影像指导下的卵巢癌可切除性评价的中国专家共识(2025年版)OA
Chinese expert consensus on imaging-guided evaluation of resectability for ovarian cancer(2025 edition)
肿瘤细胞减灭术是晚期卵巢癌患者治疗的基石,能否实现满意减瘤术取决于患者耐受情况和手术可切除性.影像学检查是评估卵巢癌手术可切除性的重要手段,在治疗决策中发挥关键作用.CT、MRI、PET等常用影像学检查方法及相关评分预测模型对卵巢癌病灶的诊断和可切除性评估的效能不同,各具优势.卵巢癌初始治疗对于预后的重要性强调其应在肿瘤中心进行,但即便在有经验的肿瘤中心,对卵巢癌可切除性评估仍有不同的方法与标准,国内外目前尚缺乏针对卵巢癌可切除性术前影像学评估的指南或共识.中国抗癌协会整合妇科肿瘤委员会、中国抗癌协会卵巢癌专业委员会、空军军医大学西京医院妇产科为提高影像学检查和评分预测模型的规范应用,经过行业内妇瘤专家调查、资料查证、多轮讨论并征求意见,形成《影像指导下的卵巢癌可切除性评价的中国专家共识(2025年版)》,旨在规范术前评估,提高晚期卵巢癌手术治疗的规范性与同质性.本共识已在国际实践指南注册平台(Practice guideline REgistration for transparency,PREPARE)注 册(注 册 号:PREPARE-2026CN1853).
Cytoreductive surgery constitutes the cornerstone of treatment for patients with advanced ovarian cancer.The feasibility of achieving optimal cytoreduction is contingent upon both patient tolerance and surgical resectability.Imaging examinations serve as critical tools for assessing ovarian cancer resectability and play an essential role in treatment decision-making.Common imaging modalities,including computed tomography(CT),magnetic resonance imaging(MRI),and positron emission tomography(PET),along with associated scoring prediction models,exhibit differential diagnostic performance and varying advantages in detecting ovarian cancer lesions and evaluating resectability.The prognostic significance of primary treatment for ovarian cancer underscores the necessity of its delivery at specialized oncology centers;however,even within experienced centers,there exist divergent approaches and criteria for resectability assessment.Currently,no guidelines or consensus are available domestically or internationally that specifically address preoperative imaging-based evaluation of ovarian cancer resectability.To enhance the standardized application of imaging examinations and scoring prediction models,the Integrative Gynecologic Oncology Committee of the China Anti-Cancer Association,the Ovarian Cancer Specialty Committee of the China Anti-Cancer Association,and the Department of Obstetrics and Gynecology of Xijing Hospital,Air Force Medical University,conducted extensive surveys among gynecologic oncology specialists,verified relevant data,and engaged in multiple rounds of discussion,culminating in the development of the Chinese expert consensus on imaging-guided evaluation of resectability for ovarian cancer(2025 edition).This consensus aims to standardize preoperative assessment and improve the uniformity and quality of surgical management for advanced ovarian cancer.It has been registered in the Practice Guideline Registration for Transparency(PREPARE)platform(No.PREPARE-2026CN1853).
中国抗癌协会整合妇科肿瘤委员会;中国抗癌协会卵巢癌专业委员会;吕小慧;刘淑娟
空军军医大学西京医院空军军医大学西京医院
卵巢癌肿瘤细胞减灭术二次肿瘤细胞减灭术影像学评估可切除性共识
Ovarian cancerCytoreductive surgerySecondary cytoreductive surgeryImaging evaluationResectabilityConsensus
《中国癌症杂志》 2026 (8)
789-807,19
国家自然科学基金联合基金重点支持项目(U25A20116)陕西省卫生健康科研创新能力提升计划团队支持项目(2025TD-05)陕西省自然科学基础研究计划重点项目(2024JC-ZDXM-52). Key Support Project of the Joint Fund of the National Natural Science Foundation of China(U25A20116),Innovation Team of Shaanxi Provincial Health Commission(2025TD-05),and Key Project of the Natural Science Basic Research Program of Shaanxi Province(2024JC-ZDXM-52).
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