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china Anti‑Cancer Association(CACA)guidelines for holistic integrative management of lymphoma(version 2.2.)Lymphoma,Guideline,Diagnosis,Treatment,Holistic integrative medicine

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Holistic Integrative Oncology 2023年第1期2卷 424-432页

作者： Qingyuan Zhang Jifeng Feng Huaqing Wang Huiqiang Huang Huilai Zhang Xiaoqiu Li Yuhuan Gao Yongping Song Zhiming Li Ou Bai Junning Cao Hui Zhou Kangsheng Gu Shu Zhao Wenhui Zhao Yan Qin Yajun Li Guangyu Ma Shujuan Wen Yu Wang Peiqi Zhao Wei Guo Fangfang Lv Yuyang Tian Xinrui Chen Zucheng Xie Yuankai Shi Lymphoma Committee of china Anti-Cancer Association Department of Medical Oncology Harbin Medical University Cancer HospitalHarbinChina Department of Medical Oncology Heilongjiang Cancer InstituteHarbinChina Department of Medical Oncology Jiangsu Cancer HospitalNanjingChina Department of Oncology Tianjin Union Medical Center of Nankai UniversityTianjinChina Department of Medical Oncology Sun Yat-Sen University Cancer CenterGuangzhouChina Department of Lymphoma Tianjin Medical University Cancer Institute and HospitalTianjinChina Department of Pathology Fudan University Shanghai Cancer CenterShanghaiChina Department of Hematology The Fourth Hospital of Hebei Medical UniversityShijiazhuangChina Department of Hematology The First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina Department of Hematology The First Bethune Hospital of Jilin UniversityChangchunChina Department of Medical Oncology Fudan University Shanghai Cancer CenterShanghaiChina Department of Lymphoma Hunan Cancer HospitalChangshaChina Department of Medical Oncology The First Affiliated Hospital of Anhui Medical UniversityHefeiChina Department of Medical Oncology National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital&Shenzhen HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeShenzhenChina Department of Lymphoma Xinjiang Medical University Cancer HospitalUrumchiChina Department of Hematology Hainan Cancer HospitalHaikouChina Department of Medical Oncology Beijing Key Laboratory of Clinical Study On Anticancer Molecular Targeted DrugsNational Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina 不详

Purpose Lymphoma has become a major threat to human ***,the diagnosis and treatment of lymphoma have developed rapidly,and research progress has emerged in an endless stream,with new drugs emerging one after *** results are constantly rewriting guidelines changing clinical practice,need to be popularized and applied more *** This guideline has integrated consensuses reached by the Lymphoma Committee of china Anti-Cancer Association(CACA),based on china’s practice,tracking previous results of the most advanced clinical researches,absorbing the latest clinical evidence,and referring to domestic and international lymphoma *** This holistic integrative guideline of lymphoma introduces the latest progress in the diagnosis and treatment of different subtypes of lymphoma,guide the clinical application of new drugs,standardized and precise management for lymphoma *** CACA guidelines for holistic integrative management of lymphoma(version 2.2.)enhance standardization and precision of the management for lymphoma patients in china.

关键词： Lymphoma Guideline Diagnosis Treatment Holistic integrative medicine

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疫苗真实世界研究中的统计方法

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中国食品药品监管 2023年第12期 162-167页

作者：戚洋洋蒋志伟王永吉夏结来汪萱怡上海市重大传染病和生物安全研究院北京康特瑞科统计科技有限责任公司西京医院复旦大学教育部/卫健委医学分子病毒学重点实验室复旦大学生物医学研究院复旦大学附属儿科医院

随机对照盲法临床试验用于评价疫苗安全性与有效性是公认的金标准,但由于其设计上的严苛,使得疫苗上市后,在大规模应用场景下的疫苗真实保护效果与临床试验获得的保护效力往往存在偏差,疫苗真实世界研究在此基础上被提出。新冠病毒疫苗... 详细信息

随机对照盲法临床试验用于评价疫苗安全性与有效性是公认的金标准,但由于其设计上的严苛,使得疫苗上市后,在大规模应用场景下的疫苗真实保护效果与临床试验获得的保护效力往往存在偏差,疫苗真实世界研究在此基础上被提出。新冠病毒疫苗真实世界研究被大量报道,其结果被各国采用,及时优化疫苗免疫策略。本文概括了常见的疫苗真实世界研究设计,并着重介绍了近些年发展出来的解决真实世界研究中混杂偏倚的统计方法:倾向评分和工具变量。

关键词：疫苗保护效果真实世界研究统计方法倾向评分工具变量

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Consensus on the digestive endoscopic tunnel technique

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World Journal of Gastroenterology 2019年第7期25卷 744-776页

作者： Ning-Li Chai Hui-Kai Li En-Qiang Linghu Zhao-Shen Li Shu-Tian Zhang Yu Bao Wei-Gang Chen Philip WY Chiu Tong Dang Wei Gong Shu-Tang Han Jian-Yu Hao Shui-Xiang He Bing Hu1 Bing Hu2.Xiao-Jun Huang Yong-Hui Huang Zhen-Dong Jin Mouen A Khashab James Lau Peng Li Rui Li De-Liang Liu Hai-Feng Liu Jun Liu Xiao-Gang Liu Zhi-Guo Liu Ying-Cai Ma Gui-Yong Peng Long Rong Wei-Hong Sha Pateek Sharma Jian-Qiu Sheng Shui-Sheng Shi Dong Wan Seo Si-Yu Sun Gui-Qi Wang Wen Wang Qi Wu Hong Xu Mei-Dong Xu Ai-Ming Yang Fang Yao Hong-Gang Yu Ping-Hong Zhou Bin Zhang Xiao-Feng Zhang Ya-Qi Zhai Department of Gastroenterology and Hepatology Chinese PLA General HospitalBeijing 100853China Department of Gastroenterology Beijing Chaoyang HospitalCapital Medical UniversityBeijing 100020China Department of Gastroenterology the First Affiliated Hospital of Xi’an Jiao Tong UniversityXi’an 710000Shaanxi ProvinceChina Department of Gastroenterology West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Endoscopy Eastern Hepatobiliary Surgical Hospital Affiliated to Naval Medical UniversityShanghai 200438China Department of Gastroenterology the Second Hospital of Lanzhou UniversityLanzhou 730030Gansu ProvinceChina Department of Gastroenterology Peking University Third HospitalBeijing 100191China Division of Gastroenterology and Hepatology the Johns Hopkins University School of MedicineBaltimoreMD 21218United States Department of Gastrointestinal Endoscopy Prince of Wales Hospitalthe Chinese University of Hong KongHong KongChina Department of Gastroenterology the First Affiliated Hospital of Soochow UniversitySuzhou 215006Jiangsu ProvinceChina Department of Gastroenterology Second Xiangya Hospital of Central South UniversityChangsha 410000Hunan ProvinceChina Department of Gastroenterology Changhai HospitalNaval Medical UniversityShanghai 200433China Department of Gastroenterology General Hospital of Chinese People’s Armed Police ForcesBeijing 100039China Division of Gastroenterology Union Hospital of Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022Hubei ProvinceChina Department of Gastroenterology Sichuan Provincial People’s HospitalChengdu 610072Sichuan ProvinceChina Department of Gastroenterology Xijing HospitalAir Force Medical UniversityXi’an 710032Shaanxi ProvinceChina Department of Digestion Qinghai Provincial People’s HospitalXining 810007Qinghai ProvinceChina Department of Gastroenterology Southwest HospitalArmy Medical UniversityChongqing 400038China Department of Gastroenterology Peking Univ

With the digestive endoscopic tunnel technique(DETT), many diseases that previously would have been treated by surgery are now endoscopically curable by establishing a submucosal tunnel between the mucosa and muscularis propria(MP). Through the tunnel, endoscopic diagnosis or treatment is performed for lesions in the mucosa, in the MP, and even outside the gastrointestinal(GI) *** present, the tunnel technique application range covers the following:(1)Treatment of lesions originating from the mucosal layer, e.g., endoscopic submucosal tunnel dissection for oesophageal large or circular early-stage cancer or precancerosis;(2. treatment of lesions from the MP layer, per-oral endoscopic myotomy, submucosal tunnelling endoscopic resection, etc.; and(3) diagnosis and treatment of lesions outside the GI tract, such as resection of lymph nodes and benign tumour excision in the mediastinum or abdominal cavity. With the increasing number of DETTs performed worldwide, endoscopic tunnel therapeutics, which is based on DETT, has been gradually developed and optimized. However, there is not yet an expert consensus on DETT to regulate its indications, contraindications, surgical procedure, and postoperative *** International DETT Alliance signed up this consensus to standardize the procedures of DETT. In this consensus, we describe the definition, mechanism,and significance of DETT, prevention of infection and concepts of DETTassociated complications, methods to establish a submucosal tunnel, and application of DETT for lesions in the mucosa, in the MP and outside the GI tract(indications and contraindications, procedures, pre-and postoperative treatments, effectiveness, complications and treatments, and a comparison between DETT and other operations).

关键词： Digestive endoscopic tunnel technique Endoscopic submucosal tunnel dissection Per-oral endoscopic myotomy Submucosal tunnelling endoscopic resection Gastrointestinal tract

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Chinese Expert Proposal on the Diagnosis and Management of Pemphigus Vulgaris (2.2.)

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International Journal of Dermatology and Venereology 2020年第3期3卷 148-155页

作者： Ya-Gang Zuo Li Li Jin-Bo Chen Liu-Qing Chen Su-Ying Feng Wei Li Xiao-Qun Luo Meng Pan Gang Wang Ting Xiao Bao-Qi Yang Kang Zeng Gui-Ying Zhang Hong-Zhong Jin Dermatology Branch of china,International Exchange and Promotion Association for Medical and Healthcare Department of Dermatology Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Department of Dermatology Wuhan No.1 HospitalWuhanHubei 430022China Department of Dermatology Hospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China Department of Dermatology West China Hospital of Sichuan UniversityChengduSichuan 610041China Department of Dermatology Huashan Hospital Affiliated to Fudan UniversityShanghai 200040China Department of Dermatology Ruijin Hospital Affiliated to Shanghai Jiaotong University Medical CollegeShanghai 310000China Department of Dermatology Xijing HospitalFourth Military Medical UniversityXi’anShaanxi 710032China Department of Dermatology The First Hospital of China Medical UniversityShenyangLiaoning 110001China Department of Dermatology Shandong Provincial Dermatology HospitalJinanShandong 250022China Department of Dermatology Southern Hospital of Southern Medical UniversityGuangzhouGuangdong 510515China Department of Dermatology Xiangya Second Hospital of Central South UniversityChangshaHunan 410011China 不详

Pemphigus vulgaris(PV)is a life-threatening autoimmune bullous disease that causes blisters and erosions on the skin and mucous membranes to standardize the diagnosis and treatment of PV,Chinese experts in this field were invited to make recommendations which are presented in this *** vulgaris can be divided into cutaneous mucous type,cutaneous type and mucous mucous dominant type according to the different clinical *** pathological manifestations of PV are acantholysis above the basal *** diagnosis of PV and the assessment of the severity of the disease are made in accordance with the clinical manifestations,histopathological features,immunofluorescence assay results,and detection of pathogenic serum *** first-line treatment of PV comprises systemic *** combination with immunosuppressive agents or rituximab is recommended for moderate and severe *** immunoglobulin administration is recommended for patients being treated with *** exchange and stem cell transplantation can be performed if *** the course of therapy,the disease activity should be closely monitored,and actions should be taken to prevent adverse reactions.

关键词： pemphigus proposal diagnosis management

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腰方肌阻滞疗法中国专家共识(2.2.版)

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中华疼痛学杂志 2024年第2期20卷 179-190页

作者：腰方肌阻滞疗法中国专家共识编写组王小平段彬姚军陈宇蔡宇晶冯霞范坤宫庆娟郭海军黄雪花姜莹莹李水清李雅兰廖琴雷洪伊马彬马武华马璐璐马柯舒海华孙涛徐世元王锷王亚平王海棠王勇肖礼祖余日丽邹海盯郑拥军不详暨南大学附属第一医院疼痛科广州市510630 中南大学湘雅医院麻醉科长沙市410008 上海交通大学医学院附属第六人民医院麻醉科上海市200233 中山大学附属第一医院麻醉科广州市510080 广东省人民医院麻醉科广州市510080 广州医科大学附属第二医院疼痛科广州市510260 乔治全球健康研究院(澳大利亚)北京代表处营养和生活方式部北京市100060 上海交通大学医学院附属新华医院疼痛科上海市200092 中国疾病预防控制中心慢性非传染性疾病预防控制中心综合防控与评价室北京市100050 北京大学第三医院疼痛科北京市100191 暨南大学附属第一医院麻醉科广州市510630 中南大学湘雅三医院麻醉科长沙市410013 南方医科大学珠江医院麻醉科广州市510282 兰州大学基础医学院循证医学中心兰州市730000 广州中医药大学第一附属医院麻醉科广州市510140 北京协和医院麻醉科北京市100730 山东第一医科大学附属省立医院疼痛科济南市250021 中南大学湘雅二医院疼痛科长沙市410011 南方医科大学南方医院麻醉科广州市510515 华中科技大学协和深圳医院疼痛科深圳市518052 中南大学湘雅二医院麻醉科长沙市410011 复旦大学附属华东医院疼痛科上海市200040

腰方肌阻滞是将局麻药物注入到腰方肌邻近的筋膜间隙内,阻滞在其内行走的相关胸腰神经产生镇痛的神经阻滞方法。可为腹部、髋部、下肢等手术提供镇痛,在急慢性疼痛管理中亦有良好效果,还可缓解腹部内脏疼痛。本专家共识系统介绍了腰方... 详细信息

腰方肌阻滞是将局麻药物注入到腰方肌邻近的筋膜间隙内,阻滞在其内行走的相关胸腰神经产生镇痛的神经阻滞方法。可为腹部、髋部、下肢等手术提供镇痛,在急慢性疼痛管理中亦有良好效果,还可缓解腹部内脏疼痛。本专家共识系统介绍了腰方肌阻滞的相关解剖特点、不同入路阻滞方法及阻滞范围、常用麻醉药物、并发症以及临床应用等,为其在临床的有效安全应用提供参考。

关键词：神经传导阻滞腰方肌阻滞专家共识

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基于RT-LAMP的10种烈性病毒快速检测方法的研究

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微生物与感染 2018年第5期13卷 265-272页

作者：赵娜赵望刘淇夏菡师永霞袁志明中国科学院武汉病毒研究所武汉430071 上海科源电子科技有限公司上海201611 复旦大学环境科学与工程系上海200433 广东出入境检验检疫局检验检疫技术中心广州510627

本研究针对10种对人类健康威胁较大的烈性病毒建立反转录-环介导等温扩增法(reverse transcription-loop-mediated isothermal amplification,RT-LAMP),筛选出10种烈性病毒高特异性引物,并分别对这10种病毒进行特异检测。结果显示,其安... 详细信息

本研究针对10种对人类健康威胁较大的烈性病毒建立反转录-环介导等温扩增法(reverse transcription-loop-mediated isothermal amplification,RT-LAMP),筛选出10种烈性病毒高特异性引物,并分别对这10种病毒进行特异检测。结果显示,其安全、便捷、快速,且高通量。在自主研发的RT-LAMP体系中,只需加入模板,结合配套仪器,扩增耗时不超过45min,检测灵敏度为1~100拷贝/反应(2.μL)。检测30份人血清样品,筛查出1份裂谷热病毒阳性。该方法操作简单,可防止污染,成本低,易携带,方便于低配实验室或现场进行实时高通量检测。结果提示,针对10种烈性病毒的RT-LAMP方法可对口岸等人员流动性大的地区疑似患者进行快速筛查,展现出良好的应用前景。

关键词：环介导等温扩增法烈性病毒现场快速检测

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Clinical practice guideline for body composition assessment based on upper abdominal magnetic resonance images annotated using artificial intelligence

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Chinese Medical Journal 2022年第6期135卷 631-633页

作者： Han Lv Mengyi Li Zhenchang Wang Dawei Yang Hui Xu Juan Li Yang Liu Di Cao Yawen Liu Xinru Wu He Jin Peng Zhang Liqin Zhao Rixing Bai Yunlong Yue Bin Li Nengwei Zhang Mingzhu Zou Jinghai Song Weibin Yu Pin Zhang Weijun Tang Qiyuan Yao Liheng Liu Hui Yang Zhenghan Yang Zhongtao Zhang National Clinical Research Center for Digestive Diseases in Beijing Friendship Hospital,Capital Medical university Beijing Quality Control and Improvement Center of Medical Imaging National Health Commission Capacity Building and Continuing Education Center,Chinese College of Metabolic and Bariatric Surgeons Beijing Quality Control and Improvement Center of Metabolic and Bariatric Surgery Department of Radiology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of General Surgery Beijing Friendship HospitalCapital Medical University&National Clinical Research Center for Digestive DiseasesBeijing 100050China School of Biological Science and Medical Engineering Beihang UniversityBeijing 100191China Department of Radiology Beijing Tiantan HospitalCapital Medical UniversityBeijing 100070China Department of General Surgery Beijing Tiantan HospitalCapital Medical UniversityBeijing 100070China Department of MR Beijing Shijitan HospitalCapital Medical University/Peking UniversityNinth Clinical Medical CollegeBeijing 100038China Department of General Surgery Beijing Shijitan HospitalCapital Medical University/Peking UniversityNinth Clinical Medical CollegeBeijing 100038China Department of Radiology Beijing HospitalNational Center of GerontologyInstitute of Geriatric MedicineChinese Academy of Medical SciencesBeijing 100730China Department of General Surgery Beijing HospitalNational Center of GerontologyInstitute of Geriatric MedicineChinese Academy of Medical SciencesBeijing 100730China Department of Radiology Shanghai Jiao Tong University Affiliated Sixth People's HospitalShanghai 200233China Department of Bariatric and Metabolic Surgery Shanghai Jiao Tong University Affiliated Sixth People's HospitalShanghai 200233China Department of Radiology Huashan HospitalFudan UniversityShanghai 200040China Center for Obesity and Metabolic Surgery Huashan HospitalFudan UniversityShanghai 200040China Department of Radiology Zhongshan HospitalFudan UniversityShanghai 200032China Department of Radiology The Second Affiliated Hospital of Shandong First Medical UniversityTai'anShandong 271000China 不详

Introduction Upper abdominal magnetic resonance(MR)imaging is appropriate for body composition analysis.111 Especially for individuals with obesity,it is of great value to quantify the hepatic proton density fat fraction(PDFF)and the amount of abdominal adipose tissue during clinical evaluation and for research on obesity-related *** results may be used to determine the optimal choice of surgical procedure and evaluate treatment *** artificial intelligence(Al)algorithms and systems have been developed for the automated measurement of body *** basis of Al development and application is to have uniform standards for clinical data acquisition and *** uneven quality ofMR images is one ofthe major obstacles to Al system development and analytical results.A standardized process of MR scanning and clinical data management is urgently needed.

关键词： abdominal obesity artificial

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Chinese Experts Consensus on Biologic Therapy for Psoriasis

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International Journal of Dermatology and Venereology 2020年第2期3卷 76-85页

作者： Chen Ai-Jun Gao Xing-Hua Gu Heng Gu Jun Hao Fei Jiang Xian Jin Hong-Zhong Kang Xiao-Jing Li Cheng-Xin Li Yu-Zhen Liu Xiao-Ming Shi Yu-Ling Sun Qing Wang Gang Yang Bin Zhang Jun-Ling Zhang Xi-Bao Zhang Xue-Jun Zhao Yi Zheng Min Chinese Society of Dermatology china Dermatologist Association Dermatology and Venereology Specialized Committee of Chinese Association of Integrative Medicine Department of Dermatology The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China Department of Dermatology The First Hospital of China Medical UniversityShenyangLiaoning 110001China Hospital for Skin Diseases(institute of Dermatology) Chinese Academy of Medical SciencesNanjingJiangsu 210042China Department of Dermatology Changhai HospitalThe Second Military Medical UniversityShanghai 200002China Department of Dermatology The Third Affiliated Hospital of Chongqing Medical UniversityChongqing 401120China Department of Dermatology West China Hospital of Sichuan UniversityChengduSichuan 610041China Department of Dermatology Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Department of Dermatology People’s Hospital of Xinjiang Uygur Autonomous RegionUrumqiXinjiang 830001China Department of Dermatology The First Medical CenterPLA General HospitalBeijing 100853China Department of Dermatology The Second Hospital of Harbin Medical University HarbinHeilongjiang 150086China Department of Dermatology The University of Hong Kong-Shenzhen HospitalShenzhen 518053China Department of Dermatology Shanghai Tenth People’s HospitalTongji University School of MedicineShanghai 200072China Department of Dermatology Qilu HospitalShandong UniversityJinanShandong 250012China Department of Dermatology Xijing HospitalThe Fourth Military Medical UniversityXi’anShaanxi 710032China Dermatology Hospital of Southern Medical university GuangzhouGuangdong 510091China Department of Dermatology Tianjin Academy of Traditional Chinese Medicine Affiliated HospitalTianjin 300120China institute of Dermatology Guangzhou Medical UniversityGuangzhouGuangdong 510095China Department of Dermatology Huashan HospitalFudan UniversityShanghai 200040China Department of Dermatology and Venereology Beijing Tsinghua Changgung HospitalSchool of Clinical MedicineTsinghua UniversityBeijing 102218China Department of

Biologic drugs have been increasingly used in the treatment of psoriasis and are especially favorable for severe,recalcitrant,and special-type ***,appropriate,effective,and safe use of biologic drugs has drawn attention from *** this purpose,Chinese experts majoring in psoriasis analyzed domestic and international research data,summarized current clinical experiences,investigated features of Chinese patients with psoriasis,and finally formulated the present consensus,which provides detailed guidances to clinicians in terms of the principles and methods of the application of biologics,the efficacy and safety profile,patient screening and monitoring,main adverse events and corresponding solutions,and precautions for special patient populations.

关键词： psoriasis treatment biologics consensus

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Expert Consensus on Pathological Diagnosis of Intrahepatic Cholangiocarcinoma(2.2. version)

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Journal of Clinical and Translational Hepatology 2023年第7期11卷 1553-1564页

作者： Han Wang Jun Chen Xin Zhang Xia Sheng Xiao-Yan Chang Jie Chen Min-Shan Chen Hui Dong Guang-Jie Duan He-Ping Hu Zhi-Yong Huang Wei-Dong Jia Xiao-Qing Jiang Dong Kuang Shan-Shan Li Zeng-Shan Li Chang-Li Lu Shu-Kui Qin Xue-Shan Qiu Li-Juan Qu Chun-Kui Shao Feng Shen Guo-Ming Shi Su-Sheng Shi Yu-Jun Shi Hui-Chuan Sun Xiao-Dong Teng Bin Wang Zhan-Bo Wang Tian-Fu Wen Jia-Mei Yang Qiao-Qiao Yang Sheng-Long Ye Hong-Fang Yin Zhen-Gang Yuan Jing-Ping Yun Feng-Lin Zang Hong-Qi Zhang Li-Hong Zhang Jing-Min Zhao Jian Zhou Wei-Xun Zhou Jia Fan Xiao-Ping Chen Wan Yee Lau Yuan Ji Wen-Ming Cong Chinese Society of Liver Cancer of Chinese Anti-Cancer Association Digestive Disease Group of Chinese Society of Pathology,Chinese Medical Association Chinese Society of Pathology of Chinese Anti-Cancer Association Hepatic Surgery Group of Chinese Society of Surgery,Chinese Medical Association Biliary Tract Tumor Committee of china Anti-Cancer Association Chinese Society of Clinical Oncology IDepartment of Pathology Eastern Hepatobilary Surgery HospitalNaval Medical UniversityShanghaiChina Department of Pathology the Affiliated Drum Tower HospitalNanjing University Medical SchoolNanjingJiangsuChina Department of Pathology Zhongshan HospitalFudan UniversityShanghaiChina Department of Pathology Minhang HospitalFudan Uni-versityShanghaiChina Department of Pathology Peking Union Medical College HospitalChinese Academy of Medical Sci-ences and Peking Union Medical CollegeBeijingChina Department of Liver Surgery Sun Yat-Sen University Cancer CenterGuangzhouGuangdongChina Department of Pathology The First Affiliated HospitalArmy Medical UniversityChongqingChina Department of Hepatobiliary Medicine Eastern Hepatobiliary Surgery HospitalNaval Medical UniversityShanghaiChina Hepatic Surgery Center Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWu-hanHubeiChina Department of General Surgery The First Affliated Hospital of USTCDivision of Life Science and Medi-cineUniversity of Science and Technology of ChinaHefeiAnhuiChina Department of Biliary Surgery I Eastern Hepatobil-iary Surgery HospitalNaval Medical UniversityShanghaiChina Department of Pathology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubeiChina Department of Pathology The First Afiliated Hospital of Zhengzhou UniversityZhengzhou UniversityZhengzhouHenanChina Department of Pathology Xijing Hospi-talAir Force Medical UniversityXi'anShaanxiChina Department of Pathology West China HospitalSichuan UniversityChengduSichuanChina Cancer Center of Jinling Hospital Nanjing University of Chinese MedicineNanjingJiangsuChina Department of Pathology The First Affiliated HospitalChina Medical UniversityShenyangLiaoningChina Department of Pathology The 900 Hospital of the Chinese People's Liberation Army Joint Logistics TeamFuzhouFujianChina Department of Pathology The Third Affiliated HospitalSun Yat-Sen UniversityGuangz

Intrahepatic cholangiocarcinoma(iCCA)can originate from the large bile duct group(segment bile ducts and area bile ducts),small bile duct group(septal bile ducts and interlobular bile ducts),and terminal bile duct group(bile ductules and canals of Hering)of the intrahepatic biliary tree,which can be histopathological corresponding to large duct type iCCA,small duct type iCCA and iCCA with ductal plate malformation pattern,and cholangiolocarcinoma,*** challenge in pathological diagnosis of above subtypes of iCCA falls in the distinction of cellular morphologies,tissue structures,growth patterns,invasive behaviors,immunophenotypes,molecular mutations,and surgical *** these reasons,this expert consensus provides nine recommendations as a reference for standardizing and refining the diagnosis of pathological subtypes of iCCA,mainly based on the 5th edition of the World Health Organization Classification of Tumours of the Digestive System.

关键词： Intrahepatic cholangiocarcinoma Pathology Histological type Immunohistochemistry Molecular variation

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实体器官移植受者新型冠状病毒感染诊疗专家共识(2.2.年版)

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中华器官移植杂志 2023年第6期44卷 129-145页

作者：国家传染病医学中心中华医学会器官移植学分会中国康复医学会器官移植康复专业委员会中国器官移植发展基金会器官移植受者健康管理专项基金王正昕郑建铭陈静瑜郑哲霍枫不详复旦大学附属华山医院复旦大学器官移植研究所上海200040 复旦大学附属华山医院感染科上海200040 无锡市人民医院无锡214000 中国医学科学院阜外医院北京100037 中国器官移植发展基金会器官移植受者健康管理专项基金北京100010 中国人民解放军南部战区总医院广州510000

自2.19年底以来,新型冠状病毒(新冠病毒)感染大流行已席卷全球。虽然目前的新冠病毒变异株的致病性和毒力已较原始株有所下降,大多数患者预后良好,但实体器官移植(SOT)受者人群为新冠病毒感染脆弱人群,即使全程接种新冠病毒疫苗,SOT受... 详细信息

自2.19年底以来,新型冠状病毒(新冠病毒)感染大流行已席卷全球。虽然目前的新冠病毒变异株的致病性和毒力已较原始株有所下降,大多数患者预后良好,但实体器官移植(SOT)受者人群为新冠病毒感染脆弱人群,即使全程接种新冠病毒疫苗,SOT受者感染新冠病毒的住院或死亡风险依然较高。SOT受者新冠病毒感染后其临床表现、诊断和治疗均与普通人群存在很大的特殊性,需要高度关注。目前尚缺乏针对SOT受者人群可供参考的新冠诊疗领域的指南或共识。因此,参考《新型冠状病毒诊疗方案(试行第十版)》及国内外文献,编写团队撰写了《实体器官移植受者新冠病毒感染诊疗专家共识(2.2.年版)》。本共识基于国内外新冠病毒感染的循证医学证据,并经过专家多次研讨达成一致意见后撰写成文,形成2.条推荐意见,为SOT受者感染新冠病毒的诊疗提供参考。

关键词：实体器官移植新型冠状病毒诊断治疗

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