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January 11, 1965

Bilateral Pulmonary Resection for Metastatic Hepatoma

Author Affiliations

From the Mason Clinic, Seattle.

JAMA. 1965;191(2):139-140. doi:10.1001/jama.1965.03080020067027

SINCE 1938, when Churchill and Barney1 reported the successful resection of a metastatic lung lesion originating from a renal cell carcinoma, the presence of lung metastases from certain primary lesions is no longer considered an absolute contraindication to pulmonary resection. The patient they reported subsequently survived 24 years, and died of a myocardial infarction. Recognition that resection of pulmonary metastases could be done with a subsequent cure rate similar to that observed following resection for bronchogenic carcinoma has led to further evaluation of the feasibility of resection of pulmonary metastases.

Thirteen patients have undergone pulmonary resection for metastatic tumor at the Virginia Mason Hospital since 1949. One patient initially operated on in 1954 is of sufficient interest to warrant a case report.

Report of a Case  A 28-year-old secretary, during a routine postpartum examination in March 1954, was found to have a firm, mobile, abdominal mass, 10 × 12