不同癌症引起胃转移的回顾性分析

Hassan A. Saad, Azza Baz, Mohamed E Eraky, Mohamed I Farid, Mohamed Riad, Khaled Sharaf, Ahmed K El-taher, Ahmed Salah Arafa
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摘要

摘要背景与目的研究综述了胃转移瘤(GM)的发现、治疗过程和预后。通过这项研究,我们希望通过为从业者提供一个可靠和实用的平台来了解各种原发性恶性肿瘤的胃转移,从而为越来越多的信息做出贡献。方法:本研究涵盖了截至2022年5月MEDLINE和Cochrane数据库中发表的英文论文。被删除的材料包括编辑邮件、广告牌、手术照片和非英语出版物。有血源性和淋巴性转移,但未见原发性肿瘤进展和播散。使用预先确定的资格标准,在文章和摘要经过审查和交叉参考后做出最终选择。结果:在1521篇最终发现的文献中,共列出186例GM病例。平均62岁。大多数GM病例(67例)归因于生殖癌,紧随其后的是肺癌(33例)、肾癌(20例)和黑色素瘤(19例)。转移瘤的主要治疗策略是手术切除(n = 62),通常联合免疫治疗或化疗(ChT)。在78种治疗方案中,ChT是第二受欢迎的选择。此外,免疫治疗是手术和ChT之后最首选的治疗方案之一(n = 10)。结论:异质性是不可避免的,因为本系统评价纳入了来自不同期刊的172例病例报告。某些论文忽略了诸如全面监测和科学信息等关键事实。此外,由于每篇文章都是个人研究,因此无法评估工作的质量。在检查的172例病例中,大多数发生了切除手术;在极少数情况下,免疫治疗和ChT也会联合使用。胃转移患者的最佳治疗方案需要进一步研究。
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Analysis of stomach metastasis resulting from different cancers in a retrospective review
Abstract Context and purpose Research reviews the findings, course of therapy, and outcomes of gastric metastases (GM). With this investigation, we hope to contribute to the increasing amount of information by providing practitioners with a reliable and practical platform for understanding stomach metastases from various primary malignancies. Methods : This study covered papers published in English from the MEDLINE and Cochrane databases until May 2022. The deleted materials included editorial emails, billboards, surgical photos, and non-English publications. Hematogenous and lymphogenic metastases were noted, yet primary tumor progression and dissemination were not. Using pre-established criteria for eligibility, the ultimate selection was made after the articles and abstracts were reviewed and cross-referenced. Results : A total of 186 GM cases were listed in 1,521 papers that were eventually found. The average of sixty-two years. The majority of GM cases (67) were attributed to reproductive cancers, with lung tumors (33 patients), carcinoma of the kidney (20 patients), and melanomas (19 patients) trailing closely behind. The main treatment strategy for metastases is excision surgery (n = 62), often in combination with immunotherapy or chemotherapy (ChT). Among the 78 therapeutic options, ChT was the second-most preferred choice. Furthermore, immunotherapy was one of the most preferred treatment alternatives (n = 10) following surgery and ChT. Conclusions : Heterogeneity was inevitable because 172 case reports from different journals were included in this systematic review. Certain papers have omitted crucial facts such as comprehensive monitoring and scientific information. Additionally, since every article featured was a personal study, it was not possible to evaluate the quality of the work. In the majority of the 172 cases that were examined, resected procedures occurred; on rare occasions, immunotherapy and ChT were also combined. The best course of action for patients with stomach metastases requires further investigation.
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