[Surgical treatment of metastatic tumor of the lungs]

A total of 142 operations were carried out on 126 patients, aged from 8 to 73 years, for intrapulmonary metastases of malignant tumors of various localization. Marginal or wedge resection of the lung together with the metastasis was performed in 46 cases, the metastasis was removed by means of precision techniques in 14 and by enucleation in 10 cases. Lob/bilob/ectomy was conducted in 42 and pneumonectomy in 16 patients. The operations were of an obvious palliative character only in 3 cases. Three (2.4%) patients died after the operation. Among patients who were operated on for metastatic tumors of the lungs, total 3-year survival was encountered in 49.7%, 5-year survival in 36.9%, and 10-year survival in 30.6% of cases. The most favourable results were recorded in patients with solitary metastases. Survival of patients who underwent operation for a few and, particularly, for multiple metastases was poorer.