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颈动脉体瘤的PUMCH分型

顾光超,  郑月宏

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文章导航 > 协和医学杂志  > 2021 >  12(6): 825-828
顾光超, 郑月宏. 颈动脉体瘤的PUMCH分型[J]. 协和医学杂志, 2021, 12(6): 825-828. doi: 10.12290/xhyxzz.2021-0568
引用本文: 顾光超, 郑月宏. 颈动脉体瘤的PUMCH分型[J]. 协和医学杂志, 2021, 12(6): 825-828. doi: 10.12290/xhyxzz.2021-0568
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GU Guangchao, ZHENG Yuehong. The PUMCH Classification of Carotid Body Tumor[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 825-828. doi: 10.12290/xhyxzz.2021-0568
Citation: GU Guangchao, ZHENG Yuehong. The PUMCH Classification of Carotid Body Tumor[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 825-828. doi: 10.12290/xhyxzz.2021-0568
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颈动脉体瘤的PUMCH分型

doi: 10.12290/xhyxzz.2021-0568
  • 1.

    中国医学科学院 北京协和医学院 北京协和医院 血管外科，北京 100730

  • 2.

    中国医学科学院 北京协和医学院 北京协和医院 疑难重症及罕见病国家重点实验室，北京 100730

基金项目: 

国家自然科学基金 51890892

详细信息
    通讯作者:

    郑月宏  电话：010-69152500，E-mail：yuehongzheng@yahoo.com

  • 中图分类号: R732.2+1; R-1

The PUMCH Classification of Carotid Body Tumor

  • 1.

    Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information

    摘要
  • 摘要: 颈动脉体瘤是位于颈动脉分叉的一种罕见肿瘤。外科手术是主要治疗手段，但存在较高的出血、神经损伤和血管损伤风险。Shamblin分型是基于肿瘤与血管解剖关系对其进行分类的方法，存在一定局限性；PUMCH(Peking Union Medical College Hospital)分型在考虑肿瘤与血管解剖关系的基础上，同时考虑了肿瘤上极高度，能够更好地预测手术并发症和指导手术，将有利于颈动脉体瘤手术效果的提升。
    Abstract: Carotid body tumor is a rare neoplasm located at the bifurcation of the carotid artery. Surgical excision is the main treatment but carries a high risk of bleeding, nerve injury and vascular injury. Shamblin's classification is based on the relationship between tumor and carotid arteries, which has limitations. Including both the horizontal relationship to carotid arteries and vertical extension of the tumors, PUMCH (Peking union medical college hospital) classification can better predict surgical complications and guide the surgery and thus might help to improve the surgical outcomes of the lesions.
    作者贡献：顾光超负责查阅文献，撰写初稿；郑月宏负责课题设计，指导文章撰写及修改。
    利益冲突：无
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    • 参考文献(14)
  • [1] Davila VJ, Chang JM, Stone WM, et al. Current surgical management of carotid body tumors[J]. J Vasc Surg, 2016, 64: 1703-1710. doi:  10.1016/j.jvs.2016.05.076
    [2] 郑月宏, 顾光超, 周家伟. 颈动脉体瘤的诊治现状及进展[J]. 中华普通外科杂志, 2020, 35: 177-178. doi:  10.3760/cma.j.cn113855-20200105-00012
    [3] 顾光超, 郑月宏. 颈动脉体瘤的影像学检查及外科治疗进展[J]. 血管与腔内血管外科杂志, 2020, 6: 439-441. https://www.cnki.com.cn/Article/CJFDTOTAL-XGQW202005017.htm

    Gu GC, Zheng YH. Progress in imaging examination and surgical treatment of carotid body tumor[J]. Xueguan Yu Qiangnei Xueguan Waike Zazhi, 2020, 6: 439-441. https://www.cnki.com.cn/Article/CJFDTOTAL-XGQW202005017.htm
    [4] Robertson V, Poli F, Hobson B, et al. A Systematic Review and Meta-Analysis of the Presentation and Surgical Management of Patients With Carotid Body Tumours[J]. Eur J Vasc Endovasc Surg, 2019, 57: 477-486. doi:  10.1016/j.ejvs.2018.10.038
    [5] Luna-Ortiz K, Rascon-Ortiz M, Villavicencio-Valencia V, et al. Does Shamblin's classification predict postoperative morbidity in carotid body tumors? A proposal to modify Shamblin's classification[J]. Eur Arch Otorhinolaryngol, 2006, 263: 171-175. doi:  10.1007/s00405-005-0968-4
    [6] Gu G, Wu X, Ji L, et al. Proposed modification to the Shamblin's classification of carotid body tumors: A single-center retrospective experience of 116 tumors[J]. Eur J Surg Oncol, 2021, 47: 1953-1960. doi:  10.1016/j.ejso.2021.03.244
    [7] Shamblin WR, ReMine WH, Sheps SG, et al. Carotid body tumor (chemodectoma). Clinicopathologic analysis of ninety cases[J]. Am J Surg, 1971, 122: 732-739. doi:  10.1016/0002-9610(71)90436-3
    [8] Gu G, Wang Y, Liu B, et al. Distinct features of malignant carotid body tumors and surgical techniques for challengeable lesions: a case series of 11 patients[J]. Eur Arch Otorhinolaryngol, 2020, 277: 853-861. doi:  10.1007/s00405-019-05740-x
    [9] Metheetrairut C, Chotikavanich C, Keskool P, et al. Carotid body tumor: a 25-year experience[J]. Eur Arch Otorhinolaryngol, 2016, 273: 2171-2179. doi:  10.1007/s00405-015-3737-z
    [10] Kim GY, Lawrence PF, Moridzadeh RS, et al. New predictors of complications in carotid body tumor resection[J]. J Vasc Surg, 2017, 65: 1673-1679. doi:  10.1016/j.jvs.2016.12.124
    [11] Law Y, Chan YC, Cheng SW. Surgical management of carotid body tumor-Is Shamblin classification sufficient to predict surgical outcome?[J]. Vascular, 2017, 25: 184-189. doi:  10.1177/1708538116657504
    [12] Han T, Wang S, Wei X, et al. Outcome of Surgical Treatment for Carotid Body Tumors in Different Shambling Type Without Preoperative Embolization: A Single-Center Retrospective Study[J]. Ann Vasc Surg, 2020, 63: 325-331. doi:  10.1016/j.avsg.2019.08.088
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    [14] Straughan DM, Neychev VK, Sadowski SM, et al. Preoperative Imaging Features are Associated with Surgical Complications Following Carotid Body Tumor Resection[J]. World J Surg, 2015, 39: 2084-2089. doi:  10.1007/s00268-015-3058-9
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出版历程
  • 收稿日期:  2021-07-31
  • 录用日期:  2021-09-30
  • 网络出版日期:  2021-10-20
  • 刊出日期:  2021-11-30

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