鼻腔鼻窦黏膜黑色素瘤诊疗专家共识(2025年版)OA
Expert Consensus on Diagnosis and Treatment of Sinonasal Mucosal Melanoma(2025 Edition)
鼻腔鼻窦黏膜黑色素瘤(SNMM)是一种来源于黑色素细胞的罕见恶性肿瘤,具有侵袭性高、预后差的特点.尽管近年来医疗技术不断进步,在一定程度上丰富了SNMM患者的治疗选择,但目前国内外尚缺乏统一的诊疗规范及高级别循证医学证据.为规范SNMM的临床诊疗流程,重庆大学附属肿瘤医院黑色素瘤MDT专家组采用名义群体法经过讨论,确定共识编写大纲.在此基础上,编写组专家系统检索并分析了国内外相关文献,结合实际临床经验,初步拟定推荐意见.采用共识形成会议法,由重庆市医药生物技术协会肿瘤罕见病疑难病专业委员会和重庆抗癌协会肿瘤精准治疗专业委员会的委员专家对相关证据进行评估,逐一修订推荐建议,并通过投票确定最终共识内容和推荐强度,形成了《鼻腔鼻窦黏膜黑色素瘤诊疗专家共识(2025 年版)》.该共识涵盖了SNMM的流行病学、诊断、治疗及随访,旨在为临床诊疗提供标准化的参考依据.随着高级别循证医学证据的积累,该共识将持续更新和完善,以进一步推进SNMM全程管理的规范化.
Sinonasal mucosal melanoma(SNMM)is a rare and highly aggressive malignant tumor originating from melanocytes,with a poor prognosis.Despite advancements in medical technology and treatment approaches in recent years,there remains a lack of standardized diagnostic and therapeutic guidelines for SNMM,as well as high-level evidence from clinical research globally.To standardize the clinical diagnosis and treatment process of SNMM,the Melanoma Multidisciplinary Team of Chongqing University Cancer Hospital the nominal group technique to develop an outline for consensus compilation.Based on the outline,the expert of writing group systematically retrieved and analyzed relevant domestic and foreign literature,and combined with actual clinical experience,initially drafted the recommendations.Subsequently,through the consensus formation conference,experts from the Special Committee on Rare and Intractable Diseases of Cancers of Chongqing Medical Biotechnology Association,and the Tumor Precision Treatment Committee of Chongqing Anti-Cancer Association evaluated the evidence,revised the recommendations,and finalized the consensus content and recommendation strengths through voting,and finally developed Expert Consensus on Diagnosis and Treatment of Sinonasal Mucosal Melanoma(2025 Edition).The consensus includes guidelines on SNMM epidemiology,diagnosis,treatment,and follow-up,aiming to provide standardized reference for clinical diagnosis and treatment.As higher-level evidence becomes available,this consensus will be continuously updated to further enhance the standardized management of SNMM.
重庆大学附属肿瘤医院黑色素瘤MDT专家组;重庆市医药生物技术协会肿瘤罕见病疑难病专业委员会;重庆抗癌协会肿瘤精准治疗专业委员会;唐龙;王恩文;李咏生
医药卫生
鼻腔鼻窦黏膜黑色素瘤诊断治疗专家共识
Sinonasal mucosal melanomaDiagnosisTreatmentExpert consensus
《中国医院用药评价与分析》 2026 (1)
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重庆市自然科学基金面上项目(No.CSTB2023NSCQ-MSX0829)
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