Kiely E M
Hospital for Sick Children, London, United Kingdom.
Semin Surg Oncol. 1993 Nov-Dec;9(6):489-92. doi: 10.1002/ssu.2980090606.
Radical operation predominantly for those with stages III and IV, i.e., locally advanced and/or metastatic abdominal neuroblastoma, is described. Generally the surgery has been performed when tumour shrinkage has been achieved by means of chemotherapy, and metastases have been ablated. The author compares his results in 46 patients with those of 34 patients undergoing less aggressive surgery performed by a number of surgeons, with similar results. Given the difficulties inherent in performing curative resection for disseminated abdominal neuroblastoma, the surgeon needs to be convinced that his/her efforts are worthwhile. The results reported here do not provide such reassurance.
主要针对Ⅲ期和Ⅳ期患者，即局部进展期和/或转移性腹部神经母细胞瘤进行根治性手术。一般来说，手术是在通过化疗使肿瘤缩小且转移灶已被切除后进行的。作者将自己治疗的46例患者的结果与其他多位外科医生进行的侵袭性较小手术治疗的34例患者的结果进行了比较，结果相似。鉴于对播散性腹部神经母细胞瘤进行根治性切除存在固有困难，外科医生需要确信自己的努力是值得的。此处报告的结果并未提供这样的保证。
