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Ann Thorac Surg 1979;27:3-6
© 1979 The Society of Thoracic Surgeons
Montreal Chest and Montreal General Hospitals, and the Divisions of Cardiovascular and Thoracic Surgery, Royal Victoria Hospital, McGill University, Montreal, and Queen's University, Kingston, Ont, Canada
Accepted for publication March 31, 1978.
* Address reprint requests to Dr. Salerno, Department of Surgery, Queen's University, Kingston, Ont, Canada.
Twelve patients had curative resection of primary bronchogenic carcinoma. Eleven to 84 months later, a second primary bronchogenic carcinoma was discovered and was operated on. Six patients underwent wedge resection, while the others had a lobectomy or pneumonectomy. There was no operative mortality. Two patients survived longer than 5 years. In addition to these patients, 26 patients who also had successive surgical resections for primary lung cancers were collected from the literature. Two operative deaths were related to respiratory insufficiency.
Life-table analysis of this accumulated series of 38 patients revealed the survival rate 1 year after the resection of a second tumor to be 70%, and 2 and 3 years later, 55% and 27%, respectively. Thus, in patients in whom a second primary carcinoma of the lung develops, successive resections tailored to preserve respiratory reserve are compatible with low operative mortality and, in some instances, long-term survival.
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