Huge Liver Tumor - Therapy Outside the Guidelines

Considering the growing signs of multiple organ failure resulting from the increased abdominal pressure, a decision was made to create a temporary ventral hernia using a surgical mesh covered on both sides with antimicrobial drapes, in order to allow chemotherapy to continue. The hepatic hilar tumor...

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Bibliographic Details
Published in:Majallah-ʼi bīmārīhā-yi kūdakān-i Īrān = Iranian journal of pediatrics 2019-06, Vol.29 (3)
Main Authors: Noskiewicz, Jakub, Sosnowska, Patrycja, Januszkiewicz-Lewandowska, Danuta, Smoczyk, Wieslaw, Surmacz, Rafal, Pietkiewicz, Olgierd, Mankowski, Przemyslaw
Format: Article
Language:English
Subjects:
Abdomen
Medical imaging
Tumors
Veins & arteries
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Summary:Considering the growing signs of multiple organ failure resulting from the increased abdominal pressure, a decision was made to create a temporary ventral hernia using a surgical mesh covered on both sides with antimicrobial drapes, in order to allow chemotherapy to continue. The hepatic hilar tumor on computed tomography (1, external part of the tumor; 2, liver; 3, created ventral hernia) Liver tumors account for 4% of solid tumors in children; yet, they mostly consist of neuroblastoma or nephroblastoma metastases. According to the authors, this procedure can be used repeatedly, but the mesh and drapes should be replaced at 14-day intervals. Furthermore, in the case of multiple organ failure arising because of the rapid expansion of tumor mass, a cytoreductive surgery can be a life-saving treatment.
ISSN:2008-2142
2008-2150
DOI:10.5812/ijp.74030