Surgical Resection of Pulmonary Metastases from Colorectal Adenocarcinoma: Special Reference to Repeated Pulmonary Resections

Masaki Mori, Hirotsugu Tomoda, Teruyoshi Ishida, Akinori Kido, Reishi Shimono, Tetsuya Matsushima, Hiroyuki Kuwano, Keizo Sugimachi

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Pulmonary resection of metastatic lesions from colorectal adenocarcinoma was performed in 35 patients. The cumulative 5-year survival was 38%. The primary site of cancer was the colon in about half of the patients. Patients with a solitary metastasis or tumors smaller than 3 cm in diameter survived longer than did patients with multiple metastases or tumors larger than 3 cm but the differences were not significant. Other factors, including age, sex, histologic grade of tumor, location and stage of primary carcinoma, location of pulmonary metastases, disease-free interval, and type of pulmonary resection, had no apparent influence on survival time. The lung was the major site of recurrence following pulmonary resection. Seven patients underwent two or more pulmonary resections for metastasis from a colorectal carcinoma. At the time of last follow-up, four patients were alive and free of recurrent disease at 5,34,39, and 58 months after the second pulmonary resection. These data suggest that some patients will survive for a long time following pulmonary resection of colorectal metastases, and for highly selected patients, repeated pulmonary resection may further extend survival.

Original languageEnglish
Pages (from-to)1297-1302
Number of pages6
JournalArchives of Surgery
Volume126
Issue number10
DOIs
Publication statusPublished - Oct 1991

All Science Journal Classification (ASJC) codes

  • Surgery

Fingerprint Dive into the research topics of 'Surgical Resection of Pulmonary Metastases from Colorectal Adenocarcinoma: Special Reference to Repeated Pulmonary Resections'. Together they form a unique fingerprint.

  • Cite this