The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Surgical treatment for both pulmonary and hepatic metastases from colorectal cancer
Open accessAbstract
Objective The role of surgery in the treatment of patients with pulmonary and hepatic metastases from colorectal cancer has not been delineated.Methods Of the 351 patients enrolled in the Metastatic Lung Tumor Study Group of Japan between June 1988 and June 1996 who underwent thoracotomy for pulmonary metastases from colorectal cancer, 47 also underwent hepatic resection for metastatic tumors. The records of these patients were studied.Results The 47 patients who underwent pulmonary and hepatic resection had a 3-year survival of 36% +/- 8%, a 5-year survival of 31% +/- 8%, and an 8-year survival of 23% +/- 9%. The longest survival was 98 months. This patient was alive without recurrence. There was a significant difference in the cumulative survival of the patients with a solitary pulmonary metastasis and the patients with multiple pulmonary metastases (P =.04). Neither age, sex, location of the primary tumor, maximum diameter of the pulmonary metastases, method of pulmonary resection, number of hepatic metastases, nor method of hepatic resection was correlated with survival. However, 9 of 10 patients who survived 3 years or more after the initial thoracotomy had only one or two hepatic metastases.Conclusion Surgical treatment of a solitary pulmonary metastasis concurrent with or after resection of hepatic metastases from colorectal cancer may be appropriate if the hepatic metastases are resectable for cure. Patients with a solitary pulmonary metastasis and a small number of hepatic metastases are good candidates for resection. Long-term survival can be expected.
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There are reports showing the efficacy of hepatectomy in patients who have controllable extrahepatic metastases (mainly lung metastases) in addition to liver metastases.
“There are reports showing the efficacy of hepatectomy in patients who have controllable extrahepatic metastases (mainly lung metastases) in addition to liver metastases [35, 36, 39, 43] (CQ-7).”
From Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2016 for the treatment of colorectal cancer (2018) · cites this paper as [36]
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Japanese Society for Cancer of the Colon and Rectum, Watanabe, T., Muro, K., Ajioka, Y., Hashiguchi, Y., Ito, Y., Saito, Y., Hamaguchi, T., Ishida, H., Ishiguro, M., et al. (2018) · International Journal of Clinical Oncology · doi:10.1007/s10147-017-1101-6 · Cited by 2,467
“• If it is safe and simple to remove the primary lesion and the metastasized lesions in the liver or lungs, resection should also be considered [35, 36].”
Background
Metadata
- Authors
- Kobayashi, K., Kawamura, M., & Ishihara, T.
- ORCID
- Kobayashi, Koichi
- Venue
- The Journal of Thoracic and Cardiovascular Surgery
- Publisher
- Elsevier BV
- Published
- 1999-12
- Volume
- 118
- Issue
- 6
- Pages
- 1090-1096
- ISSN
- 0022-5223 (ISSN-L)
- OpenAlex
- W2014186476
- Cited by
- 152
- References
- 18
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 5 · 2014: 10 · 2013: 6 · 2012: 11
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Thoracic and Cardiovascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Surgical Treatments
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Metastasis and carcinoma case studies
- Keywords
- colorectal cancer, lung metastasis, liver metastasis, thoracotomy, hepatectomy, combined resection, survival, solitary pulmonary metastasis, multiple pulmonary metastases, resectability
- MeSH terms
- Age Factors, Colonic Neoplasms, Female, Follow-Up Studies, Hepatectomy, Humans, Liver Neoplasms, Lung Neoplasms, Male, Middle Aged, Pneumonectomy, Prognosis, Rectal Neoplasms, Retrospective Studies, Sex Factors, Thoracotomy, Survival Rate, Multivariate Analysis, Proportional Hazards Models, Treatment Outcome, Disease-Free Survival
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