1986
DOI: 10.1055/s-2007-1022193 View full text |Buy / Rent full text
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Abstract: Surgical removal of one or several metastases with a potentially curative aim is possible in the case of isolated pulmonary metastases. The surgery is always part of an overall oncological concept. Between 1972 and 1984, surgery was indicated in 295 cases in 261 patients and 304 thoracotomies were performed. The procedure was classified as potentially curative in 76% of the cases. The 5-year survival probability in this patient group amounted to 38% for all organic tumors. The definitely best prognosis with 5-… Show more

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“…Squamous LC histology usually presents a centrally located tumor (124,125). This can necessitate a more extended pulmonary resection, affecting postoperative survival (66,126,127) which coincides with the suggestion that LC histology is included among risk factors influencing outcome after surgery (119). Also, our finding that higher percentages for lobectomy were related to significantly higher postoperative complications for combined LC and HD surgery, can be further attributed to the fact that lobectomy affects postoperative FEV (114) which have an important role in the outcome after LC surgery (109,114,119,123).…”
Section: Discussionsupporting
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…Squamous LC histology usually presents a centrally located tumor (124,125). This can necessitate a more extended pulmonary resection, affecting postoperative survival (66,126,127) which coincides with the suggestion that LC histology is included among risk factors influencing outcome after surgery (119). Also, our finding that higher percentages for lobectomy were related to significantly higher postoperative complications for combined LC and HD surgery, can be further attributed to the fact that lobectomy affects postoperative FEV (114) which have an important role in the outcome after LC surgery (109,114,119,123).…”
Section: Discussionsupporting
“…3,6,7,[28][29][30][31][32][33][34][35] The early detection of recurrence is therefore advantageous and the use of a technique for whole-body single scanning which is able to identify both local and distant sites of recurrence is attractive. There were five false-negative results, and three of these patients subsequently developed positive MRI and FDG PET scans within six months.…”
Section: Discussionmentioning
“…Factors other than histogenesis that seem to impact on survival include number of metastases, size, and favorable biologic behavior as indicated by prolonged disease-free interval or long tumor doubling time [3,31,47]. Unlike primary non-small-cell lung cancer, there is less controversy regarding the extent of resection, and nonanatomic wedge resections are most commonly performed [10,34,44]. However, controversy exists regarding the best operative approach.…”
Section: Discussionmentioning