考虑扩展到腔的多门区间方法
Enrico Fazio1, Luca Gazzini1, Giulia Gobbo2
1Department of Otorhinolaryngology-Head and Neck Surgery, Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of the Paracelsus Medizinischen Privatuniversität (PMU), Bozen, Italy.
概括
分隔式手术 (CS) 提供了一种可行的方法,用于先进的口腔状细胞癌 (OSCC) 侵入下腔 (ITF),当新辅助疗法不是一种选择时. 这种多门技术实现了彻底切除,并证明了瘤疗效.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
背景情况:
- 先进的口腔状细胞癌 (OSCC) 带来了重大管理挑战,特别是当涉及到下腔 (ITF) 时.
- 彻底的手术管理对于改善这些复杂病例的瘤结果至关重要.
- 在先进的OSCC中,新辅助治疗并不总是可行的.
研究的目的:
- 证明区间手术 (CS) 原则的应用,用于涉及ITF的先进OSCC的根本管理.
- 为了说明复杂的OSCC病例的多门户外科手术方法.
- 评估CS在高级ITF入侵OSCC中的可行性和瘤疗效.
主要方法:
- 治疗了一例复发性OSCC,涉及到大量的空间.
- 采用了多门的方法,结合了跨鼻内镜,延伸的横口和横的途径.
- 手术步骤遵循了CS原则,包括对瘤扩散途径和涉及肌肉的分离切除.
主要成果:
- 成功完成了瘤的彻底切除,包括肌和肌插入.
- 最终的组织病理学证实了晚期疾病 (rpT4b N3b R0 L1 V0 pn1 G2).
- 确认了完全的宏观和微观瘤切除 (R0).
结论:
- 基于分隔式手术 (CS) 的多门户方法对于涉及ITF的精选高级OSCC是可行的,并且在瘤学上是有效的.
- 这种方法可以是一个有价值的选择,当新辅助疗法是不可行的.
- 需要进一步的研究来验证CS的作用,并为ITF入侵OSCC建立标准化的协议.
相关概念视频
01:27Cranial Bones: Lateral View
4.4K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
4.4K
01:14Cranial Bones: Superior and Posterior View
4.9K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
4.9K
01:21Association Areas of the Cortex
8.9K
Association areas are regions of the cerebral cortex that do not have a specific sensory or motor function. Instead, they integrate and interpret information from various sources to enable higher cognitive processes such as memory, learning, and decision-making. Some key association areas include the following:
Prefrontal Association Area: This area is located in the frontal lobe and is involved in planning, decision-making, and moderating social behavior. It connects with primary motor areas,...
Prefrontal Association Area: This area is located in the frontal lobe and is involved in planning, decision-making, and moderating social behavior. It connects with primary motor areas,...
8.9K