首页> 外文期刊>International Journal of Vascular Medicine >Multidisciplinary Management of Carotid Body Tumors in a Tertiary Urban Institution
【24h】

Multidisciplinary Management of Carotid Body Tumors in a Tertiary Urban Institution

机译:三级城市机构颈动脉瘤的多学科管理

获取原文
           

摘要

Objective. Aim of this study is to present the experience of our institution in carotid body tumors (CBTs) treatment.Methods. All cases treated in a Vascular Surgery Department within 2.5 years (03/2013–09/2015) were retrospectively evaluated. Demographics, diagnostic, and treatment strategy were recorded. All patients with known CBT underwent ultrasound and magnetic resonance imaging preoperatively. All cases were classified according to the Shamblin type and evaluated by a radiologist, otolaryngologist, and anesthesiologist before and after surgery. Major outcomes included mortality, stroke, cranial nerve injury, and recurrence.Results. Overall, nine patients (mean age: 59.5 ± 16.3 years) with a total of ten CBTs were treated. There was no gender prevalence and most of the cases (55%) were asymptomatic. There were no functional or familial cases. There was only one bilateral case treated in a staged manner. No preoperative embolization of CBTs was performed. Mortality and stroke rates were null. No severe complication was observed in the early and late setting. No malignancy was recorded. Mean follow-up was 15.6 ± 7.8 months.Conclusions. Multidisciplinary management of patients with CBTs is imperative for optimal results, especially in type III tumors, bilateral or functional cases. After careful treatment planning and intraoperative manipulations, complications could be avoided even without preoperative embolization.
机译:目的。这项研究的目的是介绍我们机构在颈动脉体瘤(CBT)治疗中的经验。回顾性评估了在2.5年(03 / 2013–09 / 2015)内在血管外科治疗的所有病例。记录人口统计学,诊断和治疗策略。所有已知CBT的患者术前均接受了超声和磁共振成像。所有病例均按Shamblin类型分类,并在手术前后由放射科医生,耳鼻喉科医生和麻醉师进行评估。主要结局包括死亡率,中风,颅神经损伤和复发。总的来说,共治疗了10例CBT的9例患者(平均年龄:59.5±16.3岁)。没有性别患病率,大多数病例(55%)无症状。没有功能性或家族性病例。只有一个双边病例分阶段治疗。术前未进行CBT栓塞。死亡率和中风率为零。在早期和晚期均未观察到严重并发症。未记录到恶性肿瘤。平均随访时间为15.6±7.8个月。 CBT患者的多学科管理对于获得最佳结果至关重要,尤其是在III型肿瘤,双侧或功能性病例中。经过精心的治疗计划和术中操作,即使没有术前栓塞,也可以避免并发症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号