Bone and soft tissue sarcomas, tumors of the skinBone and soft tissue sarcomas, tumors of the skinСаркомы костей, мягких тканей и опухоли кожи2219-46142782-3687Publishing House ABV Press451SOFT TISSUE SARCOMASСАРКОМЫ МЯГКИХ ТКАНЕЙCurrent state of surgical treatment of pulmonary metastases of musculoskeletal sarcomasСовременное состояние хирургического лечения метастатического поражения легких при саркомах опорно-двигательного аппаратаStarodubtsevA. L.СтародубцевА. Л.
Russian Federation

Obninsk

г. Обнинск

RagulinYu. A.РагулинЮ. А.
Russian Federation

Obninsk

г. Обнинск

KurilchikA. A.КурильчикА. А.
Russian Federation

Obninsk

г. Обнинск

ZubarevA. L.ЗубаревА. Л.
Russian Federation

Obninsk

г. Обнинск

dr-aizubarev@yandex.ruIvanovV. E.ИвановВ. Е.
Russian Federation

Obninsk

г. Обнинск

Federal State Budget Institution «Medical Radiological Research Center» of the RF Health MinistryФГБУ Медицинский радиологический научный центр Минздрава России2511201463-430362401202224012022Copyright ©; 2014, Starodubtsev A.L., Ragulin Y.A., Kurilchik A.A., Zubarev A.L., Ivanov V.E.Copyright ©; 2014, Стародубцев А.Л., Рагулин Ю.А., Курильчик А.А., Зубарев А.Л., Иванов В.Е.2014Starodubtsev A.L., Ragulin Y.A., Kurilchik A.A., Zubarev A.L., Ivanov V.E.Стародубцев А.Л., Рагулин Ю.А., Курильчик А.А., Зубарев А.Л., Иванов В.Е.https://creativecommons.org/licenses/by/4.0https://sarbon.abvpress.ru/jour/article/view/451

The ability of malignant tumors to metastasize remains a major obstacle to curative treatment for cancer. If the tumor process is generalized, systemic therapy is necessary to benefit from surgery. numerous retrospective studies have demonstrated that surgical removal of metastases limited to the lungs may prolong survival of cancer patients. This article describes the state of treatment of pulmonary metastatic disease. Different surgical approaches including single-stage unilateral or bilateral surgery, lymph node dissection, and repeated surgical interventions are discussed. The treatment of pulmonary metastases from bone and soft tissue sarcomas is discussed separately.

Способность злокачественных опухолей к метастазированию остается основным препятствием для излечения онкологических больных. Без системного воздействия при генерализации опухолевого процесса хирургическое лечение становится неэффективным. многочисленные ретроспективные исследования продемонстрировали, что удаление метастазов при изолированном поражении легких может повысить выживаемость онкологических больных. в данной статье представлено состояние проблемы лечения метастатического поражения легких. обсуждаются различные хирургические подходы, включающие одномоментные одно- или двухсторонние оперативные вмешательства, необходимость лимфодиссекции, повторные оперативные вмешательства. отдельно будет рассмотрен вопрос лечения легочных метастазов сарком костей и мягких тканей.

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