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根治性手术后胆道癌患者的强化随访计划和肿瘤学结局:一家三级医疗中心的 20 年经验。

Intensive Follow-Up Program and Oncological Outcomes of Biliary Tract Cancer Patients after Curative-Intent Surgery: A Twenty-Year Experience in a Single Tertiary Medical Center.

机构信息

Struttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico "Don Tonino Bello", IRCCS Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.

Department of Specialized, Experimental and Diagnostic Medicine, University of Bologna, Via Giuseppe Massarenti, 9, 40138 Bologna, Italy.

出版信息

Curr Oncol. 2022 Jul 19;29(7):5084-5090. doi: 10.3390/curroncol29070402.

Abstract

AIM

The aim of this research was to assess the impact of an intensive follow-up program on BTC patients who had received surgery with curative intent at a tertiary referral hospital.

METHODS

BTC patients were followed-up every three months during the first two years after their first surgery and every six months from the third to the fifth post-operative year.

RESULTS

A total of 278 BTC patients who received R0/R1 surgery were included. A total of 17.7% of patients underwent a second surgery following disease relapse, and none of these patients experienced additional disease relapse.

CONCLUSIONS

An intensive follow-up after surgical resection may help in the early identification of disease relapse, leading to early treatment and prolonged survival in selected cases.

摘要

目的

本研究旨在评估在一家三级转诊医院接受根治性手术的 BTC 患者强化随访方案的效果。

方法

BTC 患者在首次手术后的前两年每三个月随访一次,第三至第五年每六个月随访一次。

结果

共纳入 278 例接受 R0/R1 手术的 BTC 患者。共有 17.7%的患者在疾病复发后接受了二次手术,这些患者均未出现疾病的进一步复发。

结论

对接受手术切除的患者进行强化随访有助于早期发现疾病复发,在某些情况下进行早期治疗和延长生存时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e788/9322137/83f168dea8ec/curroncol-29-00402-g001.jpg

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