Surgery MCQ Answer 23

Answer: c

There are a number of controversial areas in the area of operative approaches to metastatic disease in the lung, but there is general agreement that any extrathoracic metastases preclude eligibility for pulmonary resection. Although tumor doubling time is a measure of its aggressiveness, it is too variable to have prognostic significance and is generally disregarded as a criterion for resection. Primary site recurrence must be treated before the metastatic focus to prevent further seeding. If effective systemic therapy is available as would be expected in breast and testicular cancer or osteogenic sarcoma, it is preferred over surgical resection. Similarly, pulmonary resection should not be undertaken unless the pulmonary reserve will allow all metastatic foci to be resected.

Category: Surgery MCQs