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Sekundarni tumorji pljuč = Secondary tumors of the lung
Borko Tavželj, Nataša ; Hojski, Aljaž ; Crnjac, Anton
Zasevke v pljučih najdemo pri 30-55 % vseh bolnikov z rakom kljub dobremu zdravljenju primarnega tumorja in so pogosto brez simptomov. Učinkovit način presejanja rakavih bolnikov na prisotnost ...pljučnih zasevkov so rutinski rentgenski posnetki pljuč, vendar so radiološke najdbe pogosto nespecifične in je potrebno narediti še dodatne preiskave. Običajno jih zdravimo s kemoterapijo, pri bolnikih s posameznimi zasevki pa pride pri tem v poštev še kirurška resekcija. Kriteriji za izbor bolnikov za kirurško zdravljenje so: popolno odstranjem ali zadovoljivo nadzorovan primarni tumor, popolna odstranitev zasevkov je možna, bolnik ima zadovoljivo pljučno rezervo, da lahko poseg prenese, in nima zasevkov zunaj prsnega koša. Ugodni prognostični dejavniki vključujejo: nerektabilnost, daljši čas brez znakov bolezni (DFI), malo število in velikost zasevkov.
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