| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296559 |
| ISSN: | 1677-5538 |
| Autores: | El Sayed, Salwa1 Grando, Joao P. S Almeida, Silvio H.M. de Mortati Neto, Nicola Moreira, Horacio A |
| Instituciones: | 1Instituto de Cancer de Londrina, Departamento de Urologia, Londrina, Parana. Brasil |
| Año: | 2004 |
| Periodo: | Sep-Oct |
| Volumen: | 30 |
| Número: | 5 |
| Paginación: | 384-388 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | PURPOSE: to determine the role of RPLND for residual masses following chiotherapy in patients with non-siinomatous germ cell tumors (NSGCT) stage T1N2 and T1N3 (IIB and IIC). MATERIALS AND METHODS: We have preformed retrospective analysis of 11 patients who underwent RPLND for residual masses following chiotherapy in an oncologic reference center between January 1997 and Deciber 2002. All patients harbored either pure nonsiinomatous or mixed tumors in the testis tissue and had undergone 4 cycles of primary chiotherapy with bleomycin, etoposide and cisplatin. The residual masses were assessed by abdominal computed tomography preoperatively. RESULTS: There were perioperative complications in 3 cases owing to vascular iatrogenic lesion. One of who died in the early postoperative period due to extensive iliac thrombosis. The other 2 patients had an inferior vena cava injury owing to the difficulty in rioving the attached lymph nodes. The injuries were repaired by continuous suture with Prolene 5-0. All patients had tumors in the final pathological report and were referred to other 2 cycles of chiotherapy with the same drugs. Seven patients (63.3%) had complete response and riained free of the disease in a mean follow up of 38.3 months (ranging from 12 to 72). The riaining 3 patients had disease progression, 2 of which died 6 and 12 months after surgery, respectively, and one patient missed the follow-up after salvage chiotherapy. CONCLUSION: Retroperitoneal lymph node dissection for residual masses after chiotherapy is a high-morbidity |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Oncología, Testículos, Neoplasias, Tumores, Células germinales, Linfadenopatía, Quioterapia |
| Keyword: | Medicine, Oncology, Surgery, Testis, Neoplasms, Tumors, Germ cells, Lymphadenopathies, Chiotherapy |
| Texto completo: | Texto completo (Ver HTML) |
