准则的指导方针:小丸质量的管理
Marco Tozzi1, Giuseppe Fallara1, Matteo Ferro1,2
1Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy.
BJU international
|December 24, 2025
概括
丸节约手术 (TSS) 建议用于选择小丸质量 (STMs),以平衡癌症控制与保持淋巴腺功能. 指导方针支持适合病例的TSS,帮助患者做出明智的决策.
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.
- 手术管理的手术管理.
背景情况:
- 小丸质量 (STMs) 需要谨慎管理,以平衡瘤结果和生殖腺功能.
- 国际指南为STM治疗提供了不同的建议.
研究的目的:
- 系统地比较和总结STM管理的当前国际指南.
- 确定对STMs的建议中的共识和差异.
主要方法:
- 在主要数据库中进行了系统的文献搜索,直到2024年11月.
- 审查了五个主要的国际泌尿和瘤学指南.
- 研究和评估指南评估II (AGREE II) 工具评估了指南的质量.
主要成果:
- 新出现的证据支持选择性STM的丸节约手术 (TSS),证明瘤安全性和淋巴腺功能保护.
- 对TSS的共享指示包括具有负瘤标记的不确定的STM,特别是在单独的丸或双边瘤中.
- 在手术期间的冷部位分析可以帮助避免对良性病变进行激进的枝切除术.
结论:
- 国际指南越来越多地支持TSS适合STM的TSS.
- TSS在瘤控制和功能结果之间提供了平衡.
- 共享决策对于患者在STM管理方面做出明智的选择至关重要.
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