Original article: general thoracicSurgical treatment of hepatic and pulmonary metastases from colon cancer
Section snippets
Material and methods
We performed a retrospective review of all patients who underwent both hepatic and pulmonary resections for metastatic colorectal cancer between 1980 and 1998. All patients included in the study had local control of their disease and presented with either synchronous or metachronous hepatic and pulmonary metastases. Synchronous lesions were defined as those identified within 3 months of the original colorectal resection. Metachronous lesions were identified as metastatic lesions that presented
Results
During the study period, 264 patients underwent resection for pulmonary metastases and 804 patients had liver resections for metastatic colon cancer; 58 (5.4%) of these patients had resection of both lung and liver metastasis. There were 37 men (64%) and 21 women (36%) with a median age of 59 years (range, 31 to 82 years). At the time of the original colorectal operation, no patients were stage I, 20 (35%) were stage II, 24 (41%) were stage III, and 13 (22%) were stage IV. Only 1 patient (2%)
Comment
Colorectal cancer is the second most common malignancy in the United States. It has been estimated that of all patients presenting with colorectal cancer, 70% are resectable for potential cure [1]. Of the 25% who fail primary resection, 20% may be eligible for resection of local recurrence or hepatic or pulmonary metastases [1]. The failure of systemic chemotherapy to provide long-term survival in patients with metastatic disease has provided the basis for surgical resection in selected
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