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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 875-879, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
T Yano, N Hara, Y Ichinose, H Yokoyama, T Miura and M Ohta
A resection of pulmonary metastases from colorectal cancer was performed in
27 patients. The cumulative 5-year survival after thoracotomy was 41.1%.
Patients with either one or two metastases had a significantly better
survival, with a 5-year survival of 54.3%, than did those with a greater
degree of metastases (p < 0.01). Other factors including the
disease-free interval, size of metastases, type of pulmonary resection, and
stage of primary cancer had no apparent influence on post-thoracotomy
survival. Furthermore, the presence of controlled hepatic metastases had no
adverse effect on survival and did not seem to contraindicate pulmonary
resection. The lung and primary colorectal region were the major sites of
recurrence. Therefore, the primary colorectal site should be explored
thoroughly and the number of metastases should be carefully considered when
pulmonary resection is considered for metastatic colorectal cancer.
ARTICLES
Results of pulmonary resection of metastatic colorectal cancer and its application
Department of Chest Surgery, National Kyushu Cancer Center, Fukuoka, Japan.
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