Monday, March 31, 2008

Treatment of prostate sarcoma principle

Prostate sarcoma is a malignant disease of the poor prognosis, and understand the importance of the principle of treatment. (1) confined to the prostate prostate sarcoma membrane was not yet out infiltration, surgical treatment should be as soon as possible, radical cystoprostatectomy. (2) only partial tumor extended to the bladder or rectum, no distant metastasis, can be full of pelvic organ resection, but this method is often poor. After extensive surgery could accelerate the proliferation of tumor cells. (3) can not be carried out surgery on patients, radiotherapy, and only a small number of lymph sarcoma sensitive reticulocyte cell sarcoma, leiomyosarcoma has some help. Some people think that, rhabdomyosarcoma to radiation therapy, it may cause the development of tumors. (4) patients with the children, to make a clear diagnosis after chemotherapy, with VAC Programme (vincristine, adriamycin and cyclophosphamide rehabilitation), followed by surgical resection. Most children need to cystectomy and urinary diversion, but should make every effort to retain the rectum. In recent years, it was suggested that children may be first with chemotherapy, then radiotherapy, and then do retain bladder surgery. At present, children with the best treatment programme preoperative chemotherapy, surgical resection, postoperative radiotherapy (residual tumor) and cyclical prevention of chemotherapy. Such programmes for children with the prognosis of patients with astonishing improvement. For adult patients, use the following programmes: Preoperative selection of doxorubicin chemotherapy, and then to the Department of prostate and pelvic radiation therapy and do radical cystoprostatectomy and pelvic lymph node dissection, after doing periodic chemotherapy, the use of mycophenolate Afghanistan A microphone and nitrogen-amine.

No comments: