在儿科患者中持续低怀疑宫淋巴结核病的管理
Colleen P Nofi1, Bailey K Roberts1, Michelle P Kallis1
1Department of Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell, Hempstead, New York; Division of Pediatric Surgery, Cohen Children's Medical Center at Hofstra/Northwell, Queens, New York.
The Journal of surgical research
|April 6, 2024
概括
对于患有持续性宫淋巴腺病症和低怀疑的儿童,初级保健监测可能是安全的. 在这项研究中,在长期随访期间没有发现恶性瘤.
科学领域:
- 儿科医学 儿科医学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 儿童的宫淋巴腺病变很常见,但持续病例的管理尚不清楚.
- 本研究涉及儿童患者持续性宫淋巴结核病的管理和结果.
研究的目的:
- 评估持续性宫淋巴腺病变的儿童的管理策略和结果.
- 在儿科宫淋巴结核病例中发现延迟活检的预测因子.
主要方法:
- 对568名18岁以下的儿童进行了回顾性审查,这些儿童接受了为淋巴腺病症进行宫超声波 (2013-2021年).
- 患者被分为初始活检,延迟活检或没有活检的组.
- 多变量分析评估了延迟活检的预测因素.
主要成果:
- 在568名患者中,493人没有活检,41人初始活检,34人延迟活检.
- 恶性瘤在2.1%的患者中被发现,所有患者在呈现后14天内被诊断出来.
- 在长期随访期间 (中位数为99天) 没有发现恶性瘤.
结论:
- 对于低怀疑的持续性宫淋巴腺病,初级保健监测和教育可能是立即活检的合适替代方案.
- 该研究提出了一种管理这些病例的算法,可能减少不必要的侵入性手术.
相关概念视频
01:26Tonsillitis II: Management
110
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
110
01:23Chronic Pharyngitis
2.0K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.0K
01:30Acute Pharyngitis
624
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
624