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Ann Thorac Surg 1994;58:1151-1155
© 1994 The Society of Thoracic Surgeons

Articles

Primary sarcoma of the lung: A clinical study with long-term follow-up

Julius P. Janssen, MD, Jef J.S. Mulder, MD, Sjoerd S. Wagenaar, PhD, Hans R.J. Elbers, PhD, Jules M.M. van den Bosch, PhD*

Departments of Pulmonary Diseases and Pathology, St. Antonius Hospital, Nieuwegein, the Netherlands

Accepted for publication March 22, 1994.

* Address reprint requests to Dr van den Bosch, Department of Pulmonary Diseases, St. Antonius Hospital, Koekoekslaan 1, 3435 CM Nieuwegein, the Netherlands.

Primary pulmonary sarcoma is an extremely rare tumor. In more than 30 years, only 22 patients with PPS were seen in our hospital; 18 patients (82%) underwent operation. Radical resection is the only curative treatment in patients with primary pulmonary sarcoma. All 4 patients (18%) who did not undergo operation died within 17 months. All 7 patients (32%) in whom no radical resection could be performed died between 10 months and 16 years after operation. Total resection of the tumor could be performed in 11 patients (50%). Of these, 7 are still alive (64%), and 1 patient died of an unrelated cause after 25 years (mean follow-up, 13.5 years). Histologic diagnosis in these patients was leiomyosarcoma in 4, malignant schwannoma in 2, and fibrosarcoma and undifferentiated sarcoma in 1 each. Median survival for all patients was 24 months. Actuarial 5-year survival was 44% for all patients. Small tumor diameter and low-grade malignancy are statistically significant favorable prognostic factors. No patient with grade 1 tumor died; the median survival was 60 months for grade 2 sarcomas, and 17 months for grade 3 sarcomas. No patient with a completely resected small primary pulmonary sarcoma had recurrence or metastasis.




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