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Vol. 26. Issue 6.
Pages 248-251 (August - September 1990)
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Vol. 26. Issue 6.
Pages 248-251 (August - September 1990)
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La importancia de la cirugía dentro del tratamiento multidisciplinara del carcinoma bronquial indiferenciado de células pequeñas
The relevance of surgery on the multidisciplinary treatment of nondifferentiated small cell bronchial carcinoma
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J. Zapatero Gaviria, R. Peñalver Pascual, B. Baschwitz Gómez, L. Madrigal Royo, J. Candelas Barrios
Servicios de Cirugía Torácica, Hospital Ramón y Cajal. Madrid
A. Golpe Gómez*, E. Pérez Rodríguez*, C. Casanova Macario*, S. Domínguez Reboiras*
* Neumología. Hospital Ramón y Cajal. Madrid
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El tratamiento del carcinoma indiferenciado de células pequeñas ha sido muy debatido en los últimos años, planteando los autores un abordaje multidisciplinario, basado en la asociación de poliquimioterapia, radioterapia torácica y holocraneal profiláctica y cirugía radical. Tras la revisión de 18 casos en nuestra serie, entre 1978 y 1987, se encuentra una supervivencia actuarial en los casos resecados de un 23% a los 3 años (6% en los irresecables). Ante ello se concluye con la conveniencia de una postura agresiva para el manejo de esta enfermedad, basada en una terapéutica multidisciplinaria y donde la cirugía desempeña un papel importante en aquellos casos de enfermedad no extendida.

The treatment of the small cell nondifferentiated carcinoma has been discussed in the last years and some authors have proposed a multidisciplinary approach based on the association of polychemotherapy, thoracic radiotherapy, prohylactic holocranial radiotherapy, and radical surgery. We have reviewed 18 cases observed between 1978 and 1987. The actuarial survival in the resected cases was 23% after three years, whereas the nonresected cases had a survival of 6% These results support the concept that those patients should be treated with aggressive therapy based on multidisciplinary treatments and surgery especially in cases with nondisseminated illness.

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Copyright © 1990. Sociedad Española de Neumología y Cirugía Torácica
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