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Factors associated with pulmonary recurrence after pulmonary metastasectomy for sarcomatous disease

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Abstract

Purpose

To analyze the factors associated with survival and pulmonary recurrence after complete metastasectomy for patients with sarcomatous disease.

Methods

Among the 51 patients who underwent complete pulmonary metastasectomy at our hospital between January 2002 and November 2010, 30 (58.8 %) suffered pulmonary recurrence in an ipsilateral hemithorax. We analyzed the factors affecting survival and recurrence after complete metastasectomy.

Results

The 51 patients who underwent pulmonary metastasectomy comprised 33 male and 18 female patients, with a median age of 22 years (range 11–61 years). The median survival was 24 months. Multivariate analysis revealed recurrence (p = 0.016) and the type of tumor (p = 0.024) as independent predictors of survival. Recurrence developed in 30 (58.8 %) patients. The risk of recurrence was higher in patients with a DFI <12 months and >1 metastasis resected during the initial metastasectomy.

Conclusions

Based on the findings of our analysis, patients with a DFI <12 months and >1 metastases resected during initial surgery have a higher risk of recurrence. We recommend postoperative follow-up at frequent intervals and reconsideration of oncological treatment after complete resection.

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Conflict of interest

Serhan Tanju and co-authors have no conflict of interest.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Istanbul Medical School, Istanbul University, Bentler sitesi A4/14, Goktürk, Istanbul, Turkey

    Serhan Tanju, Murat Saricam, Erkan Kaba, Murat Kapdagli & Alper Toker

  2. Department of Thoracic Surgery, Koç University School of Medicine, Istanbul, Turkey

    Sukru Dilege

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  1. Serhan Tanju
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  2. Murat Saricam
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  3. Erkan Kaba
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  4. Murat Kapdagli
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  5. Sukru Dilege
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  6. Alper Toker
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Correspondence to Serhan Tanju.

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Tanju, S., Saricam, M., Kaba, E. et al. Factors associated with pulmonary recurrence after pulmonary metastasectomy for sarcomatous disease. Surg Today 44, 914–918 (2014). https://doi.org/10.1007/s00595-013-0796-x

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  • DOI: https://doi.org/10.1007/s00595-013-0796-x

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