Source:http://linkedlifedata.com/resource/pubmed/id/10209843
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1999-7-2
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pubmed:abstractText |
The International Registry of Lung Metastases was established in 1991 to asses the long-term results of pulmonary metastasectomy. The Registry has accrued 5206 cases of lung metastasectomy, from 18 departments of thoracic surgery in Europe (n = 13), USA (n = 4) and Canada (n = 1). Of these patients 4572 (88%) underwent complete surgical resection. The primary tumor was epithelial in 2260 (43%), sarcoma in 2173 (42%), germ cell in 363 (7%), and melanoma in 328 (6%) patients. The disease-free interval was 0 to 11 months in 1729 (33%) cases, 12 to 35 months in 1857 (36%) and more than 36 months in 1620 (31%). Single metastases accounted for 2383 (46%) cases and multiple lesions for 2726 (52%). Mean follow up was 46 months. Analysis was performed by Kaplan-Meier estimates of survival, relative risk of death and multivariate Cox model. The actuarial survival after complete metastasectomy was 36% at 5 years, 26% at 10 years and 22% at 15 years (median 35 months); the corresponding values for incomplete resection were 13% at 5 years and 7% at 10 years (median 15 months). Among complete resections, the 5-year survival was 33% for patients with a disease free-interval of 0 to 11 months and 45% for those with a disease-free interval of more than 36 months; 43% for single lesions and 27 for four or more lesions. Multivariate analysis showed a better prognosis for patients with germ cell tumors, disease-free interval of 36 months and more and single metastases. These results confirm that lung metastasectomy is a safe and potentially curative procedure.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0044-409X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
124
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
96-103
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10209843-Adolescent,
pubmed-meshheading:10209843-Adult,
pubmed-meshheading:10209843-Aged,
pubmed-meshheading:10209843-Aged, 80 and over,
pubmed-meshheading:10209843-Child,
pubmed-meshheading:10209843-Child, Preschool,
pubmed-meshheading:10209843-Humans,
pubmed-meshheading:10209843-Lung Neoplasms,
pubmed-meshheading:10209843-Middle Aged,
pubmed-meshheading:10209843-Prognosis,
pubmed-meshheading:10209843-Survivors
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pubmed:year |
1999
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pubmed:articleTitle |
[Resection of lung metastases: long-term results and prognostic analysis based on 5206 cases--the International Registry of Lung Metastases].
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pubmed:affiliation |
Abteilung für Thoraxchirurgie, Zentrum für Pneumologie und Thoraxchirurgie, Klinik Schillerhöhe der LVA Württemberg, Stuttgart Gerlingen.
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pubmed:publicationType |
Journal Article,
English Abstract
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