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放射科医生脊柱原发性肿瘤整块切除指南：外科医生想了解什么？

A Radiologists' Guide to En Bloc Resection of Primary Tumors in the Spine: What Does the Surgeon Want to Know?

作者信息

Smith E, Hegde G, Czyz M, Hughes S, Haleem S, Grainger M, James S L, Botchu R

机构信息

Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, United Kingdom.

Department of Spinal Surgery, Royal Orthopaedic Hospital, Birmingham, United Kingdom.

出版信息

Indian J Radiol Imaging. 2022 Jun 9;32(2):205-212. doi: 10.1055/s-0042-1744162. eCollection 2022 Jun.

DOI:10.1055/s-0042-1744162
PMID:35924121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9340175/
Abstract

En bloc resection in the spine is performed for both primary and metastatic bone lesions and has been proven to lengthen disease-free survival and decrease the likelihood of local recurrence. It is a complex procedure, which requires a thorough multi-disciplinary approach. This article will discuss the role of the radiologist in characterizing the underlying tumor pathology, staging the tumor and helping to predict possible intraoperative challenges for en bloc resection of primary bone lesions. The postoperative appearances and complications following en bloc resection in the spine will be considered in subsequent articles.

摘要

整块切除手术应用于原发性和转移性骨病变的脊柱手术，已被证明可延长无病生存期并降低局部复发的可能性。这是一个复杂的手术过程，需要全面的多学科方法。本文将讨论放射科医生在明确潜在肿瘤病理特征、对肿瘤进行分期以及帮助预测原发性骨病变整块切除术中可能遇到的挑战方面所发挥的作用。后续文章将探讨脊柱整块切除术后的表现及并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/11722953b00a/10-1055-s-0042-1744162-i2170762-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/88048e9fd2ab/10-1055-s-0042-1744162-i2170762-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/e4223318f43f/10-1055-s-0042-1744162-i2170762-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/ac26a6af0d86/10-1055-s-0042-1744162-i2170762-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/192c50fe684f/10-1055-s-0042-1744162-i2170762-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/816264259f0a/10-1055-s-0042-1744162-i2170762-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/a2178e0d0695/10-1055-s-0042-1744162-i2170762-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/097645b9fdb8/10-1055-s-0042-1744162-i2170762-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/11722953b00a/10-1055-s-0042-1744162-i2170762-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/88048e9fd2ab/10-1055-s-0042-1744162-i2170762-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/e4223318f43f/10-1055-s-0042-1744162-i2170762-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/ac26a6af0d86/10-1055-s-0042-1744162-i2170762-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/192c50fe684f/10-1055-s-0042-1744162-i2170762-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/816264259f0a/10-1055-s-0042-1744162-i2170762-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/a2178e0d0695/10-1055-s-0042-1744162-i2170762-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/097645b9fdb8/10-1055-s-0042-1744162-i2170762-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9b/9340175/11722953b00a/10-1055-s-0042-1744162-i2170762-8.jpg

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resection in the spine: a procedure of surgical oncology.脊柱切除术：外科肿瘤学的一种手术操作。
J Spine Surg. 2018 Sep;4(3):668-676. doi: 10.21037/jss.2018.09.02.
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Surgical Techniques and Associated Outcomes of Primary Chondrosarcoma of the Spine.脊柱原发性软骨肉瘤的手术技术及相关结果
World Neurosurg. 2018 Nov;119:e32-e45. doi: 10.1016/j.wneu.2018.06.189. Epub 2018 Jul 17.
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Long-Term Outcomes and Prognostic Factors After Pencil-Beam Scanning Proton Radiation Therapy for Spinal Chordomas: A Large, Single-Institution Cohort.铅笔束扫描质子放射治疗脊髓脊索瘤的长期结果和预后因素：一项大型单机构队列研究。
Int J Radiat Oncol Biol Phys. 2018 May 1;101(1):226-233. doi: 10.1016/j.ijrobp.2018.01.060. Epub 2018 Feb 2.
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Prognostic Factors and Survival Outcome in Patients with Chordoma in the United States: A Population-Based Analysis.美国脊索瘤患者的预后因素和生存结果：一项基于人群的分析。
World Neurosurg. 2017 Aug;104:346-355. doi: 10.1016/j.wneu.2017.04.118. Epub 2017 Apr 27.
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