| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1984;38:323-330
© 1984 The Society of Thoracic Surgeons
University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute at Houston, Houston, TX
* Address reprint requests to Dr. Mountain, Department of Thoracic Surgery, UT M. D. Anderson Hospital, 6723 Bertner Ave, Houston, TX 77030
During a recent 20-year period, 556 patients underwent operation for pulmonary metastasis at the University of Texas M. D. Anderson Hospital and Tumor Institute at Houston. The surgical mortality was 1.5% for 772 resections. A selection of 443 patients was made to evaluate the contribution of operative intervention as a primary treatment, with selective adjunctive therapy when applicable. The success of a surgical approach is dependent primarily on adherence to selection criteria; it is important that only patients in whom all known disease can be completely removed with the planned resection and who have full control of the primary site are treated. The overall survival for the group was 35%. For patients with carcinoma, survival ranged from 24% for those with primary uterine cervix tumors to approximately 54% for urinary tract, male genital tract, and corpus of uterus primary tumors. In the group with sarcoma, patients with skeletal tumors had a 46.4% survival rate (50.7% for those with osteogenic sarcoma), and 33% of the patients with soft tissue tumors had long-term survival. The outcome for patients with melanoma was poor; only 12.1% survived 5 years. If the original criteria apply, multiple and bilateral lesions can be successfully managed. Patients undergoing planned adjuvant treatment had a superior outcome compared with those not so treated. However, a significant survival advantage was shown only for patients with sarcoma. The failure to control all disease in patients in whom pulmonary metastasis is controlled surgically can only be improved on through the use of systemically active adjuvant treatment.
This article has been cited by other articles:
|
|
 |
|
  S. G. Spiro 18.19.2 Pulmonary metastases OTM, November 30, 2011; 5(1): med-9780199204854-chapter - med-9780199204854-chapter. [Abstract] [Full Text]
|
|
|
|
 |
|
 H. Matsuguma, I. Yoshino, H. Ito, T. Goya, Y. Matsui, J. Nakajima, N. Ikeda, S. Okumura, S. Shiono, H. Nomori, et al. Is There a Role for Pulmonary Metastasectomy With a Curative Intent in Patients With Metastatic Urinary Transitional Cell Carcinoma? Ann. Thorac. Surg., August 1, 2011; 92(2): 449 - 453. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. C. Chua, A. Sarkar, A. Saxena, D. Glenn, J. Zhao, and D. L. Morris Long-term outcome of image-guided percutaneous radiofrequency ablation of lung metastases: an open-labeled prospective trial of 148 patients Ann. Onc., October 1, 2010; 21(10): 2017 - 2022. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. K. Gould, J. Fletcher, M. D. Iannettoni, W. R. Lynch, D. E. Midthun, D. P. Naidich, and D. E. Ost Evaluation of Patients With Pulmonary Nodules: When Is It Lung Cancer?: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition) Chest, September 1, 2007; 132(3_suppl): 108S - 130S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Rena, E. Papalia, A. Oliaro, P. Filosso, E. Ruffini, G. Maggi, and C. Casadio Pulmonary metastases from epithelial tumours: late results of surgical treatment Eur J Cardiothorac Surg, August 1, 2006; 30(2): 217 - 222. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Clavero, C. Deschamps, S. D. Cassivi, M. S. Allen, F. C. Nichols III, B. A. Barrette, D. R. Larson, and P. C. Pairolero Gynecologic Cancers: Factors Affecting Survival After Pulmonary Metastasectomy Ann. Thorac. Surg., June 1, 2006; 81(6): 2004 - 2007. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Rolle, A. Pereszlenyi, R. Koch, M. Richard, and B. Baier Is surgery for multiple lung metastases reasonable? A total of 328 consecutive patients with multiple-laser metastasectomies with a new 1318-nm Nd:YAG laser J. Thorac. Cardiovasc. Surg., June 1, 2006; 131(6): 1236 - 1242. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Mae, T. P. O'Connor, and R. G. Crystal Gene Transfer of the Vascular Endothelial Growth Factor Receptor flt-1 Suppresses Pulmonary Metastasis Associated with Lung Growth Am. J. Respir. Cell Mol. Biol., December 1, 2005; 33(6): 629 - 635. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. Suri, C. Deschamps, S. D. Cassivi, F. C. Nichols III, M. S. Allen, C. D. Schleck, and P. C. Pairolero Pulmonary Resection for Metastatic Malignant Fibrous Histiocytoma: An Analysis of Prognostic Factors Ann. Thorac. Surg., November 1, 2005; 80(5): 1847 - 1852. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Parsons, F. C. Detterbeck, and L. A. Parker Accuracy of Helical CT in the Detection of Pulmonary Metastases: Is Intraoperative Palpation Still Necessary? Ann. Thorac. Surg., December 1, 2004; 78(6): 1910 - 1918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Inoue, M. Ohta, K. Iuchi, A. Matsumura, K. Ideguchi, T. Yasumitsu, K. Nakagawa, K. Fukuhara, H. Maeda, S.-i. Takeda, et al. Benefits of surgery for patients with pulmonary metastases from colorectal carcinoma Ann. Thorac. Surg., July 1, 2004; 78(1): 238 - 244. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yamamoto, H. Yoshikawa, K. Shiromizu, T. Saito, K. Kuzuya, R. Tsunematsu, and T. Kamura Pulmonary metastasectomy for uterine cervical cancer: a multivariate analysis Ann. Thorac. Surg., April 1, 2004; 77(4): 1179 - 1182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Monteiro, N. Arce, J. Bernardo, L. Eugenio, and M. J. Antunes Surgical resection of lung metastases from epithelial tumors Ann. Thorac. Surg., February 1, 2004; 77(2): 431 - 437. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Loehe, S. Kobinger, R. A. Hatz, T. Helmberger, U. Loehrs, and H. Fuerst Value of systematic mediastinal lymph node dissection during pulmonary metastasectomy Ann. Thorac. Surg., July 1, 2001; 72(1): 225 - 229. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. T. Jaklitsch, C. M. Mery, J. M. Lukanich, W. G. Richards, R. Bueno, S. J. Swanson, S. J. Mentzer, B. D. Davis, E. N. Allred, and D. J. Sugarbaker Sequential thoracic metastasectomy prolongs survival by re-establishing local control within the chest J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 657 - 667. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. N. Koong, U. Pastorino, and R. J. Ginsberg Is there a role for pneumonectomy in pulmonary metastases? Ann. Thorac. Surg., December 1, 1999; 68(6): 2039 - 2043. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. B. Zwischenberger and S. K. Alpard Pulmonary metastasectomy Ann. Thorac. Surg., July 1, 1999; 68(1): 287 - 288. [Full Text] [PDF]
|
|
|
|
|
|
M. Antunes, J. Bernardo, M. Salete, D. Prieto, L. Eugenio, and P. Tavares Excision of pulmonary metastases of osteogenic sarcoma of the limbs Eur J Cardiothorac Surg, May 1, 1999; 15(5): 592 - 596. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Robert, V. Ambrogi, B. Mermillod, D. Dahabreh, and P. Goldstraw Factors Influencing Long-Term Survival After Lung Metastasectomy Ann. Thorac. Surg., March 1, 1997; 63(3): 777 - 784. [Abstract] [Full Text]
|
|
|
|
|
|
The International Registry of Lung Metastases, Writing Committee:, U. Pastorino, M. Buyse, G. Friedel, R. J. Ginsberg, P. Girard, P. Goldstraw, M. Johnston, P. McCormack, et al. LONG-TERM RESULTS OF LUNG METASTASECTOMY: PROGNOSTIC ANALYSES BASED ON 5206 CASES J. Thorac. Cardiovasc. Surg., January 1, 1997; 113(1): 37 - 49. [Abstract] [Full Text]
|
|
|
|
|
|
C. P. Murrah, E. R. Ferguson, R. L. Jennelle, B. L. Guthrie, and W. L. Holman Resection of Multiple Pulmonary Metastases From a Recurrent Intracranial Meningioma Ann. Thorac. Surg., June 1, 1996; 61(6): 1823 - 1824. [Abstract] [Full Text]
|
|
|
|
|
|
L. Tafra, P. S. Dale, L. A. Wanek, K. P. Ramming, and D. L. Morton Resection and adjuvant immunotherapy for melanoma metastatic to the lung and thorax J. Thorac. Cardiovasc. Surg., July 1, 1995; 110(1): 119 - 129. [Abstract] [Full Text]
|
|
|
|
|
|
R. D. Dowling, R. J. Keenan, P. F. Ferson, and R. J. Landreneau Video-assisted thoracoscopic resection of pulmonary metastases Ann. Thorac. Surg., September 1, 1993; 56(3): 772 - 775. [Abstract] [PDF]
|
|
|
|
|
|
J. B. Putnam, D. M. Suell, C. Natarajan, and J. A. Roth Extended resection of pulmonary metastases: Is the risk justified? Ann. Thorac. Surg., June 1, 1993; 55(6): 1440 - 1446. [Abstract] [PDF]
|
|
|
|
 |
|
 G. T. Verazin, J. A. Warneke, D. L. Driscoll, C. Karakousis, N. J. Petrelli, and H. Takita Resection of Lung Metastases From Soft-Tissue Sarcomas: A Multivariate Analysis Arch Surg, December 1, 1992; 127(12): 1407 - 1411. [Abstract] [PDF]
|
|
|
|
|
|
E. D. Staren, C. Salerno, A. Rongione, T. R. Witt, and L. P. Faber Pulmonary Resection for Metastatic Breast Cancer Arch Surg, November 1, 1992; 127(11): 1282 - 1284. [Abstract] [PDF]
|
|
|
|
|
|
K. A. Skinner, F. R. Eilber, E. C. Holmes, J. Eckardt, and G. Rosen Surgical Treatment and Chemotherapy for Pulmonary Metastases From Osteosarcoma Arch Surg, September 1, 1992; 127(9): 1065 - 1071. [Abstract] [PDF]
|
|
|
|
|
|
M. K. McAfee, M. S. Allen, V. F. Trastek, D. M. Ilstrup, C. Deschamps, and P. C. Pairolero Colorectal lung metastases: Results of surgical excision Ann. Thorac. Surg., May 1, 1992; 53(5): 780 - 786. [Abstract] [PDF]
|
|
|
|
|
|
D. W. O. Moores Pulmonary metastases revisited Ann. Thorac. Surg., August 1, 1991; 52(2): 178 - 179. [PDF]
|
|
|
|
|
|
L. A. Gorenstein, J. B. Putnam, G. Natarajan, C. A. Balch, and J. A. Roth Improved survival after resection of pulmonary metastases from malignant melanoma Ann. Thorac. Surg., August 1, 1991; 52(2): 204 - 210. [Abstract] [PDF]
|
|
|
|
|
|
R. J. Landreneau, S. R. Hazelrigg, J. A. Johnson, T. M. Boley, W. Nawarawong, and J. J. Curtis Neodymiumi:yttrium-aluminum garnet laser-assisted pulmonary resections Ann. Thorac. Surg., June 1, 1991; 51(6): 973 - 977. [Abstract] [PDF]
|
|
|
|
|
|
L. A. Lanza, J. B. Putnam Jr, R. S. Benjamin, and J. A. Roth Response to chemotherapy does not predict survival after resection of sarcomatous pulmonary metastases Ann. Thorac. Surg., February 1, 1991; 51(2): 219 - 224. [Abstract] [PDF]
|
|
|
|
|
|
F. M. Marincola and J. B. D. Mark Selection Factors Resulting in Improved Survival After Surgical Resection of Tumors Metastatic to the Lungs Arch Surg, October 1, 1990; 125(10): 1387 - 1393. [Abstract] [PDF]
|
|
|
|
|
|
J. H. Wong, D. M. Euhus, and D. L. Morton Surgical Resection for Metastatic Melanoma to the Lung Arch Surg, September 1, 1988; 123(9): 1091 - 1095. [Abstract] [PDF]
|
|
|
|
|
|
J. B. D. Mark How Far Should We Go? Ann. Thorac. Surg., July 1, 1988; 46(1): 3 - 3. [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
