Korean J Thorac Cardiovasc Surg.
2016 Dec;49(6):451-455. 10.5090/kjtcs.2016.49.6.451.
Pulmonary Metastasectomy in Adult Patients with Synovial Sarcoma: A Single-Center Experience
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Korea. qwave@chol.com
- 3Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine, Korea.
- 4Department of Orthopaedic Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Korea.
- KMID: 2362163
- DOI: http://doi.org/10.5090/kjtcs.2016.49.6.451
Abstract
- BACKGROUND
This study assessed the efficacy of pulmonary metastasectomy for synovial sarcoma in adult patients.
METHODS
Fifty patients, diagnosed with pulmonary metastasis from June 1990 to August 2010, were reviewed retrospectively. Twenty-eight patients underwent complete pulmonary metastasectomy, and their survival was evaluated. Age, sex, time to metastatic progression, laterality, number of tumors, size of largest nodule, and number of metastasectomies were analyzed as potential prognostic factors.
RESULTS
In all, 29 patients underwent at least one pulmonary metastasectomy, and 51 resections were performed. One intraoperative mortality occurred, and the 5-year survival rate was 58.4%. Bilateral metastases and early metastatic progression were associated with poor survival in multivariate analyses.
CONCLUSION
Surgical resection can be a good option for treating pulmonary metastasis in patients with synovial sarcoma. Repeated resection was feasible with low mortality and morbidity.
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