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成人原发性肢体软组织肉瘤的随访策略:文献综述

Follow-up Strategies for Primary Extremity Soft-tissue Sarcoma in Adults: A Systematic Review of the Published Literature.

机构信息

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria

Antwerp University Hospital, Edegem, Belgium.

出版信息

In Vivo. 2020 Nov-Dec;34(6):3057-3068. doi: 10.21873/invivo.12140.

Abstract

AIM

Follow-up strategies for primary extremity soft-tissue sarcomas (eSTS) in adults were evaluated in a systematic review of the published literature.

MATERIAL AND METHODS

The published literature was reviewed using PubMed. Of 136,646 studies published between 1985 and 2019, 78 original articles met the inclusion criteria. Articles were selected on the basis of the PRISMA guidelines. The selected articles were then cross-searched to identify further publications. August 1, 2019 was used as the concluding date of publication.

RESULTS

A variety of follow-up schedules have been reported in recently published literature. Two official guidelines have been approved by international societies. The guidelines distinguish between high- and low-grade STS, but mention a wide range of follow-up intervals. Established tools of follow-up include computed tomograph, X-rays of the chest, and magnetic resonance imaging of the primary tumor site in addition to clinical observation and physical examination.

CONCLUSION

Further research will be needed to establish evidence-based guidelines and schedules for follow-up strategies in patients with eSTS.

摘要

目的

通过对已发表文献的系统评价,评估成人原发性肢体软组织肉瘤(eSTS)的随访策略。

材料与方法

使用 PubMed 检索已发表文献。在 1985 年至 2019 年间发表的 136646 项研究中,有 78 篇原始文章符合纳入标准。根据 PRISMA 指南选择文章。然后对选定的文章进行交叉搜索,以确定进一步的出版物。2019 年 8 月 1 日被用作出版的截止日期。

结果

最近发表的文献中报道了各种随访方案。两个国际协会已经批准了两项官方指南。该指南区分了高级和低级 STS,但提到了广泛的随访间隔。既定的随访工具包括计算机断层扫描、胸部 X 射线和原发性肿瘤部位的磁共振成像,以及临床观察和体检。

结论

需要进一步研究,以制定基于证据的指南和时间表,用于 eSTS 患者的随访策略。

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