恶性肿瘤的药物治疗 (总论) 1931 Department of Pharmacy Fudan University Shanghai Cancer Center A复旦大学附属肿瘤医院 翟青 Fudan University Shanghai Cancer Center 2017年12月6日
翟青 2017年12月6日 恶性肿瘤的药物治疗 （总论）
药剂科 简介 回aa Established since 1931 □百吸区 □ 万级区 □+万继 12 Multidisciplinary Management Teams; 人方 1189 Clinical Staffs: 80 Pharmacists: >3 Clean Room 1196 Beds; 8 Biological safety cabinets; 34,000 Inpatients; -800,000 Outpatients; 6 Horizontal Laminar Airflow Cabinets; 70, 000 Chemo Cases; 800 Chemo/Day max
简介 • Established since 1931; • 12 Multidisciplinary Management Teams; • 1189 Clinical Staffs; • ~80 Pharmacists; • 1196 Beds； • ~34, 000 Inpatients; ~800, 000 Outpatients; • ~70, 000 Chemo Cases; ~800 Chemo/Day max; ➢ 3 Clean Room; ➢ 8 Biological safety cabinets; ➢ 6 Horizontal Laminar Airflow Cabinets; 2
药剂科 Contents ·卫生部 分期 规范 其他概论 治疗药物 指南 分类 原则
Contents • 分类 • 原则 • 指南 • 卫生部 • 分期 规范 其他 概论 治疗 药物 3
药剂科 概论 Google; wiki cancer statistics 定义 CAACancerJ Journal for clinici 分类 TNM Staging 流行 The Common Language of Cancer 病学 ANATOMIC STAGE/PROGNOSTIC GROUPS noetIc MO NO M 分期 BTO N1 I Cancer 策 N1 略 Staging g ing stage B Atlas on to the 预 of the AICC Cancer T3 M 后 Staging Manual and SECOND EDITION l Any T
概论 定义 分类 流行 病学 分期 Google; wiki; cancer statistics TNM Staging: The Common Language of Cancer 策 略 预 后 4
药剂科 概论 T2 T4 tension to chest wall ot includi >20-50mm >10-20mm=T1c 二= (>5-10 mm=Tib >1-5 mm=Lay >50mm 中●中中中中丶中中命电中中 mary Tumor TX Primary tumor cannot be assessed n Tumor s 20 mm in greatest dimension T4 Tumor of any size with direct extension to the chest TO No evidence of primary tumor TImi Tumor s 1 mm in greatest dimension wall and/or to the skin (ulceration or skin nodules) Tis Carcinoma in situ Tla Tumor >1 mm but s 5mm in greatest dimension Note: Invasion of the dermis alone does not qualify Tis(DCIS) Ductal carainoma in situ TTb Tumor>5mm but s 10 mm in greatest dimension T4a Extension to the dhest wall, not induding only Tis(LCIS) Lobular caranoma in situ Tlc Tumor >10 mm but s 20 mm in greatest dimension pectoralis musde adherence/invasion Tis(Paget's) Paget, s disease of the nipple NOT assodated with 12 Tumor >20 mm but s 50 mm in greatest dimension T4b Ulceration and/or ipsilateral satellite nodules and/or invasive caranoma and/or cardnoma in stu(DCs 13 Tumor >50 mm in greatest dimension edema (induding peau dorange)of the skin, whidh and/or LaS)in the underlying breast parenchyma. do not meet the criteria for inflammatory caranoma Carcinomas in the breast parenchyma assodated with Paget's disease are categorized based on the T4c Both T4a and T4b size and characteristics of the parenchymal disease, T4d Inflammatory caranoma(see "Rules for Ithough the presence of Paget's disease should stil dassification)
概论 5