脊柱转移瘤的管理原则
Principles of Management of Spine Metastasis.
作者信息
Kurisunkal Vineet, Gulia Ashish, Gupta Srinath
机构信息
Orthopaedic Oncology, Department of Surgical Oncology, Tata Memorial Hospital, HBNI, Mumbai, India.
出版信息
Indian J Orthop. 2020 Jan 31;54(2):181-193. doi: 10.1007/s43465-019-00008-2. eCollection 2020 Apr.
BACKGROUND
With evolution of medicine, radiation therapy and surgical methods, cancer care has improved the quality of life for patients with improved survival and functional status in patients with skeletal metastasis. The most common site of skeletal metastases from other primary malignant neoplasms is the spine, hence, understanding the epidemiology of metastatic spine disease and its presentation is essential for developing a diagnostic and treatment strategy which eventually results in optimum care to reduce disease-related morbidity.
PURPOSE
With this review article we intend to describe an evidence-based review on the presentation, diagnosis and treatment of metastatic spinal disease.
METHODS
We reviewed the current available literature on management of spinal metastasis and have described a step wise evaluation and management strategy of metastatic spine disease.
CONCLUSION
The present review article addresses various aspects and related controversies related to evaluation, staging and treatment options in the management of spinal metastasis.
背景
随着医学、放射治疗和手术方法的发展，癌症护理提高了患者的生活质量，改善了骨转移患者的生存率和功能状态。其他原发性恶性肿瘤发生骨转移最常见的部位是脊柱，因此，了解转移性脊柱疾病的流行病学及其表现对于制定诊断和治疗策略至关重要，最终实现最佳护理以降低疾病相关的发病率。
目的
通过这篇综述文章，我们旨在对转移性脊柱疾病的表现、诊断和治疗进行循证综述。
方法
我们回顾了目前关于脊柱转移瘤管理的可用文献，并描述了转移性脊柱疾病的逐步评估和管理策略。
结论
本综述文章探讨了脊柱转移瘤管理中评估、分期和治疗选择的各个方面及相关争议。
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