在手术治疗的非小细胞肺癌中复发模式的分类 - - 系统性审查和要求标准化
Alessandro Bonis1, Frank Detterbeck2, Paula Ugalde Figueroa3
1Thoracic Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Italy.
概括
在手术后癌症复发很常见. 非小细胞肺癌 (NSCLC) 瘤复发模式的定义缺乏一致性,阻碍了研究和患者护理.
科学领域:
- 癌症学
- 外科瘤学
- 癌症研究
背景情况:
- 在手术后的癌症复发会在两年内影响30-55%的患者.
- 瘤复发的分类 (局部,局部区域,远程) 缺乏统一的共识.
- 标准化定义对于准确解释复发模式至关重要.
研究的目的:
- 系统地审查和分析经过手术治疗的非小细胞肺癌 (NSCLC) 瘤复发的特定位置定义.
- 评估近期科学文献中的复发模式的一致性和变异性.
- 强调需要标准化定义以提高研究可比性和临床决策.
主要方法:
- 根据PRISMA指南,对2020年至2024年间发表的研究进行了系统文献审查.
- 搜索了关于手术治疗的NSCLC的文章,重点是复发定义.
- 进行描述性分析以评估复发模式分类的一致性.
主要成果:
- 在3082篇选文章中,分析了112篇符合条件的研究.
- 在手术边缘,支气管和侧节点的复发通常被认为是局部/局部.
- 在不同叶片,逆侧节,胸壁和胸腔空间的复发中存在变异性.
结论:
- 在手术治疗的NSCLC的复发模式中发现了显著的不一致性.
- 这种缺乏统一性影响了研究结果和临床结果的可比性.
- 建立瘤复发的标准定义对于推进癌症研究和改善患者护理至关重要.
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