治疗中枢神经系统淋巴瘤的手术注意事项:11例患者的病例系列。

IF 2.8 4区 医学 Q2 ONCOLOGY Current oncology Pub Date : 2024-10-25 DOI:10.3390/curroncol31110491
Corneliu Toader, Adrian Vasile Dumitru, Mugurel Petrinel Radoi, Luca-Andrei Glavan, Milena-Monica Ilie, Razvan-Adrian Covache-Busuioc, Vlad Buica, Antonio-Daniel Corlatescu, Horia-Petre Costin, Carla Crivoi, Alexandru Vlad Ciurea
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引用次数: 0

摘要

在这项回顾性单中心研究中,我们分析了 2009 年至 2024 年间接受中枢神经系统淋巴瘤(包括原发性和继发性)手术治疗的 11 名患者的病历。鉴于中枢神经系统淋巴瘤的罕见性及其因肿瘤位置而异的症状和体征,我们的目的是描述临床表现和手术治疗等关键方面。通过分析以往的研究结果,我们探讨了肥胖与中枢神经系统淋巴瘤进展之间可能存在的关系。文献表明,中枢神经系统淋巴瘤的表现多种多样,从恶心、头痛到失去平衡和语言障碍。研究证实,未系统化的平衡失调和癫痫发作占主导地位。值得注意的是,从我们的研究中发现,失语症是一种特别有趣的神经系统症状,因为它在中枢性脊髓灰质炎的临床特征中非常罕见。我们还对肿瘤定位和围手术期等其他重要因素进行了深入研究,并通过一份例证报告强调了围手术期。此外,该报告还包括一篇文献综述,其中包括最近九项关于PCNSL患者手术切除疗效的回顾性研究。
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Surgical Considerations in Treating Central Nervous System Lymphomas: A Case Series of 11 Patients.

In this retrospective unicentric study, we analyzed the medical records of 11 patients who were surgically treated for CNS lymphoma, both primary and secondary, between 2009 and 2024. Given the rarity of CNS lymphomas and their diverse signs and symptoms based on tumoral location, our aim was to describe key aspects, such as clinical presentations and surgical management. A possible relationship between obesity and CNS lymphoma progression was investigated through an analysis of previous study findings. The literature suggests a wide spectrum of manifestations, from nausea and headaches to loss of equilibrium and speech impairment. A predominance of unsystematized balance disorders and epileptic seizures were affirmed. Notably, as emerged from our study, aphasia was a particularly interesting neurological symptom due to its rarity in the clinical features of CNSL. Other significant factors, such as tumor localization and perioperative phases, were thoroughly investigated, with the latter highlighted by an illustrative case report. Additionally, a literature review was included, comprising nine recent retrospective studies on the efficacy of surgical resection for patients diagnosed with PCNSL.

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来源期刊
Current oncology
Current oncology ONCOLOGY-
CiteScore
3.30
自引率
7.70%
发文量
664
审稿时长
1 months
期刊介绍: Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.
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