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全厚胸壁切除和重建局部侵入性瘤:一个系统的审查

Yun Sun Lim¹, Ryan Tsui Hon Goh¹, Breanna Wei Ning Ang¹

¹NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.

|June 26, 2025

概括

全厚胸壁切除 (FTCWR) 是局部侵袭性乳腺瘤 (PTs) 的可行选择,可缓解症状和短期控制疾病. 然而,长期的瘤益处需要进一步调查,因为证据有限.

科学领域:

手术瘤学手术瘤学
乳腺新生体乳腺新生体
胸部外科手术胸部外科手术

背景情况:

乳腺瘤 (Phyllodes tumors,PTs) 是一种罕见的纤维皮质乳腺瘤.
边缘性和恶性PT具有较高的局部复发风险.
全厚胸壁切除术 (FTCWR) 对于侵袭胸壁的PTs的作用尚不清楚.

研究的目的:

系统地审查FTCWR在局部侵入性PT患者的结果.
评估PT的FTCWR之后的瘤疗效和重建.
评估与PT相关的FTCWR并发症和化品结果.

主要方法:

通过PubMed,Embase,Scopus和Google Scholar进行全面的文献搜索.
包括18个病例报告,描述了18名局部侵入性PT患者.
对患者人口统计,瘤特征,手术结果和随访数据的分析.

主要成果:

大多数患者都有大型 (>5厘米),复发性恶性PT固定在胸壁上.
无病生存时间中位数为12个月;局部复发发生在5.6%,远程转移发生在22.2%.
常见的并发症包括呼吸道和伤口问题;所有患者都有令人满意的美容结果.

结论:

对于具有局部侵入性PT的选择性患者来说,FTCWR似乎是可行的,提供症状缓解和短期疾病控制.
证据仅限于病例报告,长期的瘤益处仍然不确定.
需要进一步的研究,包括前性研究,以澄清FTCWR在PT管理中的作用.

关键词:

乳腺肉瘤乳腺肉瘤胸部墙壁重建的重建工作胸壁切除切除胸壁切除菲洛德 (phyllodes) 的瘤是一种瘤.手术瘤学手术瘤学

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