与怀孕相关的黑色素瘤和黑色素瘤的变化:一个范围审查
Brandon R Block1, Camille M Powers1, Benjamin D Hu1
1Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of cutaneous medicine and surgery
|April 20, 2025
概括
怀孕可以改变 (黑色素细胞瘤),但关于黑色素瘤风险的证据是不确定的. 需要进一步的研究来澄清怀孕对皮肤癌发育和预后的影响.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 生殖医学 生殖医学
背景情况:
- 怀孕涉及显著的生理和荷尔蒙变化影响皮肤.
- 怀孕期间黑色细胞瘤的变化和潜在的黑色素瘤风险尚不清楚.
- 现有的文献对这些皮肤学变化提出了相互矛盾的数据.
研究的目的:
- 综合当前关于怀孕期间黑色细胞瘤变化的文献.
- 评估有关怀孕相关黑色素瘤风险和预后的证据.
- 识别现有研究中的知识差距和不一致性.
主要方法:
- 按照PRISMA-ScR指南进行了系统范围审查.
- 一个全面的文献搜索从4824个初始记录中确定了80篇相关文章.
- 一项新的半定量分析评估了作者对怀孕相关黑色素瘤风险的态度.
主要成果:
- 关于荷尔蒙对黑色细胞瘤生长的影响的证据是相互矛盾的;颜色变化更一致地报告.
- 怀孕与由于荷尔蒙变化或免疫抑制导致的黑色素瘤风险增加之间的联系仍然是不确定的.
- 怀孕相关黑色素瘤的预后结果显示,有关瘤厚度,复发和存活率的有争议的发现.
- 叙事评论作者比主要研究人员更有可能质疑怀孕是黑色素瘤触发因素.
结论:
- 在文献中,关于怀孕对黑色细胞瘤和黑色素瘤的影响存在重大不一致.
- 怀孕对黑色素瘤发展,进展和预后的作用需要进一步调查.
- 标准化的方法和考虑混因素对于未来在这一领域的研究至关重要.
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