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联合化疗后儿童晚期肝肿瘤的可切除性

Resectability of advanced liver tumours in children after combination chemotherapy.

作者信息

Munro F D, Simpson E, Azmy A F

机构信息

Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow.

出版信息

Ann R Coll Surg Engl. 1994 Jul;76(4):253-6.

PMID:8074387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2502261/
Abstract

Five patients with locally advanced or metastatic liver tumours were treated at the Royal Hospital for Sick Children between 1983 and 1992 by preoperative combination chemotherapy and subsequent complete resection of the residual liver tumour. Chemotherapy was generally well tolerated with few significant adverse effects. Tumour resection was accomplished by lobectomy in three cases and an extended lobectomy in the remaining two. All five children are currently well and free of disease at a mean follow-up of 36 months.

摘要

1983年至1992年间,皇家儿童医院对5例局部晚期或转移性肝肿瘤患者进行了术前联合化疗,随后对残留的肝肿瘤进行了完整切除。化疗总体耐受性良好,几乎没有明显的不良反应。3例患者通过叶切除术完成肿瘤切除,其余2例进行了扩大叶切除术。5名儿童目前情况良好,平均随访36个月无疾病复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f9/2502261/813bae6b26bb/annrcse01590-0047-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f9/2502261/3d7c016d2b7b/annrcse01590-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f9/2502261/813bae6b26bb/annrcse01590-0047-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f9/2502261/3d7c016d2b7b/annrcse01590-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84f9/2502261/813bae6b26bb/annrcse01590-0047-b.jpg

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本文引用的文献

1
Preoperative chemotherapy for hepatoblastoma in children: report of six cases.儿童肝母细胞瘤的术前化疗:6例报告
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Chemotherapy, radiotherapy, and hepatic lobectomy for hepatoblastoma in an infant: report of a survival.婴儿肝母细胞瘤的化疗、放疗及肝叶切除术:一例生存报告
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Effectiveness and toxicity of cisplatin and doxorubicin (PLADO) in childhood hepatoblastoma and hepatocellular carcinoma: a SIOP pilot study.顺铂和阿霉素(PLADO)治疗儿童肝母细胞瘤和肝细胞癌的有效性及毒性:一项国际小儿肿瘤学会(SIOP)的试点研究
Med Pediatr Oncol. 1991;19(3):199-203. doi: 10.1002/mpo.2950190310.
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Liver transplantation for hepatoblastoma. The American experience.肝母细胞瘤的肝移植。美国的经验。
Ann Surg. 1991 Feb;213(2):118-21. doi: 10.1097/00000658-199102000-00004.
9
Aggressive excision of pulmonary metastases is warranted in the management of childhood hepatic tumors.
J Pediatr Surg. 1991 Sep;26(9):1082-5; discussion 1085-6. doi: 10.1016/0022-3468(91)90678-m.
10
The surgical management of children with incompletely resected hepatic cancer is facilitated by intensive chemotherapy.
J Pediatr Surg. 1991 Sep;26(9):1074-80; discussion 1080-1. doi: 10.1016/0022-3468(91)90677-l.