Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Pulmonary Metastasectomy in Adult Patients with Synovial Sarcoma: A Single-Center Experience

  • Lee, Kanghoon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Moon Chul (Department of Thoracic and Cardiovascular Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Lee, Hae Won (Department of Thoracic and Cardiovascular Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Park, Jong Ho (Department of Thoracic and Cardiovascular Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Baek, Hee Jong (Department of Thoracic and Cardiovascular Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Cho, Sung Joon (Department of Thoracic and Cardiovascular Surgery, Kangwon National University School of Medicine) ;
  • Jeon, Dae-Geun (Department of Orthopaedic Surgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • Received : 2016.01.12
  • Accepted : 2016.09.12
  • Published : 2016.12.05
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Abstract

Background: This study assessed the efficacy of pulmonary metastasectomy for synovial sarcoma in adult patients. Methods: Fifty patients, diagnosed with pulmonary metastasis from June 1990 to August 2010, were reviewed retrospectively. Twenty-eight patients underwent complete pulmonary metastasectomy, and their survival was evaluated. Age, sex, time to metastatic progression, laterality, number of tumors, size of largest nodule, and number of metastasectomies were analyzed as potential prognostic factors. Results: In all, 29 patients underwent at least one pulmonary metastasectomy, and 51 resections were performed. One intraoperative mortality occurred, and the 5-year survival rate was 58.4%. Bilateral metastases and early metastatic progression were associated with poor survival in multivariate analyses. Conclusion: Surgical resection can be a good option for treating pulmonary metastasis in patients with synovial sarcoma. Repeated resection was feasible with low mortality and morbidity.

Keywords

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