SciELO - Scientific Electronic Library Online

 
vol.95 número1Influência dos fatores socioeconômicos e psicológicos no controle glicêmico em crianças jovens com diabetes mellitus tipo 1A versão em Português-BR do Pediatric Trigger Toolkit é aplicável para mensurar eventos adversos a medicamentos em pacientes pediátricos internados em hospitais brasileiros índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Jornal de Pediatria

versão impressa ISSN 0021-7557versão On-line ISSN 1678-4782

Resumo

AGUIAR, Arthur Almeida; LIMA, Luciana Cavalvanti; ARAUJO, Cláudia Corrêa de  e  GALLINDO, Rodrigo Melo. Pediatric abdominal non-Hodgkin's lymphoma: diagnosis through surgical and non-surgical procedures. J. Pediatr. (Rio J.) [online]. 2019, vol.95, n.1, pp.54-60. ISSN 1678-4782.  http://dx.doi.org/10.1016/j.jped.2017.10.012.

Objective:

To describe the success rate and the complications after procedures to diagnose abdominal non-Hodgkin's lymphoma in children and adolescents.

Methods:

A retrospective cross-sectional study was conducted with a population consisting of children and adolescents with abdominal non-Hodgkin's lymphoma diagnosed between September 1994 and December 2012. The sample comprised of 100 patients who underwent 113 diagnostic procedures, including urgent surgery (n = 21), elective surgery (n = 36), and non-surgical diagnosis (n = 56).

Results:

The most frequent procedures were laparotomy (46.9%) and ultrasound-guided core biopsy (25.6%). The rate of diagnostic success was 95.2% for urgent surgeries; 100% for elective surgeries and 82.1% for non-surgical procedures (p < 0.05). The rates of complication during the three diagnosis procedures considered were significant (p < 0.001; 95.2% of the urgent surgeries, 83.8% of the elective surgeries, and 10.7% of the non-surgical procedures). The length of time before resuming a full diet and starting chemotherapy was significantly reduced for patients who underwent non-surgical procedures when compared with the other procedures (p < 0.001).

Conclusion:

Non-surgical procedures for the diagnosis of pediatric abdominal non-Hodgkin's lymphoma are an effective option with low morbidity rate, allowing an earlier resumption of a full diet and chemotherapy initiation. Furthermore, non-surgical procedures should also be considered for obtaining tumor samples from patients with extensive disease.

Palavras-chave : Abdomen; Biopsy; Non-Hodgkin's lymphoma; Pediatric; Surgery.

        · resumo em Português     · texto em Português | Inglês     · Português ( pdf ) | Inglês ( pdf )