Evolution surgical management of pulmonary metastases Journal Article
| Authors: | Martini, N.; McCormack, P. M. |
| Article Title: | Evolution surgical management of pulmonary metastases |
| Abstract: | Surgical treatment of pulmonary metastases dates back to the late 19th century. However, for the ensuing 50 years, the number of cases operated upon were few. Since the 1960s, the eligibility of patients for resection of pulmonary metastases has broadened. Neither the number of lesions nor the length of the disease-free interval excludes a patient from resection provided the primary tumor has been treated adequately and the patient can tolerate the resection. Resection of pulmonary metastases is predicated on the absence of effective treatment of nonoperative means and the ability to safely and completely resect all tumor and yet conserve sufficient lung tissue to provide a good quality of life. Major areas of controversy that remain are the number of metastases amenable to complete resection, the disease-free interval, the applicability by tumor type, and the role of chemotherapy. The data published to date suggest that pulmonary resection for metastases can improve overall survival with minimal morbidity and mortality. |
| Keywords: | cancer survival; disease-free survival; survival rate; review; patient selection; antineoplastic agents; cancer adjuvant therapy; cancer radiotherapy; chemotherapy, adjuvant; antineoplastic agent; cancer palliative therapy; quality of life; computer assisted tomography; lung lobectomy; lung resection; thoracotomy; lung neoplasms; pneumonectomy; carcinoembryonic antigen; surgical approach; sarcoma; history, 20th century; lung metastasis; thorax radiography; tumor growth; thoracoscopy; humans; prognosis; human; priority journal |
| Journal Title: | Chest Surgery Clinics of North America |
| Volume: | 8 |
| Issue: | 1 |
| ISSN: | 1052-3359 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1998-02-01 |
| Start Page: | 13 |
| End Page: | 27 |
| Language: | English |
| PUBMED: | 9515170 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 12 December 2016 -- Source: Scopus |
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