| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;66:193-198
© 1998 The Society of Thoracic Surgeons
a Division of Thoracic and Cardiovascular Surgery, Department of Surgery, and Department of Radiation Oncology, University of Maryland Hospital, Baltimore, Maryland, USA
Address reprint requests to Dr Attar, Division of Thoracic and Cardiovascular Surgery, University of Maryland Hospital, 22 S Greene St, Baltimore, MD 21201
e-mail: (sattar{at}surgery1.umaryland.edu)
Presented at the Forty-fourth Annual Meeting of the Southern Thoracic Surgical Association, Naples, FL, Nov 6–8, 1997.
Background. The evolution of therapy in 105 patients with superior sulcus (Pancoast) tumor over the past 42 years was reviewed.
Methods. There were 82 men and 23 women aged 30 to 75 years. Tumor cell types were: squamous, 41 (39%); adenocarcinoma, 23 (21.9%); anaplastic, 14 (13.3%); undetermined, 12 (11.4%); mixed, 9 (8.7%); and large cell 6 (5.7%). Therapy was based on extent of disease and lymph node involvement. There were 5 treatment groups: I, preoperative radiation and operation (n = 28); II, operation and postoperative radiation (n = 16); III, radiation (n = 37); IV, preoperative chemotherapy, radiation, and operation (n = 11); and V, operation (n = 12).
Results. The median survival for group I was 21.6 months; group II, 6.9 months; group III, 6 months; and group V, 36.7 months. Median survival for group IV has not yet been reached (estimated at 72% at 5 years). On univariate analysis, mediastinal lymph node involvement, Horner syndrome, TNM classification, and method of therapy affected survival. On multivariate regression analysis, only N2 and N3 disease and method of therapy were significant (p < 0.05).
Conclusions. The optimal treatment for superior sulcus tumor was preoperative radiation and operation. However, triple modality therapy, although promising, requires longer follow-up.
This article has been cited by other articles:
|
|
 |
|
  M. Tamura, M. A. Hoda, and W. Klepetko Current treatment paradigms of superior sulcus tumours Eur. J. Cardiothorac. Surg., October 1, 2009; 36(4): 747 - 753. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 V. W. Rusch, D. J. Giroux, M. J. Kraut, J. Crowley, M. Hazuka, T. Winton, D. H. Johnson, L. Shulman, F. Shepherd, C. Deschamps, et al. Induction Chemoradiation and Surgical Resection for Superior Sulcus Non-Small-Cell Lung Carcinomas: Long-Term Results of Southwest Oncology Group Trial 9416 (Intergroup Trial 0160) J. Clin. Oncol., January 20, 2007; 25(3): 313 - 318. [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]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 A. Spira and D. S. Ettinger Multidisciplinary Management of Lung Cancer N. Engl. J. Med., January 22, 2004; 350(4): 379 - 392. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Beshay, T. Roth, R. M. Stein, and R. A. Schmid Tuberculosis presenting as pancoast tumor Ann. Thorac. Surg., November 1, 2003; 76(5): 1733 - 1735. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. C. Detterbeck Changes in the treatment of Pancoast tumors Ann. Thorac. Surg., June 1, 2003; 75(6): 1990 - 1997. [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]
|
|
|
|
|
|
C. D. Wright, M. T. Menard, J. C. Wain, D. M. Donahue, H. C. Grillo, T. J. Lynch, N. C. Choi, and D. J. Mathisen Induction chemoradiation compared with induction radiation for lung cancer involving the superior sulcus Ann. Thorac. Surg., May 1, 2002; 73(5): 1541 - 1544. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 R. Komaki, M. H. Chasen, W. D. Travis, J. B. Putnam, F. V. Fossella, R. W. Byhardt, and J. Y. Ro Oncodiagnosis Panel: 1999: Cancer of the Lung: Oncodiagnosis RadioGraphics, November 1, 2001; 21(6): 1573 - 1596. [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]
|
|
|
|
|
|
P. Dartevelle and P. Macchiarini Surgical Management of Superior Sulcus Tumors Oncologist, October 1, 1999; 4(5): 398 - 407. [Abstract] [Full Text]
|
|
|
|
|
|
C. A. Kutlu, M. Metin, and A. Sayar Superior sulcus tumors Ann. Thorac. Surg., December 1, 1998; 66(6): 2160 - 2160. [Full Text] [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 |
