Use of angioembolization as an effective technique for the management of pediatric solid tumors.
J Pediatr Surg
; 44(9): 1848-55, 2009 Sep.
Article
em En
| MEDLINE
| ID: mdl-19735840
ABSTRACT
PURPOSE:
In oncology practice, angioembolization has been reported for tumor reduction before surgery, treatment of life-threatening conditions, and for palliative care. Nevertheless, the overall experience with angioembolization for the treatment of tumors is limited. We report our experience in 7 nonvascular solid pediatric tumors. MATERIALS ANDMETHODS:
A retrospective review was carried out of medical records from pediatric patients (0-18 years) with solid nonvascular tumors who underwent angioembolization in the last 5 years at our institution.RESULTS:
Seven patients underwent embolization 2 neuroblastomas, 1 metastatic paraganglioma, 1 hepatoblastoma, 1 myofibroblastic tumor, 1 osteosarcoma, and 1 undifferentiated sarcoma. The reason for angioembolization was preparation for surgery (3), treatment of a life-threatening event (1), or palliative care (3). Each case is presented and discussed. The outcome was subsequent complete surgical resection in 3 cases, tumor vanished in 1 case, symptom control was achieved in 1, and the other 2 patients improved their survival and quality of life, however, died of disease progression.CONCLUSIONS:
Tumor angioembolization may enter the treatment algorithm for selected patients who have to face difficult or unwarranted surgical procedures or have diseases where conventional therapies have failed.
Texto completo:
1
Coleções:
01-internacional
Temas:
Cuidados_paliativos
/
Geral
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Tipos_de_cancer
/
Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Embolização Terapêutica
/
Neoplasias
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
/
Humans
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Infant
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Male
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Newborn
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Espanha