青少年血管纤维瘤：当前的治疗策略
Juvenile Angiofibroma: Current Management Strategies.
作者信息
Safadi Ahmad, Schreiber Alberto, Fliss Dan M, Nicolai Piero
机构信息
Department of Otorhinolaryngology - Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Otorhinolaryngology - Head and Neck Surgery, Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
出版信息
J Neurol Surg B Skull Base. 2018 Feb;79(1):21-30. doi: 10.1055/s-0037-1615810. Epub 2018 Jan 18.
Abstract
Juvenile angiofibroma (JA) is a benign, highly vascular tumor which is diagnosed on the basis of clinical and imaging features. It has a characteristic pattern of spread commonly involving the pterygopalatine fossa and pterygoid base. The mainstay of treatment is surgery, while radiotherapy is rarely used for the treatment of recurrent lesion. Endoscopic endonasal surgery is currently the treatment of choice for small to intermediate size JAs, and is feasible even for advanced lesions; however, this should only be practiced in well-experienced centers.
摘要
青少年血管纤维瘤（JA）是一种良性的、血管极为丰富的肿瘤，其诊断基于临床和影像学特征。它具有特征性的扩散模式，通常累及翼腭窝和翼突基部。治疗的主要方法是手术，而放疗很少用于复发病变的治疗。目前，鼻内镜下鼻内手术是治疗中小尺寸JA的首选方法，即使对于晚期病变也可行；然而，这只能在经验丰富的中心进行。
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