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下神经瘤:队列研究和系统审查
Lucas P Carlstrom1, Megan M J Bauman1, Soliman Oushy1
1Department of Neurosurgery, Mayo Clinic, Rochester , Minnesota , USA.
Neurosurgery
|October 24, 2023
概括
下神经瘤 (LCNS) 的手术切除可以导致暂时的缺陷,但大多数患者可以实现出色的瘤控制,特别是辅助立体性放射性手术 (SRS). 在残留瘤或初级治疗中,SRS提供了低发病率的替代方案.
科学领域:
- 神经瘤学神经瘤学
- 神经外科 神经外科
- 辐射瘤学 辐射瘤学
背景情况:
- 下神经瘤 (LCNS) 是一种罕见的瘤,具有显著的外科手术挑战,并且对差异治疗结果的文献有限.
- 手术切除是主要的治疗方法,但在这种患者群体中具有相当大的患病风险.
结论:
- 虽然LCNS切除可能是病态的,但大多数缺陷是短暂的,并且可以实现出色的瘤控制,特别是辅助性SRS.
- 建议对手术候选人进行内剖析的最大安全切除,以保持神经完整性.
- SRS是LCNS的可行的初级或辅助治疗方法,提供低发病率和高长期瘤控制率.
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