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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 77(3)

The prognostic impact of pulmonary metastasectomy in recurrent gynecologic cancers: a retrospective single-institution study

https://doi.org/10.18999/nagjms.77.3.363
https://doi.org/10.18999/nagjms.77.3.363
7157bb6a-cd16-453f-a418-bf40f0b4b5ae
名前 / ファイル ライセンス アクション
15_Adachi.pdf 15_Adachi.pdf (272.7 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-09-07
タイトル
タイトル The prognostic impact of pulmonary metastasectomy in recurrent gynecologic cancers: a retrospective single-institution study
著者 Adachi, Manabu

× Adachi, Manabu

WEKO 60370

Adachi, Manabu

Search repository
Mizuno, Mika

× Mizuno, Mika

WEKO 60371

Mizuno, Mika

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Mitsui, Hiroko

× Mitsui, Hiroko

WEKO 60372

Mitsui, Hiroko

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Kajiyama, Hiroaki

× Kajiyama, Hiroaki

WEKO 60373

Kajiyama, Hiroaki

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Suzuki, Shiro

× Suzuki, Shiro

WEKO 60374

Suzuki, Shiro

Search repository
Sekiya, Ryuichiro

× Sekiya, Ryuichiro

WEKO 60375

Sekiya, Ryuichiro

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Utsumi, Fumi

× Utsumi, Fumi

WEKO 60376

Utsumi, Fumi

Search repository
Shibata, Kiyosumi

× Shibata, Kiyosumi

WEKO 60377

Shibata, Kiyosumi

Search repository
Taniguchi, Tetsuo

× Taniguchi, Tetsuo

WEKO 60378

Taniguchi, Tetsuo

Search repository
Kawaguchi, Koji

× Kawaguchi, Koji

WEKO 60379

Kawaguchi, Koji

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Yokoi, Kohei

× Yokoi, Kohei

WEKO 60380

Yokoi, Kohei

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Kikkawa, Fumitaka

× Kikkawa, Fumitaka

WEKO 60381

Kikkawa, Fumitaka

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キーワード
主題Scheme Other
主題 pulmonary metastasectomy
キーワード
主題Scheme Other
主題 lung metastasis
キーワード
主題Scheme Other
主題 prognosis
キーワード
主題Scheme Other
主題 uterine cancer
キーワード
主題Scheme Other
主題 ovarian cancer
抄録
内容記述 The aim was to examine the impact of pulmonary metastasectomy in patients with recurrent gynecologic cancers. Thirty-seven patients with isolated lung metastases (< 3 nodules) in recurrent epithelial gynecologic cancers were treated at Nagoya University Hospital between 1985 and 2013. The clinicopathological data for the 23 patients who underwent surgical resection were retrospectively analyzed, and their survival was compared with patients who received chemotherapy only. The median age at the time of surgery was 56 years (range 28–77). The studied population comprised 7 patients with 2 or 3 nodules and 8 patients with chemoresistant tumors, including fourteen cervical, 4 endometrial, and 5 ovarian primary tumors, with 5-year overall survivals (OSs) after surgery of 61, 100, and 100%, respectively. The survival of recurrence-free interval after initial treatment (>2 years) was significantly favorable (5-year OS 100% vs. 41.7%, p=0.006). Among the 6 patients with re-recurrence of lung metastases, 5 patients underwent a second pulmonary metastasectomy, and all of the patients are currently alive without disease. None of the 29 operations yielded severe complications. Although the survival rate showed a tendency to be higher in the surgery group than in the chemotherapy-only group, no significant difference was observed (5-year OS 81.7% vs. 49.5%, p=0.072). Our results indicate that pulmonary metastasectomy contributed to long-term survival with a low-risk of complications. Surgery to remove isolated lung metastases might provide a favorable prognosis for patients with long recurrence-free intervals and for patients with chemoresistant or re-recurrent tumors.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.77.3.363
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 77, 号 3, p. 363-372, 発行日 2015-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/773.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/22982
識別子タイプ HDL
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