title: [Surgical treatment of pediatric pulmonary metastases].
abstract: OBJECTIVE
  We comment and update the surgical treatment for pulmonary metastases (PM) within a multidisciplinary approach for paediatric cancer.
  
  
  METHODS
  We analyse patients with PM who have been operated between 1976-1996. Scientific literature published in the last 25 years (Cancerlit and Medline) was reviewed.
  
  
  RESULTS
  PM from 13 patients were removed. Seven were males and 6 females with a mean age 5 4/12 years (range: 11 months- 12 3/12 years). Diagnoses were Wilms' tumour (7), osteosarcoma (3), Ewing sarcoma (1), rabdomiosarcoma (1), Yolk sac tumour (1). PM were unilateral in 7 cases and bilateral in six cases. PM appeared synchronically in four patients and metacronically in nine cases (3 of these after chemotherapy). All patients received chemotherapy and four of them local radiotherapy. Surgery consisted on radical segmentectomy and only one patient needed lobectomy due to a local relapse. Nowadays five patients (38%) are in complete remission with a mean follow-up from surgery of 11 11/12 years (range: 6 3/12-20 years).
  
  
  CONCLUSIONS
  Metastasectomy is an important surgical technique in global treatment of children with PM and for a selected group of patients it can offer the only opportunity for curation.
authors.affiliation: Unidad de Cirugía Oncológica Pediátrica, Hospital Infantil La Fe, Valencia.
authors.forename: E
authors.initials: E
authors.lastname: Costa Borrás
authors.forename: J
authors.initials: J
authors.lastname: Ferrís i Tortajada
authors.forename: C
authors.initials: C
authors.lastname: Jovaní Casano
authors.forename: V
authors.initials: V
authors.lastname: Segarra Llido
authors.forename: M
authors.initials: M
authors.lastname: Bermúdez Cortés
authors.forename: A
authors.initials: A
authors.lastname: Cañete Nieto
authors.forename: J
authors.initials: J
authors.lastname: Velázquez Terrón
mesh_terms: D001859:Bone Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D012516:Osteosarcoma / Q000532:radiotherapy / Q000556:secondary*; D012512:Sarcoma, Ewing / Q000532:radiotherapy / Q000556:secondary*; D009396:Wilms Tumor / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*