论文部分内容阅读
TNM分类是1943～1952年由法国的Dierre Denoix提出的用以记录癌症进展程度的方法,是癌症的国际通用语言。它是以癌的解剖学扩散为中心,分别从临床和病理学角度记录的方法。目的在于①帮助临床医生制定治疗计划;②判断预后;③评价疗效;④协调医疗机构间的情报交流;⑤有助于对癌症的研究。目前,在我国基层医疗单位,对癌症的分类、分期不甚明确,对TNM分类则应用更少。他们大多笼统地将癌症归纳为有与无,或癌症是否转移等几个方面,缺乏对每个病人的癌情进行仔细的研究分析,不能划定其分期,这就模糊了病人的癌情,从而在选择治疗方案上形成以偏概全的逻辑,制定了“统一模式”的治疗方法。即某癌症用某类药、某治疗方法,片面强调了治疗手段的机理和时间,忽视了癌细胞的生长、侵润程度以及病人
The TNM classification is a method proposed by Dierre Denoix of France from 1943 to 1952 to record the progress of cancer and is an international language of cancer. It is based on the spread of cancer anatomy, respectively, from the perspective of clinical and pathological methods. The purpose is to ① help clinicians to formulate treatment plans; ② determine the prognosis; ③ evaluate the efficacy; ④ coordinate the exchange of information between medical institutions; ⑤ contribute to the study of cancer. At present, primary care units in China have not defined the classification of cancers staging more accurately, but they have less application to TNM classification. Mostly they generalize the cancer as having and without, or whether the cancer is metastasis and so on, the lack of careful study and analysis of each patient’s cancer, can not delineate the stage, which blurred the patient’s cancer, Thus in the choice of treatment programs to form a more general logic, developed a “unified model” treatment. That a cancer with certain drugs, a treatment, one-sided emphasis on the mechanism and time of treatment, ignoring the growth of cancer cells, the degree of invasion and the patient