Abstract

Surgeons are often puzzled by variations in the natural history of lung cancer. Some patients with large neoplasms of borderline resectability may survive for many years after surgical treatment, whereas others with smaller, easily resectable carcinomas die from disseminated metastatic disease within a few months. The occasional success encourages the surgeon to treat lung cancer, but it is obvious that any improved survival in patients with lung cancer cannot come from further progress in surgical therapy.

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