Surgical treatment of metastatic tumors in the lung
Nakahashi, H.; Miyazaki, K.; Kuda, T.; Takeo, S.; Nagashima, A.; Ishida, T.; Yasumoto, K.; Sugimachi, K.
Nihon Kyobu Geka Gakkai 36(1): 63-68
1988
ISSN/ISBN: 0369-4739 PMID: 3385246 Document Number: 323500
Fortypatients with metastatic lung tumors were subjected to surgical treatment in our department from 1974 to 1985. They included 27 carcinomas and 13 sarcomas. Fifty-one thoractomies were undergone in these patients. Five year survival rate of all cases was 47%. There were no statistically significant differences in survival rates of patients with metastatic lung tumors according to type of primary tumors, location and number of metastatic lesions, disease-free interval and tumor doubling time. In patients with a solitary metastatic lesion there was no statistically significant difference to operative procedures. These results suggested that surgical resection should be indicated in all patients with metastatic lung tumors even though those had multiple or bilateral pulmonary metastases when control of primary site and complete resection of metastatic lesions were expected. In view of preservation of pulmonary function, wedge resection should be selected as an operative procedure for metastatic lung tumors.