Hegemann G, Mühe E
Langenbecks Arch Chir. 1976 Nov 15;342:261-6. doi: 10.1007/BF01267378.
Seventy-two lung and 25 liver metastases were excised after radical local removal of the primary tumor. The 5-year survival rate was 41% and the 10-year survival rate 22% for patients in whom lung metastases had been excised. After the removal of liver metastases the 5-year and 10-year survival rates were 36% and 29% respectively. It is concluded that lung or liver metastases should be excised in certain defined cases. Pathologic fractures caused by bone metastases are stabilized by palliative internal fixation. In the cases of bone metastases, cure can only be expected when they are caused by hypernephroid and thyroid carcinomas.
在根治性局部切除原发性肿瘤后,切除了72处肺转移灶和25处肝转移灶。对于已切除肺转移灶的患者,5年生存率为41%,10年生存率为22%。切除肝转移灶后,5年和10年生存率分别为36%和29%。得出的结论是,在某些特定情况下应切除肺或肝转移灶。骨转移引起的病理性骨折通过姑息性内固定得以稳定。在骨转移的病例中,只有当转移由肾上腺样瘤和甲状腺癌引起时才有望治愈。