title: [The role of surgical treatment of primary non-small cell lung cancer with synchronous brain metastases].
abstract: Although several studies confirm the superiority of surgical resection of the primary lung cancer and metachronous brain metastases to other treatment modalities, the results of resection of the primary non-small cell lung cancer and synchronous brain metastases are still controversial.
  
  
  METHODS
  In the clinic of Thoraco-abdominal surgery of the University Hospital "St.George" for the period 01.01.1997-01.09.2004 radically operated are 440 patients with non-small cell lung cancer, 6 of them had solitary brain metastases, succefully resected in clinic of neurosurgery.
  
  
  RESULTS
  We found 5-year survival in only 1 of the patients, the mean survival for the rest of them was 16 months.
  
  
  CONCLUSIONS
  Although the overall survival for the patients with non-small cell lung cancer and brain metastases is poor, the surgical resection may be beneficial in a select group of patients without lymph node metastases.
authors.forename: A
authors.initials: A
authors.lastname: Uchikov
authors.forename: I
authors.initials: I
authors.lastname: Dimitrov
authors.forename: G
authors.initials: G
authors.lastname: Prisadov
authors.forename: B
authors.initials: B
authors.lastname: Hadjiev
authors.forename: G
authors.initials: G
authors.lastname: Paskalev
mesh_terms: D001921:Brain / Q000473:pathology / Q000601:surgery*; D001932:Brain Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery* / Q000628:therapy; D002031:Bulgaria; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery*; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D016019:Survival Analysis; D016896:Treatment Outcome