非小细胞肺癌伴远处转移的外科治疗进展

近年文献报道,部分伴有脑、肾上腺、肺等部位同期孤立性转移的非小细胞肺癌患者仍可通过手术完全切除获得长期生存.研究表明原发灶局限于Ⅰ、Ⅱ期,没有或仅有单处纵隔淋巴结受累且孤立性转移灶能手术完全切除的病例可能通过手术获益,进一步了解预后相关因素,将更有利于发挥外科治疗的益处.

Advances in surgical therapy for non-small cell lung cancer with distant metastases

Studies suggest that some patients with synchronous oligometastatic lesions in brain,adrenal gland,lung,et al,may achieve long-term survival via complete resection. Some subgroups of patients with stage Ⅰ or Ⅱ primary lesions, without or with single mediastinal lymph node involvement and with resectable oligometastatic lesions may benefit from surgery. A better understanding of the prognostic factors related may help improve surgical interventions.