在低风险甲状腺癌的消耗性疗法
Yinin Hu1, Lauren N Krumeich2, Sarah B Fisher3
1University of Maryland Baltimore, Baltimore, MD, USA. yinin.hu@som.umaryland.edu.
Annals of surgical oncology
|May 29, 2025
概括
穿皮切除为低风险甲状腺癌提供了最少的侵入性选择,弥合了主动监测和手术之间的差距. 这种方法正在获得引力,因为甲状腺恶性瘤的治疗降级继续进行.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 干预性放射学 干预性放射学
背景情况:
- 在过去的20年里,甲状腺癌的治疗转向了不那么侵入性的方法.
- 部分甲状腺切除术和积极监测对于低风险甲状腺癌越来越常见.
- 对良性甲状腺结核而言,已经确立了穿皮切除术,引发了对其瘤学应用的兴趣.
研究的目的:
- 对低风险的甲状腺癌进行皮肤穿疗法进行审查.
- 总结关于这些技术的有效性和安全性的当前证据.
- 识别知识差距并提出临床实践建议.
主要方法:
- 对甲状腺癌的皮肤穿切除方法的当代文献的综述.
- 对治疗结果的证据分析,包括疗效和安全性.
- 综合发现,以告知临床实践和未来的研究.
主要成果:
- 穿皮切除正在成为选择低风险甲状腺癌的可行的中间治疗选择.
- 证据支持其作为在精心挑选的患者中作为手术或监测的替代品的潜力.
- 需要进一步的研究来建立标准化的协议和长期结果.
结论:
- 穿皮切除代表了甲状腺癌治疗缓解升级的重大进展.
- 建议提出现实世界的实践建议,以指导这些技术的应用.
- 持续的调查对于优化消去在甲状腺癌管理中的作用至关重要.
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