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脑转移瘤的管理——神经外科方面的系统综述

The Management of Brain Metastases-Systematic Review of Neurosurgical Aspects.

作者信息

Proescholdt Martin A, Schödel Petra, Doenitz Christian, Pukrop Tobias, Höhne Julius, Schmidt Nils Ole, Schebesch Karl-Michael

机构信息

Department of Neurosurgery, University Hospital Regensburg, 93053 Regensburg, Germany.

Wilhelm Sander Neuro-Oncology Unit, University Hospital Regensburg, 93053 Regensbur, Germany.

出版信息

Cancers (Basel). 2021 Mar 31;13(7):1616. doi: 10.3390/cancers13071616.

DOI:10.3390/cancers13071616
PMID:33807384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8036330/
Abstract

The multidisciplinary management of patients with brain metastases (BM) consists of surgical resection, different radiation treatment modalities, cytotoxic chemotherapy, and targeted molecular treatment. This review presents the current state of neurosurgical technology applied to achieve maximal resection with minimal morbidity as a treatment paradigm in patients with BM. In addition, we discuss the contribution of neurosurgical resection on functional outcome, advanced systemic treatment strategies, and enhanced understanding of the tumor biology.

摘要

脑转移瘤(BM)患者的多学科管理包括手术切除、不同的放射治疗方式、细胞毒性化疗和靶向分子治疗。本综述介绍了应用神经外科技术以在发病率最低的情况下实现最大程度切除作为BM患者治疗模式的当前状态。此外,我们还讨论了神经外科切除对功能预后的贡献、先进的全身治疗策略以及对肿瘤生物学的深入理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/b1314a49e066/cancers-13-01616-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/b77655c66543/cancers-13-01616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/c6122d72ef5e/cancers-13-01616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/b1314a49e066/cancers-13-01616-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/b77655c66543/cancers-13-01616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/c6122d72ef5e/cancers-13-01616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b847/8036330/b1314a49e066/cancers-13-01616-g003.jpg

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Laser interstitial thermal therapy in neuro-oncology applications.激光间质热疗在神经肿瘤学中的应用
Surg Neurol Int. 2020 Aug 8;11:231. doi: 10.25259/SNI_496_2019. eCollection 2020.
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Surgical resection of symptomatic brain metastases improves the clinical status and facilitates further treatment.手术切除有症状的脑转移瘤可以改善临床状况,并有助于进一步治疗。
优化伴有脑转移的非小细胞肺癌患者的原发肿瘤切除决策:基于监测、流行病学与最终结果(SEER)数据库的分析以及预测模型的开发与外部验证
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Brain Metastases from Primary Cardiac Tumors: A Systematic Review of Diagnosis, Treatment, and Prognosis.原发性心脏肿瘤的脑转移:诊断、治疗及预后的系统评价
Cancers (Basel). 2025 May 10;17(10):1621. doi: 10.3390/cancers17101621.
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