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Pulmonary Metastasectomy for Soft Tissue Sarcomas: Is It Justified?

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Book cover Treatment of Bone and Soft Tissue Sarcomas

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 179))

Abstract

Pulmonary metastases are common in patients following resection for soft tissue sarcoma. Pulmonary resection of metastatic soft tissue sarcomas is widely practiced in surgical oncology. No randomized phase III trials are available, and data for this review were retrieved only from retrospective studies. This article addresses the issues of patient selection, surgical technique, and adjuvant chemotherapy, and provides the surgical oncologist with a current review of pulmonary metastasectomy in meta-static soft tissue sarcoma. In summary, there is a substantial body of evidence demonstrating that resection of soft tissue pulmonary metastases can be performed safely and with a low mortality rate. For a subset of highly selected patients, the overall results of a 5-year actuarial survival rate ranged between 25% and 37.6%. These outcomes exceed those normally associated with metastatic soft tissue sarcoma and are well comparable with surgical resection for other malignancies.

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  1. Department of Surgery, Thoraxklinik Heidelberg, Amalienstr. 5, Heidelberg, 69126, Germany

    Joachim Pfannschmidt, Hans Hoffmann, Thomas Schneider & Hendrik Dienemann

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  1. Joachim Pfannschmidt
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  2. Hans Hoffmann
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  3. Thomas Schneider
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  1. Leiter Department Tumororthopädie Klinik für Orthopädie und Orthopädische Rheumatologie, HELIOS-Klinikum Berlin, Schwanebecker Chaussee 50, Berlin, 13125

    Per-Ulf Tunn

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Pfannschmidt, J., Hoffmann, H., Schneider, T., Dienemann, H. (2009). Pulmonary Metastasectomy for Soft Tissue Sarcomas: Is It Justified?. In: Tunn, PU. (eds) Treatment of Bone and Soft Tissue Sarcomas. Recent Results in Cancer Research, vol 179. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77960-5_20

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  • DOI: https://doi.org/10.1007/978-3-540-77960-5_20

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