Ious of metastasis. generic viagra without presciption usa
There was no evidence of recurrence of the primary tumour and the serum level of carcinoembryonic antigen (cea) was 1. cheap generic viagra
6 î¼g/l. genuine viagra online uk With the diagnosis of single pulmonary metastasis of colonic carcinoma, the patient underwent metastatectomy with vats. viagra instructions An intraoperative bronchoscopy was performed which revealed a single 1 mm lesion on the anterior carinal wall. This lesion was biopsied intraoperatively (the histology was reported as bronchial mucosa with squamous metaplasia and submucosal adenocarcinomatous infiltration, consistent with the diagnosis previously established). buy viagra online
A modified segmentectomy was performed and the diagnosis of metastasis (with tumour-free resection margins) was confirmed in the resected specimen. The endobronchial affected area was treated locally with a nd-yag endoscopic laser. viagra effects video At 5 months follow-up, no tumour recurrence could be demonstrated, either with bronchial biopsy or with thoracic ct scan. buy viagra
There are several accepted premises that patients must fulfil before undergoing surgery for metastatic lung disease . viagra for sale
With the introduction of vats, these premises still apply , but the patients may benefit from a less aggressive technique. buy cheap viagra
Other factors, such as the disease-free interval, location of metastases, type of resection or primary tumour staging, have not been demonstrated to influence post-surgery survival . There are some authors who do not regard the resection of lung metastases further to hepatic metastatectomy as a contraindication in patients affected by colonic carcinoma . does viagra work on women We believe that, although the presence of endobronchial metastases (in the same manner as liver metastases) implies a worse prognosis in these patients as it indicates tumour spread, surgery must be considered since it is the only possible curative method. buy viagra in the united states
Our experience herein reported illustrates how local treatment of both metastatic lesions allowed the patient to remain disease-free to this date. buy generic viagra usa
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