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Ann Thorac Surg 1992;54:33-38
© 1992 The Society of Thoracic Surgeons

Articles

Renal cell carcinoma: Resection of solitary and multiple metastases

Helen W. Pogrebniak, MD, Gabe Haas, MD, W.Marston Linehan, MD, Steven A. Rosenberg, MD, PhD, Harvey I. Pass, MD*

Thoracic Oncology Section, Urologic Oncology Section, and Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland USA

* Address reprint requests to Dr Pass, Thoracic Oncology Section, Surgery Branch, National Cancer Institute/NIH, Building 10, Room 2B07, Bethesda, MD 20892.

Between 1985 and 1991, 23 patients underwent resection of pulmonary metastases from renal cell carcinoma, of whom 18 had previously received interleukin-2 based immunotherapies. Mean survival from exploration in all patients was 43 months. Survival after resection did not correlate with the number of nodules on preoperative tomograms, the number of nodules resected, or the disease-free interval. Patients who underwent complete resection of metastatic disease (n = 15), however, had a significantly longer survival (mean, 49 months; median not yet achieved) compared with patients with incomplete resection (median, 16 months) (p 2 = 0.02). Two of the 15 patients who underwent curative resections are presently free of disease greater than 45 months after exploration. These data support surgical resection of isolated pulmonary metastatic disease from renal cell cancer.




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