中国肺癌杂志2012，Vol.15Issue(4)：223-227,5.DOI:10.3779/j.issn.1009-3419.2012.04.06
孤立性肺转移瘤的诊断与外科治疗(附156例报告)
The Diagnosis and Surgical Treatment for Solitary Pulmonary Metastases:A Report of 156 Cases
摘要
Abstract
Background and objective In recent years, it has been proven that surgical treatment for solitary pulmonary metastases has achieved satisfactory results. Consequently, the study aims to investigate the diagnosis, indications for surgery, operative techniques, and prognostic factors of the surgical resection for solitary pulmonary metastases, and to improve the survival rate of patients with pulmonary metastases. Methods The medical records of 156 patients with surgical procedures at our institution were retrospectively reviewed. Results The primary tumors were verified as cancer in 134 cases, sarcoma in 21, and 1 contained unknown tissue. There was no perioperative mortality. A total of 153 patients returned for follow up. Follow-up time was 1 yrto 10 yr. The 5-year survival rates were 31.2%. The median survival time was 35.8 months. Systematic lymph node dissection was performed in 113 patients. The 5-year survival rates were 12.5% for lymph node-positive patients and 37.3% for lymph node-negative patients. The patients who underwent lobectomies had better survival rates, with a 5-year survival rate of 38.5%. Conclusion Surgery is recommended for patients with solitary pulmonary metastasis if they fulfill the surgical indications and favorable outcomes can be achieved. VATS can be chosen for the patients. Hilar and medias-tinal lymph node involvement and the surgical approach are potentially important prognostic factors.关键词
肺肿瘤/肿瘤转移/手术/诊断/预后Key words
Lung neoplasms/ Metastasis/ Surgery/ Diagnosis/ Prognosis分类
医药卫生引用本文复制引用
张辉,陈晓峰,王海兵,张雷,周文勇,赵明川..孤立性肺转移瘤的诊断与外科治疗(附156例报告)[J].中国肺癌杂志,2012,15(4):223-227,5.基金项目
本研究受国家自然科学基金(No.30872553)和上海市科委基础研究重点项目(No.10JC1419200)资助 （No.30872553）
