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Part of the book series: Cancer Treatment and Research ((CTAR,volume 91))

Abstract

Complete surgical resection of isolated lung metastases is now considered an essential component of the multimodality treatment of soft tissue sarcomas. However, the recognition of the curative potential of metastasectomy occurred relatively slowly, and only in the last decade has lung metastasectomy been accepted as a standard therapeutic procedure. Many years after the first resection of a single lung metastasis, discovered intraoperatively during the excision of a chest wall sarcoma [1], elective surgery has been occasionally offered to selected cases [2] with single pulmonary metastases and or a long disease-free interval [3].

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References

  1. Weinlecher. Wiener Med Wrsch 20 & 21, 1882.

    Google Scholar 

  2. Barney JD, Churchill EJ. Adenocarcinoma of the kidney with metastasis to the lung. J Urol 42:269, 1939.

    Google Scholar 

  3. Alexander J, Haight C. Pulmonary resection for solitary metastatic sarcomas and carcinomas. Surg Gynecol Obstet 85:129, 1947.

    PubMed  CAS  Google Scholar 

  4. Martini N, McCormak PM, Bains MS. Indications for surgery for intrathoracic metastases in testicular carcinoma. Semin Oncol 6:99–103, 1979.

    PubMed  CAS  Google Scholar 

  5. Roth JA, Putnam JB, Wesley MN, Rosemberg SA. Differing determinants of prognosis following resection of pulmonary metastases from osteogenic and soft-tissue sarcoma patients. Cancer 55:1361–1366, 1985.

    Article  PubMed  CAS  Google Scholar 

  6. Potter DA, Kinsella T, Glatstein E, Wesley R, White DE, Seipp CA, Chang AE, Lack EE, Costa J, Rosemberg SA. High grade soft tissue sarcomas of the extremities. Proc ASCO 4:144, 1985.

    Google Scholar 

  7. Eilber F, Giuliano A, Eckardt J, Patterson K, Moseley S, Goodnight J. Adjuvant chemotherapy for osteosarcoma: A randomized prospective trial. J Clin Oncol 5:21–26, 1987.

    PubMed  CAS  Google Scholar 

  8. Jaffe N, Smith E, Abelson HT, Frei E. Osteogenic sarcoma: Alteration in the pattern of pulmonary metastases with adjuvant chemotherapy. J Clin Oncol 1:251–254, 1983.

    PubMed  CAS  Google Scholar 

  9. Potter DA, Glenn J, Kinsella T, Glatstein E, Lack EE, Restrepo C, White DE, Seipp CA, Wesley R, Rosemberg SA. Patterns of recurrence in patients with high-grade soft-tissue sarcomas. J Clin Oncol 3:353–366, 1985.

    PubMed  CAS  Google Scholar 

  10. McKenna RJ, McKenna RJ, Jr. Patterns of pulmonary metasteses — An orthopedic hospital experience. In L Weiss, HA Gilbert, eds. Pulmonary Metastasis. Boston: GK Hall & Co, 1978.

    Google Scholar 

  11. Chang AE, Schaner EC, Conkle DM, et al. Surgical resection of the solitary pulmonary metastasis. In L Weiss, HA Gilbert, eds. Pulmonary Metastasis. Boston: GK Hall & Co, 1978.

    Google Scholar 

  12. Roth JA, Pass HI, Wesley MN, White D, Putnam JB, Seipp C. Comparison of median sternotomy and toracotomy for resection of pulmonary metastases in patients with adult softtissue sarcomas. Ann Thorac Surg 42:134–138, 1986.

    Article  PubMed  CAS  Google Scholar 

  13. Paul KP, Toomes H, Vogt-Moykopf I. Lung volumes following resection of pulmonary metastases in paediatric patients — a retrospective study. Eur J Pediatr 149:862–865, 1990.

    Article  PubMed  CAS  Google Scholar 

  14. Chang AE, Schaner EG, Conkle DM, Flyle MW, Doppmann YJL, Rosemberg SA. Evaluation of computed tomography in the detection of pulmonary metastases. Cancer 43:913, 1979.

    Article  PubMed  CAS  Google Scholar 

  15. Mintzer RA, Malave SR, Neiman HL, Michaelis LL, Vanecko RM, Sanders JM. Computed vs. conventional tomography in evaluation of primary and secondary pulmonary neoplasms. Radiology 132:653, 1979.

    PubMed  CAS  Google Scholar 

  16. Gurtler KF, Riebel TH, Beron G, Heller M, Euler A. Vergleich von Rontgennubersichtsaufnahmen, Rontgenschichtaufnahmen und Computertomogrammen bei pulmonalen Rundherden im Kindes-und Jugendalter. Fortschr Rontgenstr 140:416, 1984.

    Article  CAS  Google Scholar 

  17. Muller NL, Gamsu G, Webb WR. Pulmonary nodules: Detection using magnetic resonance and computed tomography. Radiology 155:687, 1985.

    PubMed  CAS  Google Scholar 

  18. Takita H, Edgerton F, Karakousis C, et al. Surgical management of metastases to the lung. Surg Gynecol Obstet 152:191–194, 1981.

    PubMed  CAS  Google Scholar 

  19. Johnston MR, et al. Median sternotomy for resection of pulmonary metastases in patients with soft-tissue sarcomas. Arch Surg 121:1248–1252, 1986.

    Article  Google Scholar 

  20. Pastorino U, Valente M, Gasparini M, Azzarelli A, Santoro A, Tavecchio L, Casali P, Ravasi G. Median sternotomy and multiple lung resections for metastatic sarcomas. Eur J Cardiothorac Surg 4:477–481, 1990.

    Article  PubMed  CAS  Google Scholar 

  21. Mark JB. Surgical management of metastatic neoplasms to the lungs. In DC Sabiston, FC Spencer, eds. Surgery of the Chest. Philadelphia: WB Saunders, 1983.

    Google Scholar 

  22. Regal AM, Reese P, Antkowiak J, Hart T, Takita H. Median sternotomy for metastatic lung lesions in 131 patients. Cancer 55:1334–1339, 1985.

    Article  PubMed  CAS  Google Scholar 

  23. Takita H, Merrin C, Didolkar MS, et al. The surgical management of multiple lung metastases. Ann Thorac Surg 24:359–363, 1977.

    Article  PubMed  CAS  Google Scholar 

  24. McCormack P. Surgical treatment of pulmonary metastases: Memorial Hospital experience. In L Weiss, HA Gilbert, eds. Pulmonary Metastasis. Boston: GK Hall & Co, 1978.

    Google Scholar 

  25. Mountain CF, McMurtrey MJ, Hermes KE. Surgery for pulmonary metastasis: A 20-year experience. Ann Thorac Surg 38:323–330, 1984.

    Article  PubMed  CAS  Google Scholar 

  26. Thomford NR, Woolner LB, Claget OT. The surgical treatment of metastatic tumors in the lungs. J Thorac Cardiovasc Surg 49:357–363, 1965.

    PubMed  CAS  Google Scholar 

  27. Venn GE, Sarin S, Goldstraw P. Survival following pulmonary metastasectomy. Eur J Cardiothorac Surg 3:105–110, 1989.

    Article  PubMed  CAS  Google Scholar 

  28. Van Geel AN, Pastorino U, Jauch KW, et al. Surgical treatment of lung metastases: The EORTC-Soft Tissue and Bone Sarcoma Group study of 255 patients. Cancer 77:675–682, 1996.

    Article  PubMed  Google Scholar 

  29. Putnam JB, Jr., Roth JA. Prognostic indicators in patients with pulmonary metastases. Semin Surg Oncol 6:291–296, 1990.

    Article  PubMed  Google Scholar 

  30. Marincola FM, Mark JB. Selection factors resulting in improved survival after surgical resection of tumors metastatic of the lungs. Arch Surg 125:1387–1393, 1990.

    Article  PubMed  CAS  Google Scholar 

  31. Goya T, Miyazawa N, Kondo H, Tsuchiya R, Naruke T, Suemasu K. Surgical resection of pulmonary metastases from colorectal cancer: 10-year follow-up. Cancer 64:1418–1421, 1989.

    Article  PubMed  CAS  Google Scholar 

  32. Potter DA, Kinsella T, Glatstein E, Wesley R, White DE, Seipp CA, Chang AE, Lack EE, Costa J, Rosemberg SA. High grade soft tissue sarcomas of the extremities. Cancer 58:190, 1986.

    Article  PubMed  CAS  Google Scholar 

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© 1997 Springer Science+Business Media New York

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Pastorino, U. (1997). Metastasectomy for soft tissue sarcomas. In: Verweij, J., Pinedo, H.M., Suit, H.D. (eds) Soft Tissue Sarcomas: Present Achievements and Future Prospects. Cancer Treatment and Research, vol 91. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6121-7_5

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  • DOI: https://doi.org/10.1007/978-1-4615-6121-7_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7805-1

  • Online ISBN: 978-1-4615-6121-7

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