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Ⅲ、Ⅳ期小儿腹部神经母细胞瘤的联合化疗后延期手术

Delayed operation of stage Ⅲ - Ⅳ abdominal neuroblastoma after combined chemotherapy in children
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摘要 本文总结了近5年我科收治的15例Ⅲ、Ⅳ期小儿腹部神经母细胞瘤的治疗,采用CA-EP方案联合化疗后延期手术切除肿瘤,其中一期切除4例,二期切除8例,三期切除1例;放弃二期手术2例;随访6个月~3.5年,死亡3例。作者认为对Ⅲ、Ⅳ期神经母细胞瘤施行联合化疗后延期手术效果满意,结合病理检查结果提出了延期手术的手术指征,联合化疗给药的途径以及术后化疗的时间。 The authors report 15 patients with stage Ⅲ -Ⅳ abdominal neuroblastoma wno have been treated with delayed operation after CA-EP combined chemotherapy in passed flve years. Four offo children's tumors were completely resected in primary operation, 8 cases were resected in second op.eration, one case were resected in third operation, and 2 cases gave up second operation. They were followed up for 6 months to 3 years. 3 of them died. The results suggest that delayed operation of stageⅢ - Ⅳ abdominal neuroblastoma after combined chemotherapy in children is satisfactory. Associated withpathological changes of tumors, authors poPOint out the indication of delayed operation, times and methodsof chemotherapy.
出处 《临床外科杂志》 1998年第1期27-28,共2页 Journal of Clinical Surgery
关键词 神经母细胞瘤 联合化疗 延期手术 儿童 Neuroblastoma Delayed operation Combined chemotherapy
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