Factors Affecting Survival in Metastatic Tumor Treatment

Yıl 2020, Cilt: 11 Sayı: 1, 82 - 85, 03.03.2020

Kemal Ertilav , Serdar Ercan , Zeki Serdar Ataizi

Öz

Background: Brain metastatic tumors are an important complication in the general management of cancer, which often overshadows primary brain tumors. The incidence of brain metastases is increasing due to improvements in systemic therapy and MRI screening, but basic treatment methods are lacking.

Methods: The patients who were admitted to the hospital with the diagnosis of metastatic brain tumor, operated and followed up were included in our study.

Results: A total of 39 patients were included to the study. Total resection (TR) was performed in 22 patients (56.4%), subtotal resection (STR) in 14 patients (35.8%), and only biopsy was performed in 3 patients (7.6%) due to their poor condition. When Karnofsky Performance Status (KPS) of the patients were evaluated, KPS> 70 was found in 75% of the patients.

Conclusion: The patients should be treated with corticosteroids instead of continuing with emergency surgical resection, which provides sufficient time to complete preoperative preparations. The amount of resection of metastatic tumor is significantly related with the prognosis.

Anahtar Kelimeler

Brain tumor, metastatic tumor, survival, surgery

Factors Affecting Survival in Metastatic Tumor Treatment

Öz

Amaç: Sistemik tedavi ve MR taramasındaki gelişmelernedeniyle beyin metastazlarının görülme sıklığı artmaktadır, ancak temel tedavi yöntemleri bulunmamaktadır.

Yöntem: Metastatik beyin tümörü tanısı ile hastaneye yatırılanhastalar ameliyat edildi ve takip edildi.

Bulgular: Çalışmaya toplam 39 hasta dahil edildi. 22 hastadatotal rezeksiyon (TR) (% 56,4), 14 hastada subtotal rezeksiyon(STR) (% 35,8), 3 hastada (% 7,6) kötü durum nedeniylesadece biyopsi yapıldı. Karnofsky Performans Durumu (KPS) değerlendirildiğinde, hastaların % 75'inde KPS> 70 bulundu.

Sonuç: Hastalar preoperatif hazırlıkları tamamlamak içinyeterli zaman sağlayan acil cerrahi rezeksiyona devam etmekyerine kortikosteroidlerle tedavi edilmelidir. Metastatiktümörün rezeksiyon miktarı prognoz ile anlamlı şekilde ilişkiliolduğu görüldü.

Anahtar Kelimeler

Beyin tumoru, metastatik tumor, sagkalim, cerrahi

Kaynakça

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