REVIEW OF THE ROLE OF SURGICAL-TREATMENT OF LUNG METASTASES

From 1.1.1980 to 31.12.1992, ninety-four of our patients underwent surgical removal of pulmonary metastases. The classification of the primary tumours found cas as follows : sarcoma 24.5 % (n = 23), renal carcinoma 22.3 % (n = 21), malignant melanoma 19.1 % (n = 19), colon carcioma 15.9 % (n = 15) and ovarian and testicular tumours with 10.6 % (n = 10). Three cases presented metastases from a carcinoma of the floor of the outh. The remaining cases were secondaries from bronchial, oesophageal and larynx carcinoma and from a malignant thymoma. In 71 cases, the tumour was removed using an atypical resection technique, and in 22 cases by carrying out a lobectomy. In one case an << extended lobectomy >> was performed. Hospital mortality was 1.1 %. Survival rate was 60 % at 1 year and 40 % at 3 years. 38.3 % of the patients lived for five years or more.