[Treatment of pleural metastases in an interdisciplinary concept].

Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01

D Branscheid, H Bischoff, C Branscheid, I Vogt-Moykopf

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Abstract

A retrospective examination involved 414 patients (260 m, 154 w, mean 60 y) with pleural metastasis/pleural effusion of the following primary tumors: 37.2% bronchogenic (23.2% malignant pl. mesothelioma), 14.5% breast, 8.7% adeno-ca (unknown primary) 2.4% gastrointestinal, 2.2% uterus/ovar, and 11.8% others. Thoracoscopy with histologic confirmation played a central role in our diagnostic procedures in 97% of the cases. Malignancy was defined by CEA (less than 5 mg/ml) (71.9%) and cytology (76.9%) in 90.4%. Our strategy had the following success rate: desiccation by pleural drainage (greater than 26 Charr) alone 74%, in combination with pleurodesis 81%, pleurectomy/decortication 95%, and extended pleuropneumonectomy (in 80% mesothelioma) 96%.

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[跨学科概念的胸膜转移治疗]。

回顾性检查涉及414例(260米，154米，平均60岁)胸膜转移/胸膜积液的原发肿瘤:37.2%支气管源性(23.2%恶性间皮瘤)，14.5%乳腺，8.7%腺癌(原发未知)，2.4%胃肠道，2.2%子宫/卵巢，11.8%其他。胸腔镜与组织学确认在我们97%的病例诊断过程中发挥了核心作用。恶性肿瘤由CEA(小于5 mg/ml)(71.9%)和细胞学(76.9%)(90.4%)确定。我们的策略有以下的成功率:单独胸膜引流干燥(大于26 Charr) 74%，联合胸膜切除术81%，胸膜切除术/去皮95%，扩展胸膜肺切除术(80%间皮瘤)96%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress

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