肺转移瘤的外科治疗（作者译）

[Surgical treatment of pulmonary metastases (author's transl)].

作者信息

Gall F P, Mühe E, Angermann B

出版信息

Dtsch Med Wochenschr. 1979 Jun 8;104(23):835-7. doi: 10.1055/s-0028-1103997.

Abstract

120 pulmonary metastases were resected in 67 patients. The five year survival rate is 42.3% after surgical removal and only 2.6% without surgery. Up to 4 resected pulmonary metastases have no influence on the prognosis. In cases with several metastases resection should be strictly limited. Lobectomy had the best five year survival rate (58%); wedge excision and pneumonectomy fared clearly worse (25% each). When the lung is the first filtre of haematogenous metastases the five year survival rate is better (48%) than when the liver filters first (18.5%). A prolonged interval before recurrence improves prognosis. Intervals of less than a year lead to survival after 4 years in only 14.5%, intervals of more than two years are accompanied by survival of 65%.

摘要

67例患者共切除120处肺转移瘤。手术切除后五年生存率为42.3%，未手术者仅为2.6%。切除多达4处肺转移瘤对预后无影响。对于有多处转移瘤的病例，手术切除应严格受限。肺叶切除术的五年生存率最高（58%）；楔形切除术和全肺切除术的效果明显较差（均为25%）。当肺是血行转移的首要滤过器官时，五年生存率较好（48%），而当肝脏首先进行滤过时生存率为18.5%。复发前间隔时间延长可改善预后。间隔时间少于一年者四年后生存率仅为14.5%，间隔时间超过两年者生存率为65%。