卡泊样血管内皮瘤的诊断、治疗和预后的共识声明。

IF 5.7 2区 医学 Q1 ONCOLOGY International Journal of Cancer Pub Date : 2025-05-15 Epub Date: 2025-01-20 DOI:10.1002/ijc.35344
Jiangyuan Zhou, Tong Qiu, Zixin Zhang, Yuru Lan, Ran Huo, Bo Xiang, Siyuan Chen, Li Qiu, Chunchao Xia, Xuewen Xu, Jing Li, Yangyang Ma, Wei Yao, Zuopeng Wang, Changxian Dong, Zhongping Qin, Maozhong Tai, Lei Guo, Xin He, Song Gu, Li Li, Fang Hou, Yu Cai, Huaijie Wang, Jinhu Wang, Xian Jiang, Jiawei Zheng, Kai Li, Yi Ji
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引用次数: 0

摘要

卡波西样血管内皮瘤(KHE)是一种罕见的血管肿瘤,通常出现在婴儿期或幼儿期。随着对KHE认识的提高,必须更新KHE的管理,以反映最新的循证指南。本研究的目的是整合文献和中国专家的意见,为指导KHE患者的诊断、治疗和预后提供最新的建议。根据这一共识声明,28名全国同行认可的血管异常专家和一名循证医学专家聚集在一起,形成了三个共识小组。为每组制定了一系列关键主题和问题,包括诊断、治疗和预后建议。对发表在PubMed上的英文文章和专家小组确定的其他相关研究进行了系统搜索。KHE的诊断需要综合临床、影像学和组织学特征。KHE的治疗应根据每个患者的具体特征进行调整,包括病变的大小、症状的存在、位置和患者的整体状况。除了关注疾病本身,考虑KHE的并发症及其对预后的影响也很重要。本文提出的建议旨在帮助指导KHE患者的临床实践和决策,以改善患者的预后。
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Consensus statement for the diagnosis, treatment, and prognosis of kaposiform hemangioendothelioma.

Kaposiform hemangioendothelioma (KHE) is a rare vascular tumor that typically presents in infancy or early childhood. As awareness of KHE increases, it is imperative that the management of KHE be updated to reflect the latest evidence-based guidelines. The aim of this study was to integrate the literature and Chinese expert opinions to provide updated recommendations that will guide the diagnosis, treatment, and prognosis of patients with KHE. According to this consensus statement, 28 nationally peer-recognized experts in vascular anomalies and an expert in evidence-based medicine were assembled and formed three consensus subgroups. A series of key themes and questions were developed for each group, including recommendations for diagnosis, treatment, and prognosis. A systematic search was conducted for English-language articles published in PubMed and other relevant studies identified by the expert panel. A diagnosis of KHE necessitates the integration of clinical, imaging, and histologic features. The treatment of KHE should be tailored to the specific characteristics of each patient, including the size of the lesion, the presence of symptoms, the location, and the overall condition of the patient. In addition to focusing on the disease itself, it is also important to consider the complications of KHE and their impact on prognosis. The recommendations presented herein are intended to assist in the guidance of clinical practice and decision-making in patients with KHE, with the objective of improving patient outcomes.

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来源期刊
CiteScore
13.40
自引率
3.10%
发文量
460
审稿时长
2 months
期刊介绍: The International Journal of Cancer (IJC) is the official journal of the Union for International Cancer Control—UICC; it appears twice a month. IJC invites submission of manuscripts under a broad scope of topics relevant to experimental and clinical cancer research and publishes original Research Articles and Short Reports under the following categories: -Cancer Epidemiology- Cancer Genetics and Epigenetics- Infectious Causes of Cancer- Innovative Tools and Methods- Molecular Cancer Biology- Tumor Immunology and Microenvironment- Tumor Markers and Signatures- Cancer Therapy and Prevention
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