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The Annals of Thoracic Surgery, Vol 29, 406-409, Copyright © 1980 by The Society of Thoracic Surgeons
W Stanford, RP Barnes and AR Tucker
Fifty-three patients with superior sulcus (Pancoast) tumors of the lung
followed for up to 12 years by the Armed Forces Central Medical Registry
were divided into three groups. In Group 1, preoperative stagin as
determined by bone, brain, and liver scans or combinations thereof and the
presence of local nodal extension as determined by mediastinoscopy or
scalene fat pad biopsy were negative. These 16 patients received
preoperative irradiation followed by en bloc resection of the lung and of
the involved chest wall in most of them. Five-year survival as determined
by the actuarial method was 49.7%. The 12 patients in Group 2 either had
localized nodal involvement or were not diagnosed preoperatively. Survival
in this group was 13.1%. Group 3 patients were considered inoperable and
were given palliative irradiation. There were 25 patients in this group,
and survival was 5.5% at 4 years. It would appear that preoperative
irradiation and en bloc resection give improved survival in those patients
judged free from metastatic disease preoperatively.
ARTICLES
Influence of staging in superior sulcus (Pancoast) tumors of the lung
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