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The Role of Primary Tumor Resection in Patients with Pleural Metastasis Encountered at the Time of Surgery
- Source :
- Korean Journal of Thoracic and Cardiovascular Surgery, Vol 53, Iss 3, Pp 114-120 (2020)
- Publication Year :
- 2020
- Publisher :
- Korean Society for Thoracic and Cardiovascular Surgery, 2020.
-
Abstract
- Background: Evidence is lacking on whether the resection of lung parenchymal cancer improves the survival of patients with unexpected pleural metastasis encountered during surgery. We conducted a single-center retrospective study to determine the role of lung resection in the long-term survival of these patients.Methods: Among 4683 patients who underwent lung surgery between 1995 and 2014, 132 (2.8%) had pleural metastasis. After excluding 2 patients who had incomplete medical records, 130 patients’ data were collected. Only a diagnostic pleural and/or lung biopsy was performed in 90 patients, while the lung parenchymal mass was resected in 40 patients.Results: The mean follow-up duration was 29.8 months. The 5-year survival rate of the resection group (34.7%±9.4%) was superior to that of the biopsy group (15.9%±4.3%, p=0.016). Multivariate Cox regression analysis demonstrated that primary tumor resection (p=0.041), systemic treatment (p
- Subjects :
- lung neoplasms
non-small-cell lung carcinoma
pleural metastasis
Surgery
RD1-811
Subjects
Details
- Language :
- English, Korean
- ISSN :
- 2233601X and 20936516
- Volume :
- 53
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Korean Journal of Thoracic and Cardiovascular Surgery
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.329ebdd60bbd4d89a5f8f060afe7894a
- Document Type :
- article
- Full Text :
- https://doi.org/10.5090/kjtcs.2020.53.3.114