We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Surgical Resection for Pulmonary Metastases in Children

James W. Kilman, MD; Marvin W. Kronenberg, AB; James A. O'Neill Jr, MD; Karl P. Klassen, MD
Arch Surg. 1969;99(2):158-165. doi:10.1001/archsurg.1969.01340140030005.
Text Size: A A A
Published online


Improvement in the treatment of malignant disease in children has been the result of early aggressive therapy by surgeons, chemotherapists and radiologists. Most technical advances learned in adult cancer therapy have been adapted to pediatric cancer problems. There has been some reluctance, however, to apply the principles of surgical resection of pulmonary metastatic lesions to pediatric patients. The fact that the pulmonary metastasis can be the direct cause of death in the child apparently cured of his cancer is often ignored.1

The child with an adequately treated primary tumor frequently exhibits pulmonary metastases. These children are considered for chemotherapy or radiation therapy or a combination of both. Surgery is not usually considered unless there is a failure of both of these modes of therapy. Surgery may then be impossible due to toxicity from chemotherapy or pulmonary dysfunction secondary to radiation fibrosis.2,3 It would seem that the best answer


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.