PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 2098283

[Second look operation from the current viewpoint].

H Janisch
View original source ↗Export metadata ↓

Abstract

Tumor reduction or elimination during primary surgery is the most important goal to aim at. Platinum-containing poly-chemotherapies led to an increase in remissions. However, highly advanced technologies (computed tomography, ultrasonography, nuclear magnetic resonance) and combined analysis of tumor markers are not sensitive enough to evaluate tumor-free status. A false-positive rate up to 33% at the time of second-look surgery was assessed in patients in clinical complete remission. Therapeutic second-look surgery with the purpose of tumor reduction is not capable to prolong the patient's survival time. Therefore, second-look surgery is limited to a diagnostic procedure, resulting in an objective assessment of newly developed therapy strategies.

Explore related subjects

Combined Modality TherapyFemaleFollow-Up StudiesHumansOvarian NeoplasmsPostoperative ComplicationsReoperationSurvival RateEnglish AbstractJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

H Janisch. 1990. [Second look operation from the current viewpoint].. https://pubmed.ncbi.nlm.nih.gov/2098283/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1992

[Meningeal melanocytoma or multiple pigmented meningioma of the spinal canal. Report of a case. Review of the literature].

In a 64-year-old male with pain and weakness of the right lower limb, investigations disclosed a cervical tumor, several dorsal tumors, and tumoral infiltration of the lumbosacral area. Histological and, above all, immunohistochemical and ultrastructural features were suggestive of meningeal melanocytoma. Before the use of immunohistochemical and electron microscopy techniques, meningeal melanocytoma was designated by the term pigmented meningioma because its histological features bear some resemblance to those of meningioma. However, only a few cases of meningeal melanocytoma have been documented by immunohistochemistry and electron microscopy. Previously reported patients with meningeal melanocytoma had solitary tumors. In contrast, a review of the literature showed that multiple intraspinal or intraspinal and intracranial meningiomas are not exceptional, although meningiomatous infiltration is considerably less frequent. Treatment of such cases rests on surgery, radiotherapy, and chemoimmunotherapy.

Combined Modality Therapy↗
PubMed1992

[Importance of prognostic factors in the prognosis of cancer of the endometrium].

126 stage I and II endometrial cancer patients were followed up for at least 5 years to evaluate the impact of surgical-pathological risk factors on the survival. Out of the prognostic variables evaluated the age and clinical stage failed to influence the 5-year survival rate. The effect on survival of factors such as low grade of differentiation and the depth of myometrial infiltration was however significant, (p < 0.01 and p < 0.001 respectively). The early local recurrence has also significant negative prognostic value (p < 0.05). This latter can be effectively prevented through the prehysterectomy suture of the external cervical os. On the basis of their findings authors suggest to consider the grade and the depth of myometrial invasion beside the clinical stage at the determination of the extension of the surgical procedure and at the decision on the administration of postoperative irradiation.

Combined Modality Therapy↗