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Odos melanomos epidemiologija ir chirurginis gydymas

Authors: Ieva Smolskaitė; Ernest Zacharevskij; Loreta Pilipaitytė; Medeinė Markevičiūtė-Šilenė; Grinvydas Butrimas;

Odos melanomos epidemiologija ir chirurginis gydymas

Abstract

Tyrimo tikslai. Įvertinti pacientų, sergančių odos melanoma (OM), pasiskirstymą pagal lytį, naviko histologinį tipą, lokalizaciją. Nustatyti OM išplitimą po pirminio chirurginio naviko pašalinimo į sarginius limfmazgius, priklausomai nuo naviko dydžio. Išanalizuoti sergamumą OM 2018–2022 m. laikotarpiu. Metodai. Atliktas retrospektyvusis tyrimas, analizuojant pacientų, kuriems atliktos chirurginės intervencijos ir diagnozuota invazinė OM, duomenis. Rezultatai. Analizuoti 527 pacientų (329 moterys ir 198 vyrai) duomenys. Dažniausiai OM moterims diagnozuota kojose (21,8 proc.), liemens srityje (19,5 proc.), vyrams – liemens srityje (21,1 proc.). Labiausiai paplitęs histologinis tipas – paviršiumi plintanti melanoma (45 proc.). Sarginio limfmazgio biopsija (SLB) atlikta 359 tiriamiesiems, 107 diagnozuotos sarginio limfmazgio metastazės, kurių skaičius augo didėjant naviko storiui. Dažniausiai nustatoma I stadijos (51,2 proc.) OM, rečiausiai – IV (5,5 proc). 2018–2022 m. laikotarpiu I stadijos atvejų dažnis svyravo nuo 48,8 proc. iki 52,9 proc., o IV – nuo 3,7 poc. iki 6,7 proc. Išvada. SLB – tai svarbiausias OM prognostinis rodiklis, gerinantis ligos kontrolę ir bendrą pacientų išgyvenamumą.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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