视网母细胞瘤后的二次鼻恶性瘤
Amitouj S Sidhu1,2,3, Josefina Herrera1, Michael M Jones3
1Department of Ophthalmology, Westmead Hospital.
Ophthalmic plastic and reconstructive surgery
|June 20, 2025
概括
视网膜母细胞瘤 (RB) 的幸存者,特别是那些具有遗传形式和先前放射治疗的患者,面临罕见的二次阴道轨道恶性瘤的风险增加. 终身监测对于早期发现和管理这些可能致命的疾病至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 儿科瘤学 儿科瘤学
背景情况:
- 视网母细胞瘤 (RB) 是最常见的儿童眼内瘤.
- 经过RB的幸存者患二次恶性瘤的风险较高.
- 在RB之前的放射治疗显著增加了轨道,大脑和鼻腔癌的风险.
研究的目的:
- 在接受放射治疗的RB幸存者中报告两例新发的二次阴道轨道恶性瘤.
- 介绍一篇关于视网膜母细胞瘤幸存者的二次鼻腔和轨道恶性瘤的文献综述.
主要方法:
- 一个病例系列的两个患者的二次性阴道轨道恶性瘤.
- 对已报告的病例和相关出版物的综合文献审查.
主要成果:
- 在RB幸存者中确定了12例二次鼻和轨道恶性瘤.
- 报告的恶性瘤包括腺癌,鼻腔神经内分泌癌,嗅觉神经母细胞瘤,乳腺癌和状细胞癌.
- 二次性恶性瘤在具有RB1基因突变的遗传RB中更为普遍,放射治疗是显著的危险因素.
结论:
- 眼科医生必须对RB患者的二次轨道和鼻恶性瘤保持警,特别是那些患有生殖系突变或放射治疗后的人.
- 建议对视网膜母细胞瘤幸存者的长期随访,以早期检测和管理这些罕见但致命的二次癌症.
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