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臂丛肿瘤:批判性分析综述。

Tumors of the Brachial Plexus: A Critical Analysis Review.

机构信息

Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.

出版信息

JBJS Rev. 2024 Jun 14;12(6). doi: 10.2106/JBJS.RVW.24.00019. eCollection 2024 Jun 1.

Abstract

» Tumors of the brachial plexus are uncommon and can present as a mass, with or without neurological symptoms. At times, asymptomatic tumors are also picked up incidentally when imaging is performed for other reasons.» Magnetic resonance imaging is the main imaging modality used to evaluate tumors of the brachial plexus. Other imaging modalities can be used as required.» Benign tumors that are asymptomatic should be observed. Excision can be considered for those that are found to be growing over time.» Biopsies of tumors of the brachial plexus are associated with the risk of nerve injury. Despite this, they should be performed for tumors that are suspected to be malignant before starting definitive treatment.» For malignant tumors, treatment decisions should be discussed at multidisciplinary tumor boards, and include both the oncology and peripheral nerve surgical team, musculoskeletal radiology, neuroradiology, and general radiology.

摘要

» 臂丛肿瘤不常见,可表现为肿块,伴有或不伴有神经症状。有时,当因其他原因进行影像学检查时,也会偶然发现无症状的肿瘤。» 磁共振成像(Magnetic resonance imaging)是评估臂丛肿瘤的主要影像学手段。其他影像学手段可根据需要使用。» 对于无症状的良性肿瘤,应予以观察。对于那些随着时间推移而生长的肿瘤,可以考虑切除。» 臂丛肿瘤的活检存在神经损伤的风险。尽管如此,对于疑似恶性的肿瘤,在开始确定性治疗之前,仍应进行活检。» 对于恶性肿瘤,治疗决策应在多学科肿瘤委员会上进行讨论,包括肿瘤内科和周围神经外科团队、肌肉骨骼放射科、神经放射科和普通放射科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f664/11175764/446b2ba5cb56/jbjsrev-12-e24.00019-g001.jpg

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