The role of pulmonary resection in tumors metastatic from esophageal carcinoma
The purposes of this study were to determine the role of surgical treatment and to identify factors affecting survival of patients undergoing resection of pulmonary metastatic tumors from esophageal carcinoma. We reviewed 33 patients who had undergone resection of pulmonary metastatic tumors from es...
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| Veröffentlicht in: | Japanese journal of clinical oncology 2017-01, Vol.47 (1), p.25-31 |
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| container_title | Japanese journal of clinical oncology |
| container_volume | 47 |
| creator | Kanamori, Jun Aokage, Keiju Hishida, Tomoyuki Yoshida, Junji Tsuboi, Masahiro Fujita, Takeo Nagino, Masato Daiko, Hiroyuki |
| description | The purposes of this study were to determine the role of surgical treatment and to identify factors affecting survival of patients undergoing resection of pulmonary metastatic tumors from esophageal carcinoma.
We reviewed 33 patients who had undergone resection of pulmonary metastatic tumors from esophageal carcinoma after definitive treatment.
The operative morbidity rate was only 5%, no patients died within 30 days after resection, and complete resection was achieved in 30 patients. The overall 1-, 3- and 5-year survival rates after pulmonary metastasectomy were 79.4, 47.8 and 43.0%, respectively, and the median survival time was 17.9 months. The factors found on univariate analysis to affect survival significantly were disease-free interval |
| doi_str_mv | 10.1093/jjco/hyw141 |
| format | Article |
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We reviewed 33 patients who had undergone resection of pulmonary metastatic tumors from esophageal carcinoma after definitive treatment.
The operative morbidity rate was only 5%, no patients died within 30 days after resection, and complete resection was achieved in 30 patients. The overall 1-, 3- and 5-year survival rates after pulmonary metastasectomy were 79.4, 47.8 and 43.0%, respectively, and the median survival time was 17.9 months. The factors found on univariate analysis to affect survival significantly were disease-free interval <16 months and nodal involvement of the primary tumor. The most frequent pattern of initial recurrence after pulmonary resection was distant metastasis (70%).
We demonstrated the safety and effectiveness of surgical resection for selected patients with pulmonary metastatic tumors from esophageal carcinoma. However, with a high recurrence rate in patients with negative prognostic factors, adjuvant systemic chemotherapy after pulmonary resection should be considered.</description><identifier>ISSN: 0368-2811</identifier><identifier>EISSN: 1465-3621</identifier><identifier>DOI: 10.1093/jjco/hyw141</identifier><identifier>PMID: 27655907</identifier><language>eng</language><publisher>England</publisher><subject>Aged ; Carcinoma - pathology ; Chemotherapy, Adjuvant ; Disease-Free Survival ; Esophageal Neoplasms - pathology ; Female ; Humans ; Kaplan-Meier Estimate ; Lung - pathology ; Lung Neoplasms - drug therapy ; Lung Neoplasms - mortality ; Lung Neoplasms - secondary ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Pneumonectomy ; Prognosis ; Retrospective Studies</subject><ispartof>Japanese journal of clinical oncology, 2017-01, Vol.47 (1), p.25-31</ispartof><rights>The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-7dd0d23454b5394f4c3cfe66a7185f7bb33691be7e6cb4dc7a49f1d429110cc13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27655907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kanamori, Jun</creatorcontrib><creatorcontrib>Aokage, Keiju</creatorcontrib><creatorcontrib>Hishida, Tomoyuki</creatorcontrib><creatorcontrib>Yoshida, Junji</creatorcontrib><creatorcontrib>Tsuboi, Masahiro</creatorcontrib><creatorcontrib>Fujita, Takeo</creatorcontrib><creatorcontrib>Nagino, Masato</creatorcontrib><creatorcontrib>Daiko, Hiroyuki</creatorcontrib><title>The role of pulmonary resection in tumors metastatic from esophageal carcinoma</title><title>Japanese journal of clinical oncology</title><addtitle>Jpn J Clin Oncol</addtitle><description>The purposes of this study were to determine the role of surgical treatment and to identify factors affecting survival of patients undergoing resection of pulmonary metastatic tumors from esophageal carcinoma.
We reviewed 33 patients who had undergone resection of pulmonary metastatic tumors from esophageal carcinoma after definitive treatment.
The operative morbidity rate was only 5%, no patients died within 30 days after resection, and complete resection was achieved in 30 patients. The overall 1-, 3- and 5-year survival rates after pulmonary metastasectomy were 79.4, 47.8 and 43.0%, respectively, and the median survival time was 17.9 months. The factors found on univariate analysis to affect survival significantly were disease-free interval <16 months and nodal involvement of the primary tumor. The most frequent pattern of initial recurrence after pulmonary resection was distant metastasis (70%).
We demonstrated the safety and effectiveness of surgical resection for selected patients with pulmonary metastatic tumors from esophageal carcinoma. However, with a high recurrence rate in patients with negative prognostic factors, adjuvant systemic chemotherapy after pulmonary resection should be considered.</description><subject>Aged</subject><subject>Carcinoma - pathology</subject><subject>Chemotherapy, Adjuvant</subject><subject>Disease-Free Survival</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Lung - pathology</subject><subject>Lung Neoplasms - drug therapy</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - secondary</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local</subject><subject>Pneumonectomy</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><issn>0368-2811</issn><issn>1465-3621</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9LwzAYhoMobk5P3iVHQeryNWnSHkX8BUMv81zS9IvraJqatMj-ezs2Pb2Xhwfeh5BrYPfACr7cbo1fbnY_IOCEzEHILOEyhVMyZ1zmSZoDzMhFjFvGWJYLdU5mqZJZVjA1J-_rDdLgW6Te0n5sne902NGAEc3Q-I42HR1G50OkDgcdBz00htrgHcXo-43-Qt1So4NpOu_0JTmzuo14ddwF-Xx-Wj--JquPl7fHh1ViBMghUXXN6pSLTFQZL4QVhhuLUmoFeWZVVXEuC6hQoTSVqI3SorBQi7QAYMYAX5Dbg7cP_nvEOJSuiQbbVnfox1hOmmJyyZRP6N0BNcHHGNCWfWjcdLIEVu4DlvuA5SHgRN8cxWPlsP5n_4rxX61jbjA</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Kanamori, Jun</creator><creator>Aokage, Keiju</creator><creator>Hishida, Tomoyuki</creator><creator>Yoshida, Junji</creator><creator>Tsuboi, Masahiro</creator><creator>Fujita, Takeo</creator><creator>Nagino, Masato</creator><creator>Daiko, Hiroyuki</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201701</creationdate><title>The role of pulmonary resection in tumors metastatic from esophageal carcinoma</title><author>Kanamori, Jun ; Aokage, Keiju ; Hishida, Tomoyuki ; Yoshida, Junji ; Tsuboi, Masahiro ; Fujita, Takeo ; Nagino, Masato ; Daiko, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-7dd0d23454b5394f4c3cfe66a7185f7bb33691be7e6cb4dc7a49f1d429110cc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Carcinoma - pathology</topic><topic>Chemotherapy, Adjuvant</topic><topic>Disease-Free Survival</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Lung - pathology</topic><topic>Lung Neoplasms - drug therapy</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - secondary</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local</topic><topic>Pneumonectomy</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanamori, Jun</creatorcontrib><creatorcontrib>Aokage, Keiju</creatorcontrib><creatorcontrib>Hishida, Tomoyuki</creatorcontrib><creatorcontrib>Yoshida, Junji</creatorcontrib><creatorcontrib>Tsuboi, Masahiro</creatorcontrib><creatorcontrib>Fujita, Takeo</creatorcontrib><creatorcontrib>Nagino, Masato</creatorcontrib><creatorcontrib>Daiko, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanamori, Jun</au><au>Aokage, Keiju</au><au>Hishida, Tomoyuki</au><au>Yoshida, Junji</au><au>Tsuboi, Masahiro</au><au>Fujita, Takeo</au><au>Nagino, Masato</au><au>Daiko, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of pulmonary resection in tumors metastatic from esophageal carcinoma</atitle><jtitle>Japanese journal of clinical oncology</jtitle><addtitle>Jpn J Clin Oncol</addtitle><date>2017-01</date><risdate>2017</risdate><volume>47</volume><issue>1</issue><spage>25</spage><epage>31</epage><pages>25-31</pages><issn>0368-2811</issn><eissn>1465-3621</eissn><abstract>The purposes of this study were to determine the role of surgical treatment and to identify factors affecting survival of patients undergoing resection of pulmonary metastatic tumors from esophageal carcinoma.
We reviewed 33 patients who had undergone resection of pulmonary metastatic tumors from esophageal carcinoma after definitive treatment.
The operative morbidity rate was only 5%, no patients died within 30 days after resection, and complete resection was achieved in 30 patients. The overall 1-, 3- and 5-year survival rates after pulmonary metastasectomy were 79.4, 47.8 and 43.0%, respectively, and the median survival time was 17.9 months. The factors found on univariate analysis to affect survival significantly were disease-free interval <16 months and nodal involvement of the primary tumor. The most frequent pattern of initial recurrence after pulmonary resection was distant metastasis (70%).
We demonstrated the safety and effectiveness of surgical resection for selected patients with pulmonary metastatic tumors from esophageal carcinoma. However, with a high recurrence rate in patients with negative prognostic factors, adjuvant systemic chemotherapy after pulmonary resection should be considered.</abstract><cop>England</cop><pmid>27655907</pmid><doi>10.1093/jjco/hyw141</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0368-2811 |
| ispartof | Japanese journal of clinical oncology, 2017-01, Vol.47 (1), p.25-31 |
| issn | 0368-2811 1465-3621 |
| language | eng |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Carcinoma - pathology Chemotherapy, Adjuvant Disease-Free Survival Esophageal Neoplasms - pathology Female Humans Kaplan-Meier Estimate Lung - pathology Lung Neoplasms - drug therapy Lung Neoplasms - mortality Lung Neoplasms - secondary Lung Neoplasms - surgery Male Middle Aged Neoplasm Recurrence, Local Pneumonectomy Prognosis Retrospective Studies |
| title | The role of pulmonary resection in tumors metastatic from esophageal carcinoma |
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