Pulmonary Metastasectomy for Pulmonary Metastases of Head and Neck Squamous Cell Carcinomas

Surgical Treatment for Pulmonary Metastasis of Head and Neck Cancer: Study of 58 Cases

“…7) In some reports, the 5-year survival rate in patients who underwent resection of pulmonary metastasis has been around 30% (19.4%-34.0%), suggesting the usefulness of surgical resection. [8][9][10][11] In our study, the rate was 35.7%, which was similar to those reported previously. Several reports have suggested that the factors related to a poor prognosis would include DFI, squamous cancer, male, cancer of the oral cavity, mediastinal lymph node metastasis, and the number of pulmonary metastases.…”

Therapeutic Outcome After Resection of Pulmonary Metastasis from Head and Neck Carcinomas

“…This finding suggests that a DFI of C12 months is an important factor when determining the suitability of a patient for pulmonary metastasectomy. Wedman et al [6] and Shiono et al [11] found that partial resection was associated with poor prognosis, which was confirmed in the present study. In our department, metastasectomy is typically considered only for patients who are candidates for complete resection, and the question remains as to why three of the present 16 patients underwent partial resection.…”

“…A recent study by Daiko et al reported a 1-year survival rate of 76 % for 33 patients who had undergone pulmonary metastasectomy (3-year survival rate, 43 %, MST, 21 months) [10]. In addition, a study of 114 patients who had undergone pulmonary metastasectomy reported a 5-year survival rate of 26.5 % and an MST of 26 months [11]. Similar to patients with primary cancer of the large intestine or hard and soft tissues, past and present results indicate that resection is indicated for pulmonary metastases of head and neck cancer, as it is associated with better outcomes.…”

Applicability of Pulmonary Lobectomy in Treating Metastatic Lung Tumors

“…Reportedly, lobectomies were adopted for about 12%-54% of patients who developed pulmonary metastases. [4][5][6] In the present study, 23% of patients with initial pulmonary metastases underwent pulmonary lobectomies.…”

“…[4][5][6] However, few reports have evaluated the use of pulmonary lobectomy for metastatic tumors. The purpose of this study was to investigate the clinical applicability of pulmonary lobectomies to treat metastatic lung tumors by comparing surgical results of patients who undergo lobectomies to those who undergo limited resections.…”