对头癌的治疗后的监测
1Oulu University Hospital, Otorhinolaryngology and Head and Neck Surgery, University of Oulu, Clinical Medicine Research Unit, Oulu, Finland.
Current opinion in otolaryngology & head and neck surgery
|December 7, 2025
概括
建议对头部和部癌症进行1至2年的密集随访. 在2-3年后的长期监测和成像可能无法有效地检测无症状复发或改善存活率.
科学领域:
- 在瘤学瘤学.
- 医疗成像医学成像
- 癌症监测 癌症监测
背景情况:
- 头癌 (HNC) 的治疗后护理依赖于系统的随访协议.
- 这些协议旨在早期检测复发并减轻治疗致病率.
- 最佳的随访时间和成像效益仍在争论中.
研究的目的:
- 审查有关头癌监测协议的当前文献.
- 评估不同后续持续时间和成像检测复发的有效性.
- 评估监测对生存结果的影响.
主要方法:
- 对最近关于HNC后续工作的研究进行系统审查.
- 分析治疗后不同时间点的复发率.
- 评估支持监控成像的证据.
主要成果:
- 大多数HNC复发发生在1-2年内;在3年后不常见.
- 超过2-3年的长期随访计划对无症状复发的价值有限.
- 图像检测可以检测到早无症状复发,长达2年,但生存益处尚不清楚.
结论:
- 重点是对患者进行1至2年的密集跟踪和患者教育.
- 建议进行个性化监测,但缺乏强有力的风险分层证据.
- 长期监测和成像在提高HNC存活率方面的作用需要进一步研究.
更多相关视频
06:11Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
10.2K
07:29Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
12.1K
相关概念视频
Treatment Resistant Cancers
3.7K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.7K
Cancer Therapies
9.8K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
9.8K
Cancer Survival Analysis
624
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
624
Radiological Investigation III: Pulmonary Angiogram and PET Scan
374
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
374
