Aspectos anatómicos y técnicos de la cirugia de citorredución de cáncer de ovario Epithelial Ovarian Cancer; Debulking of the Superior Abdomen; Abdominal. The mainstay of treatment for advanced ovarian cancer is the multimodality approach of debulking surgery and paclitaxel–platinum chemotherapy. The size of. Download Citation on ResearchGate | Primary or delayed debulking surgery and treated with primary or delayed (secondary) optimal debulking surgery unless impossible, Cáncer epitelial de ovario: evaluación y cirugía.
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J Invest Dermatol ; Again, proximal stent placement in the setting of complete airway occlusion serves no useful purpose and should be avoided.
“Stents” endobronquiales y cirugía preservadora de bronquios en el manejo del cáncer broncogénico
Most lung bhlking are parenchymal or hilar in location. This information is paramount to determining treatment feasibility.
Endobronchial tumor may represent too a benign disease process. Clinical evaluation of a new bifurcated dynamic airway stent: As mentioned above, Photofrin is sequestered in the retina, skin and reticuloendothelial system, including the liver and spleen.
Thorac Cardiovasc Surg ; Photoradiation therapy for cutaneous and subcutaneous malignancies. Contraindications to rigid bronchoscopy include bleeding diathesis, cervical spine injury or severe degenerative cervical disease with a poor range of motion. It is usually achieved by surgical removal.
Lesions located distally along the airway are generally not amenable to rigid bronchscopy. The two primary bronchoscopic approaches include flexible and rigid bronchoscopy Figure 2. For example, tumors whose bulk presses on the lungs or esophagus can impair breathing or swallowing, in which case debulking can improve quality of life  and extend survival  regardless of not curing the cancer.
Sunscreens are ineffective in protecting against phototoxicity. Those patients that only have one controlled or controllable primary tumor located in the peritoneum can benefit from a treatment with a curative intention of the resection if it is complete or almost complete from a macroscopic perspective.
Central airway cancer may also represent tumor recurrence in cases of surgically resected disease. We use the Ultraflex tracheobronchial covered stent to treat endobronchial malignancies when stent deployment is indicated Figure You can help Wikipedia by expanding it.
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This decreased reactivity makes silicon stents easy to extract if necessary. Pages with citations lacking titles All stub articles.
Surgical oncology Medical treatment stubs. While LIFE bronchoscopy shows promise in detection of carcinoma in situ in patients with a history of lung cancer, additional trials are likely needed to ve demonstrate its applicability.
This agent is concentrated mainly in skin epithelial cells, the reticuloendothelial system, and tumor cells.
Debulking procedures are usually long and often complicated, taking several hours or more to perform, depending on internal involvement and location. The Y stent is held into place by a biopsy forceps as the rigid scope is withdrawn.
Furthermore, aggressive attempts at stent repositioning may result in airway injury and mucosal hemorrhage.
The management of endobronchial malignancy is a challenging problem. Debridement may require the use of the rigid bronchoscope.
At least 30 seconds to one minute is allowed to elapse prior to engaging the laser. On the other hand, the prognosis will be dismal in the case of invasive tumors with low peritoneal cancer index, but with infiltrations in relevant anatomic locations with difficult resections, such as the small bowel or the biliary tree.
This modality provides airway ventilatory control and allows for tumor debulking. This activity produces singlet oxygen, which subsequently generates superoxide and hydroxyl radicals. During this time period, any additional size differences between the proximal and distal airways are gradually corrected. This manoeuver is key to correcting the size discrepancy between the proximal and distal bronchi.
Like rigid bronchoscopy, the flexible scope can be used to deploy bronchial stents or perform balloon bronchoplasty under fluoroscopic guidance Eb 3ab. A pedicled pericardial fat pad, intercostal muscle bundle or in the case right sided bronchoplasty an azygous vein flap is used to provide coverage to the anastomosis.
Traditionally considered as incurable, recent studies have shown that som patients can clearly benefit form radical surgical approach combined with different kinds of chemotherapy.