CHANGING-ROLE OF SURGERY FOR PULMONARY METASTASES

被引:153
作者
MCCORMACK, PM
MARTINI, N
机构
[1] Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
关键词
D O I
10.1016/S0003-4975(10)63771-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
From 1960 to 1977, 663 resections for pulmonary metastases were performed in 448 patients, 202 with a sarcoma and 246 with a carcinoma. The majority of the patients (70%) had wedge resection or segmentectomy. Operative mortality was 1.0% (7 patients in 663 thoracotomies). With the increased effectiveness of chemotherapy in some specific areas—osteogenic sarcoma and carcinoma of the testis, breast, and colon—the role of surgery is changing. Surgery is now indicated to establish the histology of a solitary lesion, resect metastases unresponsive to chemotherapy, and to reclassify lesions that stabilize but do not disappear totally with chemotherapy. © 1979, The Society of Thoracic Surgeons. All rights reserved.
引用
收藏
页码:139 / 145
页数:7
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