Outcome of Radical Surgery for Pulmonary Metastatic Osteosarcoma with Secondary Spontaneous Pneumothorax: Case Series Report
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概要
- 論文の詳細を見る
Secondary spontaneous pneumothorax (SSP) caused by malignant tumors is rare, which often makes the choice of treatment difficult. In our hospital, we performed radical surgery for all pulmonary metastases arising from osteosarcoma (OS) in seven patients with SSP from February 1988 to February 2008 and retrospectively examined the clinicopathological features and postoperative outcomes. The common SSP etiology was tumor tissue rupture at the lung periphery. All patients died of OS recurrence within 18 months. A short disease-free interval (DFI) and a short interval to the second recurrence were the common clinical risk factors of poor prognosis. Curative surgery for pulmonary metastases in OS with SSP is unlikely, but in OS patients with peripheral metastatic lesions that are not accompanied by SSP and have a satisfactory DFI and few lesions, surgical resection should be strongly considered.
著者
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Nakagawa Ken
Department Of Chest Surgery Cancer Institute Hospital
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Mun Mingyon
Department Of Thoracic Surgery Toranomon Hospital
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Kuroda Hiroaki
Department Of Cardiovascular Surgery San-in Rosai Hospital
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Sakao Yukinori
Deparment Of Pathology Institute Of Basic Medical Science University Of Tsukuba
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Nakada Takeo
Department Of Health Policy Science Tokyo Medical And Dental University Graduate School
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Uehara Hirofumi
Department Of Chemistry Gunma University
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Okumura Sakae
Department Of Thoracic Surgical Oncology The Cancer Institute Hospital Japanese Foundation For Cancer Research
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Nakagawa Ken
Department of Thoracic Surgical Oncology, Japanese Foundation for Cancer Research, Cancer Institute Hospital
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Nakada Takeo
Department of Thoracic Surgical Oncology, Japanese Foundation for Cancer Research, Cancer Institute Hospital
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Uehara Hirofumi
Department of Thoracic Surgical Oncology, Japanese Foundation for Cancer Research, Cancer Institute Hospital
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Sakao Yukinori
Department of Thoracic Surgical Oncology, Japanese Foundation for Cancer Research, Cancer Institute Hospital
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Kuroda Hiroaki
Department of Thoracic Surgical Oncology, Japanese Foundation for Cancer Research, Cancer Institute Hospital
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