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Ann Thorac Surg 1999;68:315
© 1999 The Society of Thoracic Surgeons

Invited Commentary

Walter B. Cannon, MDa

a General and Thoracic Surgery Palo Alto Medical Foundation Clinic 300 Homer Ave Palo Alto, CA 94301 USA

Invited commentary

The facts are clear. Patients presenting with non-small cell lung cancer who have extra-thoracic metastases will not benefit from resectional surgery. Being sure of the fact that the patient has extra-thoracic metastases is not so clear, however, but a good physical examination can exclude a high percentage of patients with extra-thoracic disease such as supraclavicular nodal involvement, axillary lymph nodal involvement, enlarged liver, bone pain, and possibly neurologic signs. These signs are usually quite clear and straightforward. The next level of subtlety of extra-thoracic, or at least extra-pulmonary evidence of metastatic disease, is best determined in 1999 by computed tomographic (CT) scanning. Although the CT scanner is not absolutely diagnostic of the . . . [Full Text of this Article]


Related Article

Surgeons’ assessment of symptoms suggesting extrathoracic metastases in patients with lung cancer
Gordon H. Guyatt, Deborah J. Cook, Lauren E. Griffith, John D. Miller, Thomas R.J. Todd, Michael R. Johnston, Timothy L. Winton, Alan G. Casson, Richard I. Inculet, Gail E. Darling, Richard J. Finley, and Jean Deslauriers
Ann. Thorac. Surg. 1999 68: 309-315. [Abstract] [Full Text] [PDF]





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