Surgical resection as the treatment of choice for melanoma metastatic to the lung.

Available data suggest that patients who have a limited number of pulmonary metastases may benefit from complete surgical resection if they have favorable prognostic features such as a long TDT and a long DFI. If a patient is not a surgical candidate because of radiographic evidence of extrapulmonary disease, a short TDT, or a short DFI, then concurrent or sequential biochemotherapy offers the best chance for a complete response and remission.