Abstract

From 1977 to 1988, 84 resections of pulmonary metastases were performed, and 55 patients were followed for more than two years. Their cumulative survival rates were 76. 4% at one year, 39. 6% at three years and 26. 4% at five years, with a median survival time of 35 months. The prognosis was somewhat influenced by tumor doubling time (TDT), disease free interval (DFI) and the number of metastases. A TDT of more than 70 days and a DFI of more than 12 months were favorable prognostic factors. Some metastatic tumors grow rapidly after a long dormant period. Patients with such tumors have a chance to be cured by tumor resection when there are few metastases in the lungs and no evidence of metastasis in other organs Multimodal treatment, including repeated thoracotomies, contributes to prolongation of survival.

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