小丸质量的管理:德尔菲共识研究研究
Karl H Pang1, Giuseppe Fallara2, João Lobo3
1Department of Andrology, University College London Hospitals NHS Foundation Trust, London, UK; Division of Surgery and Interventional Science, University College London, London, UK.
European urology oncology
|November 5, 2024
概括
对于小丸质量来说,激进的花切除术可能是过度治疗. 共识建议有利于个性化管理,包括监视或丸节约手术 (TSS),以保持丸功能.
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.
- 放射学 放射学是一门学科.
背景情况:
- 小丸质量 (STMs) 经常是良性的,使得激进带切除术 (RO) 可能过度治疗.
- 通过监测或丸节约手术 (TSS) 保持丸功能对于被选中的患者至关重要.
- 由于缺乏明确的指导方针,STM管理需要专家的共识.
研究的目的:
- 为管理小丸质量 (STMs) 制定共识建议.
- 为选择适当的管理策略提供指导,平衡癌症风险与丸功能保护.
主要方法:
- 一项为期四轮的德尔菲研究,涉及24名多学科专家.
- 共识定义为在3点分组中≥75%的共识.
- 代调查轮,在线会议和最终陈述审查.
主要成果:
- 制定了96份共识声明,涵盖STM的评估和管理.
- 基于癌症风险,生育能力,瘤特征和超声波发现的个性化管理.
- 固体,低声,血管病变对恶性瘤更为可疑.
结论:
- 专家的共识为STM管理提供了建议.
- 对于STMs,应考虑进行丸节约手术 (TSS).
- 这些建议旨在传播最佳实践并改善患者的治疗结果.
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