Pulmonary metastasectomy in pediatric patients Journal Article
| Author: | Kayton, M. L. |
| Article Title: | Pulmonary metastasectomy in pediatric patients |
| Abstract: | This article describes the historical development of pediatric pulmonary metastasectomy but demonstrates that progress has been slow in understanding its proper applications. Because many pediatric metastatic tumors are rare, surgeons have grouped together patients of different histologies for the generation and analysis of case series. By examining tumor types individually, however, it is seen that certain histologies (adrenocortical carcinoma, alveolar soft part sarcoma, osteosarcoma) mandate surgical metastasectomy for patient survival. Other pediatric tumors (Wilms tumor, Ewing's sarcoma) are radiation sensitive, and the application of metastasectomy is controversial. In the case of still other types of tumor (neuroblastoma, differentiated thyroid cancer, rhabdomyosarcoma), metastasectomy is seldom performed except in highly unusual situations. Techniques for minimally invasive biopsy and for muscle-sparing thoracotomy are described for pediatric patients. © 2006 Elsevier Inc. All rights reserved. |
| Keywords: | osteosarcoma; cancer survival; child; treatment outcome; cancer surgery; surgical technique; review; cancer staging; antineoplastic agent; cancer diagnosis; diagnostic procedure; computer assisted tomography; thoracotomy; lung neoplasms; incidence; biopsy; histology; childhood cancer; adrenal cortex carcinoma; ewing sarcoma; sarcoma; lung metastasis; infant; neuroblastoma; soft tissue sarcoma; surgical procedures, minimally invasive; thyroid cancer; rhabdomyosarcoma; nephroblastoma; neoplasms, glandular and epithelial; surgical stapling; child health care; pediatric surgery; pulmonary surgical procedures; hepatoblastoma; neoplasms, complex and mixed |
| Journal Title: | Thoracic Surgery Clinics |
| Volume: | 16 |
| Issue: | 2 |
| ISSN: | 1547-4127 |
| Publisher: | W.B. Saunders Co-Elsevier Inc. |
| Date Published: | 2006-05-01 |
| Start Page: | 167 |
| End Page: | 183 |
| Language: | English |
| DOI: | 10.1016/j.thorsurg.2006.01.001 |
| PUBMED: | 16805206 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 8" - "Export Date: 4 June 2012" - "CODEN: TSCHC" - "Source: Scopus" |
