复发性血管纤维瘤:分析风险因素和复发的常见地点
Hisham Mohamed Anwar Attya1, Mohamed Salah Hassouna1, Abdelrahman Ali Shawky2
1Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt.
概括
青少年鼻血管膜瘤 (JNA) 的复发与较大的瘤大小和晚期瘤有关,年龄和大小是关键预测因素. 在手术过程中仔细注意形状的过程可以降低复发率.
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:
- 青少年鼻血管纤维瘤 (JNA) 是一种罕见的良性瘤,影响青少年.
- 了解复发风险因素对于有效管理至关重要.
研究的目的:
- 为了确定JNA复发的风险因素.
- 确定复发性JNA的常见解剖部位.
- 分析影响复发间隔的因素.
主要方法:
- 追溯研究的男性患者与他的病理学证实了JNA.
- 从2012年1月到2021年12月收集的数据.
- 分析临床数据,包括瘤大小,阶段和治疗方法.
主要成果:
- 在68名患者中观察到38.2%的复发率.
- 复发与较大的瘤大小 (≥4厘米),晚期 (IIIa/IIIb),手术前栓塞,输血和开放手术相关.
- 复发的独立预测因素是呈现时的年龄和瘤大小.
- 状体过程 (92.3%) 是复发性/残留性瘤入侵最常见的部位.
结论:
- 关节性瘤复发与原发性瘤特征和治疗方式有显著的关联.
- 年龄和原发性瘤大小是复发的独立预测因素.
- 通过手术将注意力集中在状骨的过程上,以尽量减少残留疾病和复发至关重要.
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