In order to help cancer prevention and treatment, allow clinical guidelines to be "implemented" smoothly, and better provide high-quality and efficient medical and health services to the public, on July 2, the 28th Chinese Cancer Integrated Diagnosis and Treatment Guidelines (CACA) melanoma intensive reading tour Held in Shenyang.
Academician Fan Daiming, Chairman of the Chinese Anti-Cancer Association, delivered a speech
This intensive reading tour was hosted by the Chinese Anti-Cancer Association and hosted by the China Institute of Integrated Medicine Development Strategy, Liaoning Provincial Cancer Hospital, and the Liaoning Provincial Anti-Cancer Association.
Intensive reading tour activities are carried out through the Chinese Anti-Cancer Association client APP, big experts, ONCO preface, Lewen Medicine, big medical platform, More than 40 media including the media client, Shenyang Radio and Television Station Northern Famous Doctors column, Liaoshen Evening News Health College, Yibai Technology, Yimaitong , Metz Medical, Le Live, and Oncology Information broadcast simultaneously, with a cumulative viewing volume of 14.77 million passengers.
Live Broadcast
This event is themed "Frontiers of Integrated Diagnosis and Treatment of Melanoma (MDT to HIM)". Professors Guo Jun, Niu Xiaohui, Si Lu, Chen Yu and other editors of the guideline will provide an overview of the guideline and the specifications of the anti-screening diagnosis system. , interpretation of key treatment points, research directions and prospects for detailed interpretation.
Professor Guo Jun, Peking University Cancer Hospital
Professor Niu Xiaohui, Beijing Jishuitan Hospital
Professor Si Lu, Peking University Cancer Hospital
Professor Chen Yu, Fujian Provincial Cancer Hospital
Academician Fan Daiming, Academician Chen Hongduo, Academician Liao Wanqing, Academician Xia Zhaofan, Fu Xiaobing academician, academician Fan Xianqun, academician Tang Lixin, academician made wonderful comments. Academicians believe that the CACA Guidelines are highly practical and down-to-earth, focusing on the epidemiological characteristics, genetic background, original research results and diagnosis, treatment, prevention and control characteristics of the Chinese population, incorporating Chinese research, focusing on Chinese characteristics, taking into account medical accessibility, and embodying Integrated thinking is a cancer guideline standard system that combines Chinese characteristics with an international perspective and is more suitable for the Chinese population.
Academician Chen Hongduo
Academician Liao Wanqing
Academician Xia Zhaofan
Academician Fu Xiaobing
Academician Fan Xianqun
Academician Tang Lixin
Academician Fan Daiming, Chairman of the Chinese Anti-Cancer Association, introduced that China The Anti-Cancer Association is the oldest, largest and highest-level oncology association in my country. A first-level association, the association organized 2,266 authoritative experts, which took more than a year to collectively compile my country's first "Chinese Guidelines for Integrated Cancer Diagnosis and Treatment (CACA)". The guideline covers 53 types of tumors, reaches 2,370 pages, and contains a total of 3.7 million words.
Academician Fan Daiming’s speech
Academician Fan Daiming pointed out that the Chinese Anti-Cancer Association Council has done many major things in the past five years. The first is to build an army, with members growing from 50,000 in 2017 to 330,000 today, and professional committees from 48 in the past to 93 now; the second is to hold a conference, the 2019 China Oncology Conference hosted by the Affiliated Cancer Hospital of Chongqing University There were 32,000 offline participants in the conference, and the total number of viewers in 2021 exceeded 71 million, both the highest in Chinese academic conferences; the third was to write a big book, and the monograph "Integrated Oncology" was divided into "Basic Volume" and "Clinical Volume" has a total of 6 volumes, with a total of 3,650 pages and nearly 7 million words. It is by far the largest monograph on integrated oncology in my country and even the world, with the most comprehensive disciplines and the most extensive content. The fourth is to run a large journal and establish "Holistic Integrative Oncology (HIO)". )" English journal, with the concept of "integrated medicine", conveying China's scientific research results and voice to the world; fifthly, establishing a large-scale plan, organizing national authoritative experts to compile the "Chinese Guidelines for Integrated Cancer Diagnosis and Treatment (CACA)", and organizing professional committees nationwide Preach.
Academician Fan Daiming said that in the face of complex diseases caused by multiple factors, we should focus on the integration of treatment methods. The first is to find a way out between under-treatment and over-treatment; the second is to find a way out before and after treatment. On the basis of multidisciplinary integration, individualized integrated plans are formulated according to the patient's condition to achieve maximum treatment effects.The key is moving forward, and cancer prevention and treatment lies in "early". Let more people avoid tumors and those who unfortunately get tumors can get early detection and early treatment. Delay the focus and do a good job in integrated management of the entire cancer rehabilitation process. We should not only pay attention to the diagnosis and treatment of cancer disease itself, but also pay attention to the health management of cancer patients' psychological and social functions to achieve the transformation from "treating diseases" to "treating people", that is, the management of both physical and mental aspects.
Pu Haozhe, Vice Chairman of the Chinese Anti-Cancer Association and Secretary of the Party Committee of Liaoning Cancer Hospital, delivered a speech
Pu Haozhe, Vice Chairman of the Chinese Anti-Cancer Association and Secretary of the Party Committee of Liaoning Cancer Hospital, said that the "Chinese Guidelines for Integrated Cancer Diagnosis and Treatment (CACA)" is the national oncology community's Authoritative experts, focusing on the epidemiological characteristics, genetic background, original research results and prevention and control experience of the Chinese population, have successfully compiled our own cancer diagnosis and treatment guidelines for the Chinese people from the aspects of "prevention, screening, diagnosis, treatment and recovery". The CACA guideline implements the integrated medical concept of MDT to HIM, promotes the construction of a guideline standard system in the field of oncology in my country, and makes cancer diagnosis and treatment rule-based and evidence-based. It will gradually become a tripartite, complementary and advantageous system with NCCN and ESMO. A parallel international guide system.
Secretary Park Haozhe said that this conference brought together top experts and scholars in the fields of melanoma and soft tissue sarcoma, focused on hot issues in the professional field, and carried out systematic and exciting academic lectures to lay the groundwork for the guidelines to be better implemented in clinical practice and serve patients. solid foundation. The Liaoning Provincial Cancer Hospital will also take this opportunity to accelerate the construction of the hospital's oncology discipline and continue to promote the development of the hospital into a "clinical research hospital" to improve and promote the level of academic oncology research in the region and promote the cause of oncology medicine in Liaoning and even the Northeast region. development and make due contributions!
Popular science knowledge
Although melanoma (MM) is a rare malignant tumor in my country, the mortality rate is high and the incidence rate is also increasing year by year. Compared with European and American Caucasians, MM in my country is quite different in terms of pathogenesis, biological behavior, histology morphology, treatment methods and prognosis. Among Asians and other people of color, about 50% of MM originates in the extremities. The primary site is mostly in the extremities such as the soles of the feet, toes, finger tips, and subungual. It originates in mucous membranes, such as the nasopharynx. MM in the , oropharynx , esophagus, rectum, anal canal, vagina, urinary tract and other parts of the body accounts for 20% to 30%; but in Caucasians, MM originating from the skin accounts for about 90%, and is common in the back, chest, abdomen and Skin of lower limbs; MM originating in extremities and mucous membranes account for only 5% and 1% respectively.
Screening of high-risk groups for MM is helpful for early detection, early diagnosis and early treatment, and is also the key to improving the efficacy of MM. In my country, high-risk groups for skin MM mainly include a history of severe sunburn, skin cancer, nevus, chronic inflammation, and some inappropriate treatments (such as salting, cutting, needle picking, and rope picking). Le et al). Risk factors for mucosal MM are unknown. It is recommended that high-risk groups conduct regular self-examinations, seek medical treatment from specialized hospitals when necessary, and do not handle matters on their own.
Skin MM mostly develops from moles. The symptoms of early malignant transformation of moles can be summarized as ABCDE rules:
A Asymmetry (asymmetry): One half of the pigment spot looks asymmetrical to the other half.
B Border irregularity: The border is irregular or has notches, jagged edges, etc. It does not have a smooth round or oval outline like normal pigmented nevi.
C Color variation: Normal pigmented nevus is usually single color, while MM appears as dirty black. It can also have many different colors such as brown, brown, brown-black, blue, pink, black and even white.
D Diameter (diameter): Pay attention when the diameter of a pigmented nevus is >5mm or has grown significantly. MM is usually larger than ordinary moles. For those with a diameter >1cm, it is best to undergo biopsy evaluation.
E Elevation: In some early stage MM, the entire tumor body will be slightly elevated. The only drawback of the
ABCDE rule is that it does not take into account the speed of development of MM, such as the tendency to change significantly over weeks or months. dermoscopy can make up for the lack of naked eye observation, detect and compare changes in suspicious MM, and can significantly improve the accuracy of early diagnosis of MM.Further development of MM may lead to satellite lesions, ulcers, recurrent non-healing, regional lymph node metastasis and transitional metastasis. The symptoms of late-stage MM vary depending on the metastasis site. The sites that are prone to metastasis are the lungs, liver, bones, and brain. MM of ocular and rectal origin is prone to liver metastasis.
