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The Annals of Thoracic Surgery, Vol 58, 1091-1095, Copyright © 1994 by The Society of Thoracic Surgeons
ME Ribet and GR Cardot
We have conducted a retrospective review of 134 cases of neurogenic tumors
of the thorax, including 66 in infants and children and 68 in adults. Nerve
cell tumors were the majority in infants and children (84.8%) and were
mostly malignant (67.2%). Nerve sheath tumors were more frequent in adults
(73.5%). Nerve cell tumors were the most frequent tumors in males and nerve
sheath tumors in females. Nineteen tumors were associated with von
Recklinghausen's disease. The tumors were symptomatic in 76.4% of children
and 36.7% of adults. Spinal cord compression was observed in 8 infants and
children and in 2 adults. Neo- adjuvant treatment was administrated to 3
patients. Resection was complete for 80 benign tumors out of 86 (93%) and
for 26 malignant tumors out of 48 (54%). Postoperative chemo- or
radiotherapy (or both) was administrated to 17 children and 8 adults. The
mean followup periods were 11 years for the infants and children and 8
years, 6 months for the adults. There was one postoperative death. There
were no late deaths related to benign tumor. The prognosis of spinal cord
compression depended on the malignancy and staging of the tumors. At 5
years postoperatively, 21 children out of 28 with neuroblastomas and 8 out
of 9 with ganglioneuroblastomas were alive. The possibility of maturation
of neuroblastomas and survival with hepatic metastases was confirmed. The
prognosis in cases of chemodectoma depended on the extension. Patients with
malignant schwannomas had very poor prognoses, especially when associated
with von Recklinghausen's disease.
ARTICLES
Neurogenic tumors of the thorax
Service de Chirurgie Thoracique, Hopital Calmette, Universite de Lille, France.
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