Comparação da sobrevida dos pacientes portadores de metástase pulmonar e pleural submetidos à cirurgia diagnóstica e terapêutica: experiência inicial de um serviço de cirurgia torácica

Fernanda Pinheiro Manhães; Juliana Karla Gonçalves Guimarães; Erlon de Avila Carvalho

doi:10.23925/1984-4840.2021v23i2a4

Authors

Fernanda Pinheiro Manhães Fundação Hospitalar do Estado de Minas Gerais. Hospital Alberto Cavalcanti - Belo Horizonte (MG), Brasil. https://orcid.org/0000-0002-0121-4989
Juliana Karla Gonçalves Guimarães Fundação Hospitalar do Estado de Minas Gerais. Hospital Alberto Cavalcanti - Belo Horizonte (MG), Brasil. https://orcid.org/0000-0001-9949-356X
Erlon de Avila Carvalho Fundação Hospitalar do Estado de Minas Gerais. Hospital Alberto Cavalcanti - Belo Horizonte (MG), Brasil. https://orcid.org/0000-0002-5587-937X

DOI:

https://doi.org/10.23925/1984-4840.2021v23i2a4

Keywords:

Survival Analysis, Lung Neoplasms, Neoplasm Metastasis, Thoracotomy, Thoracic Surgery

Abstract

Objective: To analyze and compare the survival of patients with pulmonary and pleural metastases in an initial thoracic surgery service. Methods: Retrospective longitudinal study of 19 patients with pulmonary and pleural metastases who underwent surgery between 2016 and 2020. Survival was analyzed using the Kaplan Meier curve. Results: Most were female, 84.2%, with a mean age of 64 years and 68.4% were non-smokers. Comorbidities were detected in 73.7% of patients, with arterial hypertension being the most prevalent. The most common primary tumors were breast and lung cancer. The most frequent approach (52.7%) was through videothoracoscopy. Chemotherapy treatment covered 84.2% of patients. Of the six patients who developed postoperative complications during hospitalization, 33.3% had pneumonia and 1 died. Overall survival at 30 months was 57.9%. Patients with pulmonary metastasis showed longer 30-month survival compared to those with pleural metastasis (75% vs. 50%; p=0.017). Regarding the primary tumor, patients with breast carcinoma had a 12-month survival of 85%, while among patients with colorectal cancer, the survival was 50%. Conclusion: According to our study, patients with pleural metastases have a worse prognosis when compared to patients with pulmonary metastases. The primary location of the tumor is associated with patient survival.

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Author Biography

Erlon de Avila Carvalho, Fundação Hospitalar do Estado de Minas Gerais. Hospital Alberto Cavalcanti - Belo Horizonte (MG), Brasil.

Cirurgia Torácica

Doutorando em Cirurgia Torácica e Cardiovascular - Instituto do Coração - INCOR, FMUSP, São Paulo

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