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Pulmonary Metastasectomy

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY,volume 1))

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Abstract

Resecting pulmonary metastases is a common thoracic procedure but is poorly studied. Five-year survival rates range from 20 to 50 % after complete resection for various tumor cell types with colorectal carcinoma being at the higher end and melanoma at the lower end. Incomplete resection uniformly portends a poor survival, as does thoracic lymph node involvement. Many studies also identify shorter disease free interval and increasing numbers of metastases as poor prognostic factors but no convincing cutoffs exist to deter resection. Manual palpation detects more malignant nodules than imaging but their resection does not improve survival. Thoracoscopic resection is recommended for limited disease and some subsets of tumors may benefit from resection of two or three nodules.

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Authors and Affiliations

  1. Department of Surgery, Section of Cardiac and Thoracic Surgery, University of Chicago, 5841 South Maryland Ave. Rm E-500, MC5040, Chicago, IL, 60637, USA

    Trevor Williams MD, MPH

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  1. Trevor Williams MD, MPH
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Correspondence to Trevor Williams MD, MPH .

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Editors and Affiliations

  1. Surgery, University of Chicago, Chicago, Illinois, USA

    Mark K. Ferguson

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© 2014 Springer-Verlag London

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Williams, T. (2014). Pulmonary Metastasectomy. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_21

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  • DOI: https://doi.org/10.1007/978-1-4471-6404-3_21

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6403-6

  • Online ISBN: 978-1-4471-6404-3

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