Surgical treatment for 46 patients with pulmonary metastases and regressive analysis of related prognostic factors / 中国癌症杂志

ABSTRACT

Purpose:To evaluate the significance of surgery for pulmonary metastases and investigate the adverse factors of prognosis.Methods:Forty six patients with pulmonary metastases were studied. Operation was performed through conventional thoracotomy ( in 30 patients) and video assisted thoracoscopic surgical techniques (in 16 patients). Patients were followed up. Survival rate was calculated with Kaplan Meier method. Logistic regressive analysis was done to identify adverse prognostic factors.Results:Three year and five year survival rates were 33.8% and 15.8% respectively. Logistic multivariate regressive analysis revealed that multiple lobes metastases and metastases with lymph nodal metastases were adverse factors for prognosis.Conclusions:Surgery might cure some selected patients with pulmonary metastases. Multiple lobes metastases and metastases with mediastinal lymph nodal metastases are indicators of poor prognosis.