Pulmonary Metastasectomy in Adult Patients with Synovial Sarcoma: A Single-Center Experience.
10.5090/kjtcs.2016.49.6.451
- Author:
Kanghoon LEE
1
;
Moon Chul KANG
;
Hae Won LEE
;
Jong Ho PARK
;
Hee Jong BAEK
;
Sung Joon CHO
;
Dae Geun JEON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Metastasectomy;
Synovial sarcoma;
Sarcoma;
Neoplasm metastasis;
Tumor, malignant
- MeSH:
Adult*;
Humans;
Metastasectomy*;
Mortality;
Multivariate Analysis;
Neoplasm Metastasis;
Retrospective Studies;
Sarcoma;
Sarcoma, Synovial*;
Survival Rate
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(6):451-455
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: This study assessed the efficacy of pulmonary metastasectomy for synovial sarcoma in adult patients. METHODS: Fifty patients, diagnosed with pulmonary metastasis from June 1990 to August 2010, were reviewed retrospectively. Twenty-eight patients underwent complete pulmonary metastasectomy, and their survival was evaluated. Age, sex, time to metastatic progression, laterality, number of tumors, size of largest nodule, and number of metastasectomies were analyzed as potential prognostic factors. RESULTS: In all, 29 patients underwent at least one pulmonary metastasectomy, and 51 resections were performed. One intraoperative mortality occurred, and the 5-year survival rate was 58.4%. Bilateral metastases and early metastatic progression were associated with poor survival in multivariate analyses. CONCLUSION: Surgical resection can be a good option for treating pulmonary metastasis in patients with synovial sarcoma. Repeated resection was feasible with low mortality and morbidity.
