Lung Metastases
"It is technically possible to resect all existing pulmonary metastases".
DR. MARÍA RODRÍGUEZ PÉREZ
CODIRECTOR. THORACIC SURGERY DEPARTMENT
Lung metastasis is the spread of cancer cells from a tumour developing in another location to the lungs.
The most common tumours that metastasise to the lungs are colon cancer, breast cancer, bone and soft tissue sarcomas, melanoma and genitourinary tumours. However, any type of cancer has the ability to spread to the lungs.
The Lung Cancer Area, and the interaction of the medical teams integrated in it, has contributed to generate a definitive impulse for translational research in this malignant lung pathology.
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Symptoms of lung metastasis
Patients usually manifest symptoms depending on the pulmonary occupation of these metastases. The most common symptoms are:
- Dry cough. Persistent and difficult to control, which may also worsen over time due to irritation of the bronchi by metastatic lesions.
- Bloody sputum (haemoptysis). It may occur as small streaks of blood in the sputum or in larger episodes.
- Shortness of breath (dyspnoea). Shortness of breath that intensifies with exertion and may progress with the spread of the disease in the lungs.
- Chest pain. May be diffuse or localised, aggravated by deep breathing or coughing.
Do you have any of these symptoms?
If you suspect that you have any of the above symptoms,
you should consult a medical specialist for a diagnosis.
How is pulmonary metastasis diagnosed?
Lung metastases are usually detected in imaging tests performed at the time of diagnosis or in the clinical follow-up of the primitive tumour, without any symptoms. If the risk of developing lung metastases is high, as in the case of sarcomas and melanomas, close clinical follow-up is advisable.
The diagnosis of suspected pulmonary metastases is radiological and is established by plain chest X-ray and high-definition thoracic computed tomography (CT). Chest magnetic resonance imaging (MRI) and positron emission tomography (PET) are also used in the process of detection and confirmation of such lesions.
Treatment for lung metastasis
The treatment of patients with lung metastases is defined by the treatment of the primary tumor.
In chemically sensitive tumors, the treatment of choice is chemotherapy, reserving surgery for the elimination of the residual tumor.
In the case of tumors that do not respond to chemotherapy, the treatment of choice will be surgery, and should be reserved for those patients in whom all lesions can be completely resected.
The Clinic has a Thoracic Unit that is a pioneer in minimally invasive surgery, both in robotic surgery and videothoracoscopy, with accelerated recovery protocols.
Likewise, radiotherapy can be a treatment strategy for lung metastases that do not respond to chemotherapy, are not candidates for surgical resection and have a location and number that allows the use of the technique. In this context, the recent creation of the Proton Therapy Unit offers the alternative of a treatment of maximum benefit with minimum toxicity in lesions of difficult access or close to risk organs.
Where do we treat it?
IN NAVARRA AND MADRID
The Lung Cancer Area
of the Cancer Center Clínica Universidad de Navarra
The Lung Cancer Area is made up of specialists in Pneumology, Medical Oncology, Radiation Oncology, Thoracic Surgery, Radiology, Nuclear Medicine and Pathological Anatomy, as well as researchers from the Solid Tumors and Biomarkers Program at the Summit.
The diagnostic process integrates tumor molecular biology to achieve the most complete diagnosis possible.
Diseases we treat
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Why at the Clinica?
- Integral evaluation of the patient.
- Possibility of beginning personalized treatment 48 hours after the first consultation.
- Minimally invasive surgery for the prompt recovery of our patients.