在母细胞瘤诊断的途径的影响
Marvin Mergen1, Nils Welter1, Rhoikos Furtwängler2
1Department of Pediatric Oncology and Hematology, Saarland University Medical Center, Homburg, Germany.
Cancer medicine
|May 24, 2024
概括
通过偶然发现或监测,在没有症状的情况下诊断威尔姆斯瘤 (WT) 与年轻和更好的健康有关. 虽然结果相似,但无症状诊断减少了儿童癌患者的治疗负担.
科学领域:
- 儿科瘤学 儿科瘤学
- 医学诊断 医学诊断 医学诊断
- 癌症研究 癌症研究
背景情况:
- 威尔姆斯瘤 (WT) 是最常见的儿科癌,是一种快速生长的胚胎瘤.
- 诊断可以发生与或没有呈现与瘤相关的症状.
研究的目的:
- 追溯分析德国威尔姆斯瘤 (WT) 的诊断途径.
- 根据诊断路线来比较临床特征,瘤呈现和结果.
主要方法:
- 根据SIOP协议 (1993-2022) 治疗WT患者的回顾性分析.
- 诊断的分类有四种路径:与症状相关的,偶然的,预防性检查和监测.
- 跨诊断组患者人口统计,瘤特征和治疗结果的比较.
主要成果:
- 大多数WTs (71.5%) 是由于症状而被诊断出来的;18.5%是偶然的;8.4%是通过预防性检查;1.6%是通过监视.
- 诊断路线与年龄,健康状况,瘤体积和阶段相关.
- 通过预防性检查诊断的患者最年轻,最健康;与症状相关的诊断有更大的瘤.
- 监测组具有最高的I阶段和最低的转移性疾病率.
结论:
- WT的诊断路线影响患者的年龄,健康状况,瘤体积和阶段.
- 尽管存在这些差异,但诊断的途径并没有显著影响患者的结果.
- 没有瘤相关症状的诊断可能会减少治疗负担并改善生活质量.
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