European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base.

European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base.
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关于鼻、鼻窦和颅底肿瘤内镜治疗的欧洲立场文件。

DOI:
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发表时间:
2010
期刊:
Rhinology. Supplement
影响因子:
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通讯作者:
A. Zanation
A. Zanation
中科院分区:
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文献类型:
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作者:
V. Lund;H. Stammberger;P. Nicolai;P. Castelnuovo;Tim Beal;A. Beham;M. Bernal;H. Braun;P. Cappabianca;R. Carrau;L. Cavallo;G. Clarici;Wolfwang Draf;F. Esposito;J. Fernandez;W. Fokkens;P. Gardner;V. Gellner;H. Hellquist;Phillipe Hermann;W. Hosemann;D. Howard;N. Jones;M. Jorissen;A. Kassam;D. Kelly;Senta Kurschel;S. Leong;N. Mclaughlin;R. Maroldi;A. Minovi;M. Mokry;M. Onerci;Y. Ong;D. Prevedello;H. Saleh;Dharambir S Sehti;D. Simmen;C. Snyderman;Auturo Solares;M. Spittle;A. Stamm;P. Tomazic;M. Trimarchi;F. Unger;P. Wormald;A. Zanation

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幸运的是,影响鼻子、副鼻窦和邻近颅底的肿瘤是罕见的。然而,由于它们的晚期表现和与重要的解剖结构如眼睛和大脑的并列,它们提出了重大的管理问题。越来越多的应用鼻内镜技术切除它们提供了潜在的类似规模的切除,但降低发病率。本文件旨在成为对该领域感兴趣的任何专家的最新评论1。更新对鼻、副鼻窦及邻近颅底肿瘤的认识; 2.对诊断方法进行循证评价; 3.在其他可用治疗的背景下,提供内镜技术的循证综述; 4.提出用于疾病管理的算法; 5.就研究成果的衡量提出指导意见,并鼓励前瞻性地收集数据。强调了多学科方法的重要性,坚持肿瘤学原则以治愈和长期随访的必要性。
Tumours affecting the nose, paranasal sinuses and adjacent skull base are fortunately rare. However, they pose significant problems of management due their late presentation and juxtaposition to important anatomical structures such eye and brain. The increasing application of endonasal endoscopic techniques to their excision offers potentially similar scales of resection but with reduced morbidity. The present document is intended to be a state-of-the art review for any specialist with an interest in this area 1. to update their knowledge of neoplasia affecting the nose, paranasal sinuses and adjacent skull base; 2. to provide an evidence-based review of the diagnostic methods; 3. to provide an evidence-based review of endoscopic techniques in the context of other available treatments; 4. to propose algorithms for the management of the disease; 5. to propose guidance for outcome measurements for research and encourage prospective collection of data. The importance of a multidisciplinary approach, adherence to oncologic principles with intent to cure and need for long-term follow-up is emphasised.