胶质母细胞瘤,“Hermanos-Ameijeiras”医院的治疗策略。

Damian Lastra Copello
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摘要

目的:胶质瘤是中枢神经系统最常见的原发性恶性肿瘤,其中45.6%为胶质母细胞瘤(GB)。这项工作旨在确定2015年1月至2020年12月期间在古巴“Hermanos Ameijeiras”医院治疗的胶质母细胞瘤患者的治疗结果。方法:对古巴Hermanos Ameijeiras医院诊断为胶质母细胞瘤的45例患者进行观察性、描述性、回顾性队列评估。结果:40 ~ 59岁男性患者(57.7%)以皮肤白色为主(82%),临床症状以运动缺陷综合征为主。生存率大于12个月的18例(40%),6 ~ 12个月的21例(46.7%)。结论:胶质母细胞瘤是多学科医学团队面临的挑战。最佳治疗结果和生存率与多模式治疗策略有关,即从最大限度安全切除病变开始,然后进行放射治疗、化疗和免疫治疗肿瘤治疗。
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Glioblastoma, Treatment Strategies at the "Hermanos Ameijeiras" Hospital.
Objective: Gliomas are the most common primary malignant tumors of the central nervous system (CNS) and, from them, 45.6 % corresponds to glioblastomas (GB). This work aims to determine the results of treatment for patients with glioblastomas treated at the “Hermanos Ameijeiras” Hospital, Cuba, in the period from January 2015 to December 2020. Method: An observational, descriptive, retrospective cohort assessment was carried out in a population of 45 patients treated at the “Hermanos Ameijeiras” Hospital, Cuba, with a diagnosis of glioblastoma. Results: Male patients aged 40 to 59 years (57.7 %) with white color skin (82 %) were predominant with clinical symptoms of motor deficit syndrome. The survival rate was greater than 12 months in 18 patients (40 %), while for 21 patients (46.7 %) it was between 6 and 12 months. Conclusions: Glioblastoma is a challenge for the multidisciplinary medical team. The best therapeutic results and survival rates are related to the strategies of a multimodal treatment that begins with maximum safe resection of the lesion, followed by radiotherapy, chemotherapy and immunotherapy oncological treatments.
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