脑膜瘤瘤复发的危险因素:多中心多变量分析
Daniel Alejandro Vega-Moreno1, Gervith Reyes-Soto1, Monica Serrano-Murillo1
1Neuro-Oncology Unit, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez Sección 16, 14090 TlalpanCiudad de Mexico, Mexico.
Indian journal of surgical oncology
|November 24, 2025
概括
内高血压综合征显著增加脑膜瘤复发风险. 较大的手术内出血与较低的无瘤复发生存率相关,影响了手术后的决策.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 脑膜瘤是常见的原发性脑瘤.
- 了解复发因素对于手术后的患者管理至关重要.
研究的目的:
- 为了确定与脑膜瘤复发的成像相关的风险因素.
- 分析临床和手术因素对无瘤复发存活率的影响.
主要方法:
- 对190名经历了脑膜瘤切除 (2009-2019) 的患者进行了回顾性分析.
- 对风险因素的单变量和多变量分析.
- 线性回归和平均比较分析对生存的影响.
主要成果:
- 整体复发率为38.9% (74名患者).
- 内高血压综合征与更高的复发风险有关.
- 较大的手术内出血与减少无复发存活率相关.
- 石油山的位置也降低了无复发的生存率.
结论:
- 内高血压综合征可能会增加脑膜瘤复发风险的八倍.
- 尽量减少手术内出血对于改善结果至关重要.
- 临床表现和瘤位置是导致脑膜瘤复发的重要因素.
相关概念视频
Tumor Progression
7.2K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
7.2K
The Tumor Microenvironment
7.6K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
7.6K


