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Khirurgiia (Mosk) ; (4): 33-6, 2005.
Article in Russian | MEDLINE | ID: mdl-15940177

ABSTRACT

Surgical treatment of 135 patients with multifocal and metastatic cancer of the lungs and other organs is analyzed. The absence of absolute differential diagnostic differences between true poly-neoplasia and synchronous or metachronous solitary metastases leads to extension of indications to surgical treatment of these patients. Surgical procedures were performed in 109 patients, 37 (33.9%) of them were one-stage. One-stage procedures meet the requirements of radical surgery and are most preferable biologically and clinically. These surgeries decrease treatment duration, prolong survival to 3-5 and more years in many patients. As cytoreductive operations, one-stage resections improve the condition of the patients, enable effective polychemotherapy.


Subject(s)
Adrenal Gland Neoplasms/surgery , Digestive System Neoplasms/surgery , Kidney Neoplasms/surgery , Lung Neoplasms/surgery , Neoplasms, Multiple Primary/surgery , Neoplasms, Second Primary/surgery , Urinary Bladder Neoplasms/surgery , Adrenal Gland Neoplasms/diagnosis , Colonic Neoplasms/diagnosis , Colonic Neoplasms/surgery , Diagnosis, Differential , Digestive System Neoplasms/diagnosis , Esophageal Neoplasms/diagnosis , Esophageal Neoplasms/surgery , Esophagoplasty , Gastrectomy , Humans , Kidney Neoplasms/diagnosis , Length of Stay , Lung Neoplasms/diagnosis , Lung Neoplasms/mortality , Lung Neoplasms/secondary , Neoplasms, Multiple Primary/diagnosis , Neoplasms, Multiple Primary/mortality , Neoplasms, Second Primary/diagnosis , Neoplasms, Second Primary/mortality , Nephrectomy , Pneumonectomy , Stomach Neoplasms/diagnosis , Stomach Neoplasms/surgery , Time Factors , Urinary Bladder Neoplasms/diagnosis
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