Surgical treatment of pulmonary metastases: experience with 40 patients
Aims: Combinations of surgery and chemotherapy have a favourable impact on survival in the treatment of disseminated neoplastic disease isolated to the lung. Sample and technical factors have made the reproduction of the published results difficult. Methods: In this study we report experience over 1...
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| Published in: | European journal of surgical oncology Vol. 28; no. 1; pp. 49 - 54 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Ltd
01-02-2002
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| Abstract | Aims: Combinations of surgery and chemotherapy have a favourable impact on survival in the treatment of disseminated neoplastic disease isolated to the lung. Sample and technical factors have made the reproduction of the published results difficult. Methods: In this study we report experience over 10 years. Results: From 1989 to 1999 40 patients underwent metastasectomy. Thirty received chemotherapy. The median survival is 51 months, similar to other published series. Conclusion: Survival benefit can be observed in small series of such cases. |
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| AbstractList | AIMSCombinations of surgery and chemotherapy have a favourable impact on survival in the treatment of disseminated neoplastic disease isolated to the lung. Sample and technical factors have made the reproduction of the published results difficult.METHODSIn this study we report experience over 10 years.RESULTSFrom 1989 to 1999 40 patients underwent metastasectomy. Thirty received chemotherapy. The median survival is 51 months, similar to other published series.CONCLUSIONSurvival benefit can be observed in small series of such cases. Aims: Combinations of surgery and chemotherapy have a favourable impact on survival in the treatment of disseminated neoplastic disease isolated to the lung. Sample and technical factors have made the reproduction of the published results difficult. Methods: In this study we report experience over 10 years. Results: From 1989 to 1999 40 patients underwent metastasectomy. Thirty received chemotherapy. The median survival is 51 months, similar to other published series. Conclusion: Survival benefit can be observed in small series of such cases. Combinations of surgery and chemotherapy have a favourable impact on survival in the treatment of disseminated neoplastic disease isolated to the lung. Sample and technical factors have made the reproduction of the published results difficult. In this study we report experience over 10 years. From 1989 to 1999 40 patients underwent metastasectomy. Thirty received chemotherapy. The median survival is 51 months, similar to other published series. Survival benefit can be observed in small series of such cases. |
| Author | de la Haba Rodrı́guez, J.Rafael Aguilar, E.Aranda Méndez Vidal, M.José Aranda, I.Barneto Pujol, J.López Kindelan, A.Alvarez Algar, J.Algar |
| Author_xml | – sequence: 1 givenname: J.Rafael surname: de la Haba Rodrı́guez fullname: de la Haba Rodrı́guez, J.Rafael organization: Medical Oncology Department, Hospital Universitario Reina Sofı́a, Córdoba, Spain, Hospital Universitario Reina Sofı́a, Córdoba, Spain – sequence: 2 givenname: J.Algar surname: Algar fullname: Algar, J.Algar organization: Hospital Universitario Reina Sofı́a, Córdoba, Spain, Thoracic Surgery, Hospital Universitario Reina Sofı́a, Córdoba, Spain – sequence: 3 givenname: M.José surname: Méndez Vidal fullname: Méndez Vidal, M.José organization: Medical Oncology Department, Hospital Universitario Reina Sofı́a, Córdoba, Spain, Hospital Universitario Reina Sofı́a, Córdoba, Spain – sequence: 4 givenname: I.Barneto surname: Aranda fullname: Aranda, I.Barneto organization: Medical Oncology Department, Hospital Universitario Reina Sofı́a, Córdoba, Spain, Hospital Universitario Reina Sofı́a, Córdoba, Spain – sequence: 5 givenname: A.Alvarez surname: Kindelan fullname: Kindelan, A.Alvarez organization: Hospital Universitario Reina Sofı́a, Córdoba, Spain, Thoracic Surgery, Hospital Universitario Reina Sofı́a, Córdoba, Spain – sequence: 6 givenname: J.López surname: Pujol fullname: Pujol, J.López organization: Hospital Universitario Reina Sofı́a, Córdoba, Spain, Thoracic Surgery, Hospital Universitario Reina Sofı́a, Córdoba, Spain – sequence: 7 givenname: E.Aranda surname: Aguilar fullname: Aguilar, E.Aranda organization: Medical Oncology Department, Hospital Universitario Reina Sofı́a, Córdoba, Spain, Hospital Universitario Reina Sofı́a, Córdoba, Spain |
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| Cites_doi | 10.1016/S1040-8428(97)00017-6 10.1002/ssu.2980090213 10.1002/1097-0142(19950301)75:5<1084::AID-CNCR2820750506>3.0.CO;2-F 10.1016/S0003-4975(96)01103-4 10.1007/BF00046828 10.1016/0003-4975(92)91377-L 10.1148/24.4.444 10.1016/S0022-5223(19)37330-1 10.1001/archsurg.1992.01420120037006 10.1259/0007-1285-67-794-129 10.1016/S0022-5223(97)70397-0 10.1016/S0003-4975(10)63771-X 10.1002/(SICI)1097-0347(199607/08)18:4<311::AID-HED1>3.0.CO;2-0 10.1378/chest.107.6_Supplement.322S 10.1111/j.1464-410X.1995.tb07262.x 10.1200/JCO.1990.8.10.1683 |
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| Keywords | metastasectomy lung metastases pulmonary resection Antineoplastic agent Human Lung disease Respiratory disease Adjuvant treatment Surgical resection Metastasis Malignant tumor Survival Bronchopulmonary Chemotherapy Treatment Surgery Bronchus disease Evolution |
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| References | Robert, Ambrogi, Mermillod, Dahabreh, Goldstraw (RF11) 1997; 63 Pogrebniak, Pass (RF13) 1993; 9 Robinson, Sheppard, Moskovic, Fischer (RF18) 1994; 67 Lanza, Natarajan, Roth (RF17) 1992; 54 Stewart, Carey, Merrill, Frist, Hammon, Bender (RF1) 1992; 58 Wedman, Balm, Hart (RF22) 1996; 18 Karakousis, Velez, Driscoll, Takita (RF20) 1994; 115 Tarin (RF5) 1982; 1 Kauczor, Hansen, Schweden, Strunk, Mildenberger, Thelen (RF12) 1994; 34 Aberg (RF14) 1997; 63 Cozzoli, Milano, Cancarini, Zanotelli, Cosciani Cunico (RF21) 1995; 75 Wright, Erhenhaft (RF8) 1982; 83 Pastorino (RF10) 1997; 26 Divis (RF6) 1927; 62 McCormack, Burt, Bains, Martini, Rusch, Ginsberg (RF16) 1992; 127 Toner, Panicek, Heelan (RF15) 1990; 8 Saeter, Hoie, Stenwig, Johansson, Hannisdal, Solheim (RF19) 1995; 75 Berry, Van Schil, Van Oosterom, Vanmaele, Eyskens, Van Marck (RF2) 1995; 95 (RF3) 1997; 113 Rusch (RF9) 1995; 107 McCormarck, Martini (RF7) 1979; 28 Farrell (RF4) 1935; 24 Wright (10.1053/ejso.2001.1068_RF8) 1982; 83 McCormack (10.1053/ejso.2001.1068_RF16) 1992; 127 Toner (10.1053/ejso.2001.1068_RF15) 1990; 8 Saeter (10.1053/ejso.2001.1068_RF19) 1995; 75 Divis (10.1053/ejso.2001.1068_RF6) 1927; 62 Rusch (10.1053/ejso.2001.1068_RF9) 1995; 107 Lanza (10.1053/ejso.2001.1068_RF17) 1992; 54 Berry (10.1053/ejso.2001.1068_RF2) 1995; 95 Aberg (10.1053/ejso.2001.1068_RF14) 1997; 63 Robinson (10.1053/ejso.2001.1068_RF18) 1994; 67 Farrell (10.1053/ejso.2001.1068_RF4) 1935; 24 Kauczor (10.1053/ejso.2001.1068_RF12) 1994; 34 Wedman (10.1053/ejso.2001.1068_RF22) 1996; 18 Pogrebniak (10.1053/ejso.2001.1068_RF13) 1993; 9 (10.1053/ejso.2001.1068_RF3) 1997; 113 Robert (10.1053/ejso.2001.1068_RF11) 1997; 63 Stewart (10.1053/ejso.2001.1068_RF1) 1992; 58 Tarin (10.1053/ejso.2001.1068_RF5) 1982; 1 Karakousis (10.1053/ejso.2001.1068_RF20) 1994; 115 Pastorino (10.1053/ejso.2001.1068_RF10) 1997; 26 Cozzoli (10.1053/ejso.2001.1068_RF21) 1995; 75 McCormarck (10.1053/ejso.2001.1068_RF7) 1979; 28 |
| References_xml | – volume: 63 start-page: 777 year: 1997 end-page: 784 ident: RF11 article-title: Factors influencing long-term survival after lung metastasectomy [see comments] publication-title: Ann Thorac Surg contributor: fullname: Goldstraw – volume: 63 start-page: 611 year: 1997 end-page: 612 ident: RF14 article-title: Selection mechanisms as major determinants of survival after pulmonary metastasectomy [editorial; comment] publication-title: Ann Thorac Surg contributor: fullname: Aberg – volume: 18 start-page: 311 year: 1996 end-page: 316 ident: RF22 article-title: Value of resection of pulmonary metastases in head and neck cancer patients publication-title: Head Neck contributor: fullname: Hart – volume: 113 start-page: 37 year: 1997 end-page: 49 ident: RF3 publication-title: J Thorac Cardiovasc Surg – volume: 83 start-page: 93 year: 1982 end-page: 99 ident: RF8 article-title: Results of pulmonary resection for metastatic lesion publication-title: J Thorac Cardiovas Surg contributor: fullname: Erhenhaft – volume: 75 start-page: 1084 year: 1995 end-page: 1093 ident: RF19 article-title: Systemic relapse of patients with osteogenic sarcoma. Prognostic factors for long term survival publication-title: Cancer contributor: fullname: Solheim – volume: 67 start-page: 129 year: 1994 end-page: 135 ident: RF18 article-title: Lung metastasectomy in patients with soft tissue sarcoma publication-title: Br J Radiol contributor: fullname: Fischer – volume: 115 start-page: 295 year: 1994 end-page: 302 ident: RF20 article-title: Metastasectomy in malignant melanoma publication-title: Surgery contributor: fullname: Takita – volume: 34 start-page: 569 year: 1994 end-page: 575 ident: RF12 article-title: [Computerized tomography in diagnosis of lung metastases: improvement with the spiral technique] publication-title: Radiologe contributor: fullname: Thelen – volume: 95 start-page: 278 year: 1995 end-page: 280 ident: RF2 article-title: Pulmonary metastasectomy publication-title: Acta Chir Belg contributor: fullname: Van Marck – volume: 8 start-page: 1683 year: 1990 end-page: 1694 ident: RF15 article-title: Adjunctive surgery after chemotherapy for nonseminomatosus germ cells tumors: recomendations for the patients selections publication-title: J Clin Oncol contributor: fullname: Heelan – volume: 58 start-page: 100 year: 1992 end-page: 103 ident: RF1 article-title: Twenty years» experience with pulmonary metastasectomy publication-title: Am Surg contributor: fullname: Bender – volume: 62 start-page: 329 year: 1927 end-page: 334 ident: RF6 article-title: Einbeitrag zur operativen, Behandlung der Lungenggeschwulste publication-title: Acta Chir Scand contributor: fullname: Divis – volume: 26 start-page: 137 year: 1997 end-page: 145 ident: RF10 article-title: Lung metastasectomy: why, when, how publication-title: Crit Rev Oncol Hematol contributor: fullname: Pastorino – volume: 54 start-page: 244 year: 1992 end-page: 248 ident: RF17 article-title: Long-term survival after resection of pulmonary metastases from carcinoma of the breast publication-title: Ann Thorac Surg contributor: fullname: Roth – volume: 127 start-page: 1403 year: 1992 end-page: 1406 ident: RF16 article-title: Lung resection for colorectal metastases. 10-year results publication-title: Arch Surg contributor: fullname: Ginsberg – volume: 28 start-page: 139 year: 1979 end-page: 145 ident: RF7 article-title: The changing role of surgery for pulmonary metastases publication-title: Ann Thorac Surg contributor: fullname: Martini – volume: 9 start-page: 142 year: 1993 end-page: 149 ident: RF13 article-title: Initial and reoperative pulmonary metastasectomy: indications, technique, and results publication-title: Semin Surg Oncol contributor: fullname: Pass – volume: 24 start-page: 444 year: 1935 end-page: 451 ident: RF4 article-title: Pulmonary metastases: a pathological, clinical, roentgenologic study based on 78 cases of necropsy publication-title: Radiology contributor: fullname: Farrell – volume: 1 start-page: 215 year: 1982 end-page: 221 ident: RF5 article-title: Investigation of mechanism of metastatic spread of naturally occurring neoplasm publication-title: Cancer Metastasis Rev contributor: fullname: Tarin – volume: 107 start-page: 322S year: 1995 end-page: 331S ident: RF9 article-title: Pulmonary metastasectomy. Current indications publication-title: Chest contributor: fullname: Rusch – volume: 75 start-page: 445 year: 1995 end-page: 447 ident: RF21 article-title: Surgery of lung metastases in renal cell carcinoma publication-title: Br J Urol contributor: fullname: Cosciani Cunico – volume: 58 start-page: 100 year: 1992 ident: 10.1053/ejso.2001.1068_RF1 article-title: Twenty years» experience with pulmonary metastasectomy publication-title: Am Surg contributor: fullname: Stewart – volume: 62 start-page: 329 year: 1927 ident: 10.1053/ejso.2001.1068_RF6 article-title: Einbeitrag zur operativen, Behandlung der Lungenggeschwulste publication-title: Acta Chir Scand contributor: fullname: Divis – volume: 63 start-page: 611 year: 1997 ident: 10.1053/ejso.2001.1068_RF14 article-title: Selection mechanisms as major determinants of survival after pulmonary metastasectomy [editorial; comment] publication-title: Ann Thorac Surg contributor: fullname: Aberg – volume: 26 start-page: 137 year: 1997 ident: 10.1053/ejso.2001.1068_RF10 article-title: Lung metastasectomy: why, when, how publication-title: Crit Rev Oncol Hematol doi: 10.1016/S1040-8428(97)00017-6 contributor: fullname: Pastorino – volume: 9 start-page: 142 year: 1993 ident: 10.1053/ejso.2001.1068_RF13 article-title: Initial and reoperative pulmonary metastasectomy: indications, technique, and results publication-title: Semin Surg Oncol doi: 10.1002/ssu.2980090213 contributor: fullname: Pogrebniak – volume: 115 start-page: 295 year: 1994 ident: 10.1053/ejso.2001.1068_RF20 article-title: Metastasectomy in malignant melanoma publication-title: Surgery contributor: fullname: Karakousis – volume: 95 start-page: 278 year: 1995 ident: 10.1053/ejso.2001.1068_RF2 article-title: Pulmonary metastasectomy publication-title: Acta Chir Belg contributor: fullname: Berry – volume: 75 start-page: 1084 year: 1995 ident: 10.1053/ejso.2001.1068_RF19 article-title: Systemic relapse of patients with osteogenic sarcoma. Prognostic factors for long term survival publication-title: Cancer doi: 10.1002/1097-0142(19950301)75:5<1084::AID-CNCR2820750506>3.0.CO;2-F contributor: fullname: Saeter – volume: 63 start-page: 777 year: 1997 ident: 10.1053/ejso.2001.1068_RF11 article-title: Factors influencing long-term survival after lung metastasectomy [see comments] publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(96)01103-4 contributor: fullname: Robert – volume: 1 start-page: 215 year: 1982 ident: 10.1053/ejso.2001.1068_RF5 article-title: Investigation of mechanism of metastatic spread of naturally occurring neoplasm publication-title: Cancer Metastasis Rev doi: 10.1007/BF00046828 contributor: fullname: Tarin – volume: 54 start-page: 244 year: 1992 ident: 10.1053/ejso.2001.1068_RF17 article-title: Long-term survival after resection of pulmonary metastases from carcinoma of the breast publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(92)91377-L contributor: fullname: Lanza – volume: 24 start-page: 444 year: 1935 ident: 10.1053/ejso.2001.1068_RF4 article-title: Pulmonary metastases: a pathological, clinical, roentgenologic study based on 78 cases of necropsy publication-title: Radiology doi: 10.1148/24.4.444 contributor: fullname: Farrell – volume: 83 start-page: 93 year: 1982 ident: 10.1053/ejso.2001.1068_RF8 article-title: Results of pulmonary resection for metastatic lesion publication-title: J Thorac Cardiovas Surg doi: 10.1016/S0022-5223(19)37330-1 contributor: fullname: Wright – volume: 127 start-page: 1403 year: 1992 ident: 10.1053/ejso.2001.1068_RF16 article-title: Lung resection for colorectal metastases. 10-year results publication-title: Arch Surg doi: 10.1001/archsurg.1992.01420120037006 contributor: fullname: McCormack – volume: 67 start-page: 129 year: 1994 ident: 10.1053/ejso.2001.1068_RF18 article-title: Lung metastasectomy in patients with soft tissue sarcoma publication-title: Br J Radiol doi: 10.1259/0007-1285-67-794-129 contributor: fullname: Robinson – volume: 113 start-page: 37 year: 1997 ident: 10.1053/ejso.2001.1068_RF3 publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(97)70397-0 – volume: 28 start-page: 139 year: 1979 ident: 10.1053/ejso.2001.1068_RF7 article-title: The changing role of surgery for pulmonary metastases publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)63771-X contributor: fullname: McCormarck – volume: 18 start-page: 311 year: 1996 ident: 10.1053/ejso.2001.1068_RF22 article-title: Value of resection of pulmonary metastases in head and neck cancer patients publication-title: Head Neck doi: 10.1002/(SICI)1097-0347(199607/08)18:4<311::AID-HED1>3.0.CO;2-0 contributor: fullname: Wedman – volume: 107 start-page: 322S year: 1995 ident: 10.1053/ejso.2001.1068_RF9 article-title: Pulmonary metastasectomy. Current indications publication-title: Chest doi: 10.1378/chest.107.6_Supplement.322S contributor: fullname: Rusch – volume: 75 start-page: 445 year: 1995 ident: 10.1053/ejso.2001.1068_RF21 article-title: Surgery of lung metastases in renal cell carcinoma publication-title: Br J Urol doi: 10.1111/j.1464-410X.1995.tb07262.x contributor: fullname: Cozzoli – volume: 34 start-page: 569 year: 1994 ident: 10.1053/ejso.2001.1068_RF12 article-title: [Computerized tomography in diagnosis of lung metastases: improvement with the spiral technique] publication-title: Radiologe contributor: fullname: Kauczor – volume: 8 start-page: 1683 year: 1990 ident: 10.1053/ejso.2001.1068_RF15 article-title: Adjunctive surgery after chemotherapy for nonseminomatosus germ cells tumors: recomendations for the patients selections publication-title: J Clin Oncol doi: 10.1200/JCO.1990.8.10.1683 contributor: fullname: Toner |
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| SubjectTerms | Adolescent Adult Aged Biological and medical sciences Female Humans lung metastases Lung Neoplasms - mortality Lung Neoplasms - secondary Lung Neoplasms - surgery Male Medical sciences metastasectomy Middle Aged Pneumology pulmonary resection Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Survival Rate Tumors of the respiratory system and mediastinum |
| Title | Surgical treatment of pulmonary metastases: experience with 40 patients |
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