逆皮质软组织肉瘤和脏自移植:一个案例报告
S N Hakkesteegt1,2, C A J Oudmaijer3,4,5, L J Jeletich3,4
1Department of Surgical Oncology, Erasmus MC Cancer Institute Erasmus University Medical Center Rotterdam The Netherlands.
Clinical case reports
|January 14, 2025
概括
脏自移植可以在患有脏的逆肌软组织肉瘤 (RPS) 的患者中保持功能. 这种手术方法可以实现治愈切除,同时避免透析和免疫抑制.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 复原皮质软组织肉瘤 (RPS) 是一种罕见的恶性瘤,往往是晚诊断的.
- 完整切除对于生存至关重要,但由于靠近重要器官而具有挑战性.
- 脏干扰需要脏切除术,冒着功能障碍和相关的发病风险.
研究的目的:
- 呈现一个涉及唯一功能脏的逆皮质软组织肉瘤病例.
- 为了说明脏自移植在RPS切除期间保持功能时的实用性.
主要方法:
- 一名61岁的女性患有大型RPS,包围着她唯一能正常工作的脏,接受了EN-BLOC切除.
- 在新辅助化疗后,进行脏自移植以保持功能.
- 术后管理包括解决诸如肺炎和肠道阻塞等并发症.
主要成果:
- 在1年的随访期间,该患者仍然没有患病.
- 自身移植成功地保持了功能,避免了透析和免疫抑制.
- 尽管手术后出现了并发症,但患者取得了良好的瘤治疗结果.
结论:
- 脏自移植是针对涉及脏的RPS患者的一个可行的选择,可以预防治疗诱导的功能衰竭.
- 这种技术允许治疗切除,同时保持功能.
- 在决定自移植时,仔细考虑复发风险与发病率至关重要.
相关概念视频
Kidney Transplant I: Introduction
827
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
827
Kidney Transplant II: Surgical Procedure
926
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
926
Kidney Transplant III: Nursing Management
631
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
631


