Abstract
Surgical resection of pulmonary metastasis is appropriate provided the general principals of oncological surgery are followed. Complete excision of the metastatic tumor is associated with long-term survival and low perioperative mortality. We present 2 cases of single pulmonary metastasis from osteosarcoma with cardiac involvement. In both cases, complete excision required left pneumonectomy by sternotomy with extracorporeal circulation. The outcomes were favorable, no perioperative complications were reported, and the patients remained free of disease at 14 and 17 months after surgery. In conclusion, we believe that the cases presented confirm that extended pneumonectomy with extracorporeal circulation if necessary is a valid approach for complete resection of pulmonary metastasis.
MeSH terms
-
Adult
-
Antineoplastic Agents / therapeutic use
-
Arm
-
Bronchial Neoplasms / diagnostic imaging
-
Bronchial Neoplasms / secondary*
-
Bronchial Neoplasms / surgery*
-
Chemotherapy, Adjuvant
-
Combined Modality Therapy
-
Extracorporeal Circulation*
-
Femoral Neoplasms / drug therapy
-
Femoral Neoplasms / pathology
-
Femoral Neoplasms / surgery
-
Heart Atria / pathology
-
Heart Atria / surgery
-
Humans
-
Lung Neoplasms / diagnostic imaging
-
Lung Neoplasms / secondary*
-
Lung Neoplasms / surgery*
-
Male
-
Osteosarcoma / diagnostic imaging
-
Osteosarcoma / drug therapy
-
Osteosarcoma / secondary*
-
Osteosarcoma / surgery*
-
Pericardiectomy / methods
-
Pericardium / pathology
-
Pericardium / surgery
-
Pleura / pathology
-
Pleura / surgery
-
Pneumonectomy / methods*
-
Pulmonary Veins / pathology
-
Pulmonary Veins / surgery
-
Sarcoma / pathology
-
Sarcoma / radiotherapy
-
Sarcoma / surgery
-
Thoracic Wall / pathology
-
Thoracic Wall / surgery
-
Tomography, X-Ray Computed