国家卫生健康委员会中国结直肠癌诊疗规范（2025版）（精简版）

Department of Medical Administration, National Health Commission of the People's Republic of China, Oncology Society of Chinese Medical Association, Gu Jin, et al. Chinese protocol of diagnosis and treatment of colorectal cancer of the National Health Com-mission (2025 edition) (condensed version)[J]. Chinese Journal of Digestive Surgery, 2025, 24(12): 1507-1515. DOI: 10.3760/cma.j.cn115610-20251121-00708

Citation: Department of Medical Administration, National Health Commission of the People's Republic of China, Oncology Society of Chinese Medical Association, Gu Jin, et al. Chinese protocol of diagnosis and treatment of colorectal cancer of the National Health Com-mission (2025 edition) (condensed version)[J]. Chinese Journal of Digestive Surgery, 2025, 24(12): 1507-1515. DOI: 10.3760/cma.j.cn115610-20251121-00708

详细信息

通讯作者:

顾晋,北京大学肿瘤医院胃肠肿瘤中心三病区,北京 100142,Email：zlgujin@126.com

汪建平,中山大学附属第六医院结直肠外科,广州 510655,Email：wangjpgz@126.com

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Chinese protocol of diagnosis and treatment of colorectal cancer of the National Health Com-mission (2025 edition) (condensed version)

More Information

Corresponding author:

Gu Jin, The Third Department of Gastrointestinal Oncology Center, Peking University Cancer Hospital & Institute, Beijing 100142, China, Email:zlgujin@126.com

Wang Jianping, Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China, Email:wangjpgz@126.com

摘要

摘要:

《国家卫生健康委员会中国结直肠癌诊疗规范（2025版）》在循证医学基础上,融合国际前沿进展与中国临床实践,对既往版本进行深化拓展。本文为规范精简版,保留核心诊疗框架,突出“肛管癌的外科治疗”“诊疗新技术新进展”等新增内容,系统归纳外科、内科、放疗、影像、病理五大板块核心要点,便于临床医师快速掌握规范精髓,推动结直肠癌诊疗的标准化、精准化与同质化。

Abstract:

The Chinese protocol of diagnosis and treatment of colorectal cancer of the National Health Commission (2025 edition), based on evidence-based medicine, integrates international cutting-edge developments with Chinese clinical practice, and expands on previous versions. This article is a standardized and condensed version that retains the core diagnosis and treatment framework, high-lighting new content such as "surgical treatment of anal cancer" and "new advances in diagnosis and treatment technologies". It systematically summarizes the core points of surgery, internal medicine, radiotherapy, imaging, and pathology, making it easier for clinical doctors to quickly grasp the stan-dardized essence and promote the standardization, precision, and homogenization of colorectal cancer diagnosis and treatment.

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参考文献(10)

[1]

HanB, ZhengR, ZengH, et al. Cancer incidence and morta⁃lity in China,2022[J]. J Natl Cancer Cent,2024,4(1):47‑53. DOI: 10.1016/j.jncc.2024.01.006.

[2] 中国临床肿瘤学会结直肠癌工作委员会.中国临床肿瘤学会(CSCO)结直肠癌诊疗指南2025[M].北京:人民卫生出版社,2025. [3]

NagtegaalID, OdzeRD, KlimstraD, et al. The 2019 WHO classification of tumours of the digestive system[J]. Histopathology,2020,76(2):182‑188. DOI:10.1111/his.13 975.

[4]

GressDM, EdgeSB, GreeneFL, et al. Principles of cancer staging [J]. AJCC,2017,(1):3‑30.

[5]

CercekA, LumishM, SinopoliJ, et al. PD‑1 blockade in mismatch repair‑deficient, locally advanced rectal cancer[J]. N Engl J Med,2022,386(25):2363‑2376. DOI: 10.1056/NEJMoa2201445.

[6]

FokasE, AllgäuerM, PolatB, et al. Randomized phase Ⅱ trial of chemoradiotherapy plus induction or consolidation chemotherapy as total neoadjuvant therapy for locally advanced rectal cancer: CAO/ARO/AIO‑12[J]. J Clin Oncol,2019,37(34):3212‑3222. DOI: 10.1200/JCO.19.00308.

[7]

LiJ, QinS, XuRH, et al. Effect of fruquintinib vs placebo on overall survival in patients with previously treated metastatic colorectal cancer: the FRESCO randomized clinical trial[J]. JAMA,2018,319(24):2486‑2496. DOI:10.1001/ja ma.2018.7855.

[8]

DasariA, MorrisVK, AllegraCJ, et al. ctDNA applications and integration in colorectal cancer: an NCI colon and rectal-anal task forces whitepaper[J]. Nat Rev Clin Oncol,2020,17(12):757‑770. DOI: 10.1038/s41571-020-0392-0.

[9]

FaberRA, MeijerR, DrooghD, et al. Indocyanine green near-infrared fluorescence bowel perfusion assessment to prevent anastomotic leakage in minimally invasive colorectal surgery (AVOID): a multicentre, randomised, controlled, phase 3 trial[J]. Lancet Gastroenterol Hepatol,2024,9(10):924‑934. DOI: 10.1016/S2468-1253(24)00198-5.

[10]

PangY, ZhaoL, LuoZ, et al. Comparison of (68)Ga‑FAPI and (18)F‑FDG uptake in gastric, duodenal, and colorectal cancers[J]. Radiology,2021,298(2):393‑402. DOI: 10.1148/radiol.2020203275.

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