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Ann Thorac Surg 1982;34:692-697
© 1982 The Society of Thoracic Surgeons


Articles

The Value of Adjuvant Radiotherapy in Pulmonary and Chest Wall Resection for Bronchogenic Carcinoma

G.A. Patterson, M.D., R. Ilves, M.D.*, R.J. Ginsberg, M.D., J.D. Cooper, M.D., T.R.J. Todd, M.D., F.G. Pearson, M.D.

From the Thoracic Surgical Group, Toronto General Hospital, Toronto, Ontario, Canada

* Address reprint requests to Dr. Ilves, Toronto General Hospital, Eaton Wing N 10–230, Toronto M5G 1L7, Canada

Thirty-five patients, 29 men and 6 women, underwent pulmonary and chest wall resection for treatment of bronchogenic cancer which had extended into the chest wall. Anterior chest wall resection was performed in 6 patients, lateral resection in 2, and posterior resection in 27. Marlex mesh was employed as a prosthetic material in 13 patients. Radiotherapy was given as part of the planned therapeutic regimen in 13 patients.

Three patients (8.5%) died in the postoperative period. There were 21 late deaths. Eleven patients are alive 7 months to 12 years after resection. The overall actuarial survival, including operative mortality, is 38% at 5 years. Actuarial survival of the 13 irradiated patients is 56% at 2 and 5 years.

We believe that bronchogenic carcinoma with chest wall involvement is not hopeless, and that resection of the lung and chest wall can be performed with an acceptable mortality rate.




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