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老年人群中黑色素瘤的哨兵淋巴结活检:对结果的前性分析

Murtaza Kadhum^1,2, Laura Mayr², Sophie Pope-Jones²

¹Plastic and Reconstructive Surgery, Queen Victoria Hospital, East Grinstead, UK.

Journal of surgical oncology

|March 4, 2024

概括

哨兵淋巴结活检 (SLNB) 对70岁以上的患者是安全的. 尽管伴随性疾病较高,但老年患者与年轻人相比,SLNB阳性和并发症率相似,支持生理年龄评估.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
老年医学老年医学

背景情况:

在70岁以上的患者中使用哨兵淋巴结活检 (SLNB) 仍在争论中.
关于SLNB阳性,并发症和老年人辅助治疗的证据有限.

研究的目的:

为了比较SLNB阳性,并发症率和70岁及以上患者的辅助治疗与70岁以下患者的辅助治疗.
评估SLNB在老年人群中的安全性和有效性.

主要方法:

在2016-2022年期间,从998名患者 (354名年龄≥70,644名年龄<70) 收集前性数据.
对并发症,SLNB阳性,并发症率和辅助治疗的分析.

主要成果:

患者≥70具有较高的并发病率 (高血压,糖尿病,高脂血症).
年龄组之间没有观察到SLNB阳性率或治疗选择的显著差异.
70岁以下的患者更有可能经历暂时的感觉丧失,但整体并发症率相似.

结论:

患有并发症的老年患者 (≥70) 可以很好地容忍SLNB,表现出与年轻患者相似的结果.
年代年龄不应该是SLNB候选人的唯一决定因素;建议进行生理学评估.
对于老年患者来说,SLNB是一种可行的,安全的手术.

关键词:

在SLNB中,我们可以看到SLNB.并发症可能导致并发症.年长的老人老年人老年人.黑色素瘤是一种黑色素瘤.结果就是结果.

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