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Cancer Broncho-Pulmonaire Avec Envahissement Vertébral by Le Roux-M

Cancer Broncho-Pulmonaire Avec Envahissement Vertébral

by Le Roux-M
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Book cover type: Paperback
  • ISBN13: 9783841625519
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Omniscriptum
  • Publisher Imprint: Omniscriptum
  • Publication Date:
  • Pages: 112
  • Original Price: GBP 49.0
  • Language: French
  • Edition: N/A
  • Item Weight: 177 grams
  • BISAC Subject(s): General

La place de la chirurgie est controversée dans le traitement des cancers bronchiques localement avancés. Ce travail a porté sur une cohorte de 20 patients opérés d'un cancer bronchique avec envahissement vertébral de 2000 à 2010. L'objectif principal était d'étudier la survie à long terme et d'en identifier les facteurs pronostiques. Les patients ont tous été opérés d'une lobectomie avec curage radical associée à une corporectomie totale (7), partielle (7), une résection du foramen intervertébral (3) ou de l'apophyse transverse (3); après induction par radiothérapie (20%) ou radio-chimiothérapie (70%). La mortalité opératoire était de 5%. 10 patients ont récidivé, localement (10%) ou à distance (40%). La survie globale à 5 ans était de 30,3% avec une médiane de survie de 33 mois. Le caractère complet de la résection, la réponse complète à l'induction, la taille tumorale après induction et le délai du diagnostic à la chirurgie ont été identifiés comme facteurs pronostiques. La chirurgie des cancers bronchiques avec envahissement vertébral, au sein d'un traitement multidisciplinaire réalisé dans des centres spécialisés, permet des survies prolongées chez des patients sélectionnés.

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