关键词: dacryocystorhinostomy endoscopic treatment lacrimal drainage system lacrimal pathway review tumours

Mesh : Humans Eye Neoplasms / surgery pathology Endoscopy / methods Lacrimal Apparatus / surgery Lacrimal Apparatus Diseases / surgery

来  源:   DOI:10.14639/0392-100X-suppl.1-44-2024-N2966   PDF(Pubmed)

Abstract:
A literature review was conducted to assess the role of minimally-invasive endoscopic treatments for lacrimal pathway neoplasms. The study involved the analysis of 316 patients with benign or malignant tumours affecting the lacrimal drainage system. Histologically, the analysis revealed a prevalence of squamous cell carcinoma, followed by lymphatic neoplasms and melanomas. In terms of treatment, minimally-invasive endoscopic approaches, such as endoscopic dacryocystorhinostomy, play a predominant role in managing early-stage tumours, rather than merely obtaining samples for histological analysis. For more extensive tumours, which constitute the majority of cases, more aggressive external approaches are required, along with the use of adjuvant radiotherapy and chemotherapy. The lack of universally shared staging systems poses a limitation in standardisation and comparison of results. Treatment of these tumours remains complex due to their rarity and histological heterogeneity. A multidisciplinary approach is mandatory to optimise outcomes.
摘要:
进行了文献综述,以评估微创内窥镜治疗泪道肿瘤的作用。该研究涉及对316例影响泪道引流系统的良性或恶性肿瘤患者的分析。组织学上,分析显示鳞状细胞癌的患病率,其次是淋巴肿瘤和黑色素瘤。在治疗方面,微创内镜入路,如内窥镜泪囊鼻腔吻合术,在管理早期肿瘤中起主导作用,而不仅仅是获取样本进行组织学分析。对于更广泛的肿瘤,构成大多数案件,需要更积极的外部方法,同时使用辅助放疗和化疗。缺乏普遍共享的分期系统限制了结果的标准化和比较。这些肿瘤的治疗由于其稀有性和组织学异质性而仍然复杂。必须采用多学科方法来优化结果。
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