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[胸壁切除术在胸外肿瘤肺转移手术中的价值]

[Value of chest wall resection in surgery of lung metastases of extrathoracic tumors].

作者信息

Meyer G, Langsdorf M, Bülzebruck H, Vogt-Moykopf I

机构信息

Thoraxklinik der LVA Baden, Heidelberg-Rohrbach.

出版信息

Langenbecks Arch Chir. 1987;372:813-9. doi: 10.1007/BF01297936.

DOI:10.1007/BF01297936
PMID:3431307
Abstract

In 21 patients after combined chest wall and lung metastasis resection a median survival time of 11 months was found independent of the degree of the chest wall infiltration. Only 1 patient with metastasis from a testicular teratoma survived 5 years and is tumor free. There was no 30-day-lethality. The main indications are complications such as exulceration and pain. In spite of the poor prognosis a prolongation of survival time with improved quality of life may be achieved. In rare cases cure is possible by combined tumor reductive surgery and chemotherapy.

摘要

在21例胸壁和肺转移联合切除术后的患者中,发现中位生存时间为11个月,与胸壁浸润程度无关。只有1例睾丸畸胎瘤转移患者存活了5年且无肿瘤。无30天死亡率。主要指征是诸如溃疡和疼痛等并发症。尽管预后较差,但仍可实现生存时间延长和生活质量改善。在罕见情况下,联合肿瘤减积手术和化疗有可能治愈。

相似文献

1
[Value of chest wall resection in surgery of lung metastases of extrathoracic tumors].[胸壁切除术在胸外肿瘤肺转移手术中的价值]
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2
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本文引用的文献

1
[Lung metastases--value of resection in the oncological therapy concept].[肺转移瘤——在肿瘤治疗理念中切除术的价值]
Chirurg. 1983 Aug;54(8):513-20.
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Surgery for pulmonary metastasis: a 20-year experience.
Ann Thorac Surg. 1984 Oct;38(4):323-30. doi: 10.1016/s0003-4975(10)62280-1.
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Multiple pulmonary resections in the treatment of osteogenic sarcoma.
Ann Thorac Surg. 1971 Sep;12(3):271-80. doi: 10.1016/s0003-4975(10)65124-7.
4
Surgical resection and adjunctive immunotherapy for selected patients with multiple pulmonary metastases.
对部分有多处肺转移的患者进行手术切除及辅助免疫治疗。
Ann Surg. 1973 Sep;178(3):360-6. doi: 10.1097/00000658-197309000-00016.
5
[Surgery of metastases of the thorax--a new dimension in thoracic surgery].[胸部转移瘤的外科治疗——胸外科的新领域]
Z Erkr Atmungsorgane. 1986;166(1):82-91.
6
Late results of surgical treatment of pulmonary metastases.肺转移瘤手术治疗的远期结果
Thorac Cardiovasc Surg. 1986 Nov;34 Spec No 2:143-8. doi: 10.1055/s-2007-1022193.
7
The surgical management of multiple lung metastases.多发性肺转移瘤的外科治疗
Ann Thorac Surg. 1977 Oct;24(4):359-64. doi: 10.1016/s0003-4975(10)63415-7.