Matches in SemOpenAlex for { <https://semopenalex.org/work/W21350145> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W21350145 endingPage "383" @default.
- W21350145 startingPage "376" @default.
- W21350145 abstract "Les cancers pulmonaires non à petites cellules métastatiques sont classés M1a pour les métastases controlatérales, pleurales, pleurésie ou péricardite maligne, et M1b pour les métastases systémiques. En théorie, la chirurgie est exclue de leur traitement. Nous avons étudié la prise en charge, la survie et les facteurs pronostiques des patients atteints de tumeurs classées M1a et M1b, en reprenant les dossiers de 4668 patients opérés de 1983 à 2006. Cette série inclut 70 M1a et 94 M1b. Les interventions ont compris 40 thoracotomies exploratrices, 88 lobectomies et 38 pneumonectomies. Les survies médianes et à cinq ans étaient de 14 mois et 13 % dans la série, 15 mois et 9 % en cas de M1a, 11 mois et 15 % en cas de M1b, que la métastase ait été réséquée ou non. Sur l’ensemble des patients, les facteurs pronostiques comprenaient l’instauration d’un traitement néoadjuvant, le type histologique et l’atteinte ganglionnaire. Dans certains cas de M1a, une résection chirurgicale complète peut être associée à une survie prolongée. En cas de M1b solitaire bénéficiant d’une résection pulmonaire, les effets de la chirurgie de la métastase sont comparables à ceux des traitements non chirurgicaux. Metastatic lung cancer may be M1a (contralateral lung nodule, malignant pleural or pericardial effusion or pleural nodules) or M1b (distant metastases). Surgery is not usually considered in their treatment. After exclusion of contralateral lung nodules, we reviewed the demographics, management, survival and prognostic factors in M1 patients, among a total of 4668 patients who underwent surgery for lung cancer between January 1983 and December 2006. There were 164 patients (70 M1a, 94 M1b). Surgical procedures included exploratory thoracotomy (n = 40), lobectomy (n = 88), and pneumonectomy (n = 38). Histology revealed adenocarcinoma (n = 97), squamous cell carcinoma (n = 36) or other (n = 27). Nodal extension was N0 (n = 60), N1 (n = 23), N2 (n = 64), or not available (n = 17). Overall median survival was 14 months and 5-year survival was 12.7%. In M1a median survival was 15 months and 5-year survival 9%. In M1b, median survival was 11 months and 5-year survival 15%, regardless of whether the metastasis was resected or not. The 5-year survival rates were 0% after exploratory thoracotomy, 3.9% after pneumonectomy, 14.8% after lobectomy; 15.2% in adenocarcinoma, 30.4% after induction chemotherapy, and 31.5% in N0 patients. In cases of M1a disease, complete surgical resection resulted in a 5-year survival rate of 16.2%. In case of M1b disease undergoing pulmonary resection, surgical metastasis management did not change the prognosis, with 5-year survival rates of 16.7% in case of metastasis resection (n = 66) versus 15.6% without resection (n = 19, P = 0.67). In patients with M1a disease, complete surgical resection allowed some long-term survivals, suggesting that surgery may be underestimated. Conversely, in patients with M1b disease undergoing pulmonary resection, surgical resection of the metastasis is not associated with better survival than non-surgical management, suggesting that surgery may be overestimated." @default.
- W21350145 created "2016-06-24" @default.
- W21350145 creator A5002314250 @default.
- W21350145 creator A5017361099 @default.
- W21350145 creator A5027494078 @default.
- W21350145 creator A5040640740 @default.
- W21350145 creator A5074720826 @default.
- W21350145 creator A5080699875 @default.
- W21350145 date "2012-03-01" @default.
- W21350145 modified "2023-10-18" @default.
- W21350145 title "Place de la chirurgie dans le cancer bronchique non à petites cellules métastatique" @default.
- W21350145 cites W113326395 @default.
- W21350145 cites W1710915557 @default.
- W21350145 cites W1983015752 @default.
- W21350145 cites W1990161546 @default.
- W21350145 cites W1993312546 @default.
- W21350145 cites W1999912418 @default.
- W21350145 cites W2004906252 @default.
- W21350145 cites W2007749056 @default.
- W21350145 cites W2009087529 @default.
- W21350145 cites W2010543022 @default.
- W21350145 cites W2032621061 @default.
- W21350145 cites W2036012113 @default.
- W21350145 cites W2040211532 @default.
- W21350145 cites W2048218532 @default.
- W21350145 cites W2055509944 @default.
- W21350145 cites W2065527117 @default.
- W21350145 cites W2073935157 @default.
- W21350145 cites W2080189021 @default.
- W21350145 cites W2088720324 @default.
- W21350145 cites W2090871641 @default.
- W21350145 cites W2092570462 @default.
- W21350145 cites W2095191469 @default.
- W21350145 cites W2122476845 @default.
- W21350145 cites W2145582177 @default.
- W21350145 cites W2169654517 @default.
- W21350145 cites W2402560161 @default.
- W21350145 cites W2413226184 @default.
- W21350145 cites W4229860815 @default.
- W21350145 cites W4240340450 @default.
- W21350145 cites W9959335 @default.
- W21350145 doi "https://doi.org/10.1016/j.rmr.2011.07.010" @default.
- W21350145 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22440301" @default.
- W21350145 hasPublicationYear "2012" @default.
- W21350145 type Work @default.
- W21350145 sameAs 21350145 @default.
- W21350145 citedByCount "10" @default.
- W21350145 countsByYear W213501452012 @default.
- W21350145 countsByYear W213501452013 @default.
- W21350145 countsByYear W213501452014 @default.
- W21350145 countsByYear W213501452015 @default.
- W21350145 countsByYear W213501452016 @default.
- W21350145 countsByYear W213501452022 @default.
- W21350145 countsByYear W213501452023 @default.
- W21350145 crossrefType "journal-article" @default.
- W21350145 hasAuthorship W21350145A5002314250 @default.
- W21350145 hasAuthorship W21350145A5017361099 @default.
- W21350145 hasAuthorship W21350145A5027494078 @default.
- W21350145 hasAuthorship W21350145A5040640740 @default.
- W21350145 hasAuthorship W21350145A5074720826 @default.
- W21350145 hasAuthorship W21350145A5080699875 @default.
- W21350145 hasConcept C126322002 @default.
- W21350145 hasConcept C2776178081 @default.
- W21350145 hasConcept C2776256026 @default.
- W21350145 hasConcept C2777714996 @default.
- W21350145 hasConcept C29456083 @default.
- W21350145 hasConcept C71924100 @default.
- W21350145 hasConceptScore W21350145C126322002 @default.
- W21350145 hasConceptScore W21350145C2776178081 @default.
- W21350145 hasConceptScore W21350145C2776256026 @default.
- W21350145 hasConceptScore W21350145C2777714996 @default.
- W21350145 hasConceptScore W21350145C29456083 @default.
- W21350145 hasConceptScore W21350145C71924100 @default.
- W21350145 hasIssue "3" @default.
- W21350145 hasLocation W213501451 @default.
- W21350145 hasLocation W213501452 @default.
- W21350145 hasOpenAccess W21350145 @default.
- W21350145 hasPrimaryLocation W213501451 @default.
- W21350145 hasRelatedWork W2062096219 @default.
- W21350145 hasRelatedWork W2066552393 @default.
- W21350145 hasRelatedWork W2365632055 @default.
- W21350145 hasRelatedWork W2372561159 @default.
- W21350145 hasRelatedWork W2375344515 @default.
- W21350145 hasRelatedWork W2375392632 @default.
- W21350145 hasRelatedWork W2380382254 @default.
- W21350145 hasRelatedWork W2390152934 @default.
- W21350145 hasRelatedWork W2412727163 @default.
- W21350145 hasRelatedWork W2789448498 @default.
- W21350145 hasVolume "29" @default.
- W21350145 isParatext "false" @default.
- W21350145 isRetracted "false" @default.
- W21350145 magId "21350145" @default.
- W21350145 workType "article" @default.