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Ann Thorac Surg 2005;79:283
© 2005 The Society of Thoracic Surgeons

INVITED COMMENTARY

Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi 570-8507, Japan

The first 20% of the full text of this article appears below.

Pulmonary metastasectomy has become a widely accepted surgical treatment for a patient with metastatic lung tumor. In the study by Shiono and colleagues, the overall 5-year survival rate of the patients who underwent pulmonary metastasectomy seems to be extremely high compared with the survival rates reported by several authors previously. After 5 years, however, the survival curve in this study decreased, to less than 40% at 84 months. Presumably, an excellent 5-year survival rate would be a reflection of a length bias caused by the biological behavior of the metastatic pulmonary lesions.

In this paper, Shiono and associates did not identify any clinical factors, including preoperative . . . [Full Text of this Article]

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