1.指南来源（Guide Source）:

NCCN临床实践指南:阑尾肿瘤和癌症 V1.2026.发布已获NCCN肿瘤学临床实践指南(NCCN指南®)许可。©2025美国国家综合癌症网络公司.保留所有权利。未经NCCN明确的书面许可，不得出于任何目的以任何形式复制NCCN指南®和文中的插图。要查看NCCN指南的最新完整版本，请访问NCCN.org。NCCN指南是一项持续进行的工作，可能会随着新的重要数据的出现而不断完善。 

2.免责声明（Disclaimers）：

NCCN对其内容、使用或应用不做任何形式的担保，并否认以任何方式对其应用或使用承担任何责任。

在下载本篇指南前，请先您详细阅读并同意以下协议：

NCCN内容不得用于商业目的，以及NCCN作为NCCN内容的许可方，不作任何陈述或保证，并明确否认NCCN指南适用于任何特定患者的护理或治疗，任何医院、寻求使用《NCCN指南》治疗患者的临床医生或其他医疗服务提供者(“提供者”)应根据特定患者护理或治疗的具体临床情况做出独立的医疗判断，NCCN不建议、推荐或认可任何提供者(无论是否与被许可方相关)进行任何有偿或无偿的医疗治疗、咨询或服务，也不应因被许可方建议、推荐或认可任何此类提供者的作为或不作为而直接或间接承担责任。详见《NCCN最终用户许可协议》

3.专家名单（Staff）：

Al B. Benson III, MD/Chair † Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Alan P. Venook, MD/Vice-Chair † ‡ UCSF Helen Diller Family Comprehensive Cancer Center

Stacey A. Cohen, MD/Lead † Fred Hutchinson Cancer Center

Mohamed Adam, MD/Co-Lead ¶ UCSF Helen Diller Family Comprehensive Cancer Center Manju Ambelil, MD ≠ Fox Chase Cancer Center

George J. Chang, MD, MS, MHCM ¶ The University of Texas MD Anderson Cancer Center

Kristen K. Ciombor, MD † Vanderbilt-Ingram Cancer Center

Madison Conces, MD ‡ † Case Comprehensive Cancer Center/ University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute

Dustin Deming, MD † University of Wisconsin Carbone Cancer Center

Ignacio Garrido-Laguna, MD, PhD † Huntsman Cancer Institute at the University of Utah

Jean L. Grem, MD † Fred & Pamela Buffett Cancer Center

Carla Harmath, MD ф The UChicago Medicine Comprehensive Cancer Center

Paul Haste, MD ф Indiana University Melvin and Bren Simon Comprehensive Cancer Center

J. Randolph Hecht, MD † UCLA Jonsson Comprehensive Cancer Center

J. Kevin Hicks, PharmD, PhD Σ Moffitt Cancer Center

Sarah Hoffe, MD § Moffitt Cancer Center

Steven Hunt, MD ¶ Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Hisham Hussan, MD ¤ UC Davis Comprehensive Cancer Center

Kimberly L. Johung, MD, PhD § Yale Cancer Center/Smilow Cancer Hospital

Nora Joseph, MD ≠ University of Michigan Rogel Cancer Center

Natalie Kirilcuk, MD ¶ Stanford Cancer Institute

Midhun Malla, MD, MS † O’Neal Comprehensive Cancer Center at UAB

Rifat Mannan, MD ≠ City of Hope National Medical Center

Jennifer K. Maratt, MD, MS ¤ Indiana University Melvin and Bren Simon Comprehensive Cancer Center

Wells A. Messersmith, MD † University of Colorado Cancer Center

Jeffrey Meyer, MD, MS § Johns Hopkins Kimmel Cancer Center

Jeffrey Meyerhardt, MD, MPH † Dana-Farber Brigham and Women’s Cancer Center

Eric D. Miller, MD, PhD § The Ohio State University Comprehensive Cancer Center -James Cancer Hospital and Solove Research Institute

Mary F. Mulcahy, MD ‡ † Robert H. Lurie Comprehensive Cancer Center of Northwestern University  Roswell Park Comprehensive Cancer Center

Hitendra Patel, MD † UC San Diego Moores Cancer Center

Katrina Pedersen, MD, MS † Mayo Clinic Comprehensive Cancer Center

Leonard Saltz, MD † ‡ Þ Memorial Sloan Kettering Cancer Center

Charles Schneider, MD † Abramson Cancer Center at the University of Pennsylvania

David Shibata, MD ¶ St. Jude Children's Research Hospital/The University of Tennessee Health Science Center

Benjamin Shogan, MD ¶ The UChicago Medicine Comprehensive Cancer Center

Laurie Singer ¥ DoubleLL Productions

Constantinos T. Sofocleous, MD, PhD ф Memorial Sloan Kettering Cancer Center

Anna Tavakkoli, MD, MSc ¤ UT Southwestern Simmons Comprehensive Cancer Center

Christopher G. Willett, MD § Duke Cancer Institute

Christina Wu, MD † Mayo Clinic Comprehensive Cancer Center

NCCN Faviolla Baez-Cruz, PhD

Lisa Gurski, PhD Frankie Jones

4.临床试验（Clinical Trials）：

NCCN认为任何癌症患者都可以在临床试验中得到最佳治疗，因此特别鼓励患者参与临床试验。 寻找NCCN成员组：https://www.nccn.org/home/member-institutions

5.NCCN对证据和共识分类（ NCCN Categories of Evidence and Consensus）：

推荐均为2A类，除非另有说明，请参见下表：

6.NCCN首选分类（ NCCN Categories of Preference）：

所有建议均视为合理，请参见下表：

1.指南来源（Guide Source）:

NCCN临床实践指南:阑尾肿瘤和癌症 V1.2026.发布已获NCCN肿瘤学临床实践指南(NCCN指南®)许可。©2025美国国家综合癌症网络公司.保留所有权利。未经NCCN明确的书面许可，不得出于任何目的以任何形式复制NCCN指南®和文中的插图。要查看NCCN指南的最新完整版本，请访问NCCN.org。NCCN指南是一项持续进行的工作，可能会随着新的重要数据的出现而不断完善。 

2.免责声明（Disclaimers）：

NCCN对其内容、使用或应用不做任何形式的担保，并否认以任何方式对其应用或使用承担任何责任。

在下载本篇指南前，请先您详细阅读并同意以下协议：

NCCN内容不得用于商业目的，以及NCCN作为NCCN内容的许可方，不作任何陈述或保证，并明确否认NCCN指南适用于任何特定患者的护理或治疗，任何医院、寻求使用《NCCN指南》治疗患者的临床医生或其他医疗服务提供者(“提供者”)应根据特定患者护理或治疗的具体临床情况做出独立的医疗判断，NCCN不建议、推荐或认可任何提供者(无论是否与被许可方相关)进行任何有偿或无偿的医疗治疗、咨询或服务，也不应因被许可方建议、推荐或认可任何此类提供者的作为或不作为而直接或间接承担责任。详见《NCCN最终用户许可协议》

3.专家名单（Staff）：

Al B. Benson III, MD/Chair † Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Alan P. Venook, MD/Vice-Chair † ‡ UCSF Helen Diller Family Comprehensive Cancer Center

Stacey A. Cohen, MD/Lead † Fred Hutchinson Cancer Center

Mohamed Adam, MD/Co-Lead ¶ UCSF Helen Diller Family Comprehensive Cancer Center Manju Ambelil, MD ≠ Fox Chase Cancer Center

George J. Chang, MD, MS, MHCM ¶ The University of Texas MD Anderson Cancer Center

Kristen K. Ciombor, MD † Vanderbilt-Ingram Cancer Center

Madison Conces, MD ‡ † Case Comprehensive Cancer Center/ University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute

Dustin Deming, MD † University of Wisconsin Carbone Cancer Center

Ignacio Garrido-Laguna, MD, PhD † Huntsman Cancer Institute at the University of Utah

Jean L. Grem, MD † Fred & Pamela Buffett Cancer Center

Carla Harmath, MD ф The UChicago Medicine Comprehensive Cancer Center

Paul Haste, MD ф Indiana University Melvin and Bren Simon Comprehensive Cancer Center

J. Randolph Hecht, MD † UCLA Jonsson Comprehensive Cancer Center

J. Kevin Hicks, PharmD, PhD Σ Moffitt Cancer Center

Sarah Hoffe, MD § Moffitt Cancer Center

Steven Hunt, MD ¶ Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Hisham Hussan, MD ¤ UC Davis Comprehensive Cancer Center

Kimberly L. Johung, MD, PhD § Yale Cancer Center/Smilow Cancer Hospital

Nora Joseph, MD ≠ University of Michigan Rogel Cancer Center

Natalie Kirilcuk, MD ¶ Stanford Cancer Institute

Midhun Malla, MD, MS † O’Neal Comprehensive Cancer Center at UAB

Rifat Mannan, MD ≠ City of Hope National Medical Center

Jennifer K. Maratt, MD, MS ¤ Indiana University Melvin and Bren Simon Comprehensive Cancer Center

Wells A. Messersmith, MD † University of Colorado Cancer Center

Jeffrey Meyer, MD, MS § Johns Hopkins Kimmel Cancer Center

Jeffrey Meyerhardt, MD, MPH † Dana-Farber Brigham and Women’s Cancer Center

Eric D. Miller, MD, PhD § The Ohio State University Comprehensive Cancer Center -James Cancer Hospital and Solove Research Institute

Mary F. Mulcahy, MD ‡ † Robert H. Lurie Comprehensive Cancer Center of Northwestern University  Roswell Park Comprehensive Cancer Center

Hitendra Patel, MD † UC San Diego Moores Cancer Center

Katrina Pedersen, MD, MS † Mayo Clinic Comprehensive Cancer Center

Leonard Saltz, MD † ‡ Þ Memorial Sloan Kettering Cancer Center

Charles Schneider, MD † Abramson Cancer Center at the University of Pennsylvania

David Shibata, MD ¶ St. Jude Children's Research Hospital/The University of Tennessee Health Science Center

Benjamin Shogan, MD ¶ The UChicago Medicine Comprehensive Cancer Center

Laurie Singer ¥ DoubleLL Productions

Constantinos T. Sofocleous, MD, PhD ф Memorial Sloan Kettering Cancer Center

Anna Tavakkoli, MD, MSc ¤ UT Southwestern Simmons Comprehensive Cancer Center

Christopher G. Willett, MD § Duke Cancer Institute

Christina Wu, MD † Mayo Clinic Comprehensive Cancer Center

NCCN Faviolla Baez-Cruz, PhD

Lisa Gurski, PhD Frankie Jones

4.临床试验（Clinical Trials）：

NCCN认为任何癌症患者都可以在临床试验中得到最佳治疗，因此特别鼓励患者参与临床试验。 寻找NCCN成员组：https://www.nccn.org/home/member-institutions

5.NCCN对证据和共识分类（ NCCN Categories of Evidence and Consensus）：

推荐均为2A类，除非另有说明，请参见下表：

6.NCCN首选分类（ NCCN Categories of Preference）：

所有建议均视为合理，请参见下表：