| Autor: |
M D, Delgado Muñoz, J L, Antón-Pacheco, J A, Matute, J, Cuadros, P, Aguado, J L, Vivanco, F J, Berchi |
| Rok vydání: |
2003 |
| Předmět: |
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| Zdroj: |
Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica. 13(1) |
| ISSN: |
0214-1221 |
| Popis: |
The 30-40% of the oncologic patients have pulmonary metastases. Lung can be the only organ affected. In selected patients, exeresis of the pulmonary nodules can mean their healing.Between 1982-1997, twenty two patients presented metastases, 13 could be operated and 16 thoracotomies were done. There were 53% boys and 47% girls whose ages ranged from 3 to 15 years. We have considered: pulmonary tumour location, disease free interval, number of metastases, surgical technique and incomplete pulmonary tumour resection.Primary tumours were: Wilms tumours 23%, bone tumours 67% (Ewing and osteosarcoma). Disease free interval was2 years in 8 patients (61%) and2 years in 39%. X-Ray and CT were performed in every case and 66% presented a solitary nodule. Surgical techniques were: metastasectomy in two cases (12%), wedge resection in 8 (50%) and lobectomy in six cases (38%). We made thoracoscopy in two patients. There weren't postoperatory mortality but the patients with tumorectomy had an incomplete surgical resection. The overall survival is 54 percent and the 5 years survival is 23 percent (3 patients).The patients with a DFI2 years have a survival of 25% compared with 100% for patients who have a DFI2 years. The pulmonary resection in selected patients can offer better survival. We can use the thoracoscopy in same selected patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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