Abstract
Pelvic exenteration is a major surgical procedure which, in the paediatric population, most commonly is associated with genitourinary rhabdomyosarcoma (GU-RMS). Initially surgical resection was the only option in treatment of GU-RMS, but advances in treatment including a combination of radiation, polychemotherapy and surgery have led to improved survival rates. Today organ preservation strategies are often possible. However, when disease is refractory to initial treatment or as a salvage procedure, pelvic exenteration is a good option with defendable survival rates [1].
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Lerner SP, Hayani A, O’Hollaren P et al (1995) The role of surgery in the management of paediatric pelvic rhabdomyosarcoma. J Urol 154(2 Pt 1):540–545
Crist WM, Anderson JR, Meza JL et al (2001) Intergroup rhabdomyosarcoma study-IV: results for patients with nonmetastatic disease. J Clin Oncol 19(12):3091–3102
Lawrence W Jr, Anderson JR, Gehan EA, Maurer H (1997) Pretreatment TNM staging of childhood rhabdomyosarcoma: a report of the intergroup rhabdomyosarcoma Study Group. Children’s Cancer Study Group. Paediatric Oncology Group. Cancer 80(6):1165–1170
Newton WA Jr, Gehan EA, Webber BL et al (1995) Classification of rhabdomyosarcomas and related sarcomas. Pathologic aspects and proposal for a new classification – an Intergroup Rhabdomyosarcoma Study. Cancer 76(6):1073–1085
Crist WM, Garnsey L, Beltangady MS et al (1990) Prognosis in children with rhabdomyosarcoma: a report of the intergroup rhabdomyosarcoma studies I and II. Intergroup Rhabdomyosarcoma Committee. J Clin Oncol 8(3):443–452
McHugh K, Boothroyd AE (1999) The role of radiology in childhood rhabdomyosarcoma. Clin Radiol 54(1):2–10
Crist W, Gehan EA, Ragab AH et al (1995) The Third Intergroup Rhabdomyosarcoma Study. J Clin Oncol 13(3):610–630
Filipas D, Fisch M, Stein R, Gutjahr P, Hohenfellner R, Thuroff JW (2004) Rhabdomyosarcoma of the bladder, prostate or vagina: the role of surgery. BJU Int 93(1):125–129
Lobe TE, Wiener E, Andrassy RJ et al (1996) The argument for conservative, delayed surgery in the management of prostatic rhabdomyosarcoma. J Pediatr Surg 31(8):1084–1087
Martelli H, Oberlin O, Rey A et al (1999) Conservative treatment for girls with nonmetastatic rhabdomyosarcoma of the genital tract: a report from the Study Committee of the International Society of Paediatric Oncology. J Clin Oncol 17(7):2117–2122
Ghavimi F, Exelby PR, D’Angio GJ et al (1973) Proceedings: combination therapy of urogenital embryonal rhabdomyosarcoma in children. Cancer 32(5):1178–1185
Hays DM, Raney RB Jr, Lawrence W Jr et al (1982) Primary chemotherapy in the treatment of children with bladder–prostate tumours in the Intergroup Rhabdomyosarcoma Study (IRS-II). J Pediatr Surg 17(6):812–820
Singer S, Demetri GD, Baldini EH, Fletcher CD (2000) Management of soft-tissue sarcomas: an overview and update. Lancet Oncol 1:75–85
Anderberg MB, Annerstedt M (2008) Robot-assisted radical cystoprostatectomy in a small child with Ârhabdomyosarcoma: a case report. J Robot Surg 2:101–103
Simon J (1852) Ectopia vesicae. Lancet 2:568
Leissner J, Black P, Fisch M, Hockel M, Hohenfellner R (2000) Colon pouch (Mainz pouch III) for continent urinary diversion after pelvic irradiation. Urology 56(5):798–802
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© 2013 Springer-Verlag Berlin Heidelberg
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Annerstedt, M. (2013). Paediatric Pelvic Exenteration. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-33215-9_32
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DOI: https://doi.org/10.1007/978-3-642-33215-9_32
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