ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ratto, G. B.
Right arrow Articles by Rovida, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ratto, G. B.
Right arrow Articles by Rovida, S.

Ann Thorac Surg 1991;51:182-188
© 1991 The Society of Thoracic Surgeons


Articles

Chest wall involvement by lung cancer: Computed tomographic detection and results of operation

G.B. Ratto, MD*, G. Piacenza, MD, C. Frola, MD, F. Musante, MD, I. Serrano, MD, R. Giua, MD, M. Salio, MD, P. Jacovoni, MD, S. Rovida, MD

Institute of Clinica Chirurgica, University of Genoa, Genoa, Italy

Accepted for publication September 26, 1990.

* Address reprint requests to Dr Ratto, Istituto di Clinica Chirurgica la University of Genoa, Viale Bonedetto XV, 10, 16132 Genoa, Italy.

The aim of this prospective study was to evaluate: (1) the role of computed tomographic scanning in predicting chest wall invasion by peripheral lung cancer and (2) the results of operation according to the depth of chest wall involvement and other potential indicators of long-term survival. One hundred twelve patients with non-small cell lung cancer adjacent to the pleural surface who underwent computed tomographic scanning and subsequent thoracotomy were entered into this study. Tumor invasion was confined to the visceral pleura in 53 patients, to the parietal pleura in 18 patients, and to intercostal muscles in 25 patients; invasion extended beyond this layer in 16 patients. The computed tomographic criteria for chest wall invasion were (1) obliteration of the extrapleural fat plane, (2) the length of the tumor-pleura contact, (3) the ratio between the tumor-pleura contact and the tumor diameter, (4) the angle of the tumor with the pleura, (5) a mass involving the chest wall, and (6) rib destruction. The computed tomographic criteria 1 and 3 were significantly related to pathologic findings. Sensitivity was 85% for criterion 1 and 83% for criterion 3, specificity being 87% and 80%, respectively. Long-term survival of patients with T3 disease critically depended on the lymph node state and completeness of resection. The adenocarcinoma cell type and the T4 category were unfavorable prognostic factors. The depth of chest wall invasion did not affect survival, except for extensive rib and soft tissue infiltration. En bloc resection yielded better results than discontinuous resection.




This article has been cited by other articles:


Home page
Eur J Cardiothorac SurgHome page
J. Schirren, T. Donges, M. Melzer, R. Schonmayr, M. Eberlein, and S. Bolukbas
En bloc resection of non-small-cell lung cancer invading the spine
Eur J Cardiothorac Surg, September 1, 2011; 40(3): 647 - 655.
[Abstract] [Full Text] [PDF]


Home page
Imaging vol 30Home page
J. A. Verschakelen, W. De Wever, J. Bogaert, and S. Stroobants
Imaging: staging of lung cancer
Imaging, June 28, 2010; 214 - 244.
[Abstract] [Fulltext] [PDF]


Home page
Eur J Cardiothorac SurgHome page
E. Stoelben and C. Ludwig
Chest wall resection for lung cancer: indications and techniques
Eur J Cardiothorac Surg, March 1, 2009; 35(3): 450 - 456.
[Abstract] [Full Text] [PDF]


Home page
RadiologyHome page
R. F. Munden, S. S. Swisher, C. W. Stevens, and D. J. Stewart
Imaging of the Patient with Non-Small Cell Lung Cancer
Radiology, December 1, 2005; 237(3): 803 - 818.
[Abstract] [Full Text] [PDF]


Home page
Eur J Cardiothorac SurgHome page
S. Eggeling, T. Martin, J. Bottger, T. Beinert, and K. Gellert
Invasive staging of non-small cell lung cancer - a prospective study
Eur J Cardiothorac Surg, November 1, 2002; 22(5): 679 - 684.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
K. Kameyama, C.-l. Huang, D. Liu, T. Okamoto, E. Hayashi, Y. Yamamoto, and H. Yokomise
Problems related to TNM staging: Patients with stage III non-small cell lung cancer
J. Thorac. Cardiovasc. Surg., September 1, 2002; 124(3): 503 - 510.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
J.A. Verschakelen, J. Bogaert, and W. De Wever
Computed tomography in staging for lung cancer
Eur. Respir. J., February 1, 2002; 19(35_suppl): 40S - 48s.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
J. Deslauriers
Current surgical treatment of nonsmall cell lung cancer 2001
Eur. Respir. J., February 1, 2002; 19(35_suppl): 61S - 70s.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. Riquet, L. Lang-Lazdunski, F. Le Pimpec-Barthes, A. Dujon, R. Souilamas, C. Danel, and D. Manac'h
Characteristics and prognosis of resected T3 non-small cell lung cancer
Ann. Thorac. Surg., January 1, 2002; 73(1): 253 - 258.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
F. Facciolo, G. Cardillo, M. Lopergolo, G. Pallone, F. Sera, and M. Martelli
Chest wall invasion in non-small cell lung carcinoma: A rationale for en bloc resection
J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 649 - 656.
[Abstract] [Full Text] [PDF]


Home page
ThoraxHome page
British Thoracic Society, Society of Cardiothoracic Surgeons of Great Britai, and Ireland Working Party
Guidelines on the selection of patients with lung cancer for surgery
Thorax, February 1, 2001; 56(2): 89 - 108.
[Full Text]


Home page
Ann. Thorac. Surg.Home page
J. R. Roberts, M. G. Blum, R. Arildsen, D. C. Drinkwater Jr, K. R. Christian, T. A. Powers, and W. H. Merrill
Prospective comparison of radiologic, thoracoscopic, and pathologic staging in patients with early non-small cell lung cancer
Ann. Thorac. Surg., October 1, 1999; 68(4): 1154 - 1158.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
J. R. Izbicki, W. T. Knoefel, B. Passlick, M. Habekost, O. Karg, and O. Thetter
RISK ANALYSIS AND LONG-TERM SURVIVAL IN PATIENTS UNDERGOING EXTENDED RESECTION OF LOCALLY ADVANCED LUNG CANCER
J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 386 - 395.
[Abstract] [Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
G. B. Ratto, G. Melioli, P. Zino, C. Mereu, S. Mirabelli, G. Fantino, M. Ponte, P. Minuti, A. Verna, P. Noceti, et al.
Immunotherapy with the use of tumor-infiltrating lymphocytes and interleukin-2 as adjuvant treatment in stage III non-small-cell lung cancer: A pilot study
J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1212 - 1217.
[Abstract] [Full Text]


Home page
Ann. Thorac. Surg.Home page
D. E. Van Raemdonck, A. Schneider, and R. J. Ginsberg
Surgical treatment for higher stage non-small cell lung cancer
Ann. Thorac. Surg., November 1, 1992; 54(5): 999 - 1013.
[Abstract] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1991 by The Society of Thoracic Surgeons.