PULMONARY METASTASECTOMY - CURRENT INDICATIONS

被引:235
作者
RUSCH, VW [1 ]
机构
[1] CORNELL UNIV, COLL MED, NEW YORK, NY USA
关键词
D O I
10.1378/chest.107.6_Supplement.322S
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Surgical resection remains an important form of treatment for pulmonary metastases from a variety of sold tumors, The most significant factors in selecting patients for operation include control of the primary tumor, ability to resect all metastatic disease, absence of extrathoracic metastases, lack of better alternative systemic therapy, and sufficient cardiopulmonary reserve for the planned resection, A solitary pulmonary nodule and long tumor doubling times and disease-free intervals usually define patients who experience better longterm survival after pulmonary resection hut do not constitute absolute criteria by which to select such patients, Complete surgical resection is critical to achieving long-term survival and is best accomplished via a standard or ''clamshell'' thoracotomy or a median sternotomy., The decision to proceed with the surgical resection of pulmonary metastases should be a multidisciplinary one, made jointly by the thoracic surgeon and the medical oncologist.
引用
收藏
页码:S322 / S331
页数:10
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