Prevention of surgery trigged metastasis risk? - 1258994

azuredu
Posts:2

I am recently diagnosed adenocarcinoma lung cancer, T2N0M0, waiting for lobectomy.

Upon internet searches, I come upon research reviews with the following titles, that talk about risks of metastases trigged by surgery.

The Role of the Perioperative Period in Recurrence After Cancer Surgery

Surgery Triggers Outgrowth of Latent Distant Disease in Breast Cancer: An Inconvenient Truth?

My question is, is there anything I can do now to prevent such risks?

Forums

catdander
Posts:

Hello azuredu and welcome to Grace. I hope your stay will provide you with the understanding you need to get through your treatment and only hear back from you to hear how well your doing post cancer episode years from now. Until then I understand that this will be a bumpy ride full of uncertainties and hopes.

Data doesn't show any kind of real risk for seeding in surgeries for lung cancer. The main thing to know is that you want your surgeon to be one who does lobectomies everyday. As I've come to understand the term dedicated thoracic surgeon is what you want to look for when describing his/her surgery specialty; not a general surgeon who does thoracic surgery or even a cardiothoracic surgeon who is a heart surgeon who also does lung surgery. The point is this surgery is very complicated and to insure best outcomes (shown by real data) you need to see a dedicated thoracic surgeon. The oncology specialists on this site say this again and again. Post thoracotomy syndrome is a complication while not life threatening can be a lifelong nerve damage issue and has been shown to happen more often when thoracotomy is not performed by an expert.

We have a great library of blog posts and videos by our faculty as well as a fab search engine. To use the search engine you may need to log out to use depending on you browser.

I hope this helps and don't hesitate to ask more questions.

Best hopes for cure!
Janine
forum moderator

Just a link to leave you with, A lot of the first page or two are about research in molecular mutation. So you may want to weed through some to get to some basics.
http://cancergrace.org/lung/category/lung-cancer/core-concepts/early-st…

Dr West
Posts: 4735

Janine's exactly right. The most important thing you can do in the pre-operative period to improve your chances of doing well is to work with a well qualified thoracic surgeon rather than the closest person who might say they do lung cancer surgery.

-Dr. West