治疗患有视通路质瘤的儿童的挑战:来自中等收入国家的18年经验
Jorge Luis Ramírez-Melo1, Daniel C Moreira2, Ana Luisa Orozco-Alvarado1
1Pediatric Oncology and Hematology Service, Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Mexico.
Frontiers in oncology
|February 28, 2024
概括
儿科光学通路质瘤 (OPG) 显示出良好的生存率,但治疗可能会影响生活质量. 这项研究强调了墨西哥的结果,表明需要在低资源环境中采用多学科方法.
科学领域:
- 儿科瘤学 儿科瘤学
- 神经瘤学神经瘤学
- 眼科医生 眼科 眼科
背景情况:
- 儿童的光通路结质瘤 (OPG) 一般具有良好的生存率.
- 长期的生活质量可能会受到OPG或其治疗的损害.
- 了解不同环境中的结果对于优化护理至关重要.
研究的目的:
- 追溯分析儿科OPG患者的临床表现和结果.
- 评估生存率和影响无事件生存 (EFS) 的因素.
- 识别与治疗相关的疾病及其对生活质量的影响.
主要方法:
- 对新诊断的OPG的儿科患者 (<18岁) 的回顾性审查.
- 从2002年1月到2020年12月在墨西哥的高等中心收集的数据.
- 分析包括临床表现,治疗,生存数据和功能结果.
主要成果:
- 确定了30名儿科OPG患者;中位数年龄为6岁.
- 常见症状:视力敏度下降 (40%) 和头痛 (23%).
- 五年EFS为79.3% ± 10.8%;整体存活率为89.5% ± 6.9%. 较低的EFS与年轻年龄,内高血压和脑综合征有关. 作为一线治疗的手术增加了表现不佳得分的风险 (p=0.006).
结论:
- 在低收入和中等收入国家,可以实现儿科OPG的有利结果.
- 观察到高的手术并发症率,影响整体存活率.
- 建议采用全面的多学科方法,以优化这些环境中的OPG治疗.
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