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Secondary pulmonary malignancy.

J P Greelish1, J S Friedberg

  • 1Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, USA.

The Surgical Clinics of North America
|June 3, 2000
PubMed
Summary

Surgical resection of pulmonary metastases has evolved from palliative care to a widely accepted treatment. Indications have expanded to include multiple lesions and recurrent disease, improving survival and symptom relief in selected patients.

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Area of Science:

  • Oncology
  • Thoracic Surgery
  • Pulmonary Medicine

Background:

  • Historically, pulmonary metastases were managed solely with palliative medical care.
  • The surgical resection of pulmonary metastases (metastasectomy) has gained acceptance since the 19th century.
  • Initial indications were limited to solitary nodules, but have since broadened significantly.

Purpose of the Study:

  • To review the evolution and current indications for surgical resection of pulmonary metastases.
  • To highlight the improved outcomes associated with metastasectomy in selected patients.
  • To discuss the role of surgery in managing disseminated and symptomatic pulmonary disease.

Main Methods:

  • Review of historical and contemporary literature on pulmonary metastasectomy.
  • Analysis of patient selection criteria and surgical indications.
  • Evaluation of survival and symptom relief outcomes post-resection.

Main Results:

  • Surgical resection is now broadly accepted for pulmonary metastases.
  • Indications have expanded to include multiple lesions, recurrent disease, and diverse histologies.
  • Appropriate patient selection and absence of extrathoracic disease can improve survival.
  • Surgery can provide symptomatic relief for disseminated disease.

Conclusions:

  • Pulmonary metastasectomy has evolved into a standard treatment option.
  • Expanded indications and careful patient selection optimize outcomes.
  • Surgical intervention offers survival benefits and palliative relief for select patients with pulmonary metastases.

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