Laparoscopic surgery for neuroblastoma identified by mass screening
Most neuroblastomas identified by mass screening are clearly different from the clinically diagnosed tumors with respect to biology, epidemiology, and outcome. Because the neuroblastomas detected by mass screening have favorable biological features (97% survival rate at 5 years), aggressive surgery...
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Veröffentlicht in: | Journal of pediatric surgery 1996-03, Vol.31 (3), p.385-388 |
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creator | Yamamoto, Hirotoshi Yoshida, Mitsuhiro Sera, Yoshihisa |
description | Most neuroblastomas identified by mass screening are clearly different from the clinically diagnosed tumors with respect to biology, epidemiology, and outcome. Because the neuroblastomas detected by mass screening have favorable biological features (97% survival rate at 5 years), aggressive surgery may not be appropriate for such tumors. Laparoscopic adrenalectomy was performed on a 9-month-old boy and two 8-month-old girls who had suitable lesions. The tumors were small ( |
doi_str_mv | 10.1016/S0022-3468(96)90743-5 |
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myc gene amplification. The patients have survived, with no evidence of recurrence or metastasis, through the follow-up period of 17 to 22 months.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/S0022-3468(96)90743-5</identifier><identifier>PMID: 8708908</identifier><identifier>CODEN: JPDSA3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Abdomen ; Adrenal Gland Neoplasms - surgery ; Adrenal Gland Neoplasms - urine ; Adrenalectomy - methods ; Biological and medical sciences ; Female ; Follow-Up Studies ; Homovanillic Acid - urine ; Humans ; Infant ; Infant, Newborn ; Laparoscopy - methods ; Male ; Medical sciences ; Neonatal Screening ; Neuroblastoma - surgery ; Neuroblastoma - urine ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Survival Analysis ; Treatment Outcome ; Vanilmandelic Acid - urine</subject><ispartof>Journal of pediatric surgery, 1996-03, Vol.31 (3), p.385-388</ispartof><rights>1996</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-1dee57d56fb027622ecf8cdeccbfd411d94f3b246ecada170d247600d4efaa893</citedby><cites>FETCH-LOGICAL-c507t-1dee57d56fb027622ecf8cdeccbfd411d94f3b246ecada170d247600d4efaa893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3468(96)90743-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3052172$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8708908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Hirotoshi</creatorcontrib><creatorcontrib>Yoshida, Mitsuhiro</creatorcontrib><creatorcontrib>Sera, Yoshihisa</creatorcontrib><title>Laparoscopic surgery for neuroblastoma identified by mass screening</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Most neuroblastomas identified by mass screening are clearly different from the clinically diagnosed tumors with respect to biology, epidemiology, and outcome. Because the neuroblastomas detected by mass screening have favorable biological features (97% survival rate at 5 years), aggressive surgery may not be appropriate for such tumors. Laparoscopic adrenalectomy was performed on a 9-month-old boy and two 8-month-old girls who had suitable lesions. The tumors were small (<20 mm in diameter). With the patients under general anesthesia, five trocars were placed in the abdomen. The abdominal wall traction method was used in addition to pneumoperitoneum. Intraabdominal pressure was maintained at below 4 mm Hg. The adrenal tumors were well encapsulated and completely excised, placed into a plastic bag, and removed through one of the 10-mm trocar sites. No lymphadenopathy was observed. The postoperative course was uneventful. The tumors were of favorable Shimada histology and had no N-
myc gene amplification. The patients have survived, with no evidence of recurrence or metastasis, through the follow-up period of 17 to 22 months.</description><subject>Abdomen</subject><subject>Adrenal Gland Neoplasms - surgery</subject><subject>Adrenal Gland Neoplasms - urine</subject><subject>Adrenalectomy - methods</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Homovanillic Acid - urine</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neonatal Screening</subject><subject>Neuroblastoma - surgery</subject><subject>Neuroblastoma - urine</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Vanilmandelic Acid - urine</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLxDAQgIMo67r6E4QeRPRQnaRN0p5EFl-w4EE9hzSZLJE-1qQV9t_bfbBXTwMz37w-Qi4p3FGg4v4DgLE0y0VxU4rbEmSepfyITCnPaMohk8dkekBOyVmM3wBjGuiETAoJRQnFlMwXeqVDF0238iaJQ1hiWCeuC0mLQ-iqWse-a3TiLba9dx5tUq2TRseYRBMQW98uz8mJ03XEi32cka_np8_5a7p4f3mbPy5Sw0H2KbWIXFouXAVMCsbQuMJYNKZyNqfUlrnLKpYLNNpqKsGyXAoAm6PTuiizGbnezV2F7mfA2KvGR4N1rVvshqhkAVLkbAPyHWjGz2JAp1bBNzqsFQW1kae28tTGjCqF2spTfOy73C8YqgbtoWtva6xf7es6Gl27oFvj4wHLgDMq2Yg97DAcZfx6DCoaj61B6wOaXtnO_3PIH9PijMk</recordid><startdate>19960301</startdate><enddate>19960301</enddate><creator>Yamamoto, Hirotoshi</creator><creator>Yoshida, Mitsuhiro</creator><creator>Sera, Yoshihisa</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960301</creationdate><title>Laparoscopic surgery for neuroblastoma identified by mass screening</title><author>Yamamoto, Hirotoshi ; Yoshida, Mitsuhiro ; Sera, Yoshihisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-1dee57d56fb027622ecf8cdeccbfd411d94f3b246ecada170d247600d4efaa893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Abdomen</topic><topic>Adrenal Gland Neoplasms - surgery</topic><topic>Adrenal Gland Neoplasms - urine</topic><topic>Adrenalectomy - methods</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Homovanillic Acid - urine</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neonatal Screening</topic><topic>Neuroblastoma - surgery</topic><topic>Neuroblastoma - urine</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Vanilmandelic Acid - urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Hirotoshi</creatorcontrib><creatorcontrib>Yoshida, Mitsuhiro</creatorcontrib><creatorcontrib>Sera, Yoshihisa</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Hirotoshi</au><au>Yoshida, Mitsuhiro</au><au>Sera, Yoshihisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic surgery for neuroblastoma identified by mass screening</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1996-03-01</date><risdate>1996</risdate><volume>31</volume><issue>3</issue><spage>385</spage><epage>388</epage><pages>385-388</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Most neuroblastomas identified by mass screening are clearly different from the clinically diagnosed tumors with respect to biology, epidemiology, and outcome. Because the neuroblastomas detected by mass screening have favorable biological features (97% survival rate at 5 years), aggressive surgery may not be appropriate for such tumors. Laparoscopic adrenalectomy was performed on a 9-month-old boy and two 8-month-old girls who had suitable lesions. The tumors were small (<20 mm in diameter). With the patients under general anesthesia, five trocars were placed in the abdomen. The abdominal wall traction method was used in addition to pneumoperitoneum. Intraabdominal pressure was maintained at below 4 mm Hg. The adrenal tumors were well encapsulated and completely excised, placed into a plastic bag, and removed through one of the 10-mm trocar sites. No lymphadenopathy was observed. The postoperative course was uneventful. The tumors were of favorable Shimada histology and had no N-
myc gene amplification. The patients have survived, with no evidence of recurrence or metastasis, through the follow-up period of 17 to 22 months.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>8708908</pmid><doi>10.1016/S0022-3468(96)90743-5</doi><tpages>4</tpages></addata></record> |
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subjects | Abdomen Adrenal Gland Neoplasms - surgery Adrenal Gland Neoplasms - urine Adrenalectomy - methods Biological and medical sciences Female Follow-Up Studies Homovanillic Acid - urine Humans Infant Infant, Newborn Laparoscopy - methods Male Medical sciences Neonatal Screening Neuroblastoma - surgery Neuroblastoma - urine Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Survival Analysis Treatment Outcome Vanilmandelic Acid - urine |
title | Laparoscopic surgery for neuroblastoma identified by mass screening |
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