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Laser Metastasectomy in Lung Mets Breast Cancer
by dr Zico Paradigma - Sunday, 8 July 2018, 02:12 AM
Sintaningtyas, LJ 1, Ismail D 2

1 Medical Faculty of Sebelas Maret University, Surakarta, Indonesia
2 Sub Department Thoracic, Cardiac and Vascular Surgery, Department of Surgery, Moewardi General Hospital, Surakarta, Indonesia

Background :Indications and surgical techniques for pulmonary metastasectomy are controversially discussed issues. Numerous retrospective studies have demonstrated that resection of metastases limited to the lungs may be associated with prolonged survival. Laser metastasectomy is a recent innovation that has been advocated especially in patients with multiple pulmonary metastases. The aim of the current study was to describe the first Laser Metastasectomy in patient with lung metastasis breast cancer in Moewardi Hospital Solo.
Objective : A 45 years old woman with carcinoma mammae dextra post MRM on chemotherapy come with lung metastasis. Previous examination reveal that the patient had carcinoma mammae dextra BIRADS 5 with pneumonic type pulmonal metastasis. Laser metastasectomy performed to this patient.
Result : The first time lung metastasectomy with laser have performed to Solo at December 2017. It used laser 1318nm ND Yag. The operation last about 30 minutes, post operative patient was set WSD. Patient stayed for about 7days. No complication found at preoperative, durante and post operative. Patient come to control regularly 1times a month up to now.
Conclusion: Laser metastasectomy was well performed to this patient. This palliative option was promising, safe and increasing life expectancy.
Keyword : carcinoma mammae, lung metastase, laser metastasectomy