肺部转移性肿瘤,尤其是多发性转移瘤,可否进行手术治疗,效果如何,对这个问题,胸外科医生们进行了多年的临床实践。 作者于1971年报道了22例成骨肉瘤肺部转移并全部作了手术切除的儿童患者,(单发性6例,多发性16例),每例患者行1～6次不等共58次的胸部手术,至1983年统计截肢术后存活15年以上者有5例,10年以上1例,10年存活率27％(6/22)。 1960到1978年,Mccormack等手术治疗肺部转移瘤患者448例(246例癌症,202例肉瘤),其中单侧单发的占46％,开胸手术663次肉瘤患者平均每人1.75次,癌症为1.2次。手术死亡7例,占448例中的1.6％或663次开胸的1％。癌症患者5年生存率与病 The metastatic tumors of the lungs, especially multiple metastases, can be treated surgically, and the effect is such that the thoracic surgeons have had clinical practice for many years. In 1971, the author reported 22 children with osteosarcoma lung metastases who had undergone surgical resection (single-site, 6-site, multiple-site, 16 cases). Each patient performed 1 to 6 times in 58 cases. In thoracic surgery, until 1983, there were 5 cases of survivors who survived for more than 15 years after amputation, and 1 case of more than 10 years. The 10-year survival rate was 27% (6/22). Between 1960 and 1978, Mccormack and other patients treated 448 patients with metastatic lung tumors (246 cancers and 202 sarcomas), of whom 46% were unilaterally solitary, and 663 sarcomas were performed on average 1.75 times per year. It is 1.2 times. Seven deaths occurred in the surgery, which accounted for 1.6% of 448 cases or 1% of 663 cases of thoracotomy. 5-year survival and disease in cancer patients