PMID: 9314242Oct 6, 1997Paper

Complications of pelvic exenteration in children who have genitourinary rhabdomyosarcoma

Journal of Pediatric Surgery
E L MichalkiewiczC B Pratt

Abstract

Rhabdomyosarcoma is the most frequently encountered soft tissue sarcoma in children younger than 15 years of age. The authors reviewed the early and long-term morbidity rate and clinical outcome of pelvic exenteration for genitourinary rhabdomyosarcoma (GU-RMS) in children. Of 43 patients with this diagnosis who were seen at St Jude Children's Research Hospital between 1963 and 1994, 17 underwent pelvic exenteration. These 13 boys and four girls ranged in age from 6 months to 15 years (median, 3.5 years). Their primary sites included prostate (n = 12), bladder (n = 4), and uterus (n = 1). All patients received multiagent chemotherapy and either preoperative or postoperative radiation therapy. Anterior exenteration was performed in 15 patients and total exenteration in two. The complications were classified as early or late (occurring within or after 30 days from the date of surgery) and as major or minor (depending on the risk of death or physical or functional disability). Thirteen of the 17 patients (76%) had 49 surgery-related complications. Wound infection (24%), fistula, abscess, and malnourishment (12% each) were the most common early major complications, with hydronephrosis (35%), bowel obstruction (24%), acute pyeloneph...Continue Reading

References

Jun 1, 1975·British Journal of Urology·J P Richie, D G Skinner
Nov 1, 1985·Archives of Surgery·J G JakowatzJ D Beatty
Apr 1, 1983·Journal of Pediatric Surgery·J L GrosfeldR L Baehner
Aug 1, 1995·The Journal of Urology·S P LernerE T Gonzales
Feb 15, 1995·International Journal of Radiation Oncology, Biology, Physics·W F RegineL E Kun
Jul 1, 1994·Journal of Pediatric Surgery·F MericL Schnaufer
Aug 1, 1993·Obstetrical & Gynecological Survey·J F Magrina
Mar 1, 1993·Cancer·H M MaurerJ Herrmann

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Citations

May 15, 2001·BJU International·T HumplP Gutjahr
Sep 6, 2006·The Journal of Urology·Fernando A FerrerMartin A Koyle
Sep 14, 2000·The Urologic Clinics of North America·T W Hensle, D T Chang
Apr 14, 2016·International Urology and Nephrology·Daniel D ShapiroPatrick H McKenna
May 8, 2015·Reports of Practical Oncology and Radiotherapy : Journal of Greatpoland Cancer Center in Poznań and Polish Society of Radiation Oncology·Hiroko FukushimaRyo Sumazaki
Mar 17, 2015·Seminars in Pediatric Surgery·Sarah M Lambert
Sep 30, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sheri L SpuntAllison L Hester
Dec 18, 2003·BJU International·D FilipasJ W Thüroff
Jun 14, 2003·Prostate Cancer and Prostatic Diseases·R Ashlock, P A S Johnstone
Dec 6, 2001·Current Opinion in Urology·D Filipas
Oct 14, 2006·Current Opinion in Urology·T Humpl, P Gutjahr
Jun 30, 2001·Journal of Pediatric Surgery·M R Perez-BrayfieldJ Namnoun

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