[Surgical treatment of pulmonary metastasis of colorectal cancer. Prognostic survival factors].
Less than 5% of patients with pulmonary metastasis from colorectal carcinoma will survive at 5 years, but 30% will survive at 5 years after surgical treatment. MAIN PROGNOSTIC FACTORS: The number of nodules, presence of regional lymph node metastases, disease-free interval between treatment of the primary tumor and development of metastasis as well as serum CEA level are the main prognostic discriminants.
An aggressive operative approach is indicated even when there are pulmonary and extra-pulmonary localizations. Repeat thoracotomy is warranted for recurrent disease.
Service de Chirurgie thoracique et cardio-vasculaire, Hôpital G et R Laënnec, Nantes.
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Baron
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Hamy
J L
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Michaud
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Paineau
D002272:Carcinoembryonic Antigen / Q000097:blood; D003110:Colonic Neoplasms / Q000473:pathology*; D018572:Disease-Free Survival; D006801:Humans; D008175:Lung Neoplasms / Q000097:blood / Q000556:secondary* / Q000601:surgery; D008207:Lymphatic Metastasis / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011379:Prognosis; D012004:Rectal Neoplasms / Q000473:pathology*; D012086:Reoperation; D012307:Risk Factors; D015996:Survival Rate; D013908:Thoracotomy
D002272:Carcinoembryonic Antigen
Traitement chirurgical des métastases pulmonaires des cancers colorectaux. Facteurs pronostiques de survie.