影响结膜黑色素瘤复发和转移的因素
Feyza Çalış Karanfil1, Ahmet Kaan Gündüz2, Ömür Özlenen Gündüz2
1Department of Ophthalmology, Faculty of Medicine, Ankara University, Ankara, Turkey. feyzacalis@hotmail.com.
International ophthalmology
|August 28, 2023
概括
结膜黑色素瘤 (CM) 是一种高风险的恶性瘤,具有显著的复发和转移率. 前体病变,如瘤或初级获得的黑色素瘤 (PAM) 增加复发风险,而男性性别和淋巴结的参与预测转移.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
背景情况:
- 结膜黑色素瘤 (CM) 是一种罕见但具有攻击性的眼睛表面恶性瘤.
- 了解其临床特征和预后因素对于有效管理至关重要.
研究的目的:
- 调查结膜黑色素瘤的临床和人口特征.
- 确定影响CM患者复发,转移和生存的因素.
主要方法:
- 从1998年至2022年期间接受治疗的45名CM患者的临床记录的回顾性分析.
- 评估患者的人口结构,瘤特征 (阶段,大小,厚度),淋巴结参与,转移,边缘状态和治疗方式.
- 卡普兰-梅尔分析被用来评估无复发和无转移的生存率.
主要成果:
- 该研究包括45名患者 (46.7%为女性,53.3%为男性),平均年龄为53.2岁.
- 观察到高复发率 (31.1%) 和转移率 (24.4%).
- 积极的手术边缘是常见的 (51.1%),需要辅助疗法.
- 复发在由结膜神经或初级获得性黑色素瘤 (PAM) 引起的瘤中更为常见.
- 转移在男性和淋巴结参与的患者中更为频繁.
结论:
- 结膜黑色素瘤由于复发率和转移率很高,因此具有重大挑战.
- 前体病变 (神经瘤/PAM) 被确定为复发的危险因素.
- 男性性别和区域淋巴结的参与与转移的风险增加有关.
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