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上海市15所医院乳腺恶性肿瘤手术病种手术量与费用分析 被引量:1
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作者 陈丽红 邵新华 《中国卫生统计》 CSCD 北大核心 2022年第6期868-870,共3页
目的分析乳腺恶性肿瘤手术病种的手术量及费用,为改善医疗服务绩效和控制医疗费用提供循证依据。方法以上海市15所医院2014-2016年间乳腺恶性肿瘤手术患者为研究对象,比较不同手术量医院和医生的病种费用,采用层级线性回归模型探讨手术... 目的分析乳腺恶性肿瘤手术病种的手术量及费用,为改善医疗服务绩效和控制医疗费用提供循证依据。方法以上海市15所医院2014-2016年间乳腺恶性肿瘤手术患者为研究对象,比较不同手术量医院和医生的病种费用,采用层级线性回归模型探讨手术量与费用关系。结果15所医院乳腺恶性肿瘤手术病例共8641例,人均总费用中位数(四分位数间距)为18483.74(14808.72,24204.75)元,不同手术量医院、医生之间病种费用的差异较大,高手术量医院、医生的人均总费用分别低于均值12%和8%,手术方式(乳腺切除术或重建术)、有合并症或伴随病、有附加手术、低手术量医院以及低手术量医生均为高费用的影响因素。结论办医主体在病种绩效评价中应加大手术难度考核,提高保乳术、重建术比例;支持乳腺恶性肿瘤诊治中心建设,提升医疗服务能力;加强医师规范化培训,达到诊治水平标准化、规范化、同质化,从而降低病种费用,真正使患者获益。 展开更多
关键词 乳腺恶性肿瘤手术 手术 费用 层级线性回归
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Male Breast Cancer:10-Year Experience at Mansoura University Hospital in Egypt 被引量:2
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作者 Wafaa El-Beshbeshi Engy M Abo-Elnaga 《Clinical oncology and cancer researeh》 CAS CSCD 2012年第1期23-28,共6页
Objective Male breast cancer (MBC) is a rare disease representing less than 1% of all malignancies. The objective of the study is to report clinicopathological characteristics, treatment patterns, and outcomes of MB... Objective Male breast cancer (MBC) is a rare disease representing less than 1% of all malignancies. The objective of the study is to report clinicopathological characteristics, treatment patterns, and outcomes of MBC in Mansoura University Hospital, Egypt. Methods This retrospective study focused on male breast cancer patients during 10 years (2000-2009). The studied variables were data regarding general characteristics of patients, treatment modalities and survival. Results The series included 37 patients (0.8% of all breast cancer). The median age was 57.7 years (range: 26-86 years). The main clinical complaint was a mass beneath the areola ill 94.5% of the cases. Most patients had a locally advanced disease. 94.5% of tumors were invasive duct carcinomas. The treatment was essentially surgery in 91.8%, followed by adjuvant radiotherapy (in 89.2%), hormonal therapy (in 56.7%) and chemotherapy (in 91.8%). Follow-up period ranged from 6-115 months. Local recurrence occurred in 4 cases and metastasis in 11 cases. The 2-year and 5-year overall survival (OS) rates were 81.6% and 60.5%, respectively. The 2-year and 5-year disease-free survival (DFS) rates were 68.4%, and 52.6%, respectively. OS was not significantly affected by any of the studied parameters. Factors influencing DFS were: T stage (P=0.05), positive lymph nodes (P=0.043), metastasis (P=0.004), and chemotherapy (1'=0.046). Conclusions MBC is a rare disease and often diagnosed at a locally advanced stage. The management of male and female breast carcinoma is identical. Future research for better understanding of this disease is needed to improve the management and prognosis of male breast cancer patients. 展开更多
关键词 breast neoplasms MALE THERAPEUTICS EGYPT
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Composite neuroendocrine and adenomatous carcinoma of the papilla of Vater
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作者 Joanna A Musialik Maciej J Kohut +2 位作者 Tomasz Marek Anatol Wodo■azski Marek Hartleb 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第33期4199-4200,共2页
Malignant tumors of papilla are usually adenocarcinomas. We present a 67-year-old female who became icteric as result of a malignant tumor infiltrating the papilla of Vater. Histopathological assessment of surgically ... Malignant tumors of papilla are usually adenocarcinomas. We present a 67-year-old female who became icteric as result of a malignant tumor infiltrating the papilla of Vater. Histopathological assessment of surgically excised tumor showed both neuroendocrine and adenocarcinomatous features. To our knowledge, this is the seventh report of this rare neoplastic association in the duodenal periampullary region. 展开更多
关键词 Adenocarcinoid Composite carcinoma Carcinoma of Vater papilla CARCINOID Gastropancreatic neuroendocrine tumor
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