Surgical outcomes of pulmonary metastases from esophageal carcinoma diagnosed by both pathological and clinical criteria.

[esophageal carcinoma]

This investigation was performed to examine the surgical outcomes of pulmonary metastases from esophageal carcinoma (EC ) diagnosed by both pathological and clinical criteria .Based on the pathological criteria , we identified 22 patients who had undergone pulmonary metastasectomy for EC between 1997 and 2011 . Thehistological type of EC was squamous cell carcinoma (SCC ) in all patients . After specific clinical criteria were applied , seven patients suspected of having primary lung SCC were excluded . The surgical outcomes of the remaining 15 patients were reviewed . The overall survival (OS ) was calculated as the period from pulmonary resection until death or the date of the last follow-up .The 1 -, 3 - and 4 -year OS rates of the 15 patients were 93 , 44 and 0 Â % respectively , with a median OS of 32 Â months . A larger diameter of the pulmonary metastasis was marginally associated with a poorer OS (p Â =Â 0 .087 ); however , none of the parameters were significant prognostic factors .The median OS of patients who underwent surgical resection for pulmonary metastases from EC was comparable to that in previous reports , even after excluding patients clinically suspected of having a second primary lung SCC . The poor long -term survival might indicate that our clinical criteria are helpful in selecting true metastatic patients , considering the aggressive clinical course of metastatic EC .

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Diseases presenting "pulmonary resection" symptom

esophageal carcinoma

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