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Ann Thorac Surg 2002;73:1539-1540
© 2002 The Society of Thoracic Surgeons

Invited commentary

^a Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, 41 Mall Rd, Burlington, MA 01805, USA

e-mail: david.m.shahian@lahey.org

This is an interesting and well-documented report of 139 patients who were operated on for superior sulcus tumors in seven French thoracic surgery centers. However, several aspects of the management of these patients merit brief mention because they depart from typical modern practice.

The standard approach to superior sulcus tumors consists of staging to exclude distant disease and mediastinal lymph node involvement, then preoperative radiation therapy, followed by complete surgical resection. This often requires chest wall or vertebral resection, and extensive vertebral body reconstruction and stabilization may be done in . . . [Full Text of this Article]

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Ann. Thorac. Surg. 2002 73: 1534-1539. [Abstract] [Full Text] [PDF]