Pulmonary Metastasectomy in Sarcoma.

Sarcoma has a predilection to metastasize to the lungs, with pulmonary metastases occurring in up to half of patients with this disease. Resection of metastatic disease is a commonly utilized tool in the management of these patients due to limitations in systemic therapies. Prospective data are absent and recommendations for metastasectomy in the setting of sarcoma are derived from retrospective series. We describe factors associated with survival that should be evaluated in considering surgical candidacy. Approaches to resection along with management of recurrent pulmonary disease are also discussed.