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Beitrag der Chirurgie zur Therapie des Neuroblastoms

Evaluation of the role of surgery in the current management of neuroblastoma

  • Themenschwerpunkt: “Aktuelles in der Kinderchirurgie”
  • Published:
Acta Chirurgica Austriaca Aims and scope Submit manuscript

Zusammenfassung

Im Zeitraum 1989 bis Februar 1992 wurden 21 Patienten mit Neuroblastom einer chirurgischen Therapie unterzogen. Entsprechend dem heute gültigen Therapiekonzept wurden Patienten mit lokalisiertem Tumor primär chirurgisch behandelt, während höhere Tumorstadien primär chemotherapiert und die chirurgische Therapie verzögert oder als Second-look-Eingriff erfolgte. Insgesamt bleibt die Rolle der chirurgischen Therapie beim Neuroblastom noch unklar. Wichtig für die Gesamttherapie ist ein einheitliches Staging-System, in das die von der Chirurgie gelieferten Parameter einfließen sollten. Neue Techniken, wie die Ultraschalldissektion, zur Verbesserung der operativen Ergebnisse werden erprobt.

Summary

In the period from 1989 to February 1992 21 patients underwent surgical procedures for neuroblastoma. According to the present concept of treatment it is recommended that patients with localized tumor undergo a resection, where as with more advanced tumor, after chemotherapy, delayed surgery and second-look operations are suggested. All in all, the role of surgery in treatment of neuroblastoma remains still unclear. Important for the overall treatment is a uniform staging system, into which the parameters provided by surgery should be incorporated. New techniques such as ultrasound dissection for the improvement of operation results will be studied and tested.

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Authors and Affiliations

  1. Kinderchirurgische Abteilung, Donauspital im Sozialmedizinischen Zentrum Ost, Langobardenstraße 122, A-1220, Wien

    W. Pumberger & E. Horcher

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  1. W. Pumberger
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  2. E. Horcher
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Pumberger, W., Horcher, E. Beitrag der Chirurgie zur Therapie des Neuroblastoms. Acta Chir Austriaca 25, 395–398 (1993). https://doi.org/10.1007/BF02602154

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  • DOI: https://doi.org/10.1007/BF02602154

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