在生命的第一年内瘤
José Francisco M Salomão1, Tatiana Protzenko2
1Fernandes Figueira Institute - Oswaldo Cruz Foundation (IFF-Fiocruz), Rio de Janeiro, RJ, Brazil.
Advances and technical standards in neurosurgery
|June 15, 2023
概括
婴儿的内瘤是罕见但具有攻击性的儿科癌症. 外科切除的程度是生存的关键,尽管分子诊断的进步.
科学领域:
- 儿科瘤学 儿科瘤学
- 神经瘤学神经瘤学
- 新生儿医学 新生儿医学
背景情况:
- 内瘤是继白血病之后,生命第一年的第二常见的儿科癌症.
- 这些瘤存在独特的挑战,包括高恶性瘤率,大尺寸和血管性,导致更高的发病率和死亡率.
- 由于微妙的症状,诊断可能会延迟,尽管产前超声波的进展.
研究的目的:
- 审查新生儿和婴儿内瘤的独特特征.
- 讨论常见的瘤类型,诊断挑战和治疗考虑.
- 突出这一罕见的儿科人口的预后因素和生存率.
主要方法:
- 在生命的第一年儿科内瘤的文献综述.
- 对流行病学数据,组织学分类和临床行为进行分析.
- 评估诊断和治疗进步对患者结果的影响.
主要成果:
- 在这个年龄组中,儿科低级质瘤,脑髓母细胞瘤,脑膜瘤,胚胎瘤 (以前称为PNET) 和瘤是常见的.
- 移除瘤的程度是最关键的预后因素,超过了分子和基因组学的进步.
- 五年生存率的差异很大,从25%到75%.
结论:
- 婴儿的内瘤与老年儿童相比具有明显的特征,需要专门的管理.
- 尽管诊断和治疗方面取得了进展,但手术切除的程度仍然是改善生存率的关键.
- 需要进一步的研究来完善治疗策略,并改善这些罕见和积极的儿科癌症的治疗结果.
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