细胞癌与瘤血栓:波多黎各的一系列病例
Sebastián A Bernaschina-Rivera1, Gustavo Alayón-Rosario2, Gabriel Dieppa-Barnés3,4
1Medicine, Ponce Health Sciences University, Ponce, PRI.
Cureus
|May 13, 2024
概括
细胞癌 (RCC) 与瘤血栓 (TT) 是一种严重的疾病. 拉皮眼切除RCC TT是安全有效的,在这个波多黎各研究的所有患者在手术后仍然没有疾病.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 细胞癌 (RCC) 是一种常见的癌.
- 在RCC中,血管内瘤血栓 (TT) 表示预后更差.
- 关于波多黎各 (PR) 的RCC TT存在有限的数据.
研究的目的:
- 描述RCC TT在波多黎各的介绍,管理和结果.
- 强调RCC TT的外科管理和结果.
- 为照顾波多黎各RCCTT患者的临床医生提供数据.
主要方法:
- 回顾性单中心研究 (2018-2022年).
- 评估了12名经过切除术的已记录RCC TT的患者.
- 从电子健康记录中抽取的数据;使用RCC TT指南进行分类.
主要成果:
- 大多数患者缺乏TT特异性症状;肺栓塞是最严重的症状.
- 常见的并发病包括高血压,高BMI和2型糖尿病.
- 在近75%的病例中,用TT切除进行了 laparoscopic 彻底切除术,没有任何手术内并发症.
结论:
- 带TT的RCC发生在波多黎各,可以通过腹腔镜手术有效管理.
- 在BMI,瘤大小,WHO/ISUP等级和TT延伸之间没有发现明确的关联.
- 腹腔镜去除RCC TT是安全有效的;需要进一步的研究.
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