Surgical treatment of pulmonary metastasis of colorectal cancer. Prognostic survival factors |
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Authors: | O Baron A Hamy JL Michaud J Paineau |
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Affiliation: | Service de Chirurgie thoracique et cardio-vasculaire, H?pital G et R La?nnec, Nantes. |
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Abstract: | SURVIVAL RATES: Less than 5% of patients with pulmonary metastasis from colorectal carcinoma will survive at 5 years, but 30% will survive at 5 years after surgical treatment. MAIN PROGNOSTIC FACTORS: The number of nodules, presence of regional lymph node metastases, disease-free interval between treatment of the primary tumor and development of metastasis as well as serum CEA level are the main prognostic discriminants. INDICATIONS FOR SURGERY: An aggressive operative approach is indicated even when there are pulmonary and extra-pulmonary localizations. Repeat thoracotomy is warranted for recurrent disease. |
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