Alcance y tendencias de la cirugía oncológica
Resumen
La cirugía es uno de los métodos terapéuticos capaz de curar una gran variedad de tumores malignos ya sea sola o combinada con otros métodos como la radioterapia, la quimioterapia y la inmunoterapia.
En realidad, estos diversos tratamientos no son competitivos sino más bien complementarios como se observa en la tendencia actual a utilizarlos en diferentes combinaciones (1,2).
Cuando el chance de curación es similar al usarlos solos se adopta un determinado tratamiento en base a factores secundarios tales como edad, sitio de residencia, tipo de trabajo, secuelas, calidad de sobrevida e incluso costo del tratamiento.
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1. BUTCHER, H. R.: Surgery of cáncer. In Ackerman L. V., del Regato J,: Cáncer diagnosis and treatment, ed. 5, St. Louis, Mosbv, Co., 1970, pp. 69-73.
2. GENIN, J., WEILER, J.: Place et role de la chirurgie dans les traitements des cancers. Rev. Prat, 20 (27): 4215-4220, 1970.
3. MORTON, D.L.: Changing Concepts of Cáncer Surgery: Surgery as Immunotherapy. Am. J. Surg. 135(3): 367-371, 1978.
4. FISHER, B.: New concepts in the Treatment of Breast Cáncer. Israel J. Med. Sci. 17(9—10) 911-915,1981.
5. ELIAS, E.G.: The Surgical Oncologist. Surg. Gynecol. Obstet. 150(1); 83-84,1980.
6. GUISS, L.W.: The Surgical Oncologist. Cáncer 39(2): 419-421,1977.
7. DENOIX, P.: Nouvelles tendences dans le diagnostic et le traitement des cancers. Rev.Prat. 20(27) :4201 —4214,1970.
8. SU G A R B A K E R , É., KETCHAM, A. S.: Mechanisms and Prevention of Cáncer Dissemination: An Overview. Sem. Oncol. 4(1): 19-32,1977.
9. DENOIX, P.: La Maldie Cancéreuse Ed. I,Bailliere & Fils Ed., Paris 1968, pp.; 109—117.
10. ALL ISON , J.G.: The Role of Surgery in the Management of Lymphoma. JA|VIA 246(24) 2843-2848,1981.
11. LACOUR, J„ GENIN, J„ MICHEL, G„ LASSER, P., PETIT, J-Y., APELBAUM, H., G E R A R D MARCHANT, R., WE ILLER , J., . ROD A R Y , C„ CATALOGNE, G.: La place de la chirurgie dans la maladie de Hodgkin. Chirurgie 102(4) :278-287, 1976. ,
12. BLA CK LEDGE , G„ BEST, J.J.F., CROW100 THER, D., ISHÉRWOOD, I.: Computed Tomography ¡n the staging of patients wíth Hodkgin’s Disease: A Report on 136 Patients Clin. Radíology 31:143-147, 1980.
13. HEIFETZ, L. J., FUL LER, L.M., RODGERS, R.W., MARTIN, R. G., BUTLER, J. J., n o r t h b .v Ga m b l e , j . f ., s h u l l e n b e r - GER, C.C.: Laparotomy Findings in Lymphangiogram- staged I and II Ñon—Hodgkin's Lymphomas. Cáncer 45(11): 2778—2786, 1980.
14. COHEN, M.H., SCHOÜR, L., F E L IX, E.L., BERN STEIN A. D„ CHRETIEN, P. B„ROSÉNBERG, S.A., KETCHAM, A.S.: Staging Laparotomy in the Treátment of Metastatic Melanoma of the Lower Éxtremities. Ann. Surg. 182(6): 710-714,1975.
15. SMITH, J. P., DELGADO, G„ RUTLEDGE, F.: Second—Look Operation in Ovarían Carcinoma. Cáncer 38(9): 1438—1442,1976.
16. EINHORN, L.H., WILLIAMS, S. D„ MANDELBAUM, I., DONOHUE, J.P.: Surgical Resection in Disseminated Testicular Cáncer Following Chemotherapeutic Cytoredúction. Cáncer 48(4): 904-908, 1981.
17. LEWIS, E., BERN ARDINO , M.E.V S A L V A DOR, P. G. C A B A N IL LA S , F.F., BARNES, P.A., THOMAS, J. L.: The Postiherapy CT Detected Mass in Lymphoma Patients: Is it a Viable Tissue? M.D. Anderson Hospitaland Tumor Institute. En prensa.
18. ATTIYEH, F. F., STEARNS, M.W.: Second Look Laparotomy on CEA Elevations in Colorectal Cáncer. Cáncer 47(9): 2119—2125,1981.
19. BERTELSEN, C.A., KERN, D.H., K AISER, L.R., MANN, B. D., HOLMES, E. C., NORTON, D. L.: Biopsy of Thoracic Neoplasms for Assay of Chemosensitivity. New indicátion for Thoracotomy. Arch. Surg. 118(9) .1074— 1076,1983.
20. SI LBERMAN , Á.W.: Surgical Debulking ofTumors. Surg. Gynecol. Obstet. 155(10):577585,1982; - -
21. M ER R IN , C., T AK IT A, H.: Cáncer Reductive Surgery, Carícer 42:495—501,1978.
22. G R IF F ITH S , C.T., FU L LER, A.F.: Intensive Surgical and Chémotherapeutic Management of Advanced Óvarian Cáncer. Surg. Clin. North. Am. 58:131-142, 1978.
23. M AGRATH, L„ LEE, Y.J., AN DERSON , T.: Prognostic Factors in Burkitt's Lymphoma; Importance of Total Tumor Burden. Cáncer 45:1507-1515,1980.
24. WALKER , M.D., GREEN, S.B., BYAR, D.P.: Randomized Comparisons of Radiotherapy and Nitrosoureas for the Tréatment of Malignant Glioma after Surgery. N. Eng. J. Méd. 303:1323,1980.
25. R EINHOLD, R.B., LOKICH, J. J.: Electrocoagulation: Palliative Surgery to Control Metastatic Cutaneous Malignancy. J. Surg. Oncology 11:2 0 7 -2 1 2 ,1979.
26. A R IY A N , S., CUONO, C. B.: Myocutaneous Flaps for Head and Neck Reconstruction. Head & Neck Surg. 2(2):321^345, 1980.
27. PANJE, W„ CUTTING, C.: Trapezius Osteomyocutaneous Island Flap for Reconstruction of the Anterior Floor of the Mouth and Mandible. Head & Neck Surg. 3:66-71,1980.
28. PANJE, W.R.: Free Flaps Versus Myocutaneous Flaps in Reconstruction of the Head and Neck. Otolaryngol. Clin. North Am. 15(1)111-121,1982.
29. G LU C KM A N ' J.L., MCDONOUGH, J„ DONEGAN, J. O.: The Toll of the Free Jejunal Graft in Reconstruction of the Pharynx and Cervical Esophagus. Head & Neck Surg. 4(5): 360-369,1982. 101
30. KORNBLUT, A.D., STA R K , T.W., VAP, J.G., DE FRIES, H.O.: The Role of Autógrafas, Homografts, Heterografts and Allóplastic Implants in Reconstructive Head and Neck Surgery. Otolaryngol. Clin. North Am. 15(1): 147-157, 1982.
31. WATTS, G.T.: Restorative Prosthetic Mammaplasty in Mastectomy for Carcinoma and Benign Lesions. Clin. Plástic Surg. 3(2): 177-191, 1976.
32. MARCOVE, R.C.: The Surgery of Tumors of Bone and Cartilage. Ed. 1, New York: Gruñe & Stratton Inc., 1981, pp 53—58.
33. FORTNER, J. G„ KIM, D.K., SHIU, M. H.: Limb—preserving Vascular Surgery for Malignant Tumors of the Lower Extremity. Arch. Surg. 112(4): 391-394,1977.
34. ESCHAPASSE;, H„ G A IL LA R D , J„ HENRY, F., FOURNIAL, G., BERTHOUMIEU, F„ DE SR EZ X.: Repair of Large Chest Wall Defects: Experience with 23 Patients. Ann.
35. MCCORMACK, P.M., M A R T IN I, N.: The Thorac. Surg. 3 2 (4):329-336,1981. Changing Role of Surgery for Pulmonary Metastases.Ann. Thorac. Surg. 28(2): 1 3 9 - 145, 1979.
36. H ILA R IS , B.S., MARTINI, N„ BATATA, M„ BEATTIE, E. J.: Interstitial Irradiation for Unresectable Carcinoma of the Lung. Ann. Thorac. Surg. 20(5): 491-500,1975.
37. WOOD, W.C., SHIPLEY, W.U., GUNDERSON, L.L., COHEN, Am.M., NA RDI, G. L.: Intraoperative Irradiation for Unresectable Pancreatic Carcinoma. Cáncer 49(6): 1 2 7 2 - 1275,1982.
38. RICHARD, J.M., SANCHO, H„ LEPINTRE, Y., RO D A R Y , J.: Intra-arterial Methotrexate Chemotherapy and Telecobalt Therapy in Cáncer of the Oral Cavity and Oropharynx.Cáncer 34(31:491-496,1974.
39. MORTON, D.: Comunicación al Primer Congreso Latinoamericano de Oncología Clínica, Lima, 1983.
40. HOLLEB, A.I.: The Many Faces of Surgical Oncology. Cáncer 47(9):2172—2176, 1981.
2. GENIN, J., WEILER, J.: Place et role de la chirurgie dans les traitements des cancers. Rev. Prat, 20 (27): 4215-4220, 1970.
3. MORTON, D.L.: Changing Concepts of Cáncer Surgery: Surgery as Immunotherapy. Am. J. Surg. 135(3): 367-371, 1978.
4. FISHER, B.: New concepts in the Treatment of Breast Cáncer. Israel J. Med. Sci. 17(9—10) 911-915,1981.
5. ELIAS, E.G.: The Surgical Oncologist. Surg. Gynecol. Obstet. 150(1); 83-84,1980.
6. GUISS, L.W.: The Surgical Oncologist. Cáncer 39(2): 419-421,1977.
7. DENOIX, P.: Nouvelles tendences dans le diagnostic et le traitement des cancers. Rev.Prat. 20(27) :4201 —4214,1970.
8. SU G A R B A K E R , É., KETCHAM, A. S.: Mechanisms and Prevention of Cáncer Dissemination: An Overview. Sem. Oncol. 4(1): 19-32,1977.
9. DENOIX, P.: La Maldie Cancéreuse Ed. I,Bailliere & Fils Ed., Paris 1968, pp.; 109—117.
10. ALL ISON , J.G.: The Role of Surgery in the Management of Lymphoma. JA|VIA 246(24) 2843-2848,1981.
11. LACOUR, J„ GENIN, J„ MICHEL, G„ LASSER, P., PETIT, J-Y., APELBAUM, H., G E R A R D MARCHANT, R., WE ILLER , J., . ROD A R Y , C„ CATALOGNE, G.: La place de la chirurgie dans la maladie de Hodgkin. Chirurgie 102(4) :278-287, 1976. ,
12. BLA CK LEDGE , G„ BEST, J.J.F., CROW100 THER, D., ISHÉRWOOD, I.: Computed Tomography ¡n the staging of patients wíth Hodkgin’s Disease: A Report on 136 Patients Clin. Radíology 31:143-147, 1980.
13. HEIFETZ, L. J., FUL LER, L.M., RODGERS, R.W., MARTIN, R. G., BUTLER, J. J., n o r t h b .v Ga m b l e , j . f ., s h u l l e n b e r - GER, C.C.: Laparotomy Findings in Lymphangiogram- staged I and II Ñon—Hodgkin's Lymphomas. Cáncer 45(11): 2778—2786, 1980.
14. COHEN, M.H., SCHOÜR, L., F E L IX, E.L., BERN STEIN A. D„ CHRETIEN, P. B„ROSÉNBERG, S.A., KETCHAM, A.S.: Staging Laparotomy in the Treátment of Metastatic Melanoma of the Lower Éxtremities. Ann. Surg. 182(6): 710-714,1975.
15. SMITH, J. P., DELGADO, G„ RUTLEDGE, F.: Second—Look Operation in Ovarían Carcinoma. Cáncer 38(9): 1438—1442,1976.
16. EINHORN, L.H., WILLIAMS, S. D„ MANDELBAUM, I., DONOHUE, J.P.: Surgical Resection in Disseminated Testicular Cáncer Following Chemotherapeutic Cytoredúction. Cáncer 48(4): 904-908, 1981.
17. LEWIS, E., BERN ARDINO , M.E.V S A L V A DOR, P. G. C A B A N IL LA S , F.F., BARNES, P.A., THOMAS, J. L.: The Postiherapy CT Detected Mass in Lymphoma Patients: Is it a Viable Tissue? M.D. Anderson Hospitaland Tumor Institute. En prensa.
18. ATTIYEH, F. F., STEARNS, M.W.: Second Look Laparotomy on CEA Elevations in Colorectal Cáncer. Cáncer 47(9): 2119—2125,1981.
19. BERTELSEN, C.A., KERN, D.H., K AISER, L.R., MANN, B. D., HOLMES, E. C., NORTON, D. L.: Biopsy of Thoracic Neoplasms for Assay of Chemosensitivity. New indicátion for Thoracotomy. Arch. Surg. 118(9) .1074— 1076,1983.
20. SI LBERMAN , Á.W.: Surgical Debulking ofTumors. Surg. Gynecol. Obstet. 155(10):577585,1982; - -
21. M ER R IN , C., T AK IT A, H.: Cáncer Reductive Surgery, Carícer 42:495—501,1978.
22. G R IF F ITH S , C.T., FU L LER, A.F.: Intensive Surgical and Chémotherapeutic Management of Advanced Óvarian Cáncer. Surg. Clin. North. Am. 58:131-142, 1978.
23. M AGRATH, L„ LEE, Y.J., AN DERSON , T.: Prognostic Factors in Burkitt's Lymphoma; Importance of Total Tumor Burden. Cáncer 45:1507-1515,1980.
24. WALKER , M.D., GREEN, S.B., BYAR, D.P.: Randomized Comparisons of Radiotherapy and Nitrosoureas for the Tréatment of Malignant Glioma after Surgery. N. Eng. J. Méd. 303:1323,1980.
25. R EINHOLD, R.B., LOKICH, J. J.: Electrocoagulation: Palliative Surgery to Control Metastatic Cutaneous Malignancy. J. Surg. Oncology 11:2 0 7 -2 1 2 ,1979.
26. A R IY A N , S., CUONO, C. B.: Myocutaneous Flaps for Head and Neck Reconstruction. Head & Neck Surg. 2(2):321^345, 1980.
27. PANJE, W„ CUTTING, C.: Trapezius Osteomyocutaneous Island Flap for Reconstruction of the Anterior Floor of the Mouth and Mandible. Head & Neck Surg. 3:66-71,1980.
28. PANJE, W.R.: Free Flaps Versus Myocutaneous Flaps in Reconstruction of the Head and Neck. Otolaryngol. Clin. North Am. 15(1)111-121,1982.
29. G LU C KM A N ' J.L., MCDONOUGH, J„ DONEGAN, J. O.: The Toll of the Free Jejunal Graft in Reconstruction of the Pharynx and Cervical Esophagus. Head & Neck Surg. 4(5): 360-369,1982. 101
30. KORNBLUT, A.D., STA R K , T.W., VAP, J.G., DE FRIES, H.O.: The Role of Autógrafas, Homografts, Heterografts and Allóplastic Implants in Reconstructive Head and Neck Surgery. Otolaryngol. Clin. North Am. 15(1): 147-157, 1982.
31. WATTS, G.T.: Restorative Prosthetic Mammaplasty in Mastectomy for Carcinoma and Benign Lesions. Clin. Plástic Surg. 3(2): 177-191, 1976.
32. MARCOVE, R.C.: The Surgery of Tumors of Bone and Cartilage. Ed. 1, New York: Gruñe & Stratton Inc., 1981, pp 53—58.
33. FORTNER, J. G„ KIM, D.K., SHIU, M. H.: Limb—preserving Vascular Surgery for Malignant Tumors of the Lower Extremity. Arch. Surg. 112(4): 391-394,1977.
34. ESCHAPASSE;, H„ G A IL LA R D , J„ HENRY, F., FOURNIAL, G., BERTHOUMIEU, F„ DE SR EZ X.: Repair of Large Chest Wall Defects: Experience with 23 Patients. Ann.
35. MCCORMACK, P.M., M A R T IN I, N.: The Thorac. Surg. 3 2 (4):329-336,1981. Changing Role of Surgery for Pulmonary Metastases.Ann. Thorac. Surg. 28(2): 1 3 9 - 145, 1979.
36. H ILA R IS , B.S., MARTINI, N„ BATATA, M„ BEATTIE, E. J.: Interstitial Irradiation for Unresectable Carcinoma of the Lung. Ann. Thorac. Surg. 20(5): 491-500,1975.
37. WOOD, W.C., SHIPLEY, W.U., GUNDERSON, L.L., COHEN, Am.M., NA RDI, G. L.: Intraoperative Irradiation for Unresectable Pancreatic Carcinoma. Cáncer 49(6): 1 2 7 2 - 1275,1982.
38. RICHARD, J.M., SANCHO, H„ LEPINTRE, Y., RO D A R Y , J.: Intra-arterial Methotrexate Chemotherapy and Telecobalt Therapy in Cáncer of the Oral Cavity and Oropharynx.Cáncer 34(31:491-496,1974.
39. MORTON, D.: Comunicación al Primer Congreso Latinoamericano de Oncología Clínica, Lima, 1983.
40. HOLLEB, A.I.: The Many Faces of Surgical Oncology. Cáncer 47(9):2172—2176, 1981.
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2017-07-07
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Pacheco Ojeda L. Alcance y tendencias de la cirugía oncológica. Rev Fac Cien Med (Quito) [Internet]. 7 de julio de 2017 [citado 2 de mayo de 2024];8(1-2):93-101. Disponible en: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/521
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