治疗口腔癌的协议 - 一个系统的审查和元分析
Uma Shanker Pal1, Harshita Maurya1, Shailendra Kumar Yadav2
1Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Annals of maxillofacial surgery
|September 15, 2023
概括
建立了癌 (VC) 治疗方案,有利于外科手术. 部剖析对于VC通常是不必要的,准确的组织病理学至关重要,以避免患者因状细胞癌 (SCC) 误诊而致病.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 头部和部手术 头部和部手术
背景情况:
- 癌 (VC) 是状细胞癌 (SCC) 的一个独特的亚型,具有独特的临床行为.
- 准确的组织病理学诊断对于适当的治疗和避免不必要的患者发病率至关重要.
- 目前的VC治疗方案缺乏标准化,特别是在需要进行部剖析方面.
研究的目的:
- 为了建立一个结构化的协议,治疗癌 (VC).
- 根据瘤特征来确定部解剖的必要性.
- 评估VC和其他状细胞癌 (SCC) 之间的误诊的发生率.
主要方法:
- 从1962年到2022年,在主要数据库 (Cochrane Library,PubMed,Google) 中进行了全面的文献搜索.
- 选择了报告VC治疗方式和本病学诊断的研究,不包括病例报告和评论.
- 分析了13篇精选文章中的630个病例的数据.
主要成果:
- 手术治疗被确定为VC的首选方式.
- 扩大的淋巴结对转移总是负面,这表明部剖析通常是不必要的.
- 报告了大量错误的组织病理学诊断率 (23.3%),突出了诊断方面的挑战.
结论:
- 手术切除是VC的主要治疗方法,技术根据瘤大小 (T1-T4) 不同.
- 部剖析通常不适用于VC,即使是扩大的淋巴结,以防止患者的发病率.
- 从SCC中精确区分VC和混合VC,对于指导治疗和避免过度治疗至关重要.
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