Rhabdomyosarcoma surgery: Difference between revisions

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==Surgery==
==Surgery==
Surgery to remove the tumor is often difficult or impossible because the tumor is usually embedded deep within the tissue, leaving it difficult to reach. If a tumor presents itself in the extremities, amputation is often necessary to improve survival. If there is no evidence of metastasis, surgery combined with chemotherapy and radiation offer the best prognosis. Patients whose tumors have metastasized usually have a poor chance for long-term survival. In patients who began treatment before metastasis, the prognosis is better, although the disease is generally incurable because the tumors that cannot be surgically removed tend to spread.
*Surgery to remove the tumor is often difficult or impossible because the tumor is usually embedded deep within the tissue, leaving it difficult to reach.  
*If a tumor presents itself in the extremities, amputation is often necessary to improve survival.  
*If there is no evidence of [[metastasis]], surgery combined with [[chemotherapy]] and [[radiation]] offer the best prognosis.  
*Patients whose tumors have metastasized usually have a poor chance for long-term survival.
 
 
 
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+ '''Surgery for rhabdomyosarcoma'''
! style="background: #4682B4; color:#FFF;" | Location
! style="background: #4682B4; color:#FFF;" | Symptoms
|-
| style="padding: 5px 5px; background: #B8B8B8;" | Head and neck
| style="padding: 5px 5px; background: #B8B8B8;" | Wide local excision; chemotherapy +/- Radiation therapy
|-
| style="padding: 5px 5px; background: #B8B8B8;" | Bone around the eye
| style="padding: 5px 5px; background: #B8B8B8;" | Biopsy; Chemotherapy + Raditherapy
|-
| style="padding: 5px 5px; background: #B8B8B8;" | Extremities
| style="padding: 5px 5px; background: #B8B8B8;" | Wide local excision; Resection of nearby lymph nodes; Amputation for extensive tumors
|-
| style="padding: 5px 5px; background: #B8B8B8;" | Abdomen
| style="padding: 5px 5px; background: #B8B8B8;" |
|-
| style="padding: 5px 5px; background: #B8B8B8;" | Abdomen or pelvis
| style="padding: 5px 5px; background: #B8B8B8;" | Neoadjvant therapy with chemotherapy and radiotherapy; Wide local excision
|-
| style="padding: 5px 5px; background: #B8B8B8;" | Paratesticular region
| style="padding: 5px 5px; background: #B8B8B8;" | Remaoval of testes and spermatic cord; Ipsilateral retroperitoneal lymphnode resection
|}


==References==
==References==

Revision as of 19:59, 4 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

  • Surgery to remove the tumor is often difficult or impossible because the tumor is usually embedded deep within the tissue, leaving it difficult to reach.
  • If a tumor presents itself in the extremities, amputation is often necessary to improve survival.
  • If there is no evidence of metastasis, surgery combined with chemotherapy and radiation offer the best prognosis.
  • Patients whose tumors have metastasized usually have a poor chance for long-term survival.


Surgery for rhabdomyosarcoma
Location Symptoms
Head and neck Wide local excision; chemotherapy +/- Radiation therapy
Bone around the eye Biopsy; Chemotherapy + Raditherapy
Extremities Wide local excision; Resection of nearby lymph nodes; Amputation for extensive tumors
Abdomen
Abdomen or pelvis Neoadjvant therapy with chemotherapy and radiotherapy; Wide local excision
Paratesticular region Remaoval of testes and spermatic cord; Ipsilateral retroperitoneal lymphnode resection

References

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