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Pulmonary metastases resection (PMR) prolongs survival, however in LT-setting the impact on survival is uncertain. To offer brand new lights with this issue, we report the knowledge of three Italian LT facilities. Practices All consecutive HCC transplanted patients in three Italian LT facilities, just who developed pulmonary metastasis from HCC (PM-HCC), as first metastasis, from 2008 to 2018, had been included when treated with PMR. Results Twenty-five cu