Malignant sacrococcygeal teratoma: improved survival with chemotherapy.

Autor: Shanbhogue, L., Gough, D., Jones, P.
Zdroj: Pediatric Surgery International; Apr1989, Vol. 4 Issue 3, p202-204, 3p
Abstrakt: Between 1954 and 1985, 15 cases of malignant sacrococcygeal teratoma were treated in our institution. Median age at presentation was 20 months (range 9-46 months); there were 14 females and 1 male. Six cases presenting prior to 1970 were treated without chemotherapy with a median survival of 2 months (range 1-7 months). Five patients treated from 1971 to 1979 had tumour excision plus vincristine, actinomycin D, and cyclophosphamide (VAC). Three received radiotherapy in addition and median survival was 11 months (range 0-31 months). Four patients presenting since 1980 had chemotherapy alone after tumour excision. 1 receiving VAC and adriamycin and the remaining patients cisplatinum, bleomycin, and VP16. All these are alive and disease free (median follow-up 27 months; range 15-96 months). It is concluded that initial surgery aimed at complete excision followed by aggressive chemotherapy gives good results. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index