Onkologie. 2010:4(4):260-264

Results of surgical treatment of lung metastases

Anton Dzian¹, Julián Hamžík¹, Peter Stiegler¹, Elena Kavcová², Dušan Mištuna¹

¹ Chirurgická klinika JLF UK a MFN Martin

² Klinika tuberkulózy a pľúcnych chorôb JLF UK a MFN Martin

Introduction: One of the characteristic properties of malignant tumors is the foundation of distant metastases, whereby lungs are often

the place of these metastases.

Thoracic surgical removal of metastases is according to the published information acceptable as one of the possibilities of treatment.

The aim of this study was to evaluate data relative to lung metastases and their removal, to find out the living of the patients.

Methods: Authors retrospectively evaluated 61 patients, which submitted surgical treatment of lung metastases on Surgical Clinic JLF

UK and MFN in Martin.

Results: The most common primary tumor was colorectal carcinoma (41 %).

50 % of patients had solitary metastasis. The average age of operated was 51,7 and average disease-free interval (DFI) was 40,3 ± 36,5

months. The most common operative performance was wedge resection from thoracotomy (54 %). Post – operative complications

occurred in 4,5 % of patients. Post – operative mortality was 0 %. Two years survival of patients after complete or incomplete surgical

resection was 59 %, three years survival was 48 %, median of survival was 33 months.

Discussion: The occurrence of solitary metastasis is between 48 % and 75 %. Patients with multiple metastases have statistically significantly

worse survival as patients with solitary metastasis (3 years survival 37 % versus 61 %, p = 0,03 %). DFI is variable from 31,4 to 41 months.

Patients with DFI 36 and more months had not statistically significantly longer survival as patients with DFI less than 36 months.

Conclusion: Surgical treatment of lung metastases is nowadays safe and potentionally curative method connected with low risk of

complication and with good effectivity.

Keywords: lung metastases, surgical treatment, DFI, survival

Published: October 1, 2010  Show citation