Tuesday, February 17, 2009

Potentially Curative Procedures

Proc potentially curative? Hard

These proc? Procedures are made? Es with "curative intent". Their aim is the? LIMINATION of all serious diseases, with the knowledge that microscopic disease will probably remain. Adjuvant (another form of treatment in addition to th? Primary therapy) is g? N? Generally destiny? ? ? LIMINATE disease r? siduelle.

For Pleural Mesothelioma:

* Pleurectomy / d? Corticage is g? N? Generally performed? Th of patients with disease stage pr? Coce (stage I and some stage II), and attempts to remove all gross tumor. If it is found? that all the tumor can not? be removed? without removing the lungs, this May? be done in m? me time and is called? e pneumonectomy.
* Extrapleural pneumonectomy is much more radical than other surgical approaches, and should? Be performed? E by m? Doctors with extensive expertise in the? Valuation of patients and the r? Alisation of the proc? Last elle-m? me. (See the conclusion of sp? Specialists.) Because in the past, only surgery has no effect of a replacement? Of, or m? Me to help? prolong life for a long p? period of time, it is currently involved? e? the chemotherapeutic? traditional therapy and / or Radiother? therapy or other novel approaches such as th? therapy g? nique, the Immunother? therapy or th? photodynamic therapy.
G? N? Ral of crit? Res s? Lection of patients for extrapleural pneumonectomy

Extrapleural pneumonectomy is a serious op? Ration and m? Sicians exp? Rhyme? S in this proc? Hard to choose with care for their patients. It is? each m? doctor inform the patient on his faisabilit? and proc? der? tests that he / she is n? necessary to optimize the patient \ 's chances of survival and r? cup? ration. Here is a list g? N? Rale de crit? Res s? Lection of patients. May not this list? Be exhaustive, and May vary depending on the previous f? Ence of the surgeon.
o Karnofsky Performance Status score> 70. This note relates? what symptoms? of my patient's illness-May? tre and the mani? re they are capable of conducting their activities? s daily. Some surgeons May need a performance status more? Lev? than others.
o ad? quat r? nales (kidney) and the function h? patique, no kidney or liver disease.
o normal cardiac function by? and lectrocardiogramme? chocardiographie.
o ad? quate pulmonary function? tol? ing surgery.
o limit disease? e? the hemithorax ipsilat? ral (m? c me? t? the chest in which is located m? Soth? liom) without p? n? tration of the membrane? extending from the heart or the active participation of the chest wall.
o The Seat of the patient is taken into consideration? ration, but not in May? be as important as theirs? tat g? n? ral.

Surgeries of this nature must always? Be done with a compr? Standing totally loss of possible benefits and risks. If you are considering surgery as a treatment option, speak openly with your m? Doctor of your previous occupations, and make sure all your questions will be r? Response? your satisfaction

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