[Role of the surgeon in the treatment of small cell lung carcinoma].
Surgery has never played a precise and well consolidated role in the planned treatment of lung microcytoma (SCLC). The acknowledged therapeutic strategy associates local treatment (radiotherapy) with general treatment (chemotherapy). Exeresis is particularly indicated in limited or peripheral forms, followed by intensive polychemotherapy. Scintigraphy with octreotide may be used for the initial screening of patients with widespread disease. Another minor role played by surgery is in the treatment of neoplastic foci remaining after chemotherapy. In some cases the use of a radioguided method which, after intravenous injection of radiolabeled octreotide, allows the accumulation of somatostatin analog in neoplastic foci to be assayed intraoperatively using a manual probe, might help the surgeon to check the radical nature of the operation. In addition, octreotide can be used as a radiotherapeutic pharmacological agent or to enhance the efficacy of chemotherapy in microcytoma and other lung tumours with neuroendocrine differentiation.
Pastore
V
V
Dipartimento di Scienze Cardio-Toraciche e Respiratorie, Cattedra di Chirurgia Toracica, Seconda Università degli Studi, Naples, Italy.
Santini
M
M
Vicidomini
G
G
D'Aniello
G
G
Fiorello
A
A
Parascandolo
V
V
D000970:Antineoplastic Agents / Q000627:therapeutic use; D018288:Carcinoma, Small Cell / Q000188:drug therapy / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000601:surgery*; D016879:Salvage Therapy
D000970:Antineoplastic Agents
Ruolo del hcirurgo nel trattamento del carcinoma polmonare a piccole cellule.