Multimodal and palliative treatment of patients with pulmonary metastases

被引:3
作者
Baldes, Natalie [1 ]
Eberlein, Michael [2 ]
Bolukbas, Servet [1 ]
机构
[1] Evang Kliniken Essen Mitte, Dept Thorac Surg, Essen, Germany
[2] Univ Iowa Hosp & Clin, Div Pulm Crit Care & Occupat Med, Iowa City, IA 52242 USA
关键词
Pulmonary metastasectomy; multimodal treatment; palliative resection; LUNG METASTASES; RADIOFREQUENCY ABLATION; SURGICAL RESECTION; CANCER; LYMPHADENECTOMY; SURVIVAL;
D O I
10.21037/jtd-2019-pm-09
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Pulmonary metastasectomy has become an important part of the multimodality treatment. Surgical practice is based on observational studies published during the last decades, since no randomized clinical trials exist on the topic. However, the overall survival can be improved after pulmonary metastasectomy in carefully selected patients. The objective of resection of pulmonary metastases is to remove all tumor while preserving as much normal pulmonary parenchyma as possible and reduce invasiveness. Contrary, nonsurgical local treatment options for pulmonary metastases include thermal ablation techniques and stereotactic ablative body radiation. Thermal ablation techniques include microwave, cryotherapy and radiofrequency ablation. The present review article gives an overview on the topic and should help thoracic surgeons to make the right decisions in their daily practice.
引用
收藏
页码:2686 / 2691
页数:6
相关论文
共 30 条
[1]  
[Anonymous], 2019, J Vis Surg, DOI 10.21037/jovs.2019.03.12
[2]  
[Anonymous], DAT ANN REP 2019
[3]   Lymphadenectomy during Potentially Curative Pulmonary Metastasectomy - Recommendations of an Expert Consensus Panel using the Delphi Process [J].
Boeluekbas, Servet ;
Pfannschmidt, Joachim ;
Krueger, Marcus ;
Schneider, Paul ;
Leschber, Gunda .
ZENTRALBLATT FUR CHIRURGIE, 2020, 145 (03) :288-292
[4]   Risk Factors for Lymph Node Metastases and Prognosticators of Survival in Patients Undergoing Pulmonary Metastasectomy for Colorectal Cancer [J].
Boeluekbas, Servet ;
Sponholz, Stefan ;
Kudelin, Natalie ;
Eberlein, Michael ;
Schirren, Joachim .
ANNALS OF THORACIC SURGERY, 2014, 97 (06) :1926-1932
[5]   A retrospective study analyzing missed diagnosis of lung metastases at their early stages on computed tomography [J].
Chen, Huai ;
Huang, Suidan ;
Zeng, Qingsi ;
Zhang, Min ;
Ni, Zhiwen ;
Li, Xiaoling ;
Xu, Xiaoyin .
JOURNAL OF THORACIC DISEASE, 2019, 11 (08) :3360-+
[6]   Radiofrequency ablation is a valid treatment option for lung metastases: experience in 566 patients with 1037 metastases [J].
de Baere, T. ;
Auperin, A. ;
Deschamps, F. ;
Chevallier, P. ;
Gaubert, Y. ;
Boige, V. ;
Fonck, M. ;
Escudier, B. ;
Palussiere, J. .
ANNALS OF ONCOLOGY, 2015, 26 (05) :987-991
[7]   Open Surgical Approaches for Pulmonary Metastasectomy [J].
Downey, Robert J. ;
Bains, Manjit S. .
THORACIC SURGERY CLINICS, 2016, 26 (01) :13-+
[8]   Thoracoscopic or Open Surgery for Pulmonary Metastasectomy: An Observer Blinded Study [J].
Eckardt, Jens ;
Licht, Peter B. .
ANNALS OF THORACIC SURGERY, 2014, 98 (02) :466-470
[9]   High-dose chemotherapy and stem-cell rescue for metastatic germ-cell tumors [J].
Einhorn, Lawrence H. ;
Williams, Stephen D. ;
Chamness, Amy ;
Brames, Mary J. ;
Perkins, Susan M. ;
Abonour, Rafat .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (04) :340-348
[10]   Prognostic factors for resection of isolated pulmonary metastases in breast cancer patients: a systematic review and meta-analysis [J].
Fan, Jun ;
Chen, Dali ;
Du, Heng ;
Shen, Cheng ;
Che, Guowei .
JOURNAL OF THORACIC DISEASE, 2015, 7 (08) :1441-1451