潘跃银-乳腺癌的辅助治疗方案-从临床指南走向临床实践讨论.ppt

乳腺癌的辅助治疗——从临床指南走向临床实践讨论;;Develop Clinical Practice Guidelines;TREATMENT GUIDELINES FOR ADJUVANT THERAPY OF BREAST CANCER;Sounds good, but…breast cancer is heterogeneous,and human beings are unique…so the likelihood that one treatment approach fits all seems unrealistic…;Pulling It All Together: Desirable Attributes of Guidelines;Inter-Guideline Comparison;Patient Examples: Key Points;CASE 1 ;NCCN 2010;ESMO;ST.GALLEN;适应症;CASE 1 ;CASE 2;风险评价与治疗选择;CASE 2.: Adjuvant! Online Results ;CASE 2.: Adjuvant! Online Results;Evolution of Chemotherapy in BC;ESMO;ST GALLEN;46 y.o., pT2 (3cm), pN0, Grade 2, R0, ER/PR+, HER2- ;St gallen;Patient M.F.: Guideline Recommendations;CASE 2;CASE 3;ESMO; ST GALLEN;NCCN;CASE 3;CASE 3;CASE 4;ST GALLEN;ESMO;NCCN;ASCO;CASE 4;CASE 5;辅助治疗方案?;SELECTION OF ADJUVANT ENDOCRINE THERAPY JULES BORDET VIEW;ADJUVANT CHEMOTHERAPY REGIMENSIN 2010;SELECTION OF ADJUVANT CHEMOTHERAPY REGIMENS : ACCORDING TO THE ENDOCRINE-RESPONSIVENESS AND THE RISK OF THE TUMOR;Important Questions That Remain;Conclusions;