口腔鳞状细胞癌诊断和治疗的现行标准——一项多中心分析。

IF 1 Q3 SURGERY GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW Pub Date : 2023-10-31 eCollection Date: 2023-01-01 DOI:10.3205/iprs000180
Karsten Schreder, Oliver Thiele, Alexander Eckert
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引用次数: 0

摘要

德国口腔鳞状细胞癌指南(OSCC)描述了OSCC的推荐诊断和治疗程序,并确保了最高质量的患者护理。然而,目前德国的OSCC指南不明确,各中心之间的治疗计划也没有详细标准化。为了解决这个问题,目前在德国不同的口腔颌面外科部门的诊断和治疗策略进行总结,使用统一的问卷调查。结果显示,肿瘤颌面护理水平较高,但各中心间标准不统一。此外,不同的中心越来越多地使用未包括在德国OSCC指南中的诊断和治疗方法,如正电子发射断层扫描计算机断层扫描(PET-CT)和肿瘤生物标志物。这些结果支持更新的德国OSCC指南,但强调需要考虑其他附加方法来改善患者护理和结果。此外,建议引入肿瘤护照以简化OSCC的诊断和治疗。这些改变将改善OSCC患者的预后和生活质量。
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Current standards in the diagnosis and treatment of oral squamous cell carcinoma - a multicenter analysis.

The German guideline for oral squamous cell carcinoma (OSCC) describes the recommended diagnosis and treatment procedures for OSCC and ensures the highest quality patient care. However, the current German guideline for OSCC is indistinct and therapy planning is not standardized in detail between centers. To address this, the current diagnostic and therapeutic strategies in different oral and maxillofacial surgery departments in Germany were summarized using a uniform questionnaire. The results revealed high standards in oncologic maxillofacial care, but non-uniform standards exist between centers. Moreover, an increasing use of diagnostic and treatment methods that are not included in the German guideline for OSCC, such as positron emission tomography computed tomography (PET-CT) and tumor biomarkers, were used by different centers. These results support the updated German guideline for OSCC but highlight the need to consider other additive methods to improve patient care and outcomes. Furthermore, a recommendation to introduce tumor passports to simplify OSCC diagnosis and treatment should be discussed. These changes will improve the prognosis and quality of life of patients with OSCC.

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