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Wyszukujesz frazę "second primary cancer" wg kryterium: Temat


Wyświetlanie 1-2 z 2
Tytuł:
Treatment results of lip carcinoma in Holy Cross District in Poland and treatment failures analysis
Autorzy:
Postuła, Sylwia
Okła, Sławomir
Bień, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/1401685.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
lip carcinoma
treatment results
treatment failures
second primary cancer
Opis:
Objective: The assessment of cancer surgical treatment results, measured with oncological standards, linked with oncological treatment failures analysis, including also the occurrence of second primary cancer, create the basis for verification of applied treatment strategy. Material: 312 patients with lip carcinoma were treated primarily with surgery or in combination with post-surgical Rtg-therapy. Depending on local staging, in the most of cases the “V” or “W” resection with or without the vermilionectomy was performed. When resection required the reconstruction of lip defect, the Bernard-Burov method was the most commonly used. In cases where the regional I + II + III lymph node resection was performed it was followed by Rtg-therapy. Methods: Using the Kaplan-Meier method, the calculation of overall survival (OS), disease free survival (DFS) and disease specific survival (DSS) was done. The descriptive characteristic of oncologic treatment failures, including occurrence of second primary cancer was also presented.Results: The results of 3-years and 5-years overall, disease free and disease specific survivals have located within the limits presented in literature, what may be recognized as a support of applied treatment policy. In oncological treatment failures which have been recorded in 20,2%, the metastases to regional lymph nodes have dominated. In 76,2% treatment failures were observed in the first 3 years of follow up.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2016, 5, 3; 7-14
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Salvage surgery of hypopharyngeal cancer as a second malignancy post radiotherapy and the possibility of digestive track reconstruction – study of three cases and the literature review
Autorzy:
Rzepakowska, Anna
Jasińska, Agnieszka
Wolniewicz, Maria
Baranek, Piotr
Osuch-Wójcikiewicz, Ewa
Bruzgielewicz, Antoni
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1399615.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
head and neck cancer
second primary cancer
hypopharyngeal cancer
salvage surgery
digestive tract reconstruction
radial forearm free flap
free autologous jejunal flap
Opis:
Patients with head and neck cancers have an increased risk of second malignant neoplasm occurrence (25% in long-term follow-up, 4% yearly). Most patients with a primary tumor can be treated with organ-preserving strategies including radiotherapy (RT) or chemoradiotherapy (CRT). Very often after radical surgical excision there are indications for adjuvant radiotherapy. However, if recurrence or second malignancy will develop after definitive primary RT, there are limitation to use therapeutic dose of radiation again for the same area. Salvage surgery is regarded as the only curative option in those cases. In our study we analysed 3 patients, who presented with head and neck second cancer in the area of hypopharynx, within 10-25 years after primary radiotherapy due to oropharyngeal and laryngeal cancer. A total pharyngectomy with larynx preservation and bilateral neck dissection were performed in the first case and the radial forearm free flap (RFFF) was used for reconstruction of the pharynx. Second patient, due to perilaryngeal invasion in radiological images, underwent total pharyngolaryngectomy with selective bilateral cervical lymph nodes dissection and digestive track was restored also with RFFF. The third patient had previously undergone laryngectomy and after total pharyngectomy the free autologous jejunal flap (FAJF) was used for reconstruction. The main goal of reconstruction after salvage surgery due to hypopharyngeal cancer is to reconstruct the digestive tract. The other important aspect is to optimize the anatomy for voice rehabilitation and swallowing. Unfortunately, radiation and chemotherapy impair wound healing, which indicates increased risk of postoperative complications and makes salvage surgery results unpredictable.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 1; 33-39
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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