Figure 8.

Metastasectomy photomicrograph.

Notes: Photomicrograph confirms metastatic sarcoma in the lungs resected by the thoracic surgeon. Review of viable disease by the multidisciplinary team led to enrollment of the patient into a clinical trial with an experimental agent. A second metastasectomy procedure 1 year later with wedge resections for pulmonary disease showed focal high grade dedifferentiation but with margins negative. Experimental chemotherapy on clinical trial was resumed. One year following metastasectomy, the patient remains alive without measurable disease, continuing under the care of the multidisciplinary team, 4½ years after initial diagnosis (hematoxylin and eosin, 100×).