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Therapeutic experience with hepatoblastoma associated with trisomy 18
Authors:Akiko Inoue  Ryo Suzuki  Keisuke Urabe  Yutaro Kawamura  Midori Masuda  Kanta Kishi  Kimitaka Takitani  Hiroshi Katayama  Hideki Tomiyama  Michihiro Hayashi  Shintaro Nemoto  Kazuhisa Uchiyama  Hiroshi Tamai
Affiliation:1. Department of Pediatrics, Osaka Medical College, Takatsuki, Japan;2. Department of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Japan;3. Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, Takatsuki, Japan
Abstract:Trisomy 18 is often fatal, but patients with this disease can now have longer survival due to proactive treatment intervention. However, hepatoblastomas may develop in these patients. In this study, we report four cases of hepatoblastoma associated with trisomy 18. All of the patients had congenital heart disease and three had undergone intracardiac surgical repair. Tumor growth was relatively slow in all cases, and there were no problems with chemotherapy tolerability and surgical resection. Three of the patients are currently disease‐free and the fourth is alive with remaining of the tumor. These cases suggest that combined chemotherapy and surgical resection may be an option to treat hepatoblastoma associated with trisomy 18 when cardiac pulmonary function is relatively stable.
Keywords:congenital heart disease  hepatoblastoma  trisomy 18
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