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丸胚芽细胞瘤的器官保存手术:当前的前景

Esther García Rojo^1,2, Gianluca Giannarini³, Borja García Gómez^2,4

¹Department of Urology, Hospital Universitario HM Sanchinarro, 28050 Madrid, Spain.

Medicina (Kaunas, Lithuania)

|July 29, 2023

概括

对于丸生殖细胞瘤而言,节能器官手术提供了一个安全的替代方案,可以替代激进的整形切除术,在大多数患者中保留丸功能. 仔细的患者选择是成功结果的关键.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
在瘤学瘤学.
手术瘤学手术瘤学

背景情况:

丸生殖细胞瘤需要平衡癌症控制和器官保存的治疗.
节能器官手术 (OSS) 是激进管切除的替代方案.

研究的目的:

评估OSS对丸生殖细胞瘤的瘤和功能结果.
讨论外科手术技术,并发症以及OSS的候选人选择.

主要方法:

在PubMed,Embase和Cochrane图书馆进行了全面的文献搜索.
包括报告手术技术,并发症和OSS的结果的研究.
分析了瘤控制,复发率,并发症率和功能结果.

主要成果:

OSS显示了足够的瘤控制,复发率和并发症率较低.
在80-90%的患者中保持内分泌丸功能;父权在~50%中实现.
候选人选择标准包括正常的激素水平,双边瘤,单独的丸和瘤大小<50%的丸.

结论:

OSS是丸生殖细胞瘤的安全有效选择,平衡癌症控制和功能维护.
需要进一步的大规模前性研究来验证OSS的有效性,并完善患者选择.

关键词:

节省器官的器官可以节省器官.手术手术手术手术手术手术手术丸癌症丸癌症是什么丸瘤丸瘤是什么

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