PDF(Pubmed)
Abstract：
UNASSIGNED: Brachial plexus region tumors are rare. In this study, we reviewed our experience with resection of tumors involving or adjacent to the brachial plexus to identify patterns in presentation and outcome.
UNASSIGNED: We report a retrospective case series of brachial plexus tumors operated on by a single surgeon at a single institution over 15 years. Outcome data were recorded from the most recent follow-up office visit. Findings were compared to a prior internal series and comparable series in the literature.
UNASSIGNED: From 2001 to 2016, 103 consecutive brachial plexus tumors in 98 patients met inclusion criteria. Ninety percent of patients presented with a palpable mass, and 81% had deficits in sensation, motor function, or both. Mean follow-up time was 10 months. Serious complications were infrequent. For patients with a preoperative motor deficit, the rate of postoperative motor decline was 10%. For patients without a preoperative motor deficit, the rate of postoperative motor decline was 35%, which decreased to 27% at 6 months. There were no differences in motor outcome based on extent of resection, tumor pathology, or age.
UNASSIGNED: We present one of the largest recent series of tumors of the brachial plexus region. Although the rate of worsened postoperative motor function was higher in those without preoperative weakness, the motor deficit improves over time and is no worse than antigravity strength in the majority of cases. Our findings help guide patient counseling in regard to postoperative motor function.
UNASSIGNED: We report a retrospective case series of brachial plexus tumors operated on by a single surgeon at a single institution over 15 years. Outcome data were recorded from the most recent follow-up office visit. Findings were compared to a prior internal series and comparable series in the literature.
UNASSIGNED: From 2001 to 2016, 103 consecutive brachial plexus tumors in 98 patients met inclusion criteria. Ninety percent of patients presented with a palpable mass, and 81% had deficits in sensation, motor function, or both. Mean follow-up time was 10 months. Serious complications were infrequent. For patients with a preoperative motor deficit, the rate of postoperative motor decline was 10%. For patients without a preoperative motor deficit, the rate of postoperative motor decline was 35%, which decreased to 27% at 6 months. There were no differences in motor outcome based on extent of resection, tumor pathology, or age.
UNASSIGNED: We present one of the largest recent series of tumors of the brachial plexus region. Although the rate of worsened postoperative motor function was higher in those without preoperative weakness, the motor deficit improves over time and is no worse than antigravity strength in the majority of cases. Our findings help guide patient counseling in regard to postoperative motor function.
摘要：
■臂丛区肿瘤很少见。在这项研究中,我们回顾了我们切除累及或邻近臂丛的肿瘤的经验,以确定表现和结局的模式.
■我们报告了一个回顾性病例系列的臂丛肿瘤，该病例由一个外科医生在一个机构进行了15年的手术。结果数据来自最近一次随访办公室访问。研究结果与文献中先前的内部系列和可比系列进行了比较。
■从2001年到2016年，98例患者中的103例连续臂丛肿瘤符合纳入标准。90%的患者出现明显的肿块，81%的人有感觉缺陷，运动功能,或者两者兼而有之。平均随访时间为10个月。严重的并发症很少见。对于术前运动障碍患者，术后运动衰退率为10%。对于没有术前运动缺陷的患者，术后运动衰退率为35%，在6个月时下降到27%。根据切除程度，运动结果没有差异，肿瘤病理学,或年龄。
■我们介绍了臂丛区最近最大的一系列肿瘤之一。尽管没有术前虚弱的患者术后运动功能恶化的发生率较高，在大多数情况下，运动缺陷会随着时间的推移而改善，并且并不比反重力强度差。我们的发现有助于指导患者术后运动功能方面的咨询。
■我们报告了一个回顾性病例系列的臂丛肿瘤，该病例由一个外科医生在一个机构进行了15年的手术。结果数据来自最近一次随访办公室访问。研究结果与文献中先前的内部系列和可比系列进行了比较。
■从2001年到2016年，98例患者中的103例连续臂丛肿瘤符合纳入标准。90%的患者出现明显的肿块，81%的人有感觉缺陷，运动功能,或者两者兼而有之。平均随访时间为10个月。严重的并发症很少见。对于术前运动障碍患者，术后运动衰退率为10%。对于没有术前运动缺陷的患者，术后运动衰退率为35%，在6个月时下降到27%。根据切除程度，运动结果没有差异，肿瘤病理学,或年龄。
■我们介绍了臂丛区最近最大的一系列肿瘤之一。尽管没有术前虚弱的患者术后运动功能恶化的发生率较高，在大多数情况下，运动缺陷会随着时间的推移而改善，并且并不比反重力强度差。我们的发现有助于指导患者术后运动功能方面的咨询。
