Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome
<p>Abstract</p> <p>Background</p> <p>Few reports discuss the outcome of pulmonary metastasis after radical esophagectomy for esophageal cancer. To clarify the data from such cases, we conducted a retrospective study on the clinical outcome of patients who developed pulm...
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doaj-7cf1dc0a2a754d60a88a05671a186d872020-11-24T20:59:13ZengBMCJournal of Cardiothoracic Surgery1749-80902012-10-017110310.1186/1749-8090-7-103Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcomeTakemura MasashiSakurai KatsunobuTakii MamikoYoshida Kayo<p>Abstract</p> <p>Background</p> <p>Few reports discuss the outcome of pulmonary metastasis after radical esophagectomy for esophageal cancer. To clarify the data from such cases, we conducted a retrospective study on the clinical outcome of patients who developed pulmonary metastasis after undergoing radical esophagectomy.</p> <p>Methods</p> <p>We retrospectively reviewed the prognosis and clinical outcome of 25 patients who developed metachronous pulmonary metastasis after esophagectomy for esophageal cancer.</p> <p>Results</p> <p>The site of recurrence was pulmonary without extrapulmonary metastasis in 14 patients and extrapulmonary metastasis was observed in 11. Nineteen patients had multiple pulmonary metastasis and 6 had solitary pulmonary metastasis. Twenty-four of patients underwent systemic chemotherapy during initial treatment for metastatic lesions. Pulmonary metastasectomy was indicated in 5 patients with solitary metastasis. The actual 1-, 2- and 4-year survival rates were 60%, 36% and 27%, respectively. Gender, operative procedure, and postoperative morbidity were not significant prognostic factors. However, pathological staging of primary esophageal cancer was a significant prognostic factor. Survival was significantly worse in patients who did not undergo resection than in those who did. The number of pulmonary metastasis, complicated extrapulmonary metastasis and the time of recurrence were also significant prognostic factors.</p> <p>Conclusions</p> <p>Multiple pulmonary metastases or complicated extrapulmonary metastasis were unfavorable prognostic factors for patients with pulmonary metastasis arising from esophageal cancer. Although, surgical intervention is not recommended in such cases, metastasectomy is an acceptable choice of treatment for solitary pulmonary metastasis.</p> http://www.cardiothoracicsurgery.org/content/7/1/103Metachronous pulmonary metastasisEsophageal cancerMetastasectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Takemura Masashi Sakurai Katsunobu Takii Mamiko Yoshida Kayo |
spellingShingle |
Takemura Masashi Sakurai Katsunobu Takii Mamiko Yoshida Kayo Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome Journal of Cardiothoracic Surgery Metachronous pulmonary metastasis Esophageal cancer Metastasectomy |
author_facet |
Takemura Masashi Sakurai Katsunobu Takii Mamiko Yoshida Kayo |
author_sort |
Takemura Masashi |
title |
Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome |
title_short |
Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome |
title_full |
Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome |
title_fullStr |
Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome |
title_full_unstemmed |
Metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome |
title_sort |
metachronous pulmonary metastasis after radical esophagectomy for esophageal cancer: prognosis and outcome |
publisher |
BMC |
series |
Journal of Cardiothoracic Surgery |
issn |
1749-8090 |
publishDate |
2012-10-01 |
description |
<p>Abstract</p> <p>Background</p> <p>Few reports discuss the outcome of pulmonary metastasis after radical esophagectomy for esophageal cancer. To clarify the data from such cases, we conducted a retrospective study on the clinical outcome of patients who developed pulmonary metastasis after undergoing radical esophagectomy.</p> <p>Methods</p> <p>We retrospectively reviewed the prognosis and clinical outcome of 25 patients who developed metachronous pulmonary metastasis after esophagectomy for esophageal cancer.</p> <p>Results</p> <p>The site of recurrence was pulmonary without extrapulmonary metastasis in 14 patients and extrapulmonary metastasis was observed in 11. Nineteen patients had multiple pulmonary metastasis and 6 had solitary pulmonary metastasis. Twenty-four of patients underwent systemic chemotherapy during initial treatment for metastatic lesions. Pulmonary metastasectomy was indicated in 5 patients with solitary metastasis. The actual 1-, 2- and 4-year survival rates were 60%, 36% and 27%, respectively. Gender, operative procedure, and postoperative morbidity were not significant prognostic factors. However, pathological staging of primary esophageal cancer was a significant prognostic factor. Survival was significantly worse in patients who did not undergo resection than in those who did. The number of pulmonary metastasis, complicated extrapulmonary metastasis and the time of recurrence were also significant prognostic factors.</p> <p>Conclusions</p> <p>Multiple pulmonary metastases or complicated extrapulmonary metastasis were unfavorable prognostic factors for patients with pulmonary metastasis arising from esophageal cancer. Although, surgical intervention is not recommended in such cases, metastasectomy is an acceptable choice of treatment for solitary pulmonary metastasis.</p> |
topic |
Metachronous pulmonary metastasis Esophageal cancer Metastasectomy |
url |
http://www.cardiothoracicsurgery.org/content/7/1/103 |
work_keys_str_mv |
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1716783259172470784 |