卵巢癌患者全程管理中的重点问题

Key Issues in the Full-Course Management of Ovarian Cancer Patients

卵巢癌是女性生殖系统中致死率最高的恶性肿瘤,其全程管理中的重点问题包括早期诊断、手术治疗、化疗及维持治疗等方面。本文介绍了卵巢癌的全程管理模式,重点讨论了诊断中的筛查与诊断措施、初次治疗中的新辅助化疗与手术方式选择、术后辅助治疗方式的选择以及维持治疗中的治疗方案选择等关键问题。特别强调了对于晚期卵巢癌患者,应借鉴慢性病管理经验,将其视为长期管理的慢性疾病,以提高生存率和生活质量。本文还讨论了复发卵巢癌的治疗策略,包括铂敏感复发和铂耐药复发的治疗原则。通过综合评估每个诊治环节,为卵巢癌患者制定最佳的治疗方案和流程。

Ovarian cancer is the most lethal malignant tumor in the female reproductive system,with key issues in its full-course management including early diagnosis,surgical treatment,chemotherapy and maintenance therapy.This article re-views the full-course management model of ovarian cancer and discusses key issues such as screening and diagnostic measures in diagnosis,selection of neoadjuvant chemotherapy and surgery in initial treatment,selection of postoperative adjuvant thera-py,and treatment choices in maintenance therapy.It emphasizes that for advanced ovarian cancer patients,the experience of chronic disease management should be drawn upon,treating it as a chronic disease requiring long-term management to im-prove survival rates and quality of life.The article also discusses the treatment strategies for recurrent ovarian cancer,inclu-ding the principles for treating platinum-sensitive recurrence and platinum-resistant recurrence.The best treatment plan and process are formulated for patients with ovarian cancer by comprehensively evaluating each diagnostic and treatment section.