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Ann Thorac Surg 1979;28:139-145
© 1979 The Society of Thoracic Surgeons
From the Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY
* Address reprint requests to Dr. McCormack, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021
From 1960 to 1977, 663 resections for pulmonary metastases were performed in 448 patients, 202 with a sarcoma and 246 with a carcinoma. The majority of the patients (70%) had wedge resection or segmentectomy. Operative mortality was 1.0% (7 patients in 663 thoracotomies). With the increased effectiveness of chemotherapy in some specific areas—osteogenic sarcoma and carcinoma of the testis, breast, and colon—the role of surgery is changing. Surgery is now indicated to establish the histology of a solitary lesion, resect metastases unresponsive to chemotherapy, and to reclassify lesions that stabilize but do not disappear totally with chemotherapy.
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