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Peritoneal Mezotelyomanın Multimodal Tedavisi: Tek Merkez Deneyimi
2020
Journal:  
Acta Oncologica Turcica
Author:  
Abstract:

GİRİŞ ve AMAÇ: Sitoredüktif cerrahi (SRC) ve hipertermik intraperitoneal kemoterapi (HIPEC) peritoneal mezotelyoma (PM) için önerilen tedavi yaklaşımıdır. Burada PM için multimodal tedavi deneyimimizi sunuyoruz. YÖNTEM ve GEREÇLER: Ocak 2009 ve Aralık 2017 tarihleri arasında otuz sekiz hasta çalışmaya dahil edildi. Hastaların kliniko-patolojik özellikleri, tedavi sonuçları, tıbbi kayıtları ve intraoperatif peritoneal kanser indeksi (PCI) skorları geriye dönük olarak analiz edildi. BULGULAR: Ortanca yaşı 61 (21-80) olan toplam 38 hasta (n = 22 kadın) değerlendirildi. 23 hastaya (% 60.5) SRC uygulandı ve 18 hastaya (% 47.3) SRC + HIPEC uygulandı. Postoperatif erken mortal vakalar (6 hasta) hariç tutulduktan sonra, adjuvan tedavi ile tedavi edilen hastalarda daha uzun OS elde edildi (p = 0.03). Morbid seyri olan hastalarda PCI değeri daha yüksekti. Obezite, diyabetes mellitus (DM) ve CA125 seviyeleri 1000 U / ml'nin üzerinde olan hastalarda morbidite daha yüksekti. TARTIŞMA ve SONUÇ: Adjuvan kemoterapinin SRC + HIPEC uygulanan PM hastalarında OS'yi iyileştirebileceğini göstermiştir. Bununla birlikte, DM, yüksek PCI değeri ve ameliyat öncesi CA125 düzeyleri 1000 IU / ml'nin üzerinde olan PM hastalarında çoklu tedavi dikkatle değerlendirilmelidir.

Keywords:

Multimodal Treatment of Peritoneal Mezotelyoma: One-Center Experience
2020
Author:  
Abstract:

Introduction and Target: Sitoreductive Surgery (SRC) and hypertermic intraperitoneal chemotherapy (HIPEC) are the recommended treatment approach for peritoneal mezotelyoma (PM). Here we offer our multidisciplinary treatment experience for PM. Method and Requirements: Thirty-eight patients were included in the study between January 2009 and December 2017. Patients' clinico-patological characteristics, treatment results, medical records and intraoperative peritoneal cancer index (PCI) scores were analyzed backward. A total of 38 patients (n = 22 women) with an average age of 61 (21-80) were assessed. SRC was administered to 23 patients (60.5 percent) and SRC + HIPEC was administered to 18 patients (47.3 percent). After postoperative early mortal cases (6 patients) were excluded, longer OS was obtained in patients treated with adjuvan therapy (p = 0. by 03). Patients with morbid pathology had a higher PCI value. Obesity, diabetes mellitus (DM) and CA125 levels were higher in patients with more than 1000 U / ml. ADJUVAN CHEMOTHERAPY has shown that SRC + HIPEC may heal the OS in PM patients. However, multi-treatment in PM patients with DM, high PCI value and pre-operative CA125 levels above 1000 IU / ml should be carefully evaluated.

Keywords:

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Acta Oncologica Turcica

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Acta Oncologica Turcica