title: Surgical treatment for gastrointestinal metastasis of non-small-cell lung cancer after pulmonary resection.
abstract: OBJECTIVE
  Gastrointestinal metastasis is not common in recurrent non-small-cell lung cancer (NSCLC) patients. There is thus limited information on clinical outcome for these patients. This report presents the clinical characteristics and outcomes of patients with gastrointestinal metastasis after pulmonary resection.
  
  
  METHODS
  The study retrospectively analyzed nine NSCLC patients with gastrointestinal metastases.
  
  
  RESULTS
  Gastrointestinal metastases were observed in the small intestine (n = 4), colon or rectum (n = 4), and stomach (n = 1). All of the patients were symptomatic. The median survival after gastrointestinal recurrence was 10.8 months. Gastrointestinal surgery was performed in five patients, whereas no cancer treatment was indicated in the remaining four patients. Three patients who underwent surgery for a solitary metastasis survived for more than 2 years after surgery with no other recurrence.
  
  
  CONCLUSIONS
  Surgical resection of gastrointestinal metastasis is indicated not only for symptom relief but also for providing a potentially long-term survival if the patients are properly selected.
authors.affiliation: Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari, Osaka, 537-8511, Japan.
authors.forename: Ayako
authors.initials: A
authors.lastname: Fujiwara
authors.forename: Jiro
authors.initials: J
authors.lastname: Okami
authors.forename: Toshiteru
authors.initials: T
authors.lastname: Tokunaga
authors.forename: Jun
authors.initials: J
authors.lastname: Maeda
authors.forename: Masahiko
authors.initials: M
authors.lastname: Higashiyama
authors.forename: Ken
authors.initials: K
authors.lastname: Kodama
mesh_terms: D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D007564:Japan; D053208:Kaplan-Meier Estimate; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000401:mortality; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
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