocnSICCMNmblwmI才匚丫 f七m ?匸心:九,Mer*cft* T4a alOOLACWLi“心】“ NCCN Guidelin

20、es Version 2.2015 Updates mwnas UAWOUI 33692aj旨 RMnc0车3 ? 0*古.wx& YCEE o 3LsTtyf 工壬 ajaa E dwok -scwum 9$ g ?ii!3sn E$ IIMJeell v) a Lr i Sa ri xpert.C2I-?E- n iis pu?tt* frwctsu- PSSSUT Sxs089xav -9S3feIwcv lm For c.e co sl$v 1 vn fi lutobcov S359 si .i8iE sy* ( pls co-fi 5i nf Sa, E6C9?8 3 tc 2 q,

21、 OEf fa j -4WCSOQ tit uso M =itMU ? 20 CE 专 “lu las C1A J* *1 wdv JIL 3 toat s 1: .9X CX21U 542 42- n=ne 工 & guQB上 AMEEa % t2s x2* _t2*ciit ffamj * PSSE/:&, AJVSSEc_/g Oslo w-cYse :cse mm OS3 Itpolurw fjvfajt-MXXF EOzeo一 Lat X s&wze ffss f as m v*u rlv 22J0 UDX0Q4CJO9U S.-RCS spaES&c f E0 I u.OOESW2

22、sfi gum xwcs 96sgrolwas SEi& vwe fi ? i2w Ai a o$eo (E.$Jtu &IWKJO匸一 9UU02A y&B * *soc &L*4-sax&u2ov?vEW6n=u d sc v ve * SEOSXtxkELWO Ds-c fAgno:C2VS a Ma1:a.s。* MIE SSlt AmAxW *0 AEA 1 aspic vv S3 *04 s ASM 00=*| ElMvr UOft J. V3i , 91 8 4 eoe-i f EUI4 I UOEMWiuo- I?2 疋BIU7 Qz sicv ( 9C s sWMVVs VE

23、9b 9SP s VS5U QCSA e SQW sdEOWC - M-S9S 9E 9USW wo *9MVJO tsssvfi 8 z rtovou B a/04eSSC1E W?&EZV2B3E SS5X6 w SEt-ls scoiE C9W& cosff al/xl ?04weM2 23106 docosa SIC s JMUJfc: ptpx st rosoo ooo* a e9s 61 V2fi 2 232 *fq 2* wo s fie t sx 9F- PTMmlvMI 9UOV 0, w WUU&.;UE u*t5* i-ver.ysodadMflNU32Jd3flsd y

24、/qclsulrlEUJOUE&W sowpdn slozcnU.2SJ 弓 二 ap30zoozLTivz5102vn-clLEdNXJN2oueo c s*5CBCi mjxe-u :O4 35QH*f9 鱼夕 fsA t9a44 *2 WIN te 1 W ?u fi E ? fQ BW X ssns. s 書0E2 =2 oca 2L M 900NsrMelf 策$ .MIC -gdfo 0号 Qns- s SCQeet fi vcicofe2tt3uEoesu-E9 %ko?o*0w sc. r9u3Jf_eMU &WWM W.XRC FiTRFWI f! 1 i 1 i Xi. t

25、w4e 2 ttti n 2m22slxa 2 tte*K*! vs stress flsoilaa* 0ecsx * - Qulutt L-xQ iw ssx.fi OC*P3P XT! s ,0r sf -J9sf XKE *qd? &*!*! us XXUMOM 3OC9W *t ex-vo8 2 * cosws&so V Esc0,p Mezctfl9JesAMJntJW WSAEawAMM-EWIw5A*dQ$ulc5rq5BE25 2 7& ? OM$EE f ZOC09 tb s sscw9o$XSWQ0SVKC8*ef Pec9ws._& Wao&?iu9zw- E659o2

26、sc si Itfu-* 9 lu K B*iv sv ctB-F u I s fF ECTT t X -* x&wis eccuoll C9u-t VTOiKca atf s s fils J rc S3902ei t31-8o!v 9a J31 tpptvft*r lv 2Arc B.1U .&coeie M-icic3tE- vf VCM9*OUPO9 x txwcsvw-v 94 )3AX 9E3Np4d -coutt tx o 2J co cxf HECWnMby 8 jvx?A-nnFO左Ef uouuttm A2 UOPW2 名m 93t 4c3f i5 il *(e2Qi wo

27、* FW.Y* 土 7KCK * cl CJ = z2.y w.tf/ww.desw.a$ 邛一 ,s -L二8膏工 笆JUa=EwxQ_f-5UMA ) LUJOKiy us uEaPFf*d WQs= 6 Eo SS6 if 2e? ofo=ow 亡01*上巴z AJOSAlts tug is dcE!- ecra 4uu 申Vvtjf ?* U9*is teo p uc4 dQ tif U.EXXM $:ti3QS0dMflNM32JdaaM 亠談彳u mr EUJOUE&W sowpdn slozcnU.2SJ 弓 二 ap30zoozLTivz5102vn-clLEdNXJNMCCN

28、 Guidelines Version 2.2015Melanoma低 CMkl电 tdr*c上,“3nnl C*yry0,rc s mOtfwr Actn RtflirRtfM rrttrcHrwmiO wis aGOttf win tbe loving rvrtrffKti ffotert u A. ivoenoi JD fl Angrg“nifmdrorJ trwtmen(pomtnoiiy in QMinisabY 訂“心,”0:乂nK/onomi 9neMnprwoiH conorr of T mil L irch T914.JM HOf-ifir. NAiHd O RoD.rr C

29、 Otu X er Al Senr E Fumr Respomis rw “iwaoSW jw-PEX 訂 OM 叵 ng J AM XHJ Ml 114-f44 心y”“16 OV. r/trrtr uT vnutaHd tumor*戸知.orMt CL. InfArwb & whora 2rboHpzutrn叭cbrttw or nwSMK! cwitcallysth J OncoI. 1. f ti J IMUTOATBSNCCNNlBfklGmL.hEz NCCN Guidelines Version 2.2015Me,anornaFU心 LWORKUPCMMCALSuft0ldAUA

30、 I ply*-td I *Uk ration H. (po.”t or Besent)Ora cm 瓠K rm innw)A伍dd and parxaheril mtrgiF MuHvgMf O0 J fpr*.* orCiMli !* (Tor fitulcerattd Km,mmZc tno dynicW.for le?om mm) W wen mg to lecortoionai draiiMQX4flt AEI of穴TW g ftcunvPww 0eim op w d rf pctwert划片 呦.ticrK rtkwrtnmrt Agam(eooeonsDc ueuM teUno

31、cx M(e tai rretaoyircmInto: arg * &vncr mrvnu. (Dfhrr r HIoat-j mi m fKCfTTrcoH cutu di (WK享 vol Xoitw w)iM3d 冷E r r0 TWUir*! kr Rft-r nj Jr* !r*35-wnt or r1rl 勺 tirnct mcarrfTwnailorin jrtwnvw HOorottiiMv *10ffrc4ntre CAP 20U nrwnwi prxo:ci tnnn JJODoi Tpwirxe(rwTwnirrrffr0C6nmr rmr rrr M:ur an peg

32、M/干 kkWswkcprrxTJ4 *vnFewwwirk:,vyMlz% ?3fgf尹LOiTTqEcttW 孑 初EbvfcTrJg rnee urcrxMMn * TJ. 9tnes5 Cancer 19W 53 :? Bl-2lfT )0n I3MW npted Mie* of SLfyzf r 仃鼻黑皿 t rvartMKtrM ” Anccd (MrvmfcMrouQtf zex e 4erbcfo*tfTMN Wcgnspcrfonwcko阳 C9LNB) iBMnKJ DetrMncClnUfi M MH 31 )21-D)guide medovecnP*be rrwb/ z

33、tp me p-mMz nwtwicre d etfw U 0* je|:丄“ tp m*S nvCUMICAL. STAGEPR1MARV TRSATMEH7ADJUVAMT TRKATMLMT駅90O 7S RMH 11, rio A*ratn,rvteC priMn3|*,ym mm wMhMlcrrttn. anchor nn it Me rau &1 ptr awm* HP Rowtlnc irTiiQiro teih not rtconmaM00 (CT Kin. PETCT MR) on# io evaluate ttMcine I6 VyE駅OVRexctvliWEJJStsg

34、ekA*.yt,Q nun CHuli. np Xm EMK net Q冲m于up and rmurv TmhMHt IMEJ)p*wary tMr. tfwr. iiwrsu as wWlX*hbf- wncxfv ) wtanta 如?S * tMcb:h prewt.SLM * bM * iMdU Mie.小0 wt 曙 imcftM in rewrimUi at 9tnc uw pnfHr g Tcnc Howntt at)e w g Ltaitez厂十TT* 尹 LVyrntFcrF 低沁frY 7 a reWTVWM Mlffrts rrbm| . r)an MrtimrwmHcl

35、Airra an 血vnMieMFO_M9 m n F6K 厂Q Qoo* tut 哄ft ts voct-whstfar fie 芝,_ % ig if 他 m giinifm :HL 匕砖何6 nodes shouSS t? calgH r* nutapl- segM and EmxKtMftogmsbYMm - gfnX 筍MEPguide mediiv onMK (MMwmtfKtwM MWW tf w*0MMRirMr W Hvly Ony仙4tneverw(i y wwjmo二Fear mmiJKS kCMK 2朗m :wrw: pmtr 掳0 cerw mpcrionmar ej

36、ior yiMB) nE ERcrm. d *arf 疋 i cn( mti ttutMmii muMhe e:knwmjI Ijc taied or wiriti:pM?fr crtt?5 wrrrr prtfrma- mot 知ctwr Z的FkMSVH* 骨krf,七芒 pirryNE-81TpccaxogM tfrnJriHrwnlatdntjltruMi tii/ntf racarviwdwsSorpwftoMwwH60 PrionmimpTErFSU F SIM? e n r押 f 厂;tnl lj Mb mUi”. ww5my叱8Str3匀c utrssadpror ts SLi

37、SSomOrama atvnsan eqxai roaXMincac 咖a:剖e4m PZal eow SMCird snet 9ttefor 9UtB HeoMMecod. 35wuE4 7fule,x.ot% sT dcs umh:.Aftncmoeso* uc*:jusnol*tU camM htfcrofizaifj m佃s怕24Mmar玄 rc/M ma*ujviiCFS)林 U md*ri 纽人“w T4m / vM3如划Mm - gfnX 筍rMK (MMwmtfKtwM MWW tf w1m d,切恤审A64h Qcmmwvd bxMvnsing Qx st. .Ingtovutp*iTk “ X(CT PETICTME-4guide medfave cnNmiulG ICatK WkITMCCN Guidelines Version 2.2015 Melanom

温馨提示

  • 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
  • 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
  • 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
  • 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
  • 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
  • 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
  • 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。

评论

0/150

提交评论