Cáncer de pulmón microcítico. Otros tumores torácicosmesotelioma, timoma y tumores germinales mediastínicos

  1. González, J.L. López
  2. Expósito, F. Navarro
  3. Losada, C.
  4. Castillo, C.
  5. Soto, M. Álvarez-Mon
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2017

Issue Title: Enfermedades oncológicas (I) Cáncer de pulmón. Cáncer de cabeza y cuello

Series: 12

Issue: 31

Pages: 1825-1832

Type: Article

DOI: 10.1016/J.MED.2017.04.002 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Abstract Non-microcytic lung cancer This tumour is characteristic of heavy smokers, and makes up 15% of the total lung cancers. Unlike non-microcytic lung cancer. The treatment is essentially combination chemotherapy and radiotherapy in the limited stage, and chemotherapy in the extensive stage. Mesothelioma Rare neoplasia with a bad prognosis and an average survival rate of between 6 and 18 months. The main carcinogen implicated in its development is asbestos. Approximately 20% of patients will be candidates for surgery with macroscopic complete resection (R0) or partial resection (R1). For non candidates to surgery, the best option is palliative or neoadjuvant chemotherapy. Thymoma It is a rare tumour originating in the thymus. Surgery is the first-choice treatment, with en bloc resection of the tumour, followed by postoperative radiotherapy in selected cases. For unresectable tumours, radiation therapy can be useful in some cases, and palliative chemotherapy in others. Mediastinal germ cell tumours They are germ cell tumours that appear in the mediastinum without evidence of ovarian or testicular primary neoplasms. Therapeutic strategy differs greatly depending on the histology, sometimes the surgery being just enough, and others requiring chemotherapy.

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