title: Results of Pulmonary Resection: Sarcoma and Germ Cell Tumors.
abstract: Pulmonary metastasis occurs in as many as 88% and 80% of stage IV patients with sarcoma and germ cell tumors, respectively. Pulmonary metastatectomy may be the only means of rendering a patient disease free. Sublobar resection (wedge or segmentectomy), lobectomy, and pneumonectomy achieve complete resection. Bilateral disease can be resected via staged thoracoscopy/thoracotomy, median sternotomy, or clamshell thoracotomy. Multiple resections and re-resections have resulted in improved survival. Five-year survival rates as high as 35% to 52% for sarcoma and 80% for germ cell tumor can be realized.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, EH215, Indianapolis, IN 46202, USA. Electronic address: dpceppa@iupui.edu.
authors.forename: DuyKhanh P
authors.initials: DP
authors.lastname: Ceppa
mesh_terms: D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D009362:Neoplasm Metastasis; D009373:Neoplasms, Germ Cell and Embryonal / Q000401:mortality / Q000556:secondary / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*; D012509:Sarcoma / Q000401:mortality / Q000556:secondary / Q000601:surgery; D015996:Survival Rate / Q000639:trends; D013908:Thoracotomy / Q000379:methods*
keywords: Germ cell tumor; Lung resection; Outcomes; Pulmonary metastasis; Sarcoma