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
Hauptverfasser: Ng, Juin Yi, Ahamed Siddeekh, Nurul Amirah, Ismail, Muhammad Ishamuddin, Abdul Rahman, Mohd Ramzisham B, Md Ali, Nur Ayub
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container_issue 7
container_start_page e65344
container_title Curēus (Palo Alto, CA)
container_volume 16
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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