Cited by 152Colorectal Cancer Surgical TreatmentsColorectal Cancer Treatments and StudiesMetastasis and carcinoma case studies

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

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Kobayashi, Koichi, Kawamura, Masafumi, Ishihara, Tsuneo·1999·The Journal of Thoracic and Cardiovascular Surgery

Abstract

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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Metadata

Authors
Kobayashi, K., Kawamura, M., & Ishihara, T.
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
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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