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新生儿血管肿瘤的当前管理

Current Management of Vascular Tumors in the Neonate.

作者信息

Lopez-Gutierrez Juan C

机构信息

Vascular Anomalies Center, La Paz Children´s Hospital and Associate Professor of Pediatrics. Universidad Autonoma, Madrid. Spain.

出版信息

Curr Pediatr Rev. 2015;11(3):226-32. doi: 10.2174/1573396311666150714105944.

Abstract

Neonatal vascular tumours present particular difficulties in their diagnosis and treatment. The special behaviour of neonatal hemangioma and the aggressive but benign nature of kaposiform hemangioendothelioma provide examples of a modern need for a conservative approach. Recent advances in their pharmacological management have dramatically changed the therapeutical scope of this group of tumors with surgery playing a minor role in their treatment. Multidisciplinary teams management involving neonatology, pediatric surgery, dermatology, pathology, genetics and radiology specialists among others remains the best option for an optimal outcome.

摘要

新生儿血管肿瘤在诊断和治疗方面存在特殊困难。新生儿血管瘤的特殊行为以及卡波西样血管内皮瘤的侵袭性但良性的性质,体现了现代采用保守治疗方法的必要性。它们在药物治疗方面的最新进展极大地改变了这类肿瘤的治疗范围,手术在其治疗中作用较小。由新生儿科、小儿外科、皮肤科、病理学、遗传学和放射学等专家组成的多学科团队管理,仍然是实现最佳治疗效果的最佳选择。

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