术后辅助治疗选择的思路和决策

Clinical decision for adjuvant therapy

通过外科手术将肿瘤完全切除,是肿瘤根治的重要手段。已有文献表面对这部分患者进行辅助治疗有助于提高患者无病生存率以及总体生存率。术后辅助治疗的临床决策又取决于肿瘤分期。本文将围绕常见的消化道肿瘤及妇科肿瘤等肿瘤的术后辅助治疗进行综述,尝试初步解答肿瘤术后患者辅助治疗的临床决策问题。

Surgery provides a potentially curative option for selected patients.Adjuvant therapy has been proved to increase disease-free survival and overall survival.The clinical decision making of adjuvant therapy for post-surgical patients dependent on cancer staging.This review focus on adjuvant therapy of common malignancy of digestive tract and gynecological oncology,and try to answer the questions of clinical decision for adjuvant therapy.