美国鼻腔学会专家实践声明:鼻腔恶性瘤监测策略
Alan D Workman1, Nithin D Adappa2, Pete S Batra3
1Department of Otolaryngology, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
International forum of allergy & rhinology
|September 5, 2025
概括
本专家实践声明提供了基于证据的指导方针,用于治疗后的鼻恶性瘤监测. 它概述了最佳策略,包括内镜和成像,以有效监测患者和未来的研究需求.
科学领域:
- 耳鼻喉科
- 头部和部手术
- 癌症学
背景情况:
- 鼻恶性瘤需要在治疗后保持警.
- 最佳的监测策略对于早期发现复发或新的原发性瘤至关重要.
- 有关监控协议的现有证据需要综合和专家共识.
研究的目的:
- 总结有关鼻恶性瘤监测策略的最佳证据.
- 提供专家关于监控组件,频率和持续时间的建议.
- 找出当前文献中的空白,以确定未来的研究方向.
主要方法:
- 美国鼻科协会专家实践声明 (EPS) 的制定.
- 用一个修改后的Delphi方法与实践者的工作组.
- 在两轮讨论后,达成了五个陈述和一个建议算法的共识.
主要成果:
- 在监测的关键组成部分达成共识,包括内镜和成像.
- 关于监测协议的频率和持续时间的建议.
- 突出了需要量身定制监测的特定鼻病态.
结论:
- 对于鼻恶性瘤的治疗后监测,EPS提供了一种标准化,基于证据的方法.
- 拟议的算法和陈述旨在通过及时检测优化患者的结果.
- 需要进行进一步的研究,以解决在鼻癌监测方面的文献缺口.
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