Pulmonary Metastasectomy in Adult Patients with Synovial Sarcoma: A Single-Center Experience
Background: This study assessed the efficacy of pulmonary metastasectomy for synovial sarcoma in adult patients. Methods: Fifty patients, diagnosed with pulmonary metastasis from June 1990 to August 2010, were reviewed retrospectively. Twenty-eight patients underwent complete pulmonary metastasect...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2016-12-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.6.451 |
| Summary: | Background: This study assessed the efficacy of pulmonary metastasectomy for synovial sarcoma in adult
patients. Methods: Fifty patients, diagnosed with pulmonary metastasis from June 1990 to August 2010, were
reviewed retrospectively. Twenty-eight patients underwent complete pulmonary metastasectomy, and their
survival was evaluated. Age, sex, time to metastatic progression, laterality, number of tumors, size of largest
nodule, and number of metastasectomies were analyzed as potential prognostic factors. Results: I n all, 2 9 patients
underwent at least one pulmonary metastasectomy, and 51 resections were performed. One intraoperative
mortality occurred, and the 5-year survival rate was 58.4%. Bilateral metastases and early metastatic
progression were associated with poor survival in multivariate analyses. Conclusion: Surgical resection
can be a good option for treating pulmonary metastasis in patients with synovial sarcoma. Repeated resection
was feasible with low mortality and morbidity. |
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| ISSN: | 2233-601X 2093-6516 |