Surgical removal of metastases to the lung is indicated when control of the primary site is obtained. Eighty-seven patients with suspected pulmonary metastases were observed over a 10-year period. Definitive surgical trearment was provided in 47 patients (54%). No postoperative mortality was reported. Actuarial 5-years survival in the operated group was significantly better than in the non surgical group (27% vs 9%; p <0.05). Conservative resections had a more favorable prognostic outcome. Following pneumonectomy, a more rapid progression of the metastatic disease was observed. Tumor doubling-time, disease free survival, mediastinal nodal involvement, and number of metastases to the lung did not influence the prognosis. It is concluded that surgery of pulmonary metastases is related to long-term survival when there are no other foci of extrathoracic relapse and no recurrent disease ar the site of the primary.
|Translated title of the contribution||Role of surgery in the treatment of pulmonary metastases|
|Number of pages||4|
|Publication status||Published - 1993|
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