Aggressive and frequent resection of recurrences in retroperitoneal sarcoma contributes to long-term survival

Kono, Koji; Tsukushi, Satoshi; Yoshida, Masahiro; Kinoshita, Takashi; Oshiro, Taihei; Ouch, Akira; Ito, Seiji; T, Abe; Misawa, Kazunari; Ito, Y.; Natsume, Seiji; Higaki, Eiji; Okuno, Masataka; Hosoi, Takahiro; Kawakatsu, Shoji; Kunitomo, Aina; Oki, Satoshi; Suenaga, Yasuhito; Maeda, Shingo; Nagao, Takuya; Dei, Hideyuki; Numata, Yoshihisa; Aritake, Tsukasa; Tawada, Kakeru; Shimizu, Yasuhiro

doi:10.1007/s00423-020-02062-z

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…The significance of repeated PM resection remains to be unclear. To the best of our knowledge, there is only one case report, by Komori et al, in which aggressive resection for repeated PM from CRC was performed (26). The patient underwent surgical resection of a descending colon cancer and subsequently underwent four surgical resections for metachronous limited PM (DFI : 10, 9, 35, and 7 months).…”

Section: Discussionmentioning

confidence: 99%

Long-term survivor who underwent surgical resections of repeated peritoneal oligometastases from colon cancer : a rare case report

et al. 2022

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A 74-year-old woman underwent right hemicolectomy and partial ileal resection for ascending colon cancer with synchronous peritoneal metastasis. Histopathological examination showed moderately differentiated adenocarcinoma with mucinous component, pT4b N3 M1, and Stage IV. Postoperative chemotherapy comprising 36 courses of mFOLFOX6 with bevacizumab was administered. Twenty-two months after the surgery, computed tomography (CT) revealed a 20 mm nodular lesion adjacent to the gastric wall, and laparoscopic resection of the nodule was performed. Thirty-nine months after the second surgery, CT showed a 24 mm nodular lesion involving the liver parenchyma, and partial hepatectomy involving the nodule was performed. Histopathological examination of the nodules resected by the second and third surgeries showed the same features as the primary ascending colon cancer. The nodules were diagnosed as metachronous peritoneal metastases. The patient followed up without chemotherapy after the second and third surgery, showed no recurrence for 26 months after the third surgery. Fortunately, more than 7 years have passed since the primary tumor resection. Hence, surgical resection for synchronous and repeated metachronous peritoneal oligometastases from colon cancer can offer long-term survival.

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Section: Discussionmentioning

confidence: 99%

Long-term survivor who underwent surgical resections of repeated peritoneal oligometastases from colon cancer : a rare case report

et al. 2022

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“…Reoperation remains the first treatment option for the local recurrence of RPLS ( 26 ), and surgery can be performed repeatedly if necessary. However, debate remains as to the indications for, and timing of, surgery after recurrence ( 18 , 27 , 28 ).…”

Section: Introductionmentioning

confidence: 99%

Prediction of intraoperative bleeding and blood transfusion in patients with recurrent retroperitoneal liposarcoma: a retrospective study

Liu¹,

Zou²,

Tang³

et al. 2022

Ann Transl Med

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Background: Surgery is the main treatment for recurrent retroperitoneal liposarcoma (RPLS). The aim of the present study was to explore the factors associated with blood loss during surgery for recurrent RPLS.Methods: This retrospective study included patients with first recurrence of RPLS who were treated at our hospital between January 2015 and December 2019. Factors associated with intraoperative blood loss were identified by univariate and multivariate logistic regression analyses. Receiver-operating characteristic (ROC) curve analyses were conducted to evaluate whether tumor size and number of tumor-containing abdominal/ pelvic zones were predictive of the need for blood transfusion. Results:The study included 67 cases. The number of zones containing tumors was 1 in 4 cases (6%), 2 in 36 cases (53.7%), 3 in 14 cases (20.9%), and 4 in 13 cases (19.4%). Tumor size was associated with blood loss >500 mL

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Aggressive and frequent resection of recurrences in retroperitoneal sarcoma contributes to long-term survival

Cited by 2 publications

References 19 publications

Long-term survivor who underwent surgical resections of repeated peritoneal oligometastases from colon cancer : a rare case report

Long-term survivor who underwent surgical resections of repeated peritoneal oligometastases from colon cancer : a rare case report

Prediction of intraoperative bleeding and blood transfusion in patients with recurrent retroperitoneal liposarcoma: a retrospective study

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