Glossary entry

Spanish term or phrase:

extirpación fundamental

English translation:

vital removal /complete or full removal

Added to glossary by Karina Pelech
Apr 4, 2002 15:40
22 yrs ago
4 viewers *
Spanish term

extirpación fundamental

Spanish to English Medical Surgery
"Pacientes con cualquier malignidad presente o pasada (distinta a la extirpación fundamental o a la célula escamosa conocida como carcinoma)."

This is one of the exclusion criteria for subjects in a study of a new drug for preventing transplant rejection.

extirpación=Excision?
fundamental=total? basic? ...?

Discussion

Non-ProZ.com Apr 6, 2002:
Thanks I think I'm going to have to leave this question open. The complete division of opinion matched my own ambiguous reading of the text. I think it's completely unclear whether the extirpation refers to an organ or the squamous cell carcinoma. It's always gratifying to struggle with a difficult text and then find out that it wasn't me, it was the text. Thanks all for putting a few brain cells to work on my behalf.

Proposed translations

+2
1 hr
Selected

vital removal /complete or full removal

Where 'removal' pertains to 'surgical excision' (this is understood and it's not necessary to repeat 'surgery').

Suerte..

(Elena has a good point, but full, complete or total removal is not always 'radical' and in transplantation surgery one doesn't usually use the term 'radical', unless immediate and full because of danger to patient. This is because all FULLY transplanted resections are all radical in nature, though partially excised organs are not.)
Reference:

I am a surgeon

Peer comment(s):

agree catflaps
60 days
agree dimples (X) : así es ;)
73 days
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4 KudoZ points awarded for this answer. Comment: "Graded automatically based on peer agreement. KudoZ."
+1
18 mins

extirpation of one of the main organs

I would interpret "fundamental" as one of the main organs, because "basic" does not make too much sense.

HTH

Main Entry: ex·tir·pate
Pronunciation: 'ek-st&r-"pAt
Function: transitive verb
Inflected Form(s): -pat·ed; -pat·ing
Etymology: Latin exstirpatus, past participle of exstirpare, from ex- + stirp-, stirps trunk, root -- more at TORPID
Date: 1535
1 a : to destroy completely : WIPE OUT b : to pull up by the root
2 : to cut out by surgery
synonym see EXTERMINATE
- ex·tir·pa·tion /"ek-st&r-'pA-sh&n/ noun
- ex·tir·pa·tor /'ek-st&r-"pA-t&r/ noun

from this site:

http://www.m-w.com/cgi-bin/dictionary
Peer comment(s):

agree Annette Flear (X)
4 mins
Something went wrong...
+1
23 mins

radical surgery / radical surgical removal

GoodWords,
I think this may be a back translation from English, and they replaced "fundamental" for "radical". "Radical" is a surgical term (in Spanish: radical, also) tha means that the removal (extirpación) of the cancer has been complete.

In your text they seem to be making an exception re: pts. who have had radical removal of their squamous cell carcinoma.


Wu X. Tang P. Qi Y. Management of the orbital contents in radical surgery for
squamous cell carcinoma of the maxillary
sinus. Chinese Medical Journal. 108(2):123-5, 1995 Feb.

Abstract
We reviewed retrospectively 139 patients with squamous cell carcinoma of the maxillary sinus who were treated with planned combinations of preoperative radiotherapy and maxillectomy between 1958 and 1987. The 5-year survival rate of these patients was 30%. In 111 patients who had tumor invasion of the orbital floor 88 underwent radical surgery with orbital exenteration and 23 had their orbital contents preserved. If orbital exenteration was performed, the 5-year survival rate was 27.3% (24/88) and the rate of recurrence within the orbit was 12.5%. In patients with preservation of the orbital contents, the corresponding rates were 34.8% (8/23) and 8.6% respectively (P = 0.65). Histological study after maxillectomy with orbital exenteration showed that in 95% of 65 specimens (62/65) invasion of the orbit was limited. These tumors could be completely resected by total maxillectomy with limited removal of the periorbital tissues after preoperative radiotherapy. We conclude that after preoperative radiation, the eyeball could be safely preserved in most selected patients with maxillary sinus carcinoma invading the orbital floor.

Suerte
Elena
Peer comment(s):

agree Dr. Chrys Chrystello
5 hrs
Gracias doc.
Something went wrong...
23 mins

simple excision

What about this option?
Have a look at the references. THe first one talks about both squamous cell carcinoma and simple excision.
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