Pulmonary metastasectomy in uterine malignancy: outcomes and prognostic factors.
10.3802/jgo.2015.26.4.270
- Author:
E Sun PAIK
1
;
Aera YOON
;
Yoo Young LEE
;
Tae Joong KIM
;
Jeong Won LEE
;
Duk Soo BAE
;
Byoung Gie KIM
Author Information
1. Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. bgkim@skku.edu
- Publication Type:Original Article
- Keywords:
Metastasectomy;
Prognosis;
Retrospective Studies;
Survival Rate;
Uterine Neoplasms
- MeSH:
Adenocarcinoma/secondary/surgery;
Adult;
Aged;
Combined Modality Therapy;
Female;
Humans;
Hysterectomy/methods;
Leiomyosarcoma/*secondary/*surgery;
Lung Neoplasms/*secondary/*surgery;
Metastasectomy/*methods;
Middle Aged;
Prognosis;
Retrospective Studies;
Treatment Outcome;
*Uterine Neoplasms
- From:Journal of Gynecologic Oncology
2015;26(4):270-276
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The aim of this study was to investigate outcomes in uterine cancer patients undergoing pulmonary metastasectomy and prognostic factors associated with survival after the procedure. METHODS: A retrospective study was performed in 29 uterine cancer patients who underwent surgical resection of pulmonary metastatic lesions at Samsung Medical Center between June 1995 and December 2011. RESULTS: Histopathology showed carcinoma in 17 patients (58.6%) and sarcoma in 12 patients (41.4%). Of the 29 patients, 17 (58.6%) had less than three pulmonary metastatic lesions. Eight (27.6%) had symptoms related to lung metastasis. The 5-year survival rate after pulmonary metastasectomy for the entire cohort was 48.2%. On univariate and multivariate analysis, the presence of pulmonary symptoms and more than three lesions of metastasis were associated with poor survival after pulmonary metastasectomy. CONCLUSION: Pulmonary metastasectomy for uterine cancer is an acceptable treatment in selected patients. Patients with more than three pulmonary metastatic lesions and pulmonary symptoms related to lung metastasis could expect to have worse prognosis after pulmonary metastasectomy.
