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在一个虚弱的病人基础细胞癌的复杂管理
Kawaiola Cael Aoki1, Brad P Glick2, Simona Bartos3
1Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Cureus
|March 5, 2024
概括
在预期寿命有限的老年患者中,基础细胞癌 (BCC) 的管理需要仔细评估风险和益处. 警等待 (WW) 在某些特定情况下可能是适当的,并进行警的随访,考虑到对生活质量的影响.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 基底细胞癌 (BCC) 是老年人常见的一种癌症,死亡率低.
- 在患有并发症和预期寿命有限 (LLE) 的患者中,BCC的管理决策需要进行彻底的风险效益分析.
- 警等待 (WW) 是严重LLE患者的BCC的潜在管理策略,前提是频繁和警的随访是可行的.
研究的目的:
- 讨论基底细胞癌 (BCC) 的管理在一个老年患者与多种并发症和有限的预期寿命 (LLE).
- 评估警等待 (WW) 作为BCC的管理策略在这个特定的患者档案中的适当性.
- 突出影响生活质量的发病率因素,以及在BCC管理中仔细评估风险效益的重要性.
主要方法:
- 一个75岁的男性患有多种系统性缩和耳朵和脸部的BCC的案例介绍.
- 讨论患者的管理,包括考虑手术与医疗选择.
- 分析影响守等待 (WW) 决策过程的因素.
主要成果:
- 这一案例凸显了在患有重大并发症和LLE的患者中BCC管理的复杂性.
- 考虑了由于瘤生长,出血,疼痛和社会退缩而对生活质量产生潜在的负面影响.
- 讨论涉及可能导致潜在不适当使用WW的因素.
结论:
- 在管理LLE老年患者的BCC时,仔细评估风险与益处比率至关重要.
- 对BCC的警等待 (WW) 需要严格的随访和考虑患者特定的发病率因素.
- 个性化管理计划至关重要,以平衡这种患者群体的治疗疗效和生活质量.
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