對於 lung cancer 1A, < 2 cm
可以選擇 Lobectomy, Sublobar resection ( Wedge or Segmentectomy )
如果因為病人本身狀況就不好, 無法 Lobectomy, 只能 Sublobar resection
那當然 outcome 不好
如果病人狀況 ok, 兩個都可以選擇
那 Lobectomy, Segmentectomy 兩者無差別
Lung metastasectomy
Colon, RCC, Breast, thyroid metastasis to lung
( 只有 colon 會特別做 LNs dissection )
* Indication :
1. Primary disease free ( 當然是必備條件 )
2. Tumor < 4 顆 ( 不論單雙側 ), 會覺得有較好 prognosis
3. The longer the time from primary to meta
the better the prognosis.
Metastasectomy is the surgical removal of metastases,
which are secondary cancerous growths that have spread
from cancer originating in another organ in the body.
Among colorectal cancer patients, 15-25% will have liver metastases already when the colorectal cancer is discovered,
and another 25-50% will develop them in the three years after resection of their primary cancer.
Surgical resection of liver metastases from colorectal cancer has been found to be safe and cost-effective.
CV (7)