回复癌症中的轨道排泄:5年的经验
Giorgio Barbera1, Mattia Todaro1, Gianmarco Saponaro1
1Maxillo Facial Surgery Unit, Fondazione Policlinico Agostino Gemelli IRCCS Hospital, 8 Largo Agostino Gemelli, 00168 Rome, Italy.
Journal of clinical medicine
|October 14, 2023
概括
癌症的轨道排泄对生存有显著影响,淋巴结转移是关键预测因素. 哨兵淋巴结活检对于诊断晚期轨道癌症至关重要.
科学领域:
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
- 手术瘤学手术瘤学
背景情况:
- 轨道排气是治疗晚期围绕轨道,结膜和轨道内癌症的外科手术.
- 评估生存结果和重建技术对于患者管理至关重要.
研究的目的:
- 为了评估各种轨道癌的轨道化后的总生存率 (OS) 和无病生存率 (DFS).
- 为了评估前逆向时肌重建的疗效.
主要方法:
- 对19名接受轨道切除术的患者的医疗记录,组织学和成像学的回顾性分析.
- 卡普兰-梅尔分析和日志等级测试被用来评估生存分布和因子之间的关系.
- 使用克莱默的V来确定定性变量之间的关联强度.
主要成果:
- 淋巴结转移与远程转移有显著的关联 (克莱默的V=64%,p=0.0034).
- 淋巴结的参与显著影响了整体存活率 (p=0.04).
- 在重建后没有报告面部神经麻或脑脊液泄漏的病例.
结论:
- 识别淋巴结参与是管理轨道瘤的关键.
- 哨戒淋巴结活检 (SLNB) 可以帮助分期和评估癌症的扩散,特别是在以前接受治疗的患者中.
- 前逆转肌和跨轨道手术对于重建是有效的,最大限度地减少痕.
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