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[原发性恶性腹膜肿瘤]

[Malignant primary peritoneal tumors].

作者信息

Cotte Eddy, Passot Guillaume, Isaac Sylvie, Gilly François-Noël, Glehen Olivier

机构信息

Service de chirurgie générale, thoracique et endocrinienne, Centre hospitalier Lyon-Sud, F-69495 Pierre Bénite Cedex, France.

出版信息

Presse Med. 2009 Dec;38(12):1814-22. doi: 10.1016/j.lpm.2008.10.025. Epub 2009 Apr 7.

Abstract

Malignant primary peritoneal tumors are rare and should be kept in mind when peritoneal carcinomatosis is diagnosed without primary tumor found. The principal etiologies are peritoneal mesthelioma, pseudomyxoma peritonei and primary peritoneal serous carcinoma. Their diagnosis requires most of the time biopsy performing by laparoscopy that should prevent tumoral parietal diffusion (port sites on the middle line). The treatment of reference combines optimal cytoreductive surgery and perioperative intraperitoneal chemotherapy when general status allows performing it. The management of these diseases should be done into specialized centers, included into national network (RENAPE), because of specificity and complexicity of treatments and to facilitate clinical and fundamental research on rare disease.

摘要

原发性恶性腹膜肿瘤较为罕见,在诊断为腹膜癌病但未发现原发肿瘤时应予以考虑。主要病因包括腹膜间皮瘤、腹膜假黏液瘤和原发性腹膜浆液性癌。大多数情况下,其诊断需要通过腹腔镜进行活检,这应可防止肿瘤向腹壁扩散(中线处的穿刺部位)。当患者一般状况允许时,标准治疗方案是将最佳细胞减灭术与围手术期腹腔内化疗相结合。由于这些疾病治疗的特殊性和复杂性,以及为了促进罕见病的临床和基础研究,其管理应在纳入国家网络(RENAPE)的专业中心进行。

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