Pulmonary metastasectomy from soft tissue sarcomas
INTRODUCTION: Isolated pulmonary metastases from soft tissue sarcomas occur in 20-50% of these(the issue is about metastases, not lung cancer )patients, and 70% of these patients will present disease limited only to the lungs. Surgical resection is well accepted as a standard approach to treat metastases from soft tissue sarcomas isolated in the lungs, and many studies investigating this technique have reported an overall 5-year survival ranging from 30-40%. The most consistent predictor of survival in these patients is complete resection. The aim of the present study was to determine the demographics and clinical treatment-related variables associated with long-term (90-month) overall survival in patients with lung metastases undergoing pulmonary metastasectomy from soft tissue sarcomas. METHODS: We performed a retrospective review of patients admitted in the Thoracic Surgery Department with lung metastases who underwent thoracotomy for resection following treatment of the primary tumor. Data regarding primary tumor features, demographics, treatment, and outcome were collected. RESULTS: One hundred twenty-two thoracotomies and 273 nodules were resected from 77 patients with previously treated soft tissue sarcomas. The median follow-up time of all patients was 36.7 months (range: 10-138 months). The postoperative complication rate was 9.1%, and the 30-day mortality rate was 0%. The 90-month overall survival rate for all patients was 34.7%. Multivariate analysis identified the following independent prognostic factors for overall survival: the number of metastases resected, the disease-free interval, and the number of complete resections. CONCLUSION: These results confirm that lung metastasectomy is a safe and potentially curative procedure for patients with treated primary tumors. A select group of patients can achieve long-term survival after lung resection.
Main Authors: | Sardenberg,Rodrigo Afonso da Silva, Figueiredo,Luiz Poli de, Haddad,Fábio José, Gross,Jefferson Luiz, Younes,Riad Naim |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Faculdade de Medicina / USP
2010
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000900010 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
The Pulmonary Metastasectomy in Colorectal Cancer study calls for reconsideration of the clinical effectiveness of this widespread practice
by: Treasure,Tom, et al.
Published: (2022) -
Survival outcome of pulmonary metastasectomy among the patients with colorectal cancers
by: Yıldız,Oya, et al.
Published: (2021) -
High-grade primary pulmonary leiomyosarcoma
by: Sardenberg,Rodrigo Afonso da Silva, et al.
Published: (2011) -
Comment on “Survival outcome of pulmonary metastasectomy among the patients with colorectal cancers”
by: Huang,Jian, et al.
Published: (2022) -
Extremities Soft Tissue Sarcomas, more Common and as Dangerous as Bone Sarcomas
by: Voltan,Karen, et al.
Published: (2021)