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Ann Thorac Surg 1979;28:578-586
© 1979 The Society of Thoracic Surgeons
From the Department of Surgery, Division of Thoracic and Cardiovascular Surgery, and Departments of Pathology and Radiation Therapy, University of Maryland Medical School and Hospital, Baltimore, MD.
* Address reprint requests to Dr. Attar, University of Maryland Hospital, 22 S Greene St, Baltimore, MD 21201.
Seventy-three patients with Pancoast's tumor treated at the University of Maryland Hospital between 1955 and 1978 were reviewed. There were 34 squamous cell carcinomas, 13 undifferentiated, 10 adenocarcinomas, 4 mixed adeno-squamous, 1 alveolar cell, and 11 undetermined. Twenty-nine patients received irradiation, with 7% survival at 3 years; 19 patients underwent preoperative irradiation followed by en bloc resection of chest wall, with 23% survival at 3 years; 5 patients underwent extended resection, with 60% survival at 3 years; and 18 patients underwent operation followed by irradiation, with 7% survival at 3 years. Retrospective staging of 42 patients undergoing operation indicated that 22 (52%) were inoperable. Prognosis was related to staging of the disease, the extent of local invasion, nodal involvement, cell type, and adequacy of operation.
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