形腺瘤手术后例行随访的价值
Yehonatan Adler1,2, Eyal Yosefof1,2,3, Ben Giladi1,2
1Department of Otorhinolaryngology-Head and Neck Surgery, Rabin Medical Center, Petach Tikva 4941492, Israel.
Journal of clinical medicine
|January 28, 2026
概括
Pleomorphic adenoma (PA) 切除后的例行后续检查的产量很低. 大多数复发是自我检测的,这表明患者对自我检查的咨询比频繁的临床访问或成像更有效.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 形腺瘤 (PA) 是最常见的良性唾液腺瘤.
- 切除后的最佳后续策略仍在讨论中.
- 评估常规监测的必要性对于患者管理至关重要.
研究的目的:
- 评估形腺瘤切除后例行随访的有效性和产量.
- 确定术后监测的最佳持续时间和方式.
主要方法:
- 对1990年至2023年期间被诊断患有PA的成年患者进行了回顾性病例系列分析.
- 收集的数据包括办公室检查,成像研究,复发时间和检测方法.
- 分析的重点是复发率和检测方式.
主要成果:
- 在301名患者中,28名 (9.3%) 患有复发.
- 第一次复发的平均时间为119.5个月.
- 绝大多数复发 (90%) 是自我发现的,只有5%通过临床检查和5%通过成像检测到.
结论:
- 常规的临床检查和成像研究似乎对大多数形腺瘤患者的产量较低,特别是在手术后的前三年内.
- 患者应接受自我检测方法的教育,并建议他们寻求任何有关症状的评估.
- 这种方法可以优化资源分配,使患者专注于自我监测.
相关概念视频
Longitudinal Research
13.2K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.2K
Social Facilitation
36.6K
Not all intergroup interactions lead to negative outcomes. Sometimes, being in a group situation can improve performance. Social facilitation occurs when an individual performs better when an audience is watching than when the individual performs the behavior alone. This typically occurs when people are performing a task for which they are skilled.
36.6K
Attitudes
33.2K
Attitude is our evaluation of a person, an idea, or an object. We have attitudes for many things ranging from products that we might pick up in the supermarket to people around the world to political policies. Typically, attitudes are favorable or unfavorable: positive or negative (Eagly & Chaiken, 1993). And, they have three components: an affective component (feelings), a behavioral component (the effect of the attitude on behavior), and a cognitive component (belief and knowledge;...
33.2K
Self-Evaluation: Self-Enhancement and Self-Verification
5.8K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.8K
Predator-Prey Interactions
21.4K
Predators consume prey for energy. Predators that acquire prey and prey that avoid predation both increase their chances of survival and reproduction (i.e., fitness). Routine predator-prey interactions elicit mutual adaptations that improve predator offenses, such as claws, teeth, and speed, as well as prey defenses, including crypsis, aposematism, and mimicry. Thus, predator-prey interactions resemble an evolutionary arms race.
21.4K
Imprinting
11.1K
Behavioral imprinting is observed in some newborn animals and occurs when they develop strong and specific attachments to another animal (usually a parent) following brief, early-life exposures. Offspring imprint onto parents within a brief period after birth or hatching; this time window is called the critical period. Once imprinting occurs, the bond established between the parents and their offspring is usually long-lasting.
11.1K


