Preoperative Evaluation and Indications for Pulmonary Metastasectomy

Loretta Erhunmwunsee; Betty C Tong

doi:10.1016/j.thorsurg.2015.09.002

Preoperative Evaluation and Indications for Pulmonary Metastasectomy

Thorac Surg Clin. 2016 Feb;26(1):7-12. doi: 10.1016/j.thorsurg.2015.09.002.

Authors

Loretta Erhunmwunsee¹, Betty C Tong²

Affiliations

¹ Division of Thoracic Surgery, City of Hope Comprehensive Cancer Center, 1500 East Duarte Road, Duarte, CA 91010, USA.
² Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, DUMC Box 3531, Durham, NC 27710, USA. Electronic address: betty.tong@duke.edu.

Abstract

Most patients with pulmonary metastases will not be candidates for pulmonary metastasectomy. Preoperative evaluation determines whether a patient is both fit enough for surgery and has disease that is actually resectable. Both components are necessary for patients who undergo resection with curative intent. In general, to be considered for pulmonary metastasectomy, patients must fit the following criteria: the primary disease site and any extrathoracic disease are both controlled; complete resection of pulmonary involvement is achievable with adequate pulmonary reserve; and there are no effective medical therapies.

Keywords: Evaluation; Indications; Metastasectomy; Pulmonary.

Publication types

Review

MeSH terms

Diagnostic Imaging*
Humans
Lung / pathology
Lung Neoplasms* / diagnosis
Lung Neoplasms* / secondary
Lung Neoplasms* / surgery
Metastasectomy*
Neoplasm Staging / methods*
Preoperative Period
Risk Assessment / methods*
Survival Rate

Abstract

Publication types

MeSH terms

Grants and funding