Pulmonary metastasectomy in colorectal cancer: Time for a trial

被引:39
作者
Treasure, T. [1 ]
Fallowfield, L. [2 ]
Farewell, V. [3 ]
Ferry, D. [4 ]
Lees, B. [5 ]
Leonard, P. [6 ]
Macbeth, F. [7 ]
Utley, M. [1 ]
机构
[1] UCL, Clin Operat Res Unit, Dept Math, London WC1H 0BT, England
[2] Univ Sussex, Brighton & Sussex Med School, CRUK Sussex Psychosocial Oncol Grp, Brighton BN1 9QG, E Sussex, England
[3] Univ Forvie Site, Inst Publ Hlth, MRC Biostat Unit, Cambridge CB2 0SR, England
[4] New Cross Hosp, Dept Oncol, Wolverhampton WV10 0QP, W Midlands, England
[5] Royal Brompton Hosp, Clin Trials & Evaluat Unit, London SW3 6NP, England
[6] Southend Univ Hosp NHS Fdn Trust, Westcliff On Sea SS0 0RY, Essex, England
[7] Natl Inst Hlth & Clin Excellence, London WC1V 6NA, England
来源
EJSO | 2009年 / 35卷 / 07期
关键词
Colorectal cancer; Pulmonary metastasectomy; Randomised controlled trial; MESOTHELIOMA; RESECTION; SERIES;
D O I
10.1016/j.ejso.2008.12.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Pulmonary metastasectomy is undertaken for a range of cancers. The questions we raise here are specifically related to colorectal cancer, the commonest tumour for which pulmonary metastasectomy is undertaken. The primary objective of metastasectomy is to increase survival. There are no randomised trials in support of this practice nor are there any other forms of controlled studies. We present a critical look at the assumption of efficacy for this surgery and propose that a trial is needed and suggest a trial design. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:686 / 689
页数:4
相关论文
共 14 条
  • [1] THE EFFECT OF METASTASECTOMY - FACT OR FICTION
    ABERG, T
    MALMBERG, KA
    NILSSON, B
    NOU, E
    [J]. ANNALS OF THORACIC SURGERY, 1980, 30 (04) : 378 - 384
  • [2] Aberg T, 1997, ANN THORAC SURG, V63, P611
  • [3] Pulmonary metastases tumor doubling time - Assessment by computed tomography
    Chojniak, R
    Younes, RN
    [J]. AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 2003, 26 (04): : 374 - 377
  • [4] FIORENTINO F, PULMONARY M IN PRESS
  • [5] Pulmonary Metastasectomy A Survey of Current Practice Amongst Members of the European Society of Thoracic Surgeons
    Internullo, Eveline
    Cassivi, Stephen D.
    Van Raemdonck, Dirk
    Friedel, Godehard
    Treasure, Tom
    Berrisford, Richard
    Detterbeck, Frank
    Furrer, Markus
    Yuste, Mariano Garcia
    Gebitekin, Cengiz
    Grodzki, Tomasz
    Hensens, Ab
    Jakovic, Radislav
    Klepetko, Walter
    Migliore, Marcello
    Molnar, Thomas
    Paleru, Christian
    Robert, John
    Rocco, Gaetano
    Rolle, Axel
    Turna, Akif
    Van Schil, Paul
    Vaughan, Roger
    Venuta, Federico
    [J]. JOURNAL OF THORACIC ONCOLOGY, 2008, 3 (11) : 1257 - 1266
  • [6] Nauenheim KS, 2007, DIFFICULT DECISIONS, P151
  • [7] Patel A, 2007, DIFFICULT DECISIONS, P158
  • [8] Surgical resection of pulmonary metastases from colorectal cancer: A systematic review of published series
    Pfannschmidt, Joachim
    Dienemann, Hendrik
    Hoffmann, Hans
    [J]. ANNALS OF THORACIC SURGERY, 2007, 84 (01) : 324 - 338
  • [9] Is resection of pulmonary and hepatic metastases warranted in patients with colorectal cancer?
    Robinson, BJ
    Rice, TW
    Strong, SA
    Rybicki, LA
    Blackstone, EH
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 117 (01) : 66 - 75
  • [10] The mesothelioma and radical surgery (MARS) trial update
    Treasure, T.
    Duffy, N.
    Tan, C.
    Peckitt, C.
    Coombes, G.
    [J]. LUNG CANCER, 2006, 54 : S44 - S44