Chirurgie iterative en cas de tumeur germinale. [Iterative surgery in germ cell tumor]

Détails

ID Serval
serval:BIB_4B675721CCF5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Chirurgie iterative en cas de tumeur germinale. [Iterative surgery in germ cell tumor]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Merlini  M., Boumghar  M., Berner  M., Leyvraz  S., Chapuis  G.
ISSN
0018-0181 (Print)
Statut éditorial
Publié
Date de publication
01/1989
Volume
55
Numéro
5
Pages
549-52
Notes
English Abstract
Journal Article --- Old month value: Jan
Résumé
Between 1979 and 1988, iterative surgery was performed on 13 patients for a germ-cell tumor. Apart from orchidectomy, surgery was not the first modality of treatment. On the other hand, 21 surgical procedures were performed for residual tumoral masses after chemotherapy or recurrences. In one third of the cases, only necrosis of fibrosis was resected. Out of 13 patients, 7 died of tumor; 6 are alive (3 with complete remission). Surgery is always indicated in stage IIA to IV nonseminomatous tumors in case of residual tumoral deposits after chemotherapy. For seminoma, surgery is carried out only for retroperitoneal residues larger than 3 cm in diameter. Surgery is also indicated for persistent pulmonary or mediastinal metastases following chemotherapy. Complete surgical excision of residual masses may be technically difficult but is of prime importance as combined chemotherapy and surgery doubles the complete remission rate in comparison to chemotherapy alone.
Mots-clé
Combined Modality Therapy Follow-Up Studies Humans Male Mediastinal Neoplasms/*surgery Neoplasms, Germ Cell and Embryonal/*surgery Retroperitoneal Neoplasms/*surgery Testicular Neoplasms/*surgery
Pubmed
Web of science
Création de la notice
28/01/2008 9:32
Dernière modification de la notice
20/08/2019 14:59
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