Онкология SURGICAL MANAGEMENT OF COLORECTAL LUNG METASTASIS (REVIEW OF FOREIGN LITERATURE)
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ONCOLOGY BULLETIN OF THE VOLGA REGION

Scientific-practical Journal for general practitioners and researchers

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SURGICAL MANAGEMENT OF COLORECTAL LUNG METASTASIS (REVIEW OF FOREIGN LITERATURE)

E.G. Dmitriev, N.V. Mikhaylova 

Tatarstan Cancer Center, Kazan

 

 

Dmitriev E.G. — oncologist of the scientific department of Tatarstan Cancer Center

29 Sibirskiy Trakt, Kazan, Russian Federation, 420029, tel. (843) 519-26-00, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

 

Abstract. Colon cancer is a systemic disease in 19% of patients and metastasizes most frequently to the liver and the lung. Survival is enhanced with complete surgical resection of pulmonary metastases. Comprehensive restaging and verification of preoperative fitness must precede resection. The operative approach is dictated by the anatomic location of the metastases, whereas the extent of resection remains a balance between complete removal of metastatic deposits while preserving as much lung parenchyma as possible. The presence of metastatic involvement of hilar and mediastinal lymph nodes is ominous. Multidisciplinary care is highly recommended. An evidence-based algorithm for the identification assessment and treatment of patients with pulmonary metastases is proposed.

Key words: pulmonary metastases, colorectal cancer, surgical management, outcomes





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