边缘切除是骨盆孤立性纤维性肿瘤根治性手术的合适选择:大容量盆腔切除中心的经验。

IF 1.9 3区 医学 Q3 ONCOLOGY
Evonne Z Younan, Kilian G M Brown, David J Coker, Lylee Ye, Kirk K S Austin, Peter J Lee, Chris Byrne, Michael J Solomon
{"title":"边缘切除是骨盆孤立性纤维性肿瘤根治性手术的合适选择:大容量盆腔切除中心的经验。","authors":"Evonne Z Younan, Kilian G M Brown, David J Coker, Lylee Ye, Kirk K S Austin, Peter J Lee, Chris Byrne, Michael J Solomon","doi":"10.1002/jso.70103","DOIUrl":null,"url":null,"abstract":"<p><p>Solitary fibrous tumours (SFTs) are rare soft-tissue neoplasms with variable metastatic potential and a tendency to exhibit more aggressive behaviour in the pelvis. This study evaluated the outcomes of pelvic SFT resections using a marginal resection approach at a specialist sarcoma and pelvic oncology centre. Eighteen patients underwent resection of pelvic SFTs between 1994 and 2025. Fifteen (83%) cases required resection of adjacent pelvic structures, of which three (17%) patients underwent total pelvic exenteration to achieve complete resection or to facilitate surgical access. Clear (R0) margins were achieved in 69% of cases, although most were ≤ 1 mm (IQR: 0.30-4.75). Major complications occurred in two patients (11%), and there was no inpatient or 30-day mortality. After a median follow-up of 42 months, 14 of 15 surviving patients were disease-free and only 2 patients experienced recurrence. These findings suggest that pelvic SFTs may be safely resected with low recurrence using a marginal resection approach.</p>","PeriodicalId":17111,"journal":{"name":"Journal of Surgical Oncology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Marginal Resection Is Appropriate for Radical Surgery for Solitary Fibrous Tumours of the Pelvis: A High Volume Pelvic Exenteration Centre Experience.\",\"authors\":\"Evonne Z Younan, Kilian G M Brown, David J Coker, Lylee Ye, Kirk K S Austin, Peter J Lee, Chris Byrne, Michael J Solomon\",\"doi\":\"10.1002/jso.70103\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Solitary fibrous tumours (SFTs) are rare soft-tissue neoplasms with variable metastatic potential and a tendency to exhibit more aggressive behaviour in the pelvis. This study evaluated the outcomes of pelvic SFT resections using a marginal resection approach at a specialist sarcoma and pelvic oncology centre. Eighteen patients underwent resection of pelvic SFTs between 1994 and 2025. Fifteen (83%) cases required resection of adjacent pelvic structures, of which three (17%) patients underwent total pelvic exenteration to achieve complete resection or to facilitate surgical access. Clear (R0) margins were achieved in 69% of cases, although most were ≤ 1 mm (IQR: 0.30-4.75). Major complications occurred in two patients (11%), and there was no inpatient or 30-day mortality. After a median follow-up of 42 months, 14 of 15 surviving patients were disease-free and only 2 patients experienced recurrence. These findings suggest that pelvic SFTs may be safely resected with low recurrence using a marginal resection approach.</p>\",\"PeriodicalId\":17111,\"journal\":{\"name\":\"Journal of Surgical Oncology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-10-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jso.70103\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jso.70103","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

孤立性纤维性肿瘤(SFTs)是一种罕见的软组织肿瘤,具有不同的转移潜力,并倾向于在骨盆中表现出更具侵略性的行为。本研究评估了在专科肉瘤和盆腔肿瘤中心采用边缘切除方法进行盆腔SFT切除术的结果。1994年至2025年间,18例患者接受了盆腔SFTs切除术。15例(83%)患者需要切除邻近盆腔结构,其中3例(17%)患者接受全盆腔切除以实现完全切除或方便手术进入。69%的病例边缘清晰(R0),尽管大多数≤1 mm (IQR: 0.30-4.75)。2例患者(11%)出现主要并发症,无住院或30天死亡。中位随访42个月后,15例存活患者中有14例无病,仅有2例复发。这些结果表明盆腔SFTs可以采用边缘切除方法安全、低复发率切除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Marginal Resection Is Appropriate for Radical Surgery for Solitary Fibrous Tumours of the Pelvis: A High Volume Pelvic Exenteration Centre Experience.

Solitary fibrous tumours (SFTs) are rare soft-tissue neoplasms with variable metastatic potential and a tendency to exhibit more aggressive behaviour in the pelvis. This study evaluated the outcomes of pelvic SFT resections using a marginal resection approach at a specialist sarcoma and pelvic oncology centre. Eighteen patients underwent resection of pelvic SFTs between 1994 and 2025. Fifteen (83%) cases required resection of adjacent pelvic structures, of which three (17%) patients underwent total pelvic exenteration to achieve complete resection or to facilitate surgical access. Clear (R0) margins were achieved in 69% of cases, although most were ≤ 1 mm (IQR: 0.30-4.75). Major complications occurred in two patients (11%), and there was no inpatient or 30-day mortality. After a median follow-up of 42 months, 14 of 15 surviving patients were disease-free and only 2 patients experienced recurrence. These findings suggest that pelvic SFTs may be safely resected with low recurrence using a marginal resection approach.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信