Metastatic Tumor to Lung Disease

Author: Paul Schipper, MD
Institution: OHSU
Date Reviewed: June 2025
Original Case: Leah Backus, MD
Learning Domain: General Thoracic
Learning Objective: Evaluation of and surgical decision making associated with metastatic lung disease
PowerPoint File: Metastatic Tumor to Lung Disease

Discussion Points

• Early vs late metastatic disease
• Patterns of metastatic lung disease
• Disease free intervals
• Surgical approaches to lung metastatic disease
• Carcinoma vs Sarcoma
• Role of Adjuvant therapy for metastatic disease
• Pathologist identifies a TTF-1 + adenocarcinoma highly suspicious for lung primary—change in tx?
• Prognosis

Learning Points

• Surveillance is essential
• Lung resection has a role with metastatic disease
• Local recurrence can happen with limited resections