A Novel Approach for Resection of Centrally Located Metastatic Sarcoma to the Lung.

Pulmonary metastases from sarcoma may involve central lung structures, thereby limiting treatment options and sometimes requiring extensive resection. In this case, a 47-year-old woman with a solitary left hilar metastasis underwent pneumonectomy, ex vivo tumor resection, and reimplantation of the remaining lobe. She recovered well and remained recurrence free at 2 years. This lung-preserving ex vivo resection and autotransplantation technique may offer a valuable option for select patients with centrally located pulmonary metastases in specialized centers.