Journal Contents   |    
Surgical Resection of Pulmonary Metastatic Lesions Secondary to Tumors of the Head, Trunk, or Extremities
View Disclosures and Other Information
From the Section of Orthopedic Surgery and the Section of Surgery, Mayo Clinic and Mayo Foundation, Rochester
1963 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1963 Jul 01;45(5):1030-1042
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Thirty-eight operations were performed on thirty-six patients for the resection of localized pulmonary metastatic disease secondary to lesions arising in the head, trunk, or extremities. The primary lesions were largely sarcomatous. The pulmonary resections were limited in extent, consistent with the size and location of the metastatic lesion, and there was no operative mortality.

The one, three, and five-year survival rates were 69, 21, and 23 per cent, respectively. The prognosis did not appear to be related to the specific type of lesion, the size of the lesion, the presence of clinical signs of pulmonary involvement, or the length of time since the primary operation. Multicentricity of the metastatic lesions was associated with lower survival rates.

The prognosis in these patients does not appear to be quite so good as in those with localized pulmonary metastasis from visceral organs, but the results indicate that resection is justified and worth while in properly selected cases.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    GA - Choice Care Occupational Medicine & Orthopaedics
    MA - Boston University Orthopedic Surgical Associates
    CT - Yale University School of Medicine
    MA - The University of Massachusetts Medical School