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European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology最新文献

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Management of large malignant rectal polyps with transanal endoscopic microsurgery. Is there anything better for the patient? 经肛门内镜显微手术治疗直肠大型恶性息肉。有更好的治疗方法吗?
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-12-01
L Chiavellati, G D'Elia, M Zerilli, S Tremiterra, S Stipa
{"title":"Management of large malignant rectal polyps with transanal endoscopic microsurgery. Is there anything better for the patient?","authors":"L Chiavellati,&nbsp;G D'Elia,&nbsp;M Zerilli,&nbsp;S Tremiterra,&nbsp;S Stipa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report their experience with transanal endoscopic microsurgery (TEM), a technique that allows all the standard surgical manoeuvres such as tissue excision, suction, control of bleeding and suturing in the entire length of the rectal cavity. Main indications for TEM are the removal of large sessile polyps and early rectal cancers' (T1, G1-G2). Out of 50 patients submitted to TEM the authors consider in this study 24 cases with a preoperative diagnosis of benign large sessile polyps. The procedures included: 14 (58.3%) total wall excision, four (16.6%) total wall excision with perirectal fat, three (12.5%) mucosectomy, one mucosectomy + total wall excision, one partial wall excision + total wall excision, and the remaining case was converted to laparotomy due to a large intraperitoneal perforation. There was no operative mortality and an 8.3% rate of major complications. With a median follow up of 19 months there was no evidence of local or distant recurrence. The authors compare their results with those of alternative endoscopic and surgical techniques and highlight the advantages of TEM in the management of large and giant rectal polyps.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 6","pages":"658-66"},"PeriodicalIF":3.8,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18989142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pain in the distribution of the femoral nerve: early evidence of recurrence of a retroperitoneal sarcoma. 股神经分布疼痛:腹膜后肉瘤复发的早期证据。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-12-01
G C Zografos, C P Karakousis
{"title":"Pain in the distribution of the femoral nerve: early evidence of recurrence of a retroperitoneal sarcoma.","authors":"G C Zografos,&nbsp;C P Karakousis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pain in the distribution of the femoral nerve following resection of a retroperitoneal sarcoma may signify tumor recurrence and should require exploration of the nerve to its origin from the spine in order to rule out a small, undetectable recurrence by CT scan.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 6","pages":"692-3"},"PeriodicalIF":3.8,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18989148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interleukin 2 treatment in colorectal cancer: current results and future prospects. 白介素2在结直肠癌中的治疗:目前的结果和未来的展望。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-12-01
S D Heys, D J Deehan, O Eremin
{"title":"Interleukin 2 treatment in colorectal cancer: current results and future prospects.","authors":"S D Heys,&nbsp;D J Deehan,&nbsp;O Eremin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent interest in the treatment of advanced colorectal cancer with immunotherapy has focused on the use of recombinant interleukin 2 (rIL2). These studies have shown that rIL2 used alone, in combination with lymphokine-activated killer (LAK) cells or tumour-infiltrating lymphocytes (TILs), has little anti-tumour activity, with low, short-lived clinical responses being documented. However, phase I and II studies evaluating rIL2 in combination with 5-fluorouracil (5FU) or 5FU and leucovorin (LV) have been more encouraging, with response rates of up to 46% being reported. Only one randomized, controlled study, however, has compared rIL2 combined with 5FU/LV vs 5FU/LV alone. Although there was no difference in tumour response rates between the two groups, there was a doubling in the median survival of those patients in the poor performance status group (ECOG 1). Also, studies have evaluated the effects of rIL2, given in the peri-operative period, on reversing the immunosuppression that occurs following 'curative' resection for colorectal cancer. These studies have shown an abrogation of immune suppression induced by surgery and an enhancement of host anti-tumour defence mechanisms in the peri-operative period, a time when active tumour dissemination has been shown to occur. These results may have important implications for the management of those patients with malignant disease who are undergoing major curative surgery.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 6","pages":"622-9"},"PeriodicalIF":3.8,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18990496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical pitfalls after preoperative chemotherapy in large size breast cancer. 大体积乳腺癌术前化疗后的手术陷阱。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-12-01
S Zurrida, M Greco, U Veronesi
{"title":"Surgical pitfalls after preoperative chemotherapy in large size breast cancer.","authors":"S Zurrida,&nbsp;M Greco,&nbsp;U Veronesi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preoperative chemotherapy in 226 women with large breast cancers reduced tumour size sufficiently for breast conservation surgery, according to our criteria, in 203 patients (90%). After 50 months' mean follow-up there were 13/203 local relapses (5.3%). This approach is therefore effective but only if the breast can be conserved with good aesthetic result, otherwise mastectomy plus reconstruction is preferable. The type of surgery must be decided during operation after careful assessment of tumour regression, resection margins, tumour size in relation to breast size and extent of microcalcifications.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 6","pages":"641-3"},"PeriodicalIF":3.8,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18990500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benign giant cell tumour of bone in a child with pulmonary metastases at presentation. 儿童骨的良性巨细胞瘤并肺转移。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-12-01
M S Ashraf, S Gururangan, F Breatnach
{"title":"Benign giant cell tumour of bone in a child with pulmonary metastases at presentation.","authors":"M S Ashraf,&nbsp;S Gururangan,&nbsp;F Breatnach","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical course of a 14-year-old boy who presented with a giant cell tumour of bone with pulmonary metastases is reported. There was a partial response to chemotherapy which included vincristine, adriamycin, ifosfamide, carboplatinum and etoposide. Two enlarging metastatic lung lesions were later resected because of chest pain, with symptomatic improvement. The patient is currently well almost 7 years from diagnosis despite the presence of radiological disease.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 6","pages":"700-2"},"PeriodicalIF":3.8,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18993884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Haemoccult screening for colorectal cancer: the effect of dietary restriction on compliance. 结直肠癌血液隐匿筛查:饮食限制对依从性的影响。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-10-01
M H Robinson, G Pye, W M Thomas, J D Hardcastle, C M Mangham
{"title":"Haemoccult screening for colorectal cancer: the effect of dietary restriction on compliance.","authors":"M H Robinson,&nbsp;G Pye,&nbsp;W M Thomas,&nbsp;J D Hardcastle,&nbsp;C M Mangham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to examine the effect of dietary restrictions on compliance with Haemoccult screening for colorectal carcinoma. One-hundred-and-fifty-three individuals were randomly allocated to perform Haemoccult tests with or without dietary restrictions, over 3 or 6 days. Those who failed to return completed tests within 6 weeks were sent a reminder letter. A small but significant improvement in compliance when testing over a 3-day period has been previously demonstrated but this difference was not seen in this study because of the small sample size. Overall, 72.8% compliance was achieved in those who were not asked to exclude certain foods during the test period compared with 51.8% in those in whom dietary restriction was requested (chi 2 = 7.45, P < 0.01). In a British population compliance with Haemoccult screening is adversely affected by the imposition of dietary restrictions.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 5","pages":"545-8"},"PeriodicalIF":3.8,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18922462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parotidectomy in childhood--with a review of the literature. 儿童期腮腺切除术-文献回顾。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-10-01
D K Manifold, J M Thomas
{"title":"Parotidectomy in childhood--with a review of the literature.","authors":"D K Manifold,&nbsp;J M Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Parotid tumours in childhood are rare. Four patients under 16 years old having parotidectomy are described and the literature is reviewed. The presentation, pathology and prognosis of parotid tumours in childhood is different to that seen in adults. Half of the parotid tumours in childhood are malignant but most are of low grade. Rapid growth, if present, may be the only clue of malignancy and facial nerve palsy or cervical node metastasis have rarely been described. Adequate surgical excision with facial nerve preservation is the treatment of choice and radical neck dissection is rarely necessary. Radiotherapy should be avoided and the prognosis is very favourable. It is difficult to differentiate clinically between benign and low-grade malignant tumours and because of the high incidence of malignancy, all parotid tumours in childhood should be suspected of being malignant until proven otherwise.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 5","pages":"549-52"},"PeriodicalIF":3.8,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18922463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
T1 glottic carcinoma involving the anterior commissure. T1声门癌累及前联合。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-10-01
J Shvero, T Hadar, K Segal, E Yaniv, G Marshak, R Feinmesser
{"title":"T1 glottic carcinoma involving the anterior commissure.","authors":"J Shvero,&nbsp;T Hadar,&nbsp;K Segal,&nbsp;E Yaniv,&nbsp;G Marshak,&nbsp;R Feinmesser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study reviews the records of 56 patients with early glottic carcinoma involving the anterior commissure (T1N0M0) who were treated between 1958 and 1988 at Beilinson Medical Center. Five- and 10-year survival rates were 82% and 60%, respectively. Most failures were local (15 patients). In addition, three patients who were treatment failures had neck lesions (regional failure) and one had lung lesions (distant metastases). All 56 patients received irradiation as the only mode of initial treatment. The effectiveness of irradiation for anterior commissure lesions is therefore evaluated. The study supports previous reports suggesting that glottic carcinoma involving the anterior commissure is associated with a high rate of treatment failure.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 5","pages":"557-60"},"PeriodicalIF":3.8,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18922465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of extended radionecrosis in the pelvic area with repeated surgical debridement and omental transposition. 反复手术清创和网膜转位治疗盆腔大面积放射性坏死。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-10-01
M J Samson, B van Ooijen, T Wiggers
{"title":"Management of extended radionecrosis in the pelvic area with repeated surgical debridement and omental transposition.","authors":"M J Samson,&nbsp;B van Ooijen,&nbsp;T Wiggers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Extended radionecrosis in the pelvic area is a disaster occurring in a minority of patients treated with radiotherapy. Extensive excisional procedures, including pelvic exenteration, have been recommended, but carry high morbidity and mortality rates. Alternative treatment strategies are needed to improve survival and increase the quality of life in these patients. We retrospectively analysed the charts of eight patients treated for radionecrosis in the pelvic area between 1985 and 1991. During this period deviatory procedures, repeated but limited debridement and the early incorporation of an omental flap in the ischemic area were used in an attempt to avoid exenteration, but effectively stop further progression of infection and necrosis. The patients underwent a median of five surgical interventions (range: 2 to 21) for 10 sites of radionecrosis. The total of 61 procedures consisted of debridement (29), omental pedicle grafting (6), deviation of urinary tract (3) or intestinal tract (4) and including procedures due to complications (21). They were hospitalized for a median duration of 95 days (range 43-155) divided over several admissions (median 3, range 2-8). One patient died of sepsis during treatment. Complete recovery was achieved in all surviving patients with a median of 12 months (range: 9 to 20 months) after initial surgery. Early surgery, the limited extent of the procedures and omental transposition were the main components of our approach. We conclude that this approach has an acceptable morbidity and mortality rate, while a relatively good quality of life is achieved.</p>","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 5","pages":"571-5"},"PeriodicalIF":3.8,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18922468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical treatment and deciding definitive management policy in a premenopausal patient with early breast cancer. 绝经前早期乳腺癌患者的手术治疗及最终管理策略的确定。
IF 3.8
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Pub Date : 1994-10-01
E J Rutgers, J L Peterse, H Bartelink, J A van Dongen
{"title":"Surgical treatment and deciding definitive management policy in a premenopausal patient with early breast cancer.","authors":"E J Rutgers,&nbsp;J L Peterse,&nbsp;H Bartelink,&nbsp;J A van Dongen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":519500,"journal":{"name":"European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology","volume":"20 5","pages":"607-9; discussion 609-10"},"PeriodicalIF":3.8,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18924885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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