确定了在晚期低喉恶性瘤中限制切解能力的因素
Justin M Hintze1,2,3, Eoin Cleere1,2,3, Isobel O'Riordan1,2,3
1Department of Otolaryngology-Head and Neck Surgery, St. James's Hospital, Dublin, Ireland.
Head & neck
|October 25, 2024
概括
下癌的手术前成像通常表明了限制手术的因素,但大多数患者仍然可以切除. 先进的下喉癌,特别是在救援病例中,应考虑进行外科切除.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 手术瘤学手术瘤学
背景情况:
- 手术前的放射学发现指导了手术切除下癌的决定.
- 评估手术切除能力的成像特征的预测价值至关重要.
研究的目的:
- 评估手术前成像检测结果与下喉癌的手术切除能力的相关性.
- 为了确定成像在预测可能限制手术干预的因素的准确性.
主要方法:
- 在71名接受喉切除术的患者进行了回顾性病例控制研究.
- 收集的数据包括人口统计,先前的治疗,癌症亚部位,TNM分期和成像/手术特征.
主要成果:
- 91.1%的具有初始纳入标准的患者经历了成功的切除.
- 在成像中,怀疑前脊椎带膜侵袭 (30.7%) 和动脉干扰 (17.9%) 在大多数情况下都不能排除切除 (分别是79.2%和78.6%可切除).
- 对前脊椎带膜侵袭的可疑成像发现与更高的近距离手术边缘的可能性有关.
结论:
- 对于下喉癌,可以达到高的手术切除率,即使手术前成像表明切除能力有限.
- 应强烈考虑对晚期下喉癌进行手术,特别是在救援环境中,尽管有关成像发现.
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