参与儿童和青少年中枢神经系统肿瘤治疗的多学科团队的欧洲标准临床实践建议概览 - SIOPE 脑肿瘤小组

Maria Otth , Katrin Scheinemann , Thankamma Ajithkumar , Kristian Aquilina , Shivaram Avula , Hoong-Wei Gan , Geert O. Janssens , Jurgen Lemiere , Giovanni Morana , Enrico Opocher , Stefan M. Pfister , Giorgio Porro , Felix Sahm , Ulrich-Wilhelm Thomale , Michelle van Egmond-Ebbeling , Hanneke M. van Santen , Barry Pizer , Stefan Rutkowski , on behalf of SIOPE BTG
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引用次数: 0

摘要

中枢神经系统(CNS)肿瘤是 18 岁以下儿童和青少年最常见的实体肿瘤。它们由多个生物实体、亚组和亚型组成。这些亚型和其他因素,包括肿瘤的诊断年龄、位置、分期或遗传特征,导致与治疗相关的各层次非常不一致,从而影响了风险适应性多模式治疗建议、临床疗程和长期疗效。在治疗这些儿童和青少年时,需要由经验丰富的成员组成多学科团队,以实现短期和长期的最佳治疗效果。这对于没有既定治疗标准的新型中枢神经系统肿瘤尤为重要。我们代表欧洲儿科肿瘤学会脑肿瘤小组总结了在中枢神经系统肿瘤患儿的诊断和风险适应性治疗中需要合作的相关学科的主要声明:神经放射学、神经外科、神经病理学、放射治疗、内分泌学、神经眼科学和生存质量专业人员,涵盖了中枢神经系统肿瘤患儿的诊断评估、治疗方式和随访中应被视为标准的临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Overview of European standard clinical practice recommendations for multidiscplinary teams involved in the treatment of central nervous system tumours in children and adolescents – SIOPE Brain Tumour Group

Tumours of the central nervous system (CNS) represent the most common group of solid tumours in children and adolescents up to the age of 18 years. They comprise several biological entities, subgroups, and subtypes. These subtypes and additional factors, including age at diagnosis, location, stage, or genetic characteristics of the tumours result in a very heterogeneous spectrum of treatment-relevant strata for risk-adapted multimodal treatment recommendations, clinical courses, and long-term outcomes. Multidisciplinary teams with highly experienced members are needed to treat these children and adolescents to achieve the best possible outcome in the short and long-term. This is particularly important for the new CNS tumour entities with no established standard of care. On behalf of the Brain Tumour Group of the European Society for Paediatric Oncology, we summarize the key statements of the involved disciplines that need to cooperate in the diagnosis and risk-adapted treatment of children with CNS tumours: neuroradiology, neurosurgery, neuropathology, radiotherapy, endocrinology, neuro-ophthalmology, and quality of survival professionals, covering what should be considered standard clinical practice for diagnostic assessments, treatment modalities, and follow-up of children with CNS-tumours.

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