Head & neck · 2018
Management of persistent juvenile angiofibroma after endoscopic resection: Analysis of a single institution series of 74 patients.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schreiber Alberto, Bertazzoni Giacomo, Ferrari Marco, Ravanelli Marco, Rampinelli Vittorio, Mattavelli Davide, El-Naggar Ahmed, Nicolai Piero
Аннотация
BACKGROUND: Management of persistent juvenile angiofibroma (pJA) after transnasal endoscopic resection is controversial. To better understand its behavior, optimize treatment, and minimize morbidity, we report our experience in pJA focusing on follow-up strategies and disease progression.
METHODS: A retrospective review of clinical records of all JA cases treated with endoscopic surgery at the Unit of Otorhinolaryngology of the University of Brescia between January 1994 and October 2015 was performed.
RESULTS: Seventy-four cases were included. Mean follow-up was 113 months (6-266 months). Evolution of pJA was analyzed in 6 cases. Residual lesion size significantly decreased in 3 cases and 2 lesions did not show size variations; significant growth was detected in 1 case of intentional pJA, with diameter increasing by 2.2 mm/yr.
CONCLUSIONS: pJAs may have the tendency to regress spontaneously or remain stable. In selected cases, avoiding treatment of nongrowing pJA in critical areas is a prudent option.
METHODS: A retrospective review of clinical records of all JA cases treated with endoscopic surgery at the Unit of Otorhinolaryngology of the University of Brescia between January 1994 and October 2015 was performed.
RESULTS: Seventy-four cases were included. Mean follow-up was 113 months (6-266 months). Evolution of pJA was analyzed in 6 cases. Residual lesion size significantly decreased in 3 cases and 2 lesions did not show size variations; significant growth was detected in 1 case of intentional pJA, with diameter increasing by 2.2 mm/yr.
CONCLUSIONS: pJAs may have the tendency to regress spontaneously or remain stable. In selected cases, avoiding treatment of nongrowing pJA in critical areas is a prudent option.
Предметные рубрики MeSH
AdolescentAdultAngiofibromaChildCohort StudiesDisease-Free SurvivalFemaleHospitals, UniversityHumansItalyLinear ModelsMagnetic Resonance ImagingMaleMouthNasopharyngeal NeoplasmsNatural Orifice Endoscopic SurgeryNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm StagingNeoplasm, ResidualRetrospective StudiesRisk AssessmentSurvival AnalysisTreatment OutcomeYoung Adult