初级心脏血管瘤的多模式治疗:一个系统的文献综述
Anastasia Stergioula1, Stefania Kokkali2, Evaggelos Pantelis3
1Radiotherapy Department, Iatropolis Clinic, Athens, Greece; Center of Radiotherapy, IASO General Hospital, Athens, Greece.
Cancer treatment reviews
|August 21, 2023
概括
结合手术和化疗-放射治疗的多模式治疗显著改善了原发性心脏血管肉瘤 (PCA) 患者的生存率. 与其他治疗方法相比,这种方法提供了最大的生存益处.
科学领域:
- 心血管病理学心血管病理学
- 在瘤学瘤学.
- 医疗治疗的有效性 医学治疗的有效性
背景情况:
- 初级心脏血管瘤 (PCA) 是最常见的心脏瘤.
- PCA的稀有性和有限的研究阻碍了基于证据的治疗标准化.
- 这次审查整合了数据,以确定影响PCA治疗结果的因素.
研究的目的:
- 系统地审查有关初级心脏血管肉瘤的现有文献.
- 确定PCA患者的临床,治疗和结果数据.
- 确定与改善PCA治疗结果相关的因素.
主要方法:
- 在PubMed和Scopus数据库中的系统文献搜索.
- 分析了127项研究,包括162名初级心脏血管肉瘤患者.
- 使用了Kaplan-Meier,Log-Rank和Cox的比例危险回归分析.
主要成果:
- 中位数无进展生存期为5个月;中位数整体生存期为12个月.
- 多模式治疗 (手术+化疗-放射治疗) 显示出显著的生存益处.
- 整体存活率从6个月 (仅仅是手术) 增加到27个月,多模式护理.
结论:
- 多模式治疗,包括手术和化疗-放射治疗,为PCA提供了最大的生存益处.
- 建议采用这种综合方法,以优化初级心脏血管瘤患者的治疗结果.
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