[Surgical treatment for metastatic renal cell tumors of the lung]

Number of resection for lung metastasis in Hungary is low, however surgery provides benefit for patients using an integrated oncological therapeutical protocol. The authors give a retrospective analysis of 57 patients operated on for metastatic renal cell tumor to the lung. Metastases were discovered most frequently by x-ray picture of an accidental investigation or screening at symptom-free patients and in 32 cases solitary and in 25 cases multiple deposits were proved. After selection's protocol 20 patients underwent lobectomy and 32 ones wedge resection while in 5 cases only biopsy was done. Out of 52 cases 33 complete resections were performed and in 9 cases incomplete resection was carried out. The cumulative five-year survival time was 35%, following complete resection 45%. If DFI was longer than 12 months, survival was observed 38% at five year.

On basis of our experience after surgery of metastatic renal cell tumors to the lung might expect favourable survival which is significantly better after complete resection of lung metastasis and after longer than 12 months DFI.