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首页> 外文期刊>Journal of neurosurgical sciences >Prognostic factors in malignant melanoma patients with solitary or multiple brain metastases. Is there a role for surgery?
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Prognostic factors in malignant melanoma patients with solitary or multiple brain metastases. Is there a role for surgery?

机译:恶性黑素瘤患者的预后因子患者孤独或多发性脑转移。 是否有手术作用?

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BACKGROUND: The aim of this study is to evaluate the prognostic parameters and treatment modalities of malignant melanoma patients with brain metastases. METHODS: Experimental design: a retrospective study with a mean follow-up of 46 months. Setting: specialized Cancer Center. Patients: the charts of 136 patients, treated in Roswell Park Cancer Institute, for melanoma brain metastases, were analyzed. Interventions: all patients were treated surgically and in the majority adjuvant therapy was applied. Measures: survival and time of recurrence of patients and possible prognostic factors. RESULTS: Patients who were treated surgically had a better one-year survival rate (28.3%), than patients who received radiotherapy and/or chemotherapy (6.67%) or patients who refused any kind of treatment (3.45%), (p=0.006). Prolonged survival after surgical treatment was found in patients with single metastatic lesions and in patients with multiple metastatic lesions. CONCLUSIONS: Melanoma patients with single metastatic lesions to the brain seem to do better after surgical treatment. The role of surgical intervention in patients with multiple brain metastases needs re-evaluation from a big multicenter, prospective trial.
机译:背景:本研究的目的是评估脑转移的恶性黑素瘤患者的预后参数和治疗方式。方法:实验设计:一种回顾性研究,平均随访46个月。环境:专业癌症中心。患者:分析了在罗斯韦尔公园癌症研究所治疗​​的136名患者的图表,用于黑色素瘤脑转移。干预措施:所有患者均进行手术,施用大多数佐剂治疗。措施:患者复发的存活和时间和可能的预后因素。结果:治疗患者手术治疗更好的一年生存率(28.3%),比接受放疗和/或化疗(6.67%)或拒绝任何类型治疗的患者(3.45%),(P = 0.006 )。手术治疗后的延长存活是在单一转移性病变和多种转移性病变的患者患者中发现。结论:手术治疗后,对大脑的单一转移性病变的黑色素瘤患者似乎可以做得更好。手术干预对多种脑转移患者的作用需要从大量的多中心,前瞻性审判重新评估。

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