Abstract
In most cases, the histopathological examination of pulmonary metastases will lead to vital clues indicating the primary tumor even after years of disease-free intervals. When evaluating 344 metastases of 100 patients, correlation to the known primary tumor was possible in 98% of the cases. Important additional information may be gained by regression grading of metastases, for example after chemotherapy. In 28 metastases of 4 patients suffering from primary tumors of the testicle, no vital tumor tissue could be demonstrated. The age peak of patients with surgically removed pulmonary metastases was between 40 and 50 years, varying widely, however, depending on the primary lesion. The size of the resected metastases was between 1 and 100 mm, with a peak of 6–10 mm. The examination of early metastases enhanced our knowledge concerning the different phases of metastatic spread such as embolization, implantation, metastatic growth with neoangiogenesis, spontaneous or therapeutically induced tumor regression and local reactions of the pulmonary tissue. The characterization of tumor tissue using, among others, immunohistochemical techniques will lead to clinical and therapeutic consequences.
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References
Bassermann R (1984) Angiogenese und Vaskularisation in Metastasen. Verh dtsch Ges Pathol 68:124–139
Eder M (1984) Die Metastasierung: Fakten und Probleme aus human-pathologischer Sicht. Verh dtsch Ges Pathol 68:1–11
Ewing J (1928) In: Neoplastic diseases, a treatise in tumors, 3rd ed. Philadelphia: W.B. Saunders
Galanski M, Wiese H, Schmoll E, Schober A (1989) Radiologische Diagnostik von Lungenmetastasen. Atemw-Lungenkrkh Jahrgang 15(2):62–66
Gilbert H (1979) Patterns of metastases. Columbus, Ohio: Adria Laboratories Inc.
Grundmann E (1989) Metastasenbegriff. Atemw-Lungenkrkh Jahrgang 15(2):40–45
Liebig S, Müller K-M (1985) Tumormetastasen in der Lunge. In: Trendelenburg F, ed. Handbuch Innere Medizin Bd. IV/4B. Tumoren der Atmungsorgane und des Mediastinums. Berlin, Heidelberg, New York, Tokyo: Springer-Verlag, 499–510
Liotta SA (1982) Tumor Extracellular Matrix. Lab Invest 47:112–113
Müller K-M (1983) Lungenmetastasen. In: Doerr W, Seifer G, eds. Spezielle pathologische Anatomie, Bd. 16, Pathologie der Lunge. Berlin, Heidelberg, New York, Tokyo: Springer-Verlag, 1248–1253
Müller K-M (1986) Pulmonary metastases. Pathological anatomy Thorac Cardiovasc Surgeon 34:115–119
Paget SF (1889) The distribution of secondary growths in cancer of breast. Lancet I:571–573
Reitemeyer E, Bordt J, Müller K-M (1984) Angiographische Befunde bei Lungenmetastasen. Verh Dtsch Ges Pathol 68:224–229
Reitemeyer E (1989) Lungenmetastasen. Pathologische Anatomie Atemw-Lungenkrkh Jahrgang 15(2):46–49
Roessner A, Derstappen Th, Müller K-M, Grundmann E (1989) Morphologische Befunde an Osteosarkom-Metastasen in der Lunge und Chemotherapie. Atemw-Lugenkrkh Jahrgang 15(2):58–61
Schirrmacher V (1984) Eigenschaften von Tumorzellen als Voraussetzung der Metastasierung: Untersuchungen zum metastatischen Phänotyp. Verh Dtsch Ges Pathol 68:12–17
Schmähl D (1982) Krebsmetastasen. Ihre Entstehung und Behandlung. Stuttgart, New York: Thieme-Verlag
Seifert G (1983) Zur Pathomorphologie der hämatogenen Metastasierung. Der Pathologe 4:194–203
Walther HE (1948) Krebsmetastasen. Basel: Schwabe-Verlag
Weiss L, Gilbert HA (1978) Patterns of pulmonary metastasis. Introduction. In: Weiss L, Gilbert HA, eds. Pulmonary metastases. Boston-London: The Hague, 100–103
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Müller, K.M., Respondek, M. Pulmonary metastases: Pathological anatomy. Lung 168 (Suppl 1), 1137–1144 (1990). https://doi.org/10.1007/BF02718254
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DOI: https://doi.org/10.1007/BF02718254