[Management pulmonary metastases: when operate?].
Thirty percent of patients suffering from malignant disease will develop pulmonary metastases. Effective chemotherapy is lacking for many of these tumors. Many studies suggest survival benefit in selected patients when pulmonary metastasectomy allows complete resection. Several operative approach may be offered in order to achieve complete resection and maximal lung sparring. Pre-operative workup must assess the control of the primary tumor and the possibility of performing complete resection. Minimally invasive approaches may offer better quality life and equivalent oncologic outcomes than open approach.
Service de chirurgie thoracique et vasculaire, CHUV 1011, Lausanne. michel.gonzalez@chuv.ch
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Gonzalez
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Peters
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Wang
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Krueger
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery / Q000628:therapy*; D001859:Bone Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery / Q000628:therapy*; D008545:Melanoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D059146:Metastasectomy / Q000379:methods / Q000706:statistics & numerical data*; D011013:Pneumonectomy / Q000379:methods / Q000706:statistics & numerical data; D012509:Sarcoma / Q000556:secondary / Q000601:surgery / Q000628:therapy; D012878:Skin Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013997:Time Factors