Sink J D, Hammond C B, Young W G
J Thorac Cardiovasc Surg. 1981 Jun;81(6):830-4.
Case histories of five patients with pulmonary metastases from choriocarcinoma resistant to multidrug chemotherapy are presented. Thoracotomy was performed in all cases. All tumor was removed in three patients with no other site of active disease, and these patients are surviving with no evidence of recurrent disease. In one patient, the lesion could not be completely excised because of involvement of contiguous structures, and she died of progressive disease. A second patient, with liver metastases at the time of thoracotomy, also died of progressive disease. The indications for performing thoracotomy in the management of pulmonary metastases of choriocarcinoma are discussed.
本文介绍了5例对多药化疗耐药的绒毛膜癌肺转移患者的病历。所有病例均行开胸手术。3例无其他活动性疾病部位的患者肿瘤全部切除，这些患者目前存活，无疾病复发迹象。1例患者因相邻结构受累，病变无法完全切除，死于疾病进展。另1例患者在开胸手术时已有肝转移，也死于疾病进展。本文还讨论了绒毛膜癌肺转移患者开胸手术的指征。
