腎切除術或腎癌中切除術後的監測協議:對變異,證據和研究缺口的全面評論
Mayowa Adefehinti1, Onyiyechi Roseline Agwu2, Kelvin Tetteh Ahulu3
1Urology, Peterborough City Hospital, Peterborough, GBR.
Cureus
|November 25, 2025
概括
癌治疗后的监测实践有很大的差异. 本综述强调了细胞癌 (RCC) 患者的随访计划和成像方面的不一致性,强调了需要标准化的方法.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 放射学 放射学是指放射学
背景情况:
- 瘤切除术后和细胞癌 (RCC) 除监测实践在各机构之间存在很大差异.
- 密切跟踪对于检测复发,转移和并发症至关重要,但监测协议缺乏标准化.
- 像AUA和ESMO这样的组织的现有指南是风险分层的,但缺乏比较数据.
研究的目的:
- 针对RCC.进行腎切除或切除后的监测策略的现有文献进行映射.
- 识别随访时间表,成像方法和当前实践中的风险分层的变化.
- 突出证据差距和需要协调长期患者管理的需要.
主要方法:
- 进行了对文献的范围审查.
- 最初确定了170个记录,选了140个独特的文章.
- 在最终分析中包含了五项研究,包括指导方针,系统性审查和观察性研究.
主要成果:
- 在用于RCC监测的随访频率,持续时间和成像方法中存在显著的异质性.
- 新的成像技术,如多参数MRI和先进的CT正在考虑中,但需要成本效益和长期数据.
- 至少侵入性的除性治疗由于与切除术相比,由于不同复发模式,因此存在独特的监测挑战.
结论:
- 目前的实践和证据存在相当大的差异,涉及切除术或除术后的RCC监测.
- 在以患者为中心的结果报告和标准化的后续协议方面,研究缺口仍然存在.
- 监测策略的协调对于改善RCC患者的长期管理和结果至关重要.
相关概念视频
Kidney Transplant II: Surgical Procedure
290
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
290
Imaging Studies II: Ultrasonography
330
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
330
Acute Kidney Injury IV: Diagnostic Studies and Prevention
249
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
249
Imaging Studies I: Kidney, Ureter, and Bladder Studies
246
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
246
Kidney Transplant III: Nursing Management
298
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
298
Imaging Studies VII: Vascular Imaging
294
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
294


