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P. Shivappa



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    P1.24 - Poster Session 1 - Clinical Care (ID 146)

    • Event: WCLC 2013
    • Type: Poster Session
    • Track: Supportive Care
    • Presentations: 1
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      P1.24-029 - Metastatectomy for lung cancer and lung resection for metastases - our experience (ID 2165)

      09:30 - 09:30  |  Author(s): P. Shivappa

      • Abstract

      Background
      Metastectomy for lung cancer had shown varied results some showing survival benefit and in some studies as only palliation. But unlike metastatectomy for lung cancer , lung resection for metastases had shown definitive role atleast in some selected cases like colorectal cancer, renal cell carcinoma, breast cancer , etc. Here we would like to share our experience considering the above mentioned topics.

      Methods
      Our study was a retrospective analysis of medical records from January 2006 to March 2012 in a single unit in a teritiary care center in India. Clinicopathological features, treatment, prognosis and disease free survival were assessed.

      Results
      Fourteen patients underwent metastatectomy in lung and five patients underwent metastatectomy for lung cancer (Fig.1). Results were described in Table 1 and 2. Among 14 patients who underwent lung resection for metastases, 5 cases were for osteosarcoma of extremity, 5 for soft tissue sarcoma of extremity, one for pyriform fossa cancer, one for breast cancer, one for gestational trophoblastic neoplasia and one for metastatic gaint cell tumor of bone (Table 1&2). Fig: 2: Clinicopathological features of patients: Figure 1 Figure 2

      Conclusion
      Stage IV disease in cancer though considered as incurable in adult solid malignancies, a selective group of patients can still be cured. The success of the surgery depends on disease free survival from the detection of primary, number of lesions, grade and stage of initial primary and site of primary. Metastatectomy for lung cancer in our study is done with a palliative intent.