PROGNOSTIC INDICATORS IN PATIENTS WITH PULMONARY METASTASES

被引：24

作者：

PUTNAM, JB

ROTH, JA

机构：

[1] Department of Thoracic Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas

来源：

SEMINARS IN SURGICAL ONCOLOGY | 1990年 / 6卷 / 05期

关键词：

disease free interval; survival; tumor doubling time;

D O I：

10.1002/ssu.2980060512

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Pulmonary metastases from different primary neoplasms have different biological characteristics which may correlate with patient survival. Objective criteria to reliably select or exclude patients who would benefit from resection of these metastases are not available; however, various prognostic indicators have been studied for their correlation with postresection survival. Prognostic indicators differ among various tumor histologies. Prognostic indicators identified preoperatively which may influence post‐resection survival include age, sex, histology and location of the primary tumor, tumor doubling time, disease free interval, the number of nodules on preoperative roentgenographic studies, and the number of metastases resected. Following surgery, resectability, and the number of metastases resected may predict expected survival for patients meeting certain criteria. No single criterion should be used to exclude patients from surgery as resection will provide numerous patients with significant postresection survival. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company

引用

页码：291 / 296

页数：6

共 43 条

[1]

Barney JD, Churchill EJ, Adenocarcinoma of the kidney with metastasis to the lung cured by nephrectomy and lobectomy, J Urol, 42, pp. 269-276, (1939)

[2]

Takita H, Merrin C, Didolkar MS, Et al., The surgical management of multiple lung metastases, Ann Thorac Surg, 24, pp. 359-364, (1977)

[3]

Morrow CE, Vassilopoulos PP, Grange TB, Surgical resection for metastatic neoplasms of the lung: Experience at the University of Minnesota Hospitals, Cancer, 45, pp. 2981-2985, (1980)

[4]

McCormack PM, Martini N, The changing role of surgery for pulmonary metastases, Ann Thorac Surg, 28, pp. 139-142, (1979)

[5]

Takita H, Edgerton F, Karakousis C, Et al., Surgical management of metastases to the lung, Surg Gyn Obstet, 152, pp. 191-194, (1981)

[6]

Wright JO, Brandt B, Ehrenhaft JL, Results of pulmonary resection for metastatic lesions, J Thorac Cardiovasc Surg, 83, pp. 94-99, (1982)

[7]

Mountain CF, McMurtrey MJ, Hermes KE, Surgery for pulmonary metastasis: A 20‐year experience, Ann Thorac Surg, 38, pp. 323-330, (1984)

[8]

Johnston MR, Median sternotomy for resection of pulmonary metastases, J Thorac Cardiovasc Surg, 85, pp. 516-522, (1983)

[9]

Roth JA, Pass HI, Wesley MN, Et al., Comparison of median sternotomy and thoracotomy for resection of pulmonary metastases in patients with adult soft‐tissue sarcomas, Ann Thorac Surg, 42, pp. 134-138, (1986)

[10]

Rizzoni WE, Pass HI, Wesley MN, Et al., Resection of recurrent pulmonary metastases in patients with soft‐tissue sarcomas, Arch Surg, 121, pp. 1248-1252, (1986)

← 1 2 3 4 5 →