Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 5 de 5
Filter
1.
Clin Transl Oncol ; 21(1): 31-45, 2019 Jan.
Article in English | MEDLINE | ID: mdl-30617924

ABSTRACT

Although the metastasic breast cancer is still an incurable disease, recent advances have increased significantly the time to progression and the overall survival. However, too much information has been produced in the last 2 years, so a well-based guideline is a valuable document in treatment decision making. The SEOM guidelines are intended to make evidence-based recommendations on how to manage patients with advanced and recurrent breast cancer to achieve the best patient outcomes based on a rational use of the currently available therapies. To assign a level of certainty and a grade of recommendation the United States Preventive Services Task Force guidelines methodology was selected as reference.


Subject(s)
Breast Neoplasms/therapy , Neoplasm Recurrence, Local/therapy , Practice Guidelines as Topic/standards , Breast Neoplasms/pathology , Clinical Trials as Topic , Combined Modality Therapy , Disease Management , Female , Humans , Neoplasm Recurrence, Local/pathology , Prognosis , Societies, Medical
2.
Am J Clin Oncol ; 20(3): 293-7, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9167757

ABSTRACT

Superior vena cava syndrome (SVCS) and inferior vena cava syndrome (IVCS) represent a severe symptomatic complication of some malignant tumors. Although radiation therapy and chemotherapy are elective, symptomatic relief takes 7-10 days to be achieved, and poor symptomatic benefit can be obtained in relapsed or resistant tumors. We report on a palliative approach using Wallstent catheters placed percutaneously in a series of 16 patients. Results obtained in relief of symptoms were excellent (complete response of cephalea, jugular enlargement, and collateral circulation achieved in 100% [16/16] of patients; complete response of edema obtained in 93% [15/16] of patients). Achievement of symptomatic response was obtained for all symptoms during the first 24 h poststenting, except for edema and dyspnea. Mean duration of patency of the stents was 6.4 months (range 2-17 months). Rates of morbidity and complications were very low. Dyspnea was a quite resistant symptom, and only four of 13 patients (31%) obtained complete response, while partial improvement was obtained in the other nine (79%). However, placement of the stents does not preclude the use of radiation therapy or chemotherapy. We think that these results and those from other studies warrant larger multicentric trials.


Subject(s)
Blood Vessel Prosthesis , Palliative Care/methods , Stents , Superior Vena Cava Syndrome/etiology , Superior Vena Cava Syndrome/therapy , Thoracic Neoplasms/complications , Vena Cava, Inferior , Aged , Combined Modality Therapy , Constriction, Pathologic , Female , Follow-Up Studies , Humans , Male , Middle Aged , Survival Analysis , Time Factors , Vascular Patency
SELECTION OF CITATIONS
SEARCH DETAIL
...