重视腺样囊性癌多学科协作与规范化诊疗

Pay attention to multidisciplinary cooperation and standardized diagnosis and treatment of adenoid cystic carcinoma

腺样囊性癌(ACC)具有强侵袭、嗜神经、易复发和远处转移的临床特点。缓慢生长并局部组织侵袭是其主要生物学过程,根治性手术切除联合术后放疗是常用的治疗方案。多种细胞毒性化学疗法和靶向分子疗法等临床尝试均未获得满意结果。因此,在ACC的诊疗过程中,应仔细权衡治疗益处和风险,在与患者及其家属充分沟通的基础上进行多学科协作与规范化诊疗极为重要。

Adenoid cystic carcinoma(ACC)has the clinical characteristics of strong invasion,neurosis,recurrence and distant metastasis.Its biological process is slow growth and local tissue invasion.Radical surgical resection combined with postoperative radiotherapy is a common treatment.Various clinical attempts such as cytotoxic chemotherapy and targeted molecular therapy have not yielded encouraging results.Therefore,in the process of diagnosis and treatment of ACC,the benefits and risks of treatment should be carefully weighted.It is very important to carry out multidisciplinary cooperation and standardized diagnosis and treatment on the basis of full communication with patients and their families.