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Tytuł pozycji:

Pulmonary metastasectomy for pulmonary metastasis of breast cancer has a limited prognostic impact: a multi-institutional retrospective analysis.

Tytuł :
Pulmonary metastasectomy for pulmonary metastasis of breast cancer has a limited prognostic impact: a multi-institutional retrospective analysis.
Autorzy :
Endoh M; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Shiono S; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Yamauchi Y; Division of General Thoracic Surgery, Teikyo University, School of Medicine, Tokyo, Japan.
Mun M; Department of Thoracic Surgical Oncology, The Cancer Institute Hospital, Tokyo, Japan.
Ikeda N; Division of Thoracic and Thyroid Surgery, Tokyo Medical University, Tokyo, Japan.
Hashimoto H; Department of Thoracic Surgery, National Defense Medical College, Saitama, Japan.
Horio H; Department of Thoracic Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Asamura H; Division of Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.
Yoshino I; Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Matsuguma H; Division of Thoracic Surgery, Tochigi Cancer Center, Tochigi, Japan.
Nakajima J; Department of Thoracic Surgery, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Oyama T; Department of General Thoracic Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Shintani Y; Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Nakayama M; Department of General Thoracic Surgery, Saitama Medical Center, Saitama, Japan.
Matsutani N; Division of General Thoracic Surgery, Teikyo University, School of Medicine, Tokyo, Japan.
Kawamura M; Division of General Thoracic Surgery, Teikyo University, School of Medicine, Tokyo, Japan.
Pokaż więcej
Źródło :
Journal of thoracic disease [J Thorac Dis] 2020 Nov; Vol. 12 (11), pp. 6552-6562.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Publication: Hong Kong : AME Publishing Company
Original Publication: Hong Kong : Pioneer Bioscience Pub. Co.
References :
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Contributed Indexing :
Keywords: Pulmonary metastasis; breast cancer; metastasectomy
Entry Date(s) :
Date Created: 20201207 Latest Revision: 20201208
Update Code :
20210210
PubMed Central ID :
PMC7711388
DOI :
10.21037/jtd-20-1788
PMID :
33282357
Czasopismo naukowe
Background: Pulmonary metastasectomy (PM) for breast cancer-derived pulmonary metastasis is controversial. This study aimed to assess the prognostic factors and implication of PM for metastatic breast cancer using a multi-institutional database.
Methods: Clinical data of 253 females with pulmonary metastasis of breast cancer who underwent PM between 1982 and 2017 were analyzed retrospectively.
Results: The median patient age was 56 years. The median follow-up period was 5.4 years, and the median disease-free interval (DFI) was 4.8 years. The 5- and 10-year survival rates after PM were 64.9% and 50.4%, respectively, and the median overall survival was 10.1 years. Univariate analysis revealed that the period of PM before 2000, a DFI <36 months, lobectomy/pneumonectomy, large tumor size, and lymph node metastasis were predictive of a worse overall survival. In the multivariate analysis, a DFI <36 months, large tumor size, and lymph node metastasis remained significantly related to overall survival. The 5- and 10-year cancer-specific survival rates after PM were 66.9% and 54.7%, respectively, and the median cancer-specific survival was 13.1 years. Univariate analyses revealed that the period of PM before 2000, DFI <36 months, lobectomy/pneumonectomy, large tumor size, lymph node metastasis, and incomplete resection were predictive of a worse cancer-specific survival. Multivariate analysis confirmed that a DFI <36 months, large tumor size and incomplete resection were significantly related to cancer-specific survival.
Conclusions: As PM has limited efficacy in breast cancer, it should be considered an optional treatment for pulmonary metastasis of breast cancer.
(2020 Journal of Thoracic Disease. All rights reserved.)

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