转移性脊柱肿瘤的外科治疗进展。
Evolution of surgical treatment of metastatic spine tumors.
机构信息
Department of Neurosurgery, Warren Alpert School of Medicine, Brown University, Rhode Island Hospital, 593 Eddy St, APC 6, Providence, RI, 02903, USA.
出版信息
J Neurooncol. 2022 Apr;157(2):277-283. doi: 10.1007/s11060-022-03982-0. Epub 2022 Mar 20.
PURPOSE
The treatment of cancer has transformed over the past 40 years, with medical oncologists, radiation oncologists and surgeons working together to prolong survival times and minimize treatment related morbidity. With each advancement, the risk-benefit scale has been calibrated to provide an accurate assessment of surgical hazard. The goal of this review is to look back at how the role of surgery has evolved with each new medical advance, and to explore the role of surgeons in the future of cancer care.
METHODS
A literature review was conducted, highlighting the key papers guiding surgical management of spinal metastatic lesions.
CONCLUSION
The roles of surgery, medical therapy, and radiation have evolved over the past 40 years, with new advances requiring complex multidisciplinary care.
目的
在过去的 40 年里，癌症的治疗已经发生了转变，内科肿瘤学家、放射肿瘤学家和外科医生一起合作，以延长生存时间并将治疗相关的发病率降到最低。随着每一次进步，风险效益比都经过了校准，以对手术风险进行准确评估。本综述的目的是回顾手术在每一次新的医学进步中的作用如何演变，并探讨外科医生在癌症治疗未来中的作用。
方法
进行了文献回顾，重点介绍了指导脊柱转移瘤手术管理的关键论文。
结论
在过去的 40 年里，手术、药物治疗和放射治疗的作用已经发生了演变，新的进展需要复杂的多学科护理。
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