成人胶质瘤:调查、诊断、治疗和监测指南》。

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Clinical Medicine Pub Date : 2024-09-01 Epub Date: 2024-09-02 DOI:10.1016/j.clinme.2024.100240
Anna Lerner, Kieran Palmer, Tom Campion, Thomas O Millner, Emily Scott, Cressida Lorimer, Dimitrios Paraskevopoulos, Grainne McKenna, Silvia Marino, Rachel Lewis, Nick Plowman
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引用次数: 0

摘要

原发性脑肿瘤很少见,但发病率和死亡率却很高。恶性胶质瘤是最常见的亚型,其发病率在我国老龄人口中不断上升。胶质瘤的诊断和治疗涉及多个专科的大量工作,包括普通内科医生、放射科医生、病理学家、外科医生、肿瘤学家和专职医疗人员。在这一过程中的任何阶段,患者都可能因癌症或抗癌治疗的并发症而向急诊科求助。提高全科医生对恶性胶质瘤的认识,对于及时提供放射学和组织病理学诊断、促进尽早获得个性化治疗方案以及有效识别和处理预期并发症至关重要。本文讨论了以证据为基础的恶性胶质瘤真实世界实践,包括患者表现、诊断途径、治疗及其并发症和预后,以指导专科中心以外的治疗。
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Gliomas in adults: Guidance on investigations, diagnosis, treatment and surveillance.

Primary brain tumours are rare but carry a significant morbidity and mortality burden. Malignant gliomas are the most common subtype and their incidence is increasing within our ageing population. The diagnosis and treatment of gliomas involves substantial interplay between multiple specialties, including general medical physicians, radiologists, pathologists, surgeons, oncologists and allied health professionals. At any point along this pathway, patients can present to acute medicine with complications of their cancer or anti-cancer therapy. Increasing the awareness of malignant gliomas among general physicians is paramount to delivering prompt radiological and histopathological diagnoses, facilitating access to earlier and individualised treatment options and allows for effective recognition and management of anticipated complications. This article discusses evidence-based real-world practice for malignant gliomas, encompassing patient presentation, diagnostic pathways, treatments and their complications, and prognosis to guide management outside of specialist centres.

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来源期刊
Clinical Medicine
Clinical Medicine 医学-医学:内科
CiteScore
7.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Clinical Medicine is aimed at practising physicians in the UK and overseas and has relevance to all those managing or working within the healthcare sector. Available in print and online, the journal seeks to encourage high standards of medical care by promoting good clinical practice through original research, review and comment. The journal also includes a dedicated continuing medical education (CME) section in each issue. This presents the latest advances in a chosen specialty, with self-assessment questions at the end of each topic enabling CPD accreditation to be acquired. ISSN: 1470-2118 E-ISSN: 1473-4893 Frequency: 6 issues per year
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