Several important characteristics of the tumor and the extent of disease must be determined prior to selecting a method of treatment.Surgical Treatment
According to findings from the International Registry of Lung Metastasis (IRLM), surgery is safe and effective in providing long-term survival for specific tumor types and patient populations, including cases where pulmonary metastases occur on both lungs simultaneously.
Although the minimally invasive Video-Assisted Thoracoscopic Surgery (VATS) procedure can be used to make an initial diagnosis, complete resection of all suspected lesions is best performed through a small incision known as a mini-thoracotomy. This approach offers the best method to feel for lesions that were too small to be detected on pre-operative radiologic studies. The mini-thoracotomy combines a small incision with a muscle-sparing technique that avoids cutting major chest wall muscles, and manages pain via an epidural catheter. The result is minimal post-operative pain, rapid return to normal activities, and shorter hospital stays.Non-surgical Treatment
Other forms of treatment are available at NYU for high-risk patients who are not good candidates for surgery. Cutting-edge procedures such as radiofrequency ablation (RFA) and stereotactic surgery are emerging as alternative forms of treatment. Some tumors respond well to chemotherapy, which can be arranged in collaboration with the medical oncology team at NYU Cancer Institute.