欧洲喉学会关于早期声门癌治疗后最佳监测计划的共识声明:风险分层。

IF 2.2
Malgorzata Wierzbicka, Agatha Baidun, Andy Bertolin, Marco Lionello, Giovanni Succo, Berit Verbist, Davide Farina, Martine Hendriksma, Marc Remacle, Ricard Simo, Elisabeth Sjogren, Cesare Piazza
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引用次数: 0

摘要

如果能及时发现复发,早期声门癌预后良好。然而,目前的指南缺乏关于随访期间间隔或干预措施的具体建议,主要主张在效益实际上最低的最晚期进行监测。本共识声明引入了风险分层指导的T1-T2N0患者随访计划,旨在优化肿瘤和功能预后,同时确保早期发现残留或复发疾病以保持器官功能。针对手术和非手术患者分别列出了不同的方案,包括内窥镜检查、放射成像和甲状腺功能筛查。此外,途径达到这一常规观察阶段的描述,指定标准和第二眼喉镜检查的时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
European Laryngological Society consensus statement on optimal monitoring schedules after treatment for early glottic cancer: a risk-stratification.

Early glottic cancer has an excellent prognosis provided that recurrences are detected in a timely manner. However, current guidelines lack specific recommendations for intervals or interventions during follow-up, and primarily advocate surveillance in the most advanced stages where the benefits are actually the lowest. This consensus statement introduces a risk-stratification-guided follow-up schedule for T1-T2N0 patients, aiming to optimize oncologic and functional outcomes while ensuring early detection of residual or recurrent disease to preserve organ function. Separate protocols are outlined for surgical and non-surgical patients, including endoscopic examination, radiological imaging, and thyroid function screening. Also, the pathway to reach this routine observation phase is described, specifying the criteria and timing of a second-look microlaryngoscopy.

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