Surgical approaches, anaesthetic management and outcome in pediatric superior mediastinal tumors
المؤلفون المشاركون
Rafat, Tariq
Hafiz, Hanafi
Ahmad, Jihad
Hijazi, Muhammad M.
Fadil, Sayyid
al-Shafii, Majid
المصدر
Journal of the Egyptian National Cancer Institute
العدد
المجلد 29، العدد 3 (30 سبتمبر/أيلول 2017)، ص ص. 147-153، 7ص.
الناشر
جامعة القاهرة المعهد القومي للأورام
تاريخ النشر
2017-09-30
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background: Pediatric superior mediastinal tumors are a heterogeneous group of tumors with marked variation in pathology and extension.
We reviewed our experience with different surgical approaches to tumors originating from or extending to superior mediastinum in pediatrics.
Patients and methods: The medical records of all patients who had undergone resection for superior mediastinal tumors in Children’s Cancer Hospital – Egypt, between January 2008 to December 2015, were reviewed for demographic data, clinico-pathological features, radiologic findings, operative techniques and outcome.
Results: The study included 20 patients.
Diagnosis included: germ cell tumors (n = 8), neuroblastoma (n = 4), soft tissue sarcoma (n = 3), thymolipoma (n = 2), infantile fibromatosis (n = 1), calcifying fibrous tumor (n = 1), and thymic carcinoma (n = 1).
Tumor extension was divided into tumors extending unilaterally to one hemithorax (n = 9), tumors extending bilaterally to both hemithoraces (n = 4), and cervico thoracic junction tumors (n = 7).
Extended lateral thoracotomy was used in 8 patients.
Other approaches included trapdoor (n = 5), clamshell (n = 4), cervical approach (n = 2) and double level lateral thoracotomy (n = 1).
There was no perioperative mortality, and postoperative morbidity was 20%.
At the end of December 2016, 15 patients were alive free of disease, 5 patients developed local and/ or distant relapse.
Conclusion: Pediatric superior mediastinal tumors could be divided into 3 groups according to tumor extension.
Each group has an optimum surgical approach that achieves the best exposure for adequate resection.
However, further research is needed to confirm the conclusion as this was a descriptive study and the sample size was too small for valid statistical analysis
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ahmad, Jihad& Hijazi, Muhammad M.& Rafat, Tariq& Hafiz, Hanafi& Fadil, Sayyid& al-Shafii, Majid. 2017. Surgical approaches, anaesthetic management and outcome in pediatric superior mediastinal tumors. Journal of the Egyptian National Cancer Institute،Vol. 29, no. 3, pp.147-153.
https://search.emarefa.net/detail/BIM-761423
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ahmad, Jihad…[et al.]. Surgical approaches, anaesthetic management and outcome in pediatric superior mediastinal tumors. Journal of the Egyptian National Cancer Institute Vol. 29, no. 3 (Sep. 2017), pp.147-153.
https://search.emarefa.net/detail/BIM-761423
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ahmad, Jihad& Hijazi, Muhammad M.& Rafat, Tariq& Hafiz, Hanafi& Fadil, Sayyid& al-Shafii, Majid. Surgical approaches, anaesthetic management and outcome in pediatric superior mediastinal tumors. Journal of the Egyptian National Cancer Institute. 2017. Vol. 29, no. 3, pp.147-153.
https://search.emarefa.net/detail/BIM-761423
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 152-153
رقم السجل
BIM-761423
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر