Therapeutic outcome after resection of pulmonary metastases from oral and/or head and neck cancers: complete republication of the article published in Jpn J Chest Surg

被引:4
作者
Adachi H. [1 ,2 ]
Yamamoto T. [1 ]
Saito S. [1 ]
Nemoto H. [1 ]
Rino Y. [1 ]
Masuda M. [1 ]
机构
[1] Department of Surgery, Yokohama City University, Yokohama
[2] The Department of General Thoracic Surgery, Yokosuka Kyosai Hospital, 1-16, Yonegahama-dori, Yokosuka, Kanagawa
关键词
Head and neck cancer; Metastasectomy; Oral cancer; Pulmonary metastasis;
D O I
10.1007/s11748-015-0554-7
中图分类号
学科分类号
摘要
Objective: Thus far, very few studies have assessed the efficacy and outcome of resection of pulmonary metastases originating from primary oral cancer and/or head and neck cancer. Methods: We retrospectively reviewed 13 cases that had metastases from primary oral cancers and/or head and neck cancers, and had undergone metastasectomy in our hospital from January 2000 through March 2011. Results: Twelve patients were male and one was female. The median disease-free interval from the time of treatment of their primary cancer was 12 (range 1–73) months. Eleven cases underwent partial resection, one underwent segmentectomy, and one underwent lobectomy. The overall 5-year survival rate after last pulmonary metastasectomy was 45.7 %, and the median survival time was 23 months. Factors predicting a poor prognosis according to univariate analysis were a disease-free interval of <12 months and a diagnosis of stage IV primary cancer, but multivariate analysis revealed no significant prognostic factors. Conclusions: Pulmonary metastasectomy would give a chance for long-term survival in patients with oral and/or head and neck cancers. © 2015, The Japanese Association for Thoracic Surgery.
引用
收藏
页码:459 / 464
页数:5
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