数字乳头腺癌:关于流行病学,病变发生和管理的最新审查
Tejas P Joshi1, Jordan Book2, Mia I Fuentes3
1Wellstar Health System, Kennestone Hospital Graduate Medical Education, Marietta, Georgia.
概括
数字乳头腺癌 (DPAc) 是一种罕见的汗腺癌. 最近的研究强调了HPV42 DNA,BRAF V600E和FGFR在DPAc发病过程中的失调,指导了改进的诊断和治疗策略.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 数字乳头腺癌 (DPAc) 是一种罕见的恶性瘤,起源于汗腺.
- 它的特点是发生率很低,大约是每1000万人年就有一次.
研究的目的:
- 综合了近期流行病学,病变发生和DPAc治疗方面的进展.
- 专注于2010年以后出版的文学作品,以捕捉当代的理解.
主要方法:
- 使用PubMed/MEDLINE数据库进行全面的文献综述.
- 搜索词集中在数字乳头腺癌 (DPAc) 和最近的出版物上.
主要成果:
- DPAc主要影响男性在他们的第五和第六十年.
- 新出现的证据表明,人类乳头瘤病毒42DNA,BRAF V600E多态性和纤维细胞生长因子受体失调在DPAc瘤发生过程中.
- 广泛局部切除和截肢的手术结果显示了类似的无复发生存率;莫斯微图手术正在调查中,哨兵淋巴结活检缺乏足够的支持数据.
结论:
- 最近的分子发现为改善DPAc诊断和治疗策略提供了潜力.
- 进一步调查莫斯微图手术和哨兵淋巴结活检是有必要的,以建立最佳的治疗方案DPAc.
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