tailieunhanh - Liver Metastases from Gynecological Cancers: Time to Resection?

Coordination means, at a minimum, that programming within and among . agencies takes advantage of each agency’s strengths, avoids duplication, and increases the efficiency and effectiveness of each dollar spent. Better coor- dination of programs and delivery platforms provides opportunities to strengthen the integration of health services at the point of delivery to meet more of the health care needs of individuals, as well as ensure satisfaction with and increase demand for those services. For example, clinics providing family planning and antenatal services can be sup- ported to deliver interventions that prevent mother-to-child transmission of HIV (PMTCT); in turn, strong. | Surgical Science 2012 3 120-125 doi Published Online March 2012 http journal ss Scientific Research Liver Metastases from Gynecological Cancers Time to Resection Jose M. Ramia Roberto De La Plaza Jose Quinones Pilar Veguillas Farah Adel Jorge Garcia-Parreno Unidad de Cirugía Hepatobiliopancreática Servicio de Cirugía General y Aparato Digestivo Hospital Universitario de Guadalajara Guadalajara Spain Email jose_ramia@ Received November 13 2011 revised January 27 2012 accepted February 10 2012 ABSTRACT Aim To perform an update of liver resection as treatment of liver metastases of gynecological cancers as well as an update on these metastases. Bibliographical Search PubMed Search 1990-2011 in English language. Authors reviewed only relevant articles. Results No more than 20 relevant articles have been published on this topic including case reports. We performed a classical review of the information published in the literature. Conclusions Liver Metastases from Gynecological cancers not peritoneal implants in the liver usually appear in patients with disseminated disease so it is uncommon to perform a liver resection. In some patients with limited extrahepatic disease or only liver disease liver resection is a safe alternative and improves the oncological results. We try to emphasize which patients may benefit from liver resection and the importance of tailoring medical decisions. Keywords Liver Metastasis Gynecology Ovary Cancer Review 1. Introduction Resection of liver metastases from gynecological cancer LMGC is a debatable topic. As there are no clear guidelines or randomized trials performed it was decided to perform this review. A bibliographical search in was carried out in Pubmed using the words liver metastasis gynecological cancers in the period 1990-2011. We found 166 articles but only 12 were related to the topic. Others searches performed using any kind of cancer ovary granulosa cell tumor cervical. did not .

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