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儿童头部和部瘤:系统审查和根据年龄组管理的修改框架

Bryan S Torres¹, Hannah G Brown², Julisa Nuñez³

¹From the School of Medicine, Tulane University, New Orleans, La.

Plastic and reconstructive surgery. Global open

|September 11, 2024

概括

儿科头部和部状瘤 (DTs) 往往需要干预,因为发育干扰. 达到负的外科边缘对于预防复发至关重要,指导这些罕见的儿科瘤的未来管理策略.

科学领域:

在瘤学瘤学.
儿科手术儿科手术
瘤生物学瘤生物学

背景情况:

儿科头部和部状瘤 (DTs) 带来了独特的挑战,因为它们有可能破坏正常的解剖发育.
与成年人不同,早期和积极的治疗对于儿科DTs至关重要.
定义最佳干预和管理策略对于这一群体至关重要.

研究的目的:

进行对儿科头部和部质瘤 (DTs) 的综合系统性审查.
评估损伤位置,干预和管理策略.
检查与年龄相关的结果,包括手术边缘,复发和并发症.

主要方法:

从1990年1月到2023年12月的系统文献综述.
搜索的数据库:PubMed,Scopus,以及MEDLINE. 这些数据库中搜索的内容包括:
对0-11岁和12-21岁的儿科患者的结局分析.

主要成果:

分析了44项研究中的121名患者.
主要位置包括下,头骨和子.
瘤发生在早期 (平均年龄为4.18岁),并且经常以积极的边缘切除;年龄没有显著影响复发或并发症.

结论:

瘤 (DTs) 的复发与积极的外科手术边缘有关.
建议在可行的情况下进行以负边缘为目标的手术切除.
需要加强后续跟踪和数据收集,以完善儿科DTs的管理实践.

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