HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Shahian, D. M. Articles by Ellis, F. H. Search for Related Content PubMed PubMed Citation Articles by Shahian, D. M. Articles by Ellis, F. H., Jr

The Annals of Thoracic Surgery, Vol 43, 32-38, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Pancoast tumors: improved survival with preoperative and postoperative radiotherapy

DM Shahian, WB Neptune and FH Ellis Jr

Long-term survival after treatment of Pancoast tumors has been limited in most series to those patients without positive lymph nodes or residual tumor. In our series of 18 consecutive patients treated with preoperative irradiation and resection, 14 underwent supplemental postoperative radiotherapy because of positive lymph nodes, tumor at the resection margin, or both. No hospital deaths occurred. Eight patients subsequently died, 6 because of metastatic disease; only 2 deaths were secondary to local recurrence. Ten patients are alive at 6 months to 13 years after resection, and 9 of the 10 have no evidence of tumor recurrence. The overall five-year observed survival (Kaplan- Meier) for the entire series was 56.1 +/- 12.7% (+/- standard error). Although the number of patients is small, the addition of postoperative radiotherapy for those with unfavorable operative findings resulted in long-term survival comparable to that of patients with negative nodes and margins.

This article has been cited by other articles:

				H. Kunitoh, H. Kato, M. Tsuboi, T. Shibata, H. Asamura, Y. Ichonose, N. Katakami, K. Nagai, T. Mitsudomi, A. Matsumura, et al. Phase II Trial of Preoperative Chemoradiotherapy Followed by Surgical Resection in Patients With Superior Sulcus Non-Small-Cell Lung Cancers: Report of Japan Clinical Oncology Group Trial 9806 J. Clin. Oncol., February 1, 2008; 26(4): 644 - 649. [Abstract] [Full Text] [PDF]

				A. Marra, W. Eberhardt, C. Pottgen, D. Theegarten, S. Korfee, T. Gauler, M. Stuschke, and G. Stamatis Induction chemotherapy, concurrent chemoradiation and surgery for Pancoast tumour Eur. Respir. J., January 1, 2007; 29(1): 117 - 126. [Abstract] [Full Text] [PDF]

				M. Goldberg, D. Gupta, A. R. Sasson, B. Movsas, C. J. Langer, A. L. Hanlon, H. Wang, and W. J. Scott The Surgical Management of Superior Sulcus Tumors: A Retrospective Review With Long-Term Follow-Up Ann. Thorac. Surg., April 1, 2005; 79(4): 1174 - 1179. [Abstract] [Full Text] [PDF]

				V. C. Archie and C. R. Thomas Jr. Superior Sulcus Tumors: A Mini-Review Oncologist, September 1, 2004; 9(5): 550 - 555. [Abstract] [Full Text] [PDF]

				C. C.M. Pitz, A. B. de la Riviere, H. A. van Swieten, V. A.M. Duurkens, J.-W. J. Lammers, and J. M.M. van den Bosch Surgical treatment of Pancoast tumours Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 202 - 208. [Abstract] [Full Text] [PDF]

				M. Alifano, M. D'Aiuto, P. Magdeleinat, E. Poupardin, A. Chafik, S. Strano, and J. F. Regnard Surgical Treatment of Superior Sulcus Tumors: Results and Prognostic Factors Chest, September 1, 2003; 124(3): 996 - 1003. [Abstract] [Full Text] [PDF]

				E. Martinod, A. D'Audiffret, P. Thomas, A. J. Wurtz, M. Dahan, M. Riquet, A. Dujon, R. Jancovici, R. Giudicelli, P. Fuentes, et al. Management of superior sulcus tumors: experience with 139 cases treated by surgical resection Ann. Thorac. Surg., May 1, 2002; 73(5): 1534 - 1539. [Abstract] [Full Text] [PDF]

				V. W. Rusch, D. J. Giroux, M. J. Kraut, J. Crowley, M. Hazuka, D. Johnson, M. Goldberg, F. Detterbeck, F. Shepherd, R. Burkes, et al. Induction chemoradiation and surgical resection for non-small cell lung carcinomas of the superior sulcus: Initial results of Southwest Oncology Group Trial 9416 (Intergroup Trial 0160) J. Thorac. Cardiovasc. Surg., March 1, 2001; 121(3): 472 - 483. [Abstract] [Full Text] [PDF]

				V. W. Rusch, K. R. Parekh, L. Leon, E. Venkatraman, M. S. Bains, R. J. Downey, P. Boland, M. Bilsky, and R. J. Ginsberg FACTORS DETERMINING OUTCOME AFTER SURGICAL RESECTION OF T3 AND T4 LUNG CANCERS OF THE SUPERIOR SULCUS J. Thorac. Cardiovasc. Surg., June 1, 2000; 119(6): 1147 - 1153. [Abstract] [Full Text] [PDF]

				S. Gandhi, G. L. Walsh, R. Komaki, Z. L. Gokaslan, J. C. Nesbitt, J. B. Putnam Jr, J. A. Roth, K. W. Merriman, I. E. McCutcheon, R. F. Munden, et al. A multidisciplinary surgical approach to superior sulcus tumors with vertebral invasion Ann. Thorac. Surg., November 1, 1999; 68(5): 1778 - 1784. [Abstract] [Full Text] [PDF]

				P. Dartevelle and P. Macchiarini Surgical Management of Superior Sulcus Tumors Oncologist, October 1, 1999; 4(5): 398 - 407. [Abstract] [Full Text]

				M. P. Hagan, N. C. Choi, D. J. Mathisen, J. C. Wain, C. D. Wright, and H. C. Grillo SUPERIOR SULCUS LUNG TUMORS: IMPACT OF LOCAL CONTROL ON SURVIVAL J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1086 - 1094. [Abstract] [Full Text] [PDF]

				S. Attar, M. J. Krasna, J. R. Sonett, J. R. Hankins, R. G. Slawson, C. M. Suter, and J. S. McLaughlin Superior sulcus (Pancoast) tumor: experience with 105 patients Ann. Thorac. Surg., July 1, 1998; 66(1): 193 - 198. [Abstract] [Full Text] [PDF]

				S. M. Arcasoy and J. R. Jett Superior Pulmonary Sulcus Tumors and Pancoast's Syndrome N. Engl. J. Med., November 6, 1997; 337(19): 1370 - 1376. [Full Text] [PDF]

				F. C. Detterbeck Pancoast (Superior Sulcus) Tumors Ann. Thorac. Surg., June 1, 1997; 63(6): 1810 - 1818. [Abstract] [Full Text]

				P. Dartevelle and P. Macchiarini Different approaches for management of apical invasive lung cancers J. Thorac. Cardiovasc. Surg., August 1, 1994; 108(2): 390 - 392. [Full Text]