NDLI: Long-Term Results of Surgical Management of Pulmonary Metastases from Renal Cell Carcinoma

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Long-Term Results of Surgical Management of Pulmonary Metastases from Renal Cell Carcinoma

Content Provider	Scilit
Author	Marulli, G. Sartori, F. Rea, F.
Editor	Bassi, P. F. Moro, F. Dal Favaretto, A. Gino
Copyright Year	2006
Description	Background: Metastatic renal cell carcinoma (RCC) has a poor prognosis and conventional treatments such as chemoradiotherapy show little efficacy. Surgical resection of pulmonary metastases from RCC is a widely accepted treatment, even if selection criteria based on prognostic factors have still not been defined. The aim of this study was to determine the long-term survival, clinical outcome and prognostic factors after surgery. Methods: Between 1988 and 2004, 59 patients underwent resection of pulmonary metastases from RCC. Univariate and multivariate analysis of prognostic factors was carried out. Results: Complete resection was achieved in 54 (91.5 %) patients. No intra- or postoperative mortality occurred, 5 (8.5 %) patients experienced postoperative complications. Overall, the 1-, 3-, and 5-year survival rates were 86.5 %, 63 % and 53 %, respectively. Age at the time of pulmonary resection was found to be the only independent factor influencing prognosis. Conclusion: Pulmonary resection of metastases from RCC is a safe and effective treatment associated with a low morbidity and mortality and with high long-term survival. The lack of other effective therapies suggests use of the surgical approach whenever possible.
Related Links	http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2006-924414.pdf
Ending Page	547
Page Count	4
Starting Page	544
ISSN	01716425
e-ISSN	14391902
DOI	10.1055/s-2006-924414
Journal	The Thoracic and Cardiovascular Surgeon
Issue Number	8
Volume Number	54
Language	English
Publisher	Georg Thieme Verlag KG
Publisher Date	2006-12-06
Access Restriction	Open
Subject Keyword	Journal: The Thoracic and Cardiovascular Surgeon Renal Cell Carcinoma Pulmonary Metastases Surgical Resection
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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