Starlight, peak feast, and sincerity | China Cancer Integrated Diagnosis and Treatment Guide (CACA) soft tissue sarcoma and melanoma intensive reading

Author:Physician reported tumor chann Time:2022.07.06

In order to help tumor prevention and control, let the clinical guide "land" smoothly, and better provide high -quality and efficient medical and health services to the public. On July 2, the 28th melanoma intensive reading tour of China Tumor Integration and treatment (CACA) was held in Shenyang held in Shenyang. Essence

Academician Fan Daiming, Chairman of the Chinese Anti -Cancer Association, delivered a speech

This intensive reading lecture was hosted by the China Anti -Cancer Association, and was organized by the China Integrated Medical Development Strategic Research Institute, Liaoning Cancer Hospital, and the Liaoning Anti -Cancer Association.

Reading and inspection activities through the China Anti -Cancer Association Client APP, experts, ONCO preface, Lewen Medical, Big Medical Platform, Xinhua News Agency, Live Cloud, People's Daily, NetEase, Sina.com, Beidourong Media Client, Shenyang Radio and Television Station More than 40 media such as the northern famous medical column, the Liaoshen Evening News Institute of Health, Medical Bai Technology, Medicine, Mess Medical, Le Live, and Cancer Information, etc., accumulated 14.77 million viewing volume.

Live broadcast situation

The theme of this activity is "MDT To HIM) on the theme of" MDT To HIM), and the leaders of the leaders of the guide Guo Jun, Niu Xiaohui, Silu, Chen Yu and other professors. Details and prospects are interpreted in detail.

Professor Guo Jun, Peking University Cancer Hospital

Professor Niu Xiaohui, Beijing Jishui Tan Hospital

Professor Silu of Peking University Cancer Hospital

Professor Chen Yu of Fujian Cancer Hospital

Academician Fan Daiming, Academician Chen Hongdu, Academician Liao Wanqing, Academician Xia Zhaofan, Academician Fu Xiaobing, Academician Fan Xianqun, and Academician Tang Li Xin made wonderful comments. The academicians believe that the CACA guidelines are high and grounded, focusing on the popular disease characteristics, genetic background, original research results and diagnosis and control characteristics of the Chinese population. They are incorporated into Chinese research, focusing on Chinese characteristics, taking into account medical availability, reflecting integrating thinking thinking It is a tumor guideline specification system that has both Chinese characteristics and international vision, which is more suitable for Chinese people.

Academician Chen Hongdu

Academician Liao Wanqing

Academician Xia Zhaofan

Academician Fu Xiaobing

Academician Fan Xianqun

Academician Tang Li

Academician Fan Daiming, Chairman of the China Anti -Cancer Association, introduced that the China Anti -Cancer Association is the longest, largest, and highest level of national associations in the oncology community in my country. The Association organizes 2,266 authoritative experts. "China Tumor Integration and Treatment Guide (CACA)". The guide includes 53 kinds of tumors, up to 2370 pages, a total of 3.7 million words.

Academician Fan Daiming speaks

Academician Fan Daiming pointed out that the Council of the China Anti -Cancer Association has done many major events in the past five years. First, the army was established. Members have grown from 50,000 in 2017 to 330,000 today. The professional committees have grown from 48 in the past to 93. The number of offline participants in the conference was 32,000. In 2021, the total number of viewers exceeded 71 million, all of which created the most Chinese academic conference; the third is to write a large book. There are 6 volumes of "Clinical Volume", with a total of 3650 pages and nearly 7 million words. It is the largest integrated oncology monograph in my country and the world's largest, most discipline, and the most widely content. ) "English journals, with the concept of" integrated medicine ", convey the achievements and sounds of Chinese research to the world; fifth is to establish a large amount of high schools, organize national authoritative experts to write the" Guide to China Tumor Integration and Treatment (CACA) ", and organize professional committees to be in the country across the country Preach.

Academician Fan Daiming said that in the face of complex diseases caused by various factors, the integration of treatment methods should be focused on. The first is to find the way in insufficient treatment and excessive treatment; the other is to find the way before and after treatment. On the basis of multidisciplinary cross -integration, individual integration plans are formulated according to the patient's condition to maximize the treatment effect. The passage moves forward, the tumor prevention is "early". Let more people do not have tumors and unfortunate people who can get early discovery and early treatment. The center of gravity is extended to do a good job of integrating the whole process of tumor rehabilitation. Not only should we pay attention to the diagnosis and treatment of cancer disease itself, but also the health management of the psychological and social function of cancer patients should be transformed from "cure" to "treating people", that is, the management of body and heart.

Park Haozhe, Vice Chairman of the China Anti -Cancer Association and Secretary of the Party Committee of the Cancer Hospital of Liaoning Province

Park Haozhe, the vice chairman of the China Anti -Cancer Association and secretary of the Party Committee of the Cancer Hospital of Liaoning Province, said that the "Guidelines for the Integrated Diagnosis and Treatment of Tumor (CACA)" is an authoritative expert in the oncology community in the country. And the prevention and control experience of prevention and control, the Chinese people's own tumor diagnosis and treatment guidelines that have been successfully written in the aspects of "prevention, screening, diagnosis, treatment, and health. The CACA Guide implements the integrated medical concept of MDT To HIM, promotes the construction of the standard system in the field of tumor medicine in my country, and enables the diagnosis and treatment of tumors to follow, and it will gradually become capable The international guideline system is parallel.

Secretary Park Haozhe said that this meeting brought together top experts and scholars in the field of melanoma and softe sarcoma, focusing on hot issues in the professional field, carried out systems and wonderful academic tours, and laid a solid foundation for patients to better land clinical clinical clinical clinics and served patients to serve patients. Essence The Liaoning Cancer Hospital will also take this as an opportunity to speed up the construction of the hospital's oncology discipline, and continue to promote the development process of the hospital to the "Clinical Research Hospital". Development, make due contributions! Scientific knowledge

Although melanoma (MM) is rare in our country, it is rare for malignant tumors, but the mortality rate is high, and the incidence is also increasing year by year. Compared with European whitening people in China, my country's MMs are relatively large. The two differences in the pathogenesis, biological behavior, historical forms, treatment methods, and prognosis. Among Asians and other people, the MM original on the limb accounts for about 50%. The original parts are more common in the limb parts such as the soles of the foot, the toe, the end of the finger, and the lower part of the A. , MM in Oral Pharyng, esophageal, rectal anal canal, vagina, urinary tract, etc. account for 20%to 30%; ; MMs that are originally on the limb and mucous membranes only account for 5%and 1%, respectively.

The screening of high -risk people in MM will help early, diagnosis and early treatment, which is also the key to improving the efficacy of MM. In our country, the high -risk groups of skin MM mainly include the history of severe sunlight, the history of skin cancer, the skin of the skin, the skin's pigment mole, chronic inflammation, and some inappropriate treatment (such as salt, cutting, needle, rope, etc.). The high risk factors of mucosa MM are not clear. It is recommended that high -risk population self -examination on a regular basis, go to a specialist hospital if necessary, do not handle it at will.

MM mostly develops from moles. Early malignant symptoms of moles can be summarized as ABCDE rule:

√Aymmetry: Half of the pigment spots seem asymmetric as the other half.

√Border Irregularity: The edges are not neat or cut, sawtooth, etc., unlike normal pigment moles with smooth circular or oval outlines.

√ Color Variation: Normal pigment mole is usually monochrome, and MM is manifested as dirty black, as well as brown, brown, black, blue, pink, black and even white and other different colors.

√D diameter (Diameter): Pigment mole diameter is> 5mm or obviously when you grow up, MM is usually larger than ordinary moles. It is best to do biopsy for a biopsy for the diameter> 1cm.

√ Elevation: Some early MMs, the whole tumor experience has a slight bulge.

The only deficiency of the ABCDE rule is that the development speed of MM has not been considered, such as a significant change in a few weeks or months. Skin mirrors can make up for insufficient observation of the naked eye. It can detect and compare the changes in suspicious MM, which can significantly improve the accuracy of early MM diagnosis. MM can further develop satellite stoves, ulcers, repeatedly, regional lymph nodes transfer and move. Different symptoms of late MM metastasis are different. Eye and rectal source MM is prone to liver metastases.

Review

In order to improve the level of tumor academic research, promote the development of tumor medical care, and enhance the sense of medical treatment, happiness, and security, on July 3, the 29th soft tissue sarcoma of the 29th soft tissue sarcoma of the China Tumor Integration and Treatment (CACA) was held in Shenyang.

Academician Fan Daiming, Chairman of the Chinese Anti -Cancer Association, delivered a speech

This intensive reading lecture was hosted by the China Anti -Cancer Association, and was hosted by the China Anti -Cancer Association Sabial Subtairs Committee, China Institute of Integrated Medicine Development Strategy, Liaoning Cancer Hospital, and the Liaoning Anti -Cancer Association.

group photo

Live broadcast situation

The theme of this activity is "Soft -tissue Sabble Integration Diagnosis and Treatment (MDT To HIM)". Professor Cai Jianqiang, Xu Hairong, Ding Yi, Shen Jingnan, and Zhang Xiaocheng, the editorial board editorial board, Detailed interpretation of drugs and rehabilitation treatment.

Professor Cai Jianqiang, Cancer Hospital of the Chinese Academy of Medical Sciences

Professor Xu Hairong, Beijing Jishui Tan Hospital

Professor Ding Yi, Beijing Jishui Tan Hospital

Professor Shen Jingnan, First Affiliated Hospital of Sun Yat -sen University

Professor Zhang Xiaojing, Liaoning Cancer Hospital

Academician Fan Daiming, Academician Qiu Guixing, Academician Zhang Yingze, Academician Jiang Baoguo, Academician Tian Wei, Academician Yang Baofeng, and Academician Tang Li Xin made wonderful comments. The academicians believe that the CACA guidelines are the tumor guide system that leads the whole chapter with the "integration concept", implemented with "full management", and "Chinese characteristics" highlight the value system, focus on the new concept of tumor prevention, explore new progress of clinical research, and promote the promotion. In the process of tumor prevention and control, it is more concerned about the advancement of people's health and medical average level. Academician Fan Daiming

Academician Qiu Guixing

Academician Zhang Yingze

Academician Jiang Baoguo

Academician Tian Wei

Academician Yang Baofeng

Academician Tang Li

Why do we organize the "Guide to Integrated Tumor Integration and Treatment (CACA)" (hereinafter referred to as the "CACA Guide")? Academician Fan Daiming, chairman of the China Anti -Cancer Association, said that the writing of the guide was not rising for a while. One is that not all the guidelines are convinced of soil and water. Chinese patients have the characteristics of Chinese patients. Chinese doctors have experience in Chinese doctors. We have only updated; the third is because not all doctors are treated according to the guide, and irregular diagnosis and treatment will cause irreversible harm to the patient's life; the fourth is that not all schools use advanced guidelines to perform advanced guidelines performed by advanced guidelines. In teaching, some textbooks have the problem of renewal.

Academician Fan Daiming, Chairman of the China Anti -Cancer Association made a concluding speech

In order to change this situation, the China Anti -Cancer Association organized 2,266 authoritative experts, which lasted more than 1 year and collectively compiled the completion of my country's first CACA guide. The guide includes 53 kinds of tumors, up to 2370 pages, a total of 3.7 million words. "Guidelines have both Chinese characteristics and international perspectives, absorbing the strengths of foreign guidelines, avoiding their weaknesses, highlighting China's uniqueness, and more suitable for the tumor guidelines of Chinese people." Academician Fan Daiming said.

Academician Fan Daiming emphasized that MDT-HIM is not only the integration diagnosis and treatment team for multi-disciplinary, but also the main thing is to formulate an individualized integrated diagnosis and treatment plan. The most important thing is to achieve the optimized integrated diagnosis and treatment effect.

Academician Fan Daiming said that in order to better promote the national promotion of the CACA guide, the association launched the "opening lecture" and organized the CACA guidelines to conduct the "CACA Guide Ready Reading Series Tour" activity. The core points of the screening of the diagnosis and Kang Kang will be given authoritative lectures. Several academicians in related fields are also invited to make wonderful comments on the spot to dedicate a "academic feast" to the majority of oncology medical workers.

Scientific knowledge

Soft Tissue Sarcoma (STS) refers to a set of malignant tumors derived from non -epidaggiated bone tissue, but does not include support tissue of mesh endothelial system, neuroplastic cells, and various substantial organs. STS is mainly derived from the middle embryo, partly derived from the outer germ, and mainly includes muscle, fat, fiber tissue, blood vessels, and peripheral nerves.

STS accounts for 0.72%~ 1.05%of all human malignant tumors, and the annual incidence rate in my country is about 291/100,000, and the proportion of men and women is close to 1: 1. The incidence of STS is related to age, and with age, the incidence rate increases significantly. According to the incidence of age calibration, the incidence at the age of 80 is about 8 times when the age of 30. The most common parts of STS are limbs, accounting for about 53%, followed by peritoneal (19%), trunk (12%), and head and neck (11%). The STS is divided into 12 categories according to the source of the organization. According to different forms and biological behaviors, there are more than 50 subtypes. The most common subtypes include Undifferentiated Pleomorphie Sarcoma (UPS), Liposareoma (LPS), LEIOMYOSA г Coma, LMS, Synovial Sareoma, S8). The most common STS of children and adolescents is Rhab -Domyosarcoma (RMS).

The total 5 -year survival rate of STS is about 60%to 80%. The main factors affecting the prognosis of STS are age, tumor site, size, tissue grading, whether there are transfer and transfer parts, etc. The factors that affect the local recurrence of STS are inadequate surgical boundaries, multiple recurrence, large tumor volume, and high organizational grading. The 5 -year total survival rates of AJCC stages of stage ⅠA, stage Ⅰb, phase II, III, and phases III, and IV were 85.3%, 83.0%, 79.0%, 62.4%, 50.1%, and 13.9%, respectively.

Review

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Capture: Li Hui