瘤特异性临界手术内发现影响多学科治疗
Abdelhafeez Abdelhafeez1, Amos Loh2, Derek Harison3
1Department of Surgery, Division of Pediatric Surgery, University of Rochester Medical Center, Golisano Children's Hospital, Rochester, New York, USA.
Pediatric blood & cancer
|September 7, 2025
概括
准确的儿科固体瘤手术期间的记录对于治疗决策至关重要. 在关键要素上达成共识,强调需要针对瘤的特定手术报告准则,以改善护理.
科学领域:
- 儿科瘤学 儿科瘤学
- 手术瘤学手术瘤学
- 癌症报告 癌症报告
背景情况:
- 在儿科瘤学中,局部控制需要针对疾病的具体策略.
- 术内事件的记录对于治疗决策至关重要,但根据瘤类型有很大差异.
- 对儿科固体瘤进行准确的外科报告仍然是一个挑战.
研究的目的:
- 为了达成对儿科固体瘤的关键手术内瘤观察的共识.
- 提高儿科瘤学的外科报告标准.
- 通过改进的文档来优化后续治疗策略.
主要方法:
- 一个德尔菲共识过程,涉及16名国际儿童癌症专家.
- 文献审查和多轮投票,以确定基本的文档元素.
- 在15个关键陈述中达成共识,这些陈述涉及手术内瘤观察.
主要成果:
- 在关键文件上达成共识,包括切除完整性,局部区域传播和血管参与等.
- 在文件需求中确定瘤特异性的变化 (例如,神经母细胞瘤切除百分比,肉瘤活检通道).
- 在当前的手术报告中发现了缺陷,例如遗漏了瘤泄漏和淋巴结采样.
结论:
- 准确的手术内记录对于多学科的儿科固体瘤护理至关重要.
- 由于瘤类型的变化,需要量身定制的文档准则.
- 结合通用和瘤特异元素的混合报告模型可以改善一致性和沟通.
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