Comprehensive treatment for tumor patients 1.Understanding of tumor: Tumor is a systemic disease, and no single treatment can cure it completely. more than 50 years ago, Cancer Hospital of Chinese Academy of Medical Sciences formulated a tumor treatment model with comprehensive treatment as the model. 2.What is comprehensive treatment? Definition of comprehensive treatment: “According to the patient’s physical and mental condition, the specific site, pathological type, invasion range (disease stage) and development tendency of tumor, combined with the changes of cellular molecular biology, the existing multidisciplinary various effective treatments are applied in a planned and rational way to achieve the best treatment effect with the most suitable economic cost, and at the same time, to improve the patient’s survival quality to the maximum. ” Specifically what we should do: we emphasize rationally and planfully, that is, we emphasize the need to discuss and discuss more in advance, to fully estimate whether the patient’s greatest risk is local recurrence or distant dissemination, to implement evidence-based treatment, and to maximize rational arrangements for the benefit of the patient. The physician’s duty is to provide the latest and best treatment to the majority of patients. This is a comprehensive definition that values both the patient’s organism and the disease, and does not exclude any effective method, and has a clear objective: “to increase the cure rate and improve the quality of life”. Integrated care is not a treatment approach, but more of a shift in clinical thinking. Clinicians are required to take the patient as the purpose of treatment, have a holistic concept, and have the ability to predict disease regression and healing. 3, comprehensive treatment principles: (1) clear purpose – radical palliative, prolong survival to improve the quality of life. (2) Reasonable arrangement – the order of arrangement should be in accordance with the law of tumor cell biology. The relationship between positive and evil, confinement and dissemination should be fully measured. (4) Comprehensive treatment should follow the following three points: (1) Evidence-based medicine – doctors’ own experience + others’ experience + examination data + results of worldwide clinical research to apply the most suitable methods of the whole human race to patients in order to achieve the best efficacy. (2) Individualization of treatment – individualized treatment plans for patients’ characteristics can improve the cure rate of patients to a certain extent. (3) Standardization – Each country has treatment norms and guidelines that serve as important references. Each treatment plan that meets the characteristics of the patient needs to be decided by the doctor based on consideration of various factors. (5) Individualized treatment: According to the requirements of evidence-based medicine, the best available research evidence should be applied cautiously, accurately and wisely, combined with the actual condition of the patient, the clinician’s personal expertise and clinical experience, and also taking into account the patient’s physiology, psychology, affordability and willingness, and the complete combination of the three can correctly formulate a comprehensive treatment plan for tumors and maximize the protection of the patient’s interests In order to protect the interests of patients and achieve the most ideal treatment effect. The individual difference of tumor patients and the heterogeneity of tumor itself determine that individualized treatment for each tumor patient is the key to obtain the best treatment effect. 6.Tumor specialist system: Tumor treatment is a long-term, multidisciplinary and comprehensive diagnosis and treatment process, which should be led by tumor specialist and multiple departments cooperate with each other. At present, comprehensive treatment has become the inevitable trend of tumor treatment. The standardized comprehensive treatment of tumor is mainly reflected in the first consultation stage of tumor, when the patient appears unwell and visits the doctor for the first time, the receiving physician should be able to make a clear diagnosis as soon as possible, and make a correct evaluation of the patient’s disease stage and general condition, so as to choose the most suitable treatment method according to this. 7.Current treatment methods and efficacy of tumor: surgery, resection, chemotherapy, radiotherapy, interventional therapy, biological immunotherapy, Chinese medicine.