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J Thorac Cardiovasc Surg 1997;113:37-049
© 1997 Mosby, Inc.
GENERAL THORACIC SURGERY |
Received for publication May 6, 1996 Revisions requested May 30, 1996 Revisions received Sept 5, 1996 Accepted for publication Sept. 9, 1996 Address for reprints: Ugo Pastorino, MD, International Registry of Lung Metastases, Royal Brompton Hospital, Sydney St., London SW3 6NP, United Kingdom.
Abstract
Objectives: The International Registry of Lung Metastases was established in 1991 to assess the long-term results of pulmonary metastasectomy. Methods: The Registry has accrued 5206 cases of lung metastasectomy, from 18 departments of thoracic surgery in Europe (n = 13), the United States (n = 4) and Canada (n = 1). Of these patients, 4572 (88%) underwent complete surgical resection. The primary tumor was epithelial in 2260 cases, sarcoma in 2173, germ cell in 363, and melanoma in 328. The disease-free interval was 0 to 11 months in 2199 cases, 12 to 35 months in 1857, and more than 36 months in 1620. Single metastases accounted for 2383 cases and multiple lesions for 2726. Mean follow-up was 46 months. Analysis was performed by Kaplan-Meier estimates of survival, relative risks of death, and multivariate Cox model. Results: The actuarial survival after complete metastasectomy was 36% at 5 years, 26% at 10 years, and 22% at 15 years (median 35 months); the corresponding values for incomplete resection were 13% at 5 years and 7% at 10 years (median 15 months). Among complete resections, the 5-year survival was 33% for patients with a disease-free interval of 0 to 11 months and 45% for those with a disease-free interval of more than 36 months; 43% for single lesions and 27% for four or more lesions. Multivariate analysis showed a better prognosis for patients with germ cell tumors, disease-free intervals of 36 months or more, and single metastases. Conclusions: These results confirm that lung metastasectomy is a safe and potentially curative procedure. Resectability, disease-free interval, and number of metastases enabled us to design a simple system of classification valid for different tumor types.
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K. Yamamoto, H. Yoshikawa, K. Shiromizu, T. Saito, K. Kuzuya, R. Tsunematsu, and T. Kamura Pulmonary metastasectomy for uterine cervical cancer: a multivariate analysis Ann. Thorac. Surg., April 1, 2004; 77(4): 1179 - 1182. [Abstract] [Full Text] [PDF]
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M. Anraku, K. Yokoi, K. Nakagawa, T. Fujisawa, J. Nakajima, H. Akiyama, Y. Nishimura, and K. Kobayashi Pulmonary metastases from uterine malignancies: Results of surgical resection in 133 patients J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1107 - 1112. [Abstract] [Full Text] [PDF]
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A. Monteiro, N. Arce, J. Bernardo, L. Eugenio, and M. J. Antunes Surgical resection of lung metastases from epithelial tumors Ann. Thorac. Surg., February 1, 2004; 77(2): 431 - 437. [Abstract] [Full Text] [PDF]
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 S Camilleri-Broet, M Alifano, M Morcos, E Comperat, P Magdeleinat, B Marmey, T J Molina, J-F Regnard, and J Audouin Peroperative frozen section analysis of TTF-1 antigen expression J. Clin. Pathol., January 1, 2004; 57(1): 98 - 100. [Abstract] [Full Text] [PDF]
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U. Pastorino, G. Veronesi, C. Landoni, M. Leon, M. Picchio, P. G. Solli, F. Leo, L. Spaggiari, G. Pelosi, M. Bellomi, et al. Fluorodeoxyglucose positron emission tomography improves preoperative staging of resectable lung metastasis J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 1906 - 1910. [Abstract] [Full Text] [PDF]
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R. D. Suh, A. B. Wallace, R. E. Sheehan, S. B. Heinze, and J. G. Goldin Unresectable Pulmonary Malignancies: CT-guided Percutaneous Radiofrequency Ablation--Preliminary Results Radiology, December 1, 2003; 229(3): 821 - 829. [Abstract] [Full Text] [PDF]
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B. P. Van Putte, J. M. H. Hendriks, S. Romijn, B. Pauwels, G. De Boeck, G. Guetens, E. De Bruijn, and P. E. Y. Van Schil Pharmacokinetics after pulmonary artery perfusion with gemcitabine Ann. Thorac. Surg., October 1, 2003; 76(4): 1036 - 1040. [Abstract] [Full Text] [PDF]
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K. L. Ang, C. Tan, M. Hsin, and P. Goldstraw Intrapleural tumor dissemination after video-assisted thoracoscopic surgery metastasectomy Ann. Thorac. Surg., May 1, 2003; 75(5): 1643 - 1645. [Abstract] [Full Text] [PDF]
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L. J. Herrera, H. C. Fernando, Y. Perry, W. E. Gooding, P. O. Buenaventura, N. A. Christie, and J. D. Luketich Radiofrequency ablation of pulmonary malignant tumors in nonsurgical candidates J. Thorac. Cardiovasc. Surg., April 1, 2003; 125(4): 929 - 937. [Abstract] [Full Text] [PDF]
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S. Ferrari, A. Briccoli, M. Mercuri, F. Bertoni, P. Picci, A. Tienghi, A. B. Del Prever, F. Fagioli, A. Comandone, and G. Bacci Postrelapse Survival in Osteosarcoma of the Extremities: Prognostic Factors for Long-Term Survival J. Clin. Oncol., February 15, 2003; 21(4): 710 - 715. [Abstract] [Full Text] [PDF]
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J. Pfannschmidt, H. Hoffmann, T. Muley, S. Krysa, C. Trainer, and H. Dienemann Prognostic factors for survival after pulmonary resection of metastatic renal cell carcinoma Ann. Thorac. Surg., November 1, 2002; 74(5): 1653 - 1657. [Abstract] [Full Text] [PDF]
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Y. Saito, H. Omiya, K. Kohno, T. Kobayashi, K. Itoi, M. Teramachi, M. Sasaki, H. Suzuki, H. Takao, and M. Nakade Pulmonary metastasectomy for 165 patients with colorectal carcinoma: A prognostic assessment J. Thorac. Cardiovasc. Surg., November 1, 2002; 124(5): 1007 - 1013. [Abstract] [Full Text] [PDF]
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A. Rolle, R. Koch, S. K. Alpard, and J. B. Zwischenberger Lobe-sparing resection of multiple pulmonary metastases with a new 1318-nm Nd:YAG laser--first 100 patients Ann. Thorac. Surg., September 1, 2002; 74(3): 865 - 869. [Abstract] [Full Text] [PDF]
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B. P. Van Putte, J. M.H. Hendriks, S. Romijn, G. Guetens, G. De Boeck, E. A. De Bruijn, and P. E.Y. Van Schil Single-pass isolated lung perfusion versus recirculating isolated lung perfusion with melphalan in a rat model Ann. Thorac. Surg., September 1, 2002; 74(3): 893 - 898. [Abstract] [Full Text] [PDF]
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G. Friedel, U. Pastorino, R. J. Ginsberg, P. Goldstraw, M. Johnston, H. Pass, J. B. Putnam, and H. Toomes Results of lung metastasectomy from breast cancer: prognostic criteria on the basis of 467 cases of the international registry of lung metastases Eur. J. Cardiothorac. Surg., September 1, 2002; 22(3): 335 - 344. [Abstract] [Full Text] [PDF]
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P. Schneider, S. Kampfer, C. Loddenkemper, T. Foitzik, and H. J. Buhr Chemoembolization of the Lung Improves Tumor Control in a Rat Model Clin. Cancer Res., July 1, 2002; 8(7): 2463 - 2468. [Abstract] [Full Text] [PDF]
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S. Margaritora, V. Porziella, A. D'Andrilli, A. Cesario, D. Galetta, G. Macis, and P. Granone Pulmonary metastases: can accurate radiological evaluation avoid thoracotomic approach? Eur. J. Cardiothorac. Surg., June 1, 2002; 21(6): 1111 - 1114. [Abstract] [Full Text] [PDF]
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O. Rena, C. Casadio, F. Viano, R. Cristofori, E. Ruffini, P. L. Filosso, and G. Maggi Pulmonary resection for metastases from colorectal cancer: factors influencing prognosis. Twenty-year experience Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 906 - 912. [Abstract] [Full Text] [PDF]
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D. S. Schrump, S. Zhai, D. M. Nguyen, T. S. Weiser, B. A. Fisher, R. E. Terrill, B. M. Flynn, P. H. Duray, and W. D. Figg Pharmacokinetics of paclitaxel administered by hyperthermic retrograde isolated lung perfusion techniques J. Thorac. Cardiovasc. Surg., April 1, 2002; 123(4): 686 - 694. [Abstract] [Full Text] [PDF]
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S. Piltz, G. Meimarakis, M. W. Wichmann, R. Hatz, F. W. Schildberg, and H. Fuerst Long-term results after pulmonary resection of renal cell carcinoma metastases Ann. Thorac. Surg., April 1, 2002; 73(4): 1082 - 1087. [Abstract] [Full Text] [PDF]
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 M. Higashiyama, K. Kodama, K. Takami, N. Higaki, H. Yokouchi, T. Nakayama, K. Murata, M. Kameyama, J.-i. Ashimura, Y. Naruse, et al. Intraoperative Lavage Cytologic Analysis of Surgical Margins as a Predictor of Local Recurrence in Pulmonary Metastasectomy Arch Surg, April 1, 2002; 137(4): 469 - 474. [Abstract] [Full Text] [PDF]
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J.M. Galbis Caravajal, J.J. Mafe Madueno, B. Baschwitz Gomez, and J.M. Rodriguez Paniagua Video-assisted thoracoscopic surgery in a patient with pulmonic and endobronchial metastatic disease from a colonic carcinoma Eur. J. Cardiothorac. Surg., November 1, 2001; 20(5): 1061 - 1062. [Full Text] [PDF]
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E. L. Mutsaerts, F. A. Zoetmulder, S. Meijer, P. Baas, A. A. Hart, and E. J. Rutgers Outcome of thoracoscopic pulmonary metastasectomy evaluated by confirmatory thoracotomy Ann. Thorac. Surg., July 1, 2001; 72(1): 230 - 233. [Abstract] [Full Text] [PDF]
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T. C. Mineo, V. Ambrogi, M. Paci, N. Iavicoli, E. Pompeo, and I. Nofroni Transxiphoid Bilateral Palpation in Video-Assisted Thoracoscopic Lung Metastasectomy Arch Surg, July 1, 2001; 136(7): 783 - 788. [Abstract] [Full Text] [PDF]
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M. T. Jaklitsch, C. M. Mery, J. M. Lukanich, W. G. Richards, R. Bueno, S. J. Swanson, S. J. Mentzer, B. D. Davis, E. N. Allred, and D. J. Sugarbaker Sequential thoracic metastasectomy prolongs survival by re-establishing local control within the chest J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 657 - 667. [Abstract] [Full Text] [PDF]
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R. J. Landreneau, T. De Giacomo, M. J. Mack, S. R. Hazelrigg, P. F. Ferson, R. J. Keenan, J. D. Luketich, A. P. Yim, and G. F. Coloni Therapeutic video-assisted thoracoscopic surgical resection of colorectal pulmonary metastases Eur. J. Cardiothorac. Surg., December 1, 2000; 18(6): 671 - 677. [Abstract] [Full Text] [PDF]
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V. Ambrogi, M. Paci, E. Pompeo, and T. C. Mineo Transxiphoid video-assisted pulmonary metastasectomy: relevance of helical computed tomography occult lesions Ann. Thorac. Surg., December 1, 2000; 70(6): 1847 - 1852. [Abstract] [Full Text] [PDF]
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G. Massard, X. Ducrocq, M. Beaufigeau, S. Elia, R. Kessler, J.-F. Herve, and J.-M. Wihlm Lung cancer following previous extrapulmonary malignancy Eur. J. Cardiothorac. Surg., November 1, 2000; 18(5): 524 - 528. [Abstract] [Full Text] [PDF]
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A. Le Cesne, I. Judson, D. Crowther, S. Rodenhuis, H. J. Keizer, Q. Van Hoesel, J. Y. Blay, J. Frisch, M. Van Glabbeke, C. Hermans, et al. Randomized Phase III Study Comparing Conventional-Dose Doxorubicin Plus Ifosfamide Versus High-Dose Doxorubicin Plus Ifosfamide Plus Recombinant Human Granulocyte-Macrophage Colony-Stimulating Factor in Advanced Soft Tissue Sarcomas: A Trial of the European Organization for Research and Treatment of Cancer/Soft Tissue and Bone Sarcoma Group J. Clin. Oncol., July 14, 2000; 18(14): 2676 - 2684. [Abstract] [Full Text] [PDF]
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M. E. Burt, D. Liu, A. Abolhoda, H. M. Ross, Y. Kaneda, E. Jara, E. S. Casper, R. J. Ginsberg, and M. F. Brennan Isolated lung perfusion for patients with unresectable metastases from sarcoma: a phase I trial Ann. Thorac. Surg., May 1, 2000; 69(5): 1542 - 1549. [Abstract] [Full Text] [PDF]
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