低度粘膜皮质瘤的瘤疗效和术后结果,用部分节膜切除术治疗
Hawa M Ali1, Katelyn S Rourk1, Jamie O Byrne2
1Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
概括
部分切除术是一种安全有效的手术选择,用于小低度粘膜皮质癌 (LGMEC) 瘤. 这种方法保护了面部神经的功能,并最大限度地减少了并发症,而不是更广泛的胸膜切除手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 在瘤学瘤学.
背景情况:
- 低度粘膜腺癌 (LGMEC) 是最常见的唾液腺恶性瘤.
- 治疗LGMEC的手术包括切除术,切除的程度有所不同.
- 胸膜切除术程度对LGMEC结果的影响需要进一步澄清.
研究的目的:
- 评估LGMEC患者的膜切除术程度与外科/瘤结局之间的关系.
- 为了比较部分乳腺切除术 (PP),表面乳腺切除术 (SP) 和近全/全乳腺切除术 (NTTP) 的结果.
主要方法:
- 在2000年至2022年期间接受LGMEC治疗的58名患者的回顾性图表审查.
- 收集的数据包括人口统计,手术技术,面部神经功能,术后并发症和复发率.
- 基于乳腺切除术程度的结果比较:PP,SP和NTTP.
主要成果:
- 与NTTP相比,PP和SP组的瘤更小,更肤浅,负边缘,以及较少的局部区域性疾病.
- NTTP与更高的面部神经切除率有关 (20%与0%相比).
- 与NTTP (0% HB I) 相比,PP (73% HB I) 和SP (44% HB I) 的立即术后面部神经功能明显更好.
结论:
- 部分切除术是小LGMEC的安全和有效的手术方法.
- 在手术后,PP提供了优越的面部神经功能,比更广泛的切除更少的并发症.
- 保守性切除术可能足以选择LGMEC病例,优化功能结果.
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