Sarcoma With Pulmonary Metastases: A Management Dilemma
Pulmonary metastases in soft tissue, such as sarcoma and osteosarcoma, are associated with a poor prognosis. A complete surgical resection has been proven to prolong survival. We report four cases of sarcoma with pulmonary metastases, all with differing progressions, prognoses, and management. This...
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Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e65344 |
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creator | Ng, Juin Yi Ahamed Siddeekh, Nurul Amirah Ismail, Muhammad Ishamuddin Abdul Rahman, Mohd Ramzisham B Md Ali, Nur Ayub |
description | Pulmonary metastases in soft tissue, such as sarcoma and osteosarcoma, are associated with a poor prognosis. A complete surgical resection has been proven to prolong survival. We report four cases of sarcoma with pulmonary metastases, all with differing progressions, prognoses, and management. This highlights the challenging nature of managing sarcoma with pulmonary metastases. Surgical metastatectomy remains the mainstay treatment for sarcoma with pulmonary metastases. Studies have demonstrated a significant survival benefit with complete surgical resection. There is currently no consensus on the size of the metastasis or the number of lesions for considering a patient inoperable. Surgical metastatectomy provides improved survival for sarcoma patients with pulmonary metastases. Management strategy is rapidly evolving with the emergence of new treatment methods. A case-by-case assessment and MDT approach are paramount in deciding the best course of action. |
doi_str_mv | 10.7759/cureus.65344 |
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subjects | Amputation Biopsy Bone cancer Chemotherapy Lung cancer Magnetic resonance imaging Medical prognosis Metastasis Palliative care Patients Pneumothorax Radiation therapy Sarcoma Thorax Tomography |
title | Sarcoma With Pulmonary Metastases: A Management Dilemma |
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