RESUMO
Three clinical cases of simultaneous operations upon synchronous identification of brain tumor and kidney cancer are described. A metastatic lesion of the brain was detected in two of them, and a combination of a primary CNS tumor (glioblastoma) with kidney cancer was identified in one case.
Assuntos
Neoplasias Encefálicas/cirurgia , Neoplasias Renais/cirurgia , Neoplasias Primárias Múltiplas/cirurgia , Neoplasias Encefálicas/secundário , Feminino , Humanos , Neoplasias Renais/patologia , Laparoscopia/métodos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Neoplasias Primárias Múltiplas/patologia , Nefrectomia/métodos , Procedimentos Neurocirúrgicos/métodos , Resultado do TratamentoRESUMO
Brain metastases are known to have poor prognosis. In spite of using modern treatments such as microsurgical resection, radiotherapy, chemotherapy, survival of these patients remains low. Due to this fact we looked for novel methods of treatment that are able to increase the recurrence-free surgical and therefore overall survival of these patients. This paper analyzes new treatment methods used in brain tumors--fluorescent detection and photodynamic therapy with 5-aminolevulinic acid.
Assuntos
Neoplasias Encefálicas/mortalidade , Neoplasias Encefálicas/patologia , Neoplasias Encefálicas/terapia , Cuidados Intraoperatórios/métodos , Fotoquimioterapia/métodos , Adulto , Idoso , Intervalo Livre de Doença , Feminino , Fluorescência , Humanos , Cuidados Intraoperatórios/efeitos adversos , Masculino , Pessoa de Meia-Idade , Fotoquimioterapia/efeitos adversos , Taxa de SobrevidaRESUMO
Cerebral metastases are the most common brain tumors in adults and are characterized by poor prognosis. Despite application of modern methods of treatment (microsurgery, radiation therapy, chemotherapy) survival rates of these patients remain low. This fact triggers development of new therapeutic options which are able to increase recurrence-free period and consequently overall survival. The article contains review of literature dealing with photodynamic therapy which is a newly introduced technique for treatment of cerebral metastases.