OBJECTIVE: To evaluate the outcome of @entity1 with liver metastases from @entity242 who underwent hepatic resection at a single institution and were followed up prospectively. SUMMARY BACKGROUND DATA: The value of hepatic resection for @entity3 is unknown. METHODS: There were 331 @entity1 with liver metastases from @entity242 who were admitted to Memorial Hospital from 1982 to 2000, and 56 of them underwent resection of all gross @entity99 . @entity1 , @entity5 , and treatment variables were analyzed to assess outcome. RESULTS: Of the 56 @entity1 who underwent complete resection, 34 (61%) had @entity674 or @entity344 . Half of the @entity1 required an hepatic lobectomy or extended lobectomy. There were no perioperative @entity204 in the completely resected group, although 3 of the 75 @entity1 who underwent exploration (4%) died. The postoperative 1-, 3-, and 5-year actuarial survival rates were 88%, 50%, and 30%, respectively, with a median of 39 months. In contrast, the 5-year survival rate of @entity1 who did not undergo complete resection was 4%. On multivariate analysis, a time interval from the primary @entity5 to the development of liver @entity3 greater than 2 years was a significant predictor of survival after hepatectomy. CONCLUSIONS: Complete resection of liver metastases from @entity242 in selected @entity1 is associated with prolonged survival. Hepatectomy should be considered when complete gross resection is possible, especially when the time to the development of liver @entity3 exceeds 2 years.

Results of hepatic resection for XXXX metastatic to liver.

@entity1 :: ('9606', 'Species') :: ['patients', 'Patient'] @entity242 :: ('MESH:D012509', 'Disease') :: ['sarcoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal leiomyosarcomas'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis', 'metastatic sarcoma'] @entity674 :: ('MESH:D046152', 'Disease') :: ['gastrointestinal stromal tumors'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic disease'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths']
@entity242 :: (MESH:D012509,Disease) :: ['sarcoma']
