(2024.V1)NCCN临床实践指南:非小细胞肺癌.pdf
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1、Version 1.2024,12/21/23 2023 National Comprehensive Cancer Network(NCCN),All rights reserved.NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN.NCCN Clinical Practice Guidelines in Oncology(NCCN Guidelines)Non-Small Cell Lung Cancer
2、Version 1.2024 December 21,2023ContinueNCCN.orgNCCN Guidelines for Patients available at www.nccn.org/patientsNCCN 授权医脉通提供NCCN指南全文下载。h n z m b p 于2023/12/24,17:42在医脉通平台下载,仅供个人使用,严禁分发。2022 美国国家综合癌症网络版权所有。NCCN Guidelines Version 1.2024Non-Small Cell Lung CancerVersion 1.2024,12/21/23 2023 National Com
3、prehensive Cancer Network(NCCN),All rights reserved.NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN.NCCN Guidelines IndexTable of ContentsDiscussionContinueNCCN Guidelines Panel DisclosuresNCCNKristina Gregory,RN,MSNLisa Hang,PhD
4、 Hematology/Hematology oncology Internal medicine Medical oncology Pathology Patient advocacy Radiation oncology/Radiotherapy Surgery/Surgical oncology Diagnostic/Interventional radiology Pulmonary medicine*Discussion Section Writing CommitteeDavid S.Ettinger,MD/Chair The Sidney Kimmel Comprehensive
5、 Cancer Center at Johns HopkinsDouglas E.Wood,MD/Vice Chair Fred Hutchinson Cancer CenterGregory J.Riely,MD,PhD/Lead Memorial Sloan Kettering Cancer CenterDara L.Aisner,MD,PhD University of Colorado Cancer CenterWallace Akerley,MD Huntsman Cancer Institute at the University of UtahJessica R.Bauman,M
6、D Fox Chase Cancer CenterAnkit Bharat,MD Robert H.Lurie Comprehensive Cancer Center of Northwestern UniversityDebora S.Bruno,MD,MS Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer InstituteJoe Y.Chang,MD,PhD The University of Texas MD An
7、derson Cancer CenterLucian R.Chirieac,MD Dana-Farber/Brigham and Womens Cancer CenterMalcolm DeCamp,MD University of Wisconsin Carbone Cancer CenterAakash P.Desai,MD ONeal Comprehensive Cancer Center at UABThomas J.Dilling,MD,MS Moffitt Cancer CenterJonathan Dowell,MD UT Southwestern Simmons Compreh
8、ensive Cancer CenterGregory A.Durm,MD,MS Indiana University Melvin and Bren Simon Comprehensive Cancer CenterScott Gettinger,MD Yale Cancer Center/Smilow Cancer HospitalTravis E.Grotz,MD Mayo Clinic Comprehensive Cancer CenterMatthew A.Gubens,MD,MS UCSF Helen Diller Family Comprehensive Cancer Cente
9、rRudy P.Lackner,MD Fred&Pamela Buffett Cancer CenterMichael Lanuti,MD Mass General Cancer CenterJules Lin,MD University of Michigan Rogel Cancer CenterBilly W.Loo,Jr.,MD,PhD Stanford Cancer Institute Christine M.Lovly,MD,PhD Vanderbilt-Ingram Cancer CenterFabien Maldonado,MD Vanderbilt-Ingram Cancer
10、 CenterErminia Massarelli,MD,PhD,MS City of Hope National Medical CenterDaniel Morgensztern,MD Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of MedicineTrey C.Mullikin,MD Duke Cancer InstituteThomas Ng,MD The University of Tennessee Health Science CenterGregory A.O
11、tterson,MD The Ohio State University Comprehensive Cancer Center-James Cancer Hospital and Solove Research InstituteDawn Owen,MD,PhD Mayo Clinic Comprehensive Cancer CenterSandip P.Patel,MD UC San Diego Moores Cancer CenterTejas Patil,MD University of Colorado Cancer CenterPatricio M.Polanco,MD UT S
12、outhwestern Simmons Comprehensive Cancer CenterJonathan Riess,MD UC Davis Comprehensive Cancer CenterTheresa A.Shapiro,MD,PhD The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Aditi P.Singh,MD Abramson Cancer Center at the University of PennsylvaniaJames Stevenson,MD Case Comprehensive
13、Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer InstituteAlda Tam,MD The University of Texas MD Anderson Cancer CenterTawee Tanvetyanon,MD,MPH Moffitt Cancer CenterJane Yanagawa,MD UCLA Jonsson Comprehensive Cancer CenterStephen C.Yang,MD The Sidney Kimme
14、l Comprehensive Cancer Center at Johns HopkinsEdwin Yau,MD,PhD Roswell Park Comprehensive Cancer CenterNCCN 授权医脉通提供NCCN指南全文下载。h n z m b p 于2023/12/24,17:42在医脉通平台下载,仅供个人使用,严禁分发。2022 美国国家综合癌症网络版权所有。NCCN Guidelines Version 1.2024Non-Small Cell Lung CancerVersion 1.2024,12/21/23 2023 National Comprehens
15、ive Cancer Network(NCCN),All rights reserved.NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN.NCCN Guidelines IndexTable of ContentsDiscussionClinical Trials:NCCN believes that the best management for any patient with cancer is in
16、 a clinical trial.Participation in clinical trials is especially encouraged.Find an NCCN Member Institution:https:/www.nccn.org/home/member-institutions.NCCN Categories of Evidence and Consensus:All recommendations are category 2A unless otherwise indicated.See NCCN Categories of Evidence and Consen
17、sus.NCCN Categories of Preference:All recommendations are considered appropriate.See NCCN Categories of Preference.NCCN Non-Small Cell Lung Cancer Panel MembersSummary of Guidelines UpdatesLung Cancer Prevention and Screening(PREV-1)Clinical Presentation and Risk Assessment(DIAG-1)Initial Evaluation
18、 and Clinical Stage(NSCL-1)Evaluation and Treatment:Stage IA(T1abc,N0)(NSCL-2)Stage IB(peripheral T2a,N0),Stage I(central T1abcT2a,N0),Stage II(T1abc2ab,N1;T2b,N0),Stage IIB(T3,N0),and Stage IIIA(T3,N1)(NSCL-3)Stage IIB(T3 invasion,N0)and Stage IIIA(T4 extension,N01;T3,N1;T4,N01)(NSCL-5)Stage IIIA(T
19、12,N2);Stage IIIB(T3,N2);Separate Pulmonary Nodule(s)(Stage IIB,IIIA,IV)(NSCL-8)Multiple Lung Cancers(N01)(NSCL-12)Stage IIIB(T12,N3);Stage IIIC(T3,N3)(NSCL-13)Stage IIIB(T4,N2);Stage IIIC(T4,N3);Stage IVA,M1a:Pleural or Pericardial Effusion(NSCL-14)Stage IVA,M1b(NSCL-15)Surveillance After Completio
20、n of Definitive Therapy(NSCL-17)Therapy for Recurrence and Metastasis(NSCL-18)Systemic Therapy for Advanced or Metastatic Disease(NSCL-19)Principles of Pathologic Review(NSCL-A)Principles of Surgical Therapy(NSCL-B)Principles of Radiation Therapy(NSCL-C)Principles of Image-Guided Thermal Ablation Th
21、erapy(NSCL-D)Perioperative Systemic Therapy(NSCL-E)Concurrent Chemoradiation Regimens(NSCL-F)Cancer Survivorship Care(NSCL-G)Principles of Molecular and Biomarker Analysis(NSCL-H)Emerging Biomarkers to Identify Novel Therapies for Patients with Metastatic NSCLC(NSCL-I)Molecular and Biomarker-Directe
22、d Therapy for Advanced or Metastatic Disease(NSCL-J)Systemic Therapy for Advanced or Metastatic Disease(NSCL-K)The NCCN Guidelines are a statement of evidence and consensus of the authors regarding their views of currently accepted approaches to treatment.Any clinician seeking to apply or consult th
23、e NCCN Guidelines is expected to use independent medical judgment in the context of individual clinical circumstances to determine any patients care or treatment.The National Comprehensive Cancer Network(NCCN)makes no representations or warranties of any kind regarding their content,use or applicati
24、on and disclaims any responsibility for their application or use in any way.The NCCN Guidelines are copyrighted by National Comprehensive Cancer Network.All rights reserved.The NCCN Guidelines and the illustrations herein may not be reproduced in any form without the express written permission of NC
25、CN.2023.Staging(ST-1)Abbreviations(ABBR-1)NCCN 授权医脉通提供NCCN指南全文下载。h n z m b p 于2023/12/24,17:42在医脉通平台下载,仅供个人使用,严禁分发。2022 美国国家综合癌症网络版权所有。NCCN Guidelines Version 1.2024Non-Small Cell Lung CancerVersion 1.2024,12/21/23 2023 National Comprehensive Cancer Network(NCCN),All rights reserved.NCCN Guidelines
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- v1 nccn 临床 实践 指南 细胞 肺癌
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