Renal cell carcinoma: Resection of solitary and multiple metastases

Helen W. Pogrebniak, Gabe Haas, W. Marston Linehan, Steven A. Rosenberg, Harvey I. Pass

Research output: Contribution to journalArticlepeer-review

Abstract

Between 1985 and 1991, 23 patients underwent resection of pulmonary metastases from renal cell carcinoma, of whom 18 had previously received interleukin-2 based immunotherapies. Mean survival from exploration in all patients was 43 months. Survival after resection did not correlate with the number of nodules on preoperative tomograms, the number of nodules resected, or the disease-free interval. Patients who underwent complete resection of metastatic disease (n = 15), however, had a significantly longer survival (mean, 49 months; median not yet achieved) compared with patients with incomplete resection (median, 16 months) (p2 = 0.02). Two of the 15 patients who underwent curative resections are presently free of disease greater than 45 months after exploration. These data support surgical resection of isolated pulmonary metastatic disease from renal cell cancer.

Original languageEnglish (US)
Pages (from-to)33-38
Number of pages6
JournalThe Annals of thoracic surgery
Volume54
Issue number1
DOIs
StatePublished - Jul 1992

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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