我们目前对患有下癌的患者的随访有多有效?
Klara Stagl1, Stefan Grasl1, Boban M Erovic2
1Department of Otorhinolaryngology - Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
Head & neck
|July 16, 2024
概括
使用症状评估和临床检查进行例行随访,可以有效地检测下癌复发. 这些方法显示出高灵敏度和准确性,在识别疾病复发方面表现优于放射学研究.
科学领域:
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
- 临床医学 临床医学
背景情况:
- 低喉癌对早期检测疾病复发提出了重大挑战.
- 有效的后续策略对于及时干预和改善患者结果至关重要.
研究的目的:
- 评估常规随访在检测复发性下喉癌的诊断效果.
- 为了比较临床检查,症状评估和放射学研究在确定局部复发时的准确性.
主要方法:
- 追溯分析了76名下癌患者的数据.
- 评估了620次随访,367次放射学研究和126次全内镜检查.
- 基于放射学研究,临床检查和患者报告的症状,评估诊断性能.
主要成果:
- 所有局部复发的患者都出现了症状,新发性消化不良是最常见的投诉.
- 临床检查和患者症状评估表明,检测局部复发的灵敏度为100%.
- 临床检查获得了最高的准确性 (93.4%),其次是症状评估 (80.5%) 和放射学研究 (73.8%).
- 放射学研究显示,在放射治疗后,假阳性结果的风险较高 (32.0%对14.6%).
结论:
- 症状评估和临床检查对于检测下癌的局部失效非常有效.
- 这些临床方法在检测复发时,与放射学研究相比,具有更高的精度和灵敏度.
相关概念视频
Chronic Pharyngitis
1.6K
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,...
1.6K
Acute Pharyngitis
555
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:
555
Tonsillitis II: Management
107
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
107


