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目前关于高级上下皮层癌的局部治疗方法的证据
Otilia Kimpel1, Ulrich Dischinger1, Barbara Altieri1
1Division of Endocrinology and Diabetes, Department of Medicine, University Hospital, University of Würzburg, Würzburg, Germany.
概括
局部疗法 (LT) 为晚期上腺皮癌 (ACC) 提供安全有效的治疗选择,特别是在有限的疾病中. 有证据表明,疾病控制和部分反应是可以实现的,指导临床实践.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 国际指导方针建议针对晚期上腺皮层癌 (ACC) 进行局部治疗 (LT).
- 评估LT对ACC的大规模研究是有限的,需要综合证据.
研究的目的:
- 审查和综合当前关于高级ACC局部疗法的证据.
- 根据现有的文献,制定临床指导.
主要方法:
- 在PubMed数据库的系统文献搜索.
- 包括21项回顾性研究,分析了374名接受各种LT (放射治疗,化学栓塞,放射栓塞,热性切除) 的患者.
主要成果:
- 在大多数患者中,放射治疗显示出疾病控制和部分反应,通常具有息意图.
- 其他LT在显著的患者百分比中显示出局部疾病控制.
- 无病间隔>9个月和病变<5厘米的患者可能受益最多.
结论:
- 对于晚期ACC,对LT的现有证据有限,但表明对局部疾病的安全性和有效性.
- 应在多学科团队方法中考虑LT,利用当地专业知识.
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