116 results match your criteria Pancoast Tumor* Thoracic Surgery


A minimally invasive and safe surgical approach to resect anterior superior sulcus tumors.

Int J Surg Case Rep 2020 28;68:148-150. Epub 2020 Feb 28.

Thoracic Surgery, Kokura Memorial Hospital, Kitakyushu-shi, Japan.

Introduction: Superior sulcus tumors (SSTs) are a wide range of tumors invading a section of the apical chest wall called the thoracic inlet. The unique characteristics of SSTs lie in the anatomy of the region where these tumors occur. For this reason, a surgical approach to treating these tumors is technically demanding, and complete resection may be difficult to accomplish. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058854PMC
February 2020

Significant prognostic determinants in lung cancers of the superior sulcus: comparable analysis of resected and unresected cases.

Gen Thorac Cardiovasc Surg 2020 Mar 3. Epub 2020 Mar 3.

Department of Thoracic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.

Objective: In this study, we aimed to identify prognostic determinants and to comparably analyze clinical features of patients with both resected and unresected superior sulcus tumors (SSTs).

Methods: The data of 56 patients who underwent any treatment for an SST from 2004 through 2016 in our hospital were reviewed. Overall survival (OS) rates were estimated using the Kaplan-Meier method. Read More

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http://dx.doi.org/10.1007/s11748-020-01322-5DOI Listing

The transmanubrial osteomuscular-sparing approach: a valuable adjunct to the head and neck surgical armamentarium.

Curr Opin Otolaryngol Head Neck Surg 2020 Apr;28(2):61-67

Department of Otorhinolaryngology, Maxillofacial and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of Milan.

Purpose Of Review: To describe and popularize the transmanubrial osteomuscular-sparing approach (TOSA) outside its original thoracic surgical field of application, based on the consideration that it could be of interest for the management of a number of head and neck cases in both elective and emergent scenarios.

Recent Findings: The main advantages of TOSA compared with transclavicular techniques are its superb exposure of anatomic structures located at the level of the cervicothoracic junction, and superior postoperative aesthetic and functional outcomes. Recently, a number of studies have described the association of TOSA with other minimally invasive approaches, such as video-assisted thoracoscopic surgery and robotic hybrid approaches, with the aim of avoiding association of the transmanubrial route with anterior/posterior thoracotomies, or more extended surgeries, such as the trapdoor or hemiclamshell procedures. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000605DOI Listing

[Surgical Treatment for Apical Invading Lung Cancer].

Kyobu Geka 2019 Sep;72(10):840-844

Department of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.

The apical invading lung cancer is the tumor infiltrating to the thoracic inlet, in other words, the 1st rib or the higher chest wall. Tumor arising in the posterior apex is invasive to the vertebral body, the sympathetic trunk, and the brachial plexus. Pancoast tumor is well known with typical triads, which is invasive to the sympathetic trunk and the brachial plexus in the posterior apex of the lung. Read More

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September 2019
1 Read

Creation of a multidisciplinary and multicenter study group for the use of 3D printing in general thoracic surgery: lessons learned in our first year experience.

Med Devices (Auckl) 2019 2;12:143-149. Epub 2019 May 2.

Tissue Engineering Group, IIS Biodonostia, San Sebastian, Spain.

In recent years, the use of 3D printing in medicine has grown exponentially, but the use of 3D technology has not been equally adopted by the different medical specialties. Published 3D printing activity in general thoracic surgery is scarce and has been mostly limited to case reports. The aim of this report was to reflect on the results and lessons learned from a newly created multidisciplinary and multicenter 3D unit of the Spanish Society of Thoracic Surgery (SECT). Read More

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https://www.dovepress.com/creation-of-a-multidisciplinary-an
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http://dx.doi.org/10.2147/MDER.S203610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506011PMC
May 2019
23 Reads

Partial Vertebrectomies without Instrumented Stabilization During En Bloc Resection of Primary Bronchogenic Carcinomas Invading the Spine: Feasibility Study and Results on Spine Balance.

World Neurosurg 2019 Feb 22;122:e1542-e1550. Epub 2018 Nov 22.

Department of Neurosurgery, Hôpital Gui de Chauliac, Montpellier University Medical Center, Montpellier, France; INSERM U1198, University of Montpellier, Montpellier, France.

Objective: It is unknown whether spinal instrumentation is required to prevent deformity after partial vertebrectomy in the treatment of primary bronchogenic carcinomas invading the spine (PBCIS). In this study, we focus on the postoperative spine deformity in patients who underwent operation for partial vertebrectomies without instrumentation during en bloc PBCIS resection. Our objective was to determine whether deformity depends on the type of vertebral resection and if any vertebral resection threshold can be observed to justify additional spinal instrumentation. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.098DOI Listing
February 2019
35 Reads

Induction chemoradiotherapy versus chemotherapy alone for superior sulcus lung cancer.

Lung Cancer 2018 08 19;122:206-213. Epub 2018 Jun 19.

Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, FL, USA.

Objectives: Although treatment of superior sulcus tumors with induction chemoradiotherapy (CRT) followed by surgery employed in the Intergroup INT-0160 trial is widely adopted as a standard of care, there may be significant associated morbidity and mortality. We describe our experience using standard and alternative induction regimens to assess survival rates and treatment toxicity in these patients.

Materials And Methods: Electronic medical records of all patients who underwent multimodality treatment including resection of lung cancer invading the superior pulmonary sulcus between 1994 and 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.lungcan.2018.06.021DOI Listing
August 2018
63 Reads

Original "double-step" technique for large superior sulcus tumors invading the anterior chest wall without subclavian vessels involvement.

J Thorac Dis 2018 Jun;10(Suppl 16):S1850-S1854

Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, Sant' Orsola Malpighi Hospital, University of Bologna, Bologna, Italy.

Background: In some patients with complex Superior Sulcus tumors, a combination of surgical accesses may be required. For patients with very large tumors which invade the first ribs anteriorly and without subclavian vessels involvement, we developed a "double-step" technique to facilitate resection and reduce surgical trauma.

Methods: The technique was performed on five patients with a bulky non-small cell lung cancer (NSCLC), four of whom had a Superior Sulcus tumor. Read More

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http://dx.doi.org/10.21037/jtd.2018.05.182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035938PMC
June 2018
28 Reads

[Advance of Treatment for Superior Sulcus Tumor of the Lung].

Zhongguo Fei Ai Za Zhi 2018 Jun;21(6):493-497

Department of Thoracic Surgery, National Cancer Center, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100021, China.

Superior sulcus tumor of the lung is a bronchogenic tumor occurred in the apex of the upper lobe of the lung and is a unique clinical subtype of non-small cell lung cancer (NSCLC), which account for less than 5% of all bronchogenic carcinomas. It often involves the first rib, brachial plexus, subclavian vessels, sympathetic chain, stellate ganglion or vertebra. A lot of progress has been achieved in the treatment of superior sulcus tumor over the past decades. Read More

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http://dx.doi.org/10.3779/j.issn.1009-3419.2018.06.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022026PMC
June 2018
16 Reads

Robotic Hybrid Approach for an Anterior Pancoast Tumor in a Severely Obese Patient.

Ann Thorac Surg 2018 09 12;106(3):e115-e116. Epub 2018 Apr 12.

Division of Thoracic Surgery, European Institute of Oncology, University of Milan, Milan, Italy; Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy.

Several different surgical approaches to anterior Pancoast tumors have been proposed. The osteomuscular-sparing transmanubrial approach allows optimal exposure and control of apical chest wall structures, but it requires an additional thoracotomy to perform the lobectomy with radical lymph node resection. The presented technique combines the osteomuscular-sparing transmanubrial approach with robotic-assisted upper lobectomy in a severely obese patient, thereby reducing the invasiveness of the surgical approach and the postoperative complications. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.03.013DOI Listing
September 2018
10 Reads

A novel muscle-sparing high thoracotomy for upper thoracic spine resection and reconstruction.

Eur Spine J 2018 07 7;27(7):1567-1574. Epub 2017 Dec 7.

Department of Orthopaedic Surgery, Houston Methodist Hospital, 6550 Fannin Street, Smith Tower, Suite 2500, Houston, TX, 77030, USA.

Purpose: High thoracotomy allows access to the anterior cervicothoracic and upper thoracic vertebrae; however, traditional techniques transect shoulder girdle muscles, leading to postoperative shoulder dysfunction. Muscle-sparing techniques diminish this concern, but often sacrifice the quality of exposure. We describe a novel muscle-sparing, high thoracotomy approach for the treatment of ventral cervicothoracic and upper thoracic spine lesions. Read More

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http://dx.doi.org/10.1007/s00586-017-5394-yDOI Listing
July 2018
16 Reads

Surgical Treatment of Superior Sulcus Tumors: A 15-Year Single-center Experience.

Semin Thorac Cardiovasc Surg 2017 Spring;29(1):79-88. Epub 2017 Feb 22.

Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy; Department of Oncology and Hematology, DIPO, University of Milan, Italy.

This paper reports on the characteristics, treatment modalities, and outcomes of patients with superior sulcus tumors who underwent surgery over a period of 15 years in 1 institution. Clinical records of 94 consecutive patients operated on by the same surgical team for non-small cell lung cancer between July 1998 and December 2013 were retrospectively reviewed. All patients received lung and chest wall en bloc resection. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2017.01.010DOI Listing
September 2017
22 Reads

An effective and safe surgical approach for a superior sulcus tumor: A case report.

Int J Surg Case Rep 2017 17;37:87-89. Epub 2017 Jun 17.

Second Department of Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.

Introduction: Superior sulcus tumors, frequently referred to as Pancoast tumors, are a wide range of tumors invading a section of the apical chest wall called the thoracic inlet. For this reason, a surgical approach and complete resection may be difficult to accomplish. We experienced a locally advanced superior sulcus tumor (SST) located from the anterior to posterior apex thoracic inlet and performed complete resection after definitive chemoradiation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.06.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484986PMC
June 2017
50 Reads

Less Invasive Approach to Pancoast Tumor in a Partitioned Incision.

Ann Thorac Cardiovasc Surg 2017 Jun 9;23(3):161-163. Epub 2017 May 9.

Department of Thoracic and Cardiovascular Surgery, Nara Medical University, Kashihara, Nara, Japan.

We describe our approach to resect a Pancoast tumor with thoracoscopic assistance in a partitioned incision. We used the LigaSure vessel-sealing system under thoracoscopy in chest wall resection for Pancoast tumor. This approach is of great utility: easy-to use and less invasive for Pancoast tumor resection. Read More

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http://dx.doi.org/10.5761/atcs.nm.17-00019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483865PMC
June 2017
45 Reads

Trimodality therapy for Pancoast tumors: T4 is not a contraindication to radical surgery.

J Surg Oncol 2017 Aug 13;116(2):227-235. Epub 2017 Apr 13.

Division of Thoracic Surgery, Department of Surgery, Comprehensive Cancer Center, Medical University of Vienna, Austria.

Objective: This study aims to evaluate the impact of T stage and extended surgery on the outcome of patients with Pancoast tumors after induction chemoradiation therapy.

Methods: Forty-six consecutive patients who underwent chemoradiation therapy (platin-based, 45-66 Gy) followed by surgery between 1998 and 2013 were retrospectively reviewed and analyzed.

Results: In 28 (61%) patients with T4 tumors, extended procedures (more than rib resection) were performed. Read More

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http://dx.doi.org/10.1002/jso.24629DOI Listing
August 2017
30 Reads

A rare presentation of myxofibrosarcoma as a Pancoast tumor: a case report.

J Med Case Rep 2017 Mar 7;11(1):61. Epub 2017 Mar 7.

Department of Surgery, Weiss Memorial Hospital, Chicago, IL, USA.

Background: Myxofibrosarcoma is an aggressive soft tissue neoplasm, classified as a variant of malignant fibrous histiocytoma. Most often, it occurs in middle to late adult life peaking in the seventh decade and involving the lower extremities (77%), trunk (12%), and retroperitoneum or mediastinum (8%). We report the first case of thoracic myxofibrosarcoma presenting as a Pancoast tumor. Read More

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http://dx.doi.org/10.1186/s13256-017-1223-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339984PMC
March 2017
26 Reads

Preoperative planning and tracheal stent design in thoracic surgery: a primer for the 2017 Radiological Society of North America (RSNA) hands-on course in 3D printing.

3D Print Med 2017 6;3(1):14. Epub 2017 Dec 6.

1Department of Medical Imaging, The Ottawa Hospital, University of Ottawa School of Medicine, Ottawa, ON Canada.

In this work, we provide specific clinical examples to demonstrate basic practical techniques involved in image segmentation, computer-aided design, and 3D printing. A step-by-step approach using United States Food and Drug Administration cleared software is provided to enhance surgical intervention in a patient with a complex superior sulcus tumor. Furthermore, patient-specific device creation is demonstrated using dedicated computer-aided design software. Read More

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https://threedmedprint.springeropen.com/articles/10.1186/s41
Publisher Site
http://dx.doi.org/10.1186/s41205-017-0022-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954793PMC
December 2017
16 Reads

Single Posterior Approach for Resection and Stabilization for Locally Advanced Pancoast Tumors Involving the Spine: Single Centre Experience.

Asian Spine J 2016 Dec 8;10(6):1047-1057. Epub 2016 Dec 8.

Division of Neurosurgery, Hôpital Notre-Dame, University of Montreal, Montreal, QC, Canada.

Study Design: Monocentric prospective study.

Purpose: To assess the safety and effectiveness of the posterior approach for resection of advanced Pancoast tumors.

Overview Of Literature: In patients with advanced Pancoast tumors invading the spine, most surgical teams consider the combined approach to be necessary for "" resection to control visceral, vascular, and neurological structures. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.4184/as
Publisher Site
http://dx.doi.org/10.4184/asj.2016.10.6.1047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5164994PMC
December 2016
58 Reads

VATS lobectomy combined with limited Shaw-Paulson thoracotomy for posterolateral Pancoast tumor.

Tumori 2016 Nov 11;102(Suppl. 2). Epub 2016 Nov 11.

Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan - Italy.

Purpose: Several techniques have been proposed for the challenging surgical resection of Pancoast tumors. We describe a hybrid approach that combines video-assisted thoracic surgery (VATS) lobectomy and limited Shaw-Paulson thoracotomy.

Methods: We report a case of Pancoast tumor in a 57-year-old man, staged as cT3N0M0, that was treated with induction chemoradiotherapy prior to the hybrid surgical approach. Read More

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http://dx.doi.org/10.5301/tj.5000430DOI Listing
November 2016
18 Reads

Diagnosing and treating pancoast tumors.

Expert Rev Respir Med 2016 12 27;10(12):1255-1258. Epub 2016 Oct 27.

a Pulmonary Oncology Unit, "G. Papanikolaou" General Hospital , Aristotle University of Thessaloniki , Thessaloniki , Greece.

Introduction: According to the American College of Chest Physician definition, a Pancoast tumor is a tumor which invades any of the structures of the apex of the chest including the first thoracic ribs or periosteum, the lower nerve roots of the bronchial plexus, the sympathetic chain and stellate gaglion near the apex of the chest or the subclavian vessels. Pancoast tumors account for less than 3-5 % of lung tumors. Areas covered: We searched the libraries scopus and pub med and found 124 related manuscripts. Read More

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http://dx.doi.org/10.1080/17476348.2017.1246964DOI Listing
December 2016
15 Reads

Superior sulcus non-small cell lung carcinoma: A comparison of IMRT and 3D-RT dosimetry.

Rep Pract Oncol Radiother 2016 Sep-Oct;21(5):427-34. Epub 2016 May 5.

Radiotherapy Department, Centre Paul Strauss, 3, rue de la Porte de l'Hôpital, BP 42, 67065 Strasbourg Cedex, France; Radiobiology Laboratory EA 3430, Federation of Translational Medicine in Strasbourg (FMTS), Strasbourg University, Strasbourg, France.

Aim: A dosimetric study comparing intensity modulated radiotherapy (IMRT) by TomoTherapy to conformational 3D radiotherapy (3D-RT) in patients with superior sulcus non-small cell lung cancer (NSCLC).

Background: IMRT became the main technique in modern radiotherapy. However it was not currently used for lung cancers. Read More

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http://dx.doi.org/10.1016/j.rpor.2016.03.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4950158PMC
August 2016
58 Reads

Superior sulcus tumors (Pancoast tumors).

Ann Transl Med 2016 Jun;4(12):239

Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.

Superior Sulcus Tumors, frequently termed as Pancoast tumors, are a wide range of tumors invading the apical chest wall. Due to its localization in the apex of the lung, with the potential invasion of the lower part of the brachial plexus, first ribs, vertebrae, subclavian vessels or stellate ganglion, the superior sulcus tumors cause characteristic symptoms, like arm or shoulder pain or Horner's syndrome. The management of superior sulcus tumors has dramatically evolved over the past 50 years. Read More

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http://dx.doi.org/10.21037/atm.2016.06.16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4930518PMC
June 2016
19 Reads

Video-assisted pulmonary lobectomy combined with transmanubrial approach for anterior Pancoast tumor resection: case report.

J Cardiothorac Surg 2016 Apr 14;11(1):65. Epub 2016 Apr 14.

Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS (Scientific Institute for Research Hospitalization and Health Care) "Ca' Granda" General Hospital University of Milan, Via Francesco Sforza, 35, Milan, 20122, Italy.

Background: The mini-ivasive approach to superior sulcus tumors is an uncommon procedure that is still far from standardization. We describe a hybrid surgical technique to approach "en block" chest resection and pulmonary lobectomy for anterior superior sulcus tumors.

Case Presentation: A patient affected by right anterior Pancoast tumor surgically staged as cT4N0M0 (suspected anonymous vein invasion) underwent chemo-radiation induction therapy with satisfactory tumor reduction. Read More

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http://dx.doi.org/10.1186/s13019-016-0446-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4831106PMC
April 2016
29 Reads

Combined treatment modalities in Pancoast tumor: results of a monocentric retrospective study.

Chin Clin Oncol 2015 Dec;4(4):39

Clermont University, Université d'Auvergne, 63003 Clermont-Ferrand, France; Radiotherapy Department, Jean Perrin Anti-Cancer Center, 63011 Clermont-Ferrand, France.

Background: A retrospective monocentric study of consecutive patients with superior sulcus tumor non-small cell lung cancer (SS-NSCLC), treated by induction concurrent chemoradiotherapy (CRT), article management.

Methods: From 1994 to 2005, 36 patients (15 T3, 21 T4 tumors, including N2-N3 node involvement) received induction CRT with cisplatin/vinorelbine/fluorouracil combined with 44 Gy radiotherapy (5 daily 2 Gy fractions/week). After CRT completion, RECIST evaluation and operability were assessed. Read More

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http://dx.doi.org/10.3978/j.issn.2304-3865.2015.12.01DOI Listing
December 2015
44 Reads

[Anterior or Posterior Approach with Video-assisted Thoracoscopic Surgery for Superior Sulcus Tumors].

Zhongguo Fei Ai Za Zhi 2015 Nov;18(11):696-700

Department of Thoracic Surgery, the First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China.

Background And Objective: The surgical resection for pancoast tumors remains challenging. There are only few reports explaining the use of VATS in the treatment of Pancoast tumors. The aim of this study is to assess whether the use of video-assisted thoracoscopic surgery (VATS) for the surgical treatment of Pancoast tumors was feasible and safe. Read More

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http://dx.doi.org/10.3779/j.issn.1009-3419.2015.11.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000312PMC
November 2015
46 Reads

Three dimensional model for surgical planning in resection of thoracic tumors.

Int J Surg Case Rep 2015 3;16:127-9. Epub 2015 Oct 3.

Department of Bioengineering, Rice University, Houston, TX, United States.

Introduction: The computed tomography scan provides vital information about the relationship of thoracic malignancies to the surrounding structures and aids in surgical planning. However, it can be difficult to visualize the images in a two-dimensional screen to interpret the full extent of the relationship between important structures in the surgical field.

Presentation Of Case: We report two cases where we used a three-dimensional printed model to aid in the surgical resection of thoracic malignancies. Read More

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http://dx.doi.org/10.1016/j.ijscr.2015.09.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4643475PMC
November 2015
21 Reads

Use of FDG PET/CT in Patients with Pancoast Tumors: Does It Add Any Contribution to Patient Management?

Cancer Biother Radiopharm 2015 Oct 14;30(8):359-67. Epub 2015 Sep 14.

5 Department of Nuclear Medicine, Gulhane Military Medical Academy and Medical Faculty , Ankara, Turkey .

Purpose: To evaluate any potential value of 2-deoxy-2-[18F] fluoro-D-glucose with positron emission tomography/computerized tomography (FDG PET/CT) in staging of patients with Pancoast tumors and to investigate the relationship between volume-based quantitative PET parameters and prognosis.

Materials And Methods: The authors retrospectively reviewed data of the 47 patients with Pancoast tumors who underwent initial staging by conventional imaging methods and FDG PET/CT. FDG-PET images were visually and quantitatively evaluated, and metabolic tumor volume (MTV), total lesion glycolysis, and maximum standardized uptake values of primary tumors were calculated. Read More

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http://dx.doi.org/10.1089/cbr.2014.1809DOI Listing
October 2015
28 Reads

Case Report: En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation.

Methodist Debakey Cardiovasc J 2015 Apr-Jun;11(2):140-4

Houston Methodist DeBakey Heart& Vascular Center, Houston Methodist Hospital, Houston, Texas.

"Pancoast" tumors frequently require a multidisciplinary approach to therapy and are still associated with high morbidity and mortality. Due to their sensitive anatomic location, complex resections and chemoradiation regimens are typically required for treatment. Those with signs of aortic invasion pose an even greater challenge, given the added risks of cardiopulmonary bypass for aortic resection and interposition. Read More

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http://dx.doi.org/10.14797/mdcj-11-2-140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4547671PMC
May 2016
53 Reads

Hybrid video-assisted and limited open (VALO) resection of superior sulcus tumors.

Surg Today 2016 Jun 22;46(6):686-90. Epub 2015 Jul 22.

Department of General Thoracic Surgery, Sheba Medical Center, and Sackler School of Medicine, Tel-Aviv University, Ramat Gan, Israel.

Purpose: To compare the postoperative recovery of patients with superior sulcus tumors (Pancoast tumors) following conventional open surgery vs. a hybrid video-assisted and limited open approach (VALO).

Methods: The subjects of this retrospective study were 20 patients we operated on to resect a Pancoast tumor. Read More

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http://dx.doi.org/10.1007/s00595-015-1225-0DOI Listing
June 2016
56 Reads

[Outcome of surgical treatment for Pancoast lung carcinoma in Iceland].

Laeknabladid 2015 07;101(7-8):351-5

Objective: Pancoast tumors are lung carcinomas that invade the apical chest wall and surrounding structures. Treatment is complex and often involves surgery together with radio- and chemotherapy. We studied the outcome of surgical resection for Pancoast tumors in Iceland. Read More

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http://dx.doi.org/10.17992/lbl.2015.0708.35DOI Listing
July 2015
25 Reads

A Case of Pancoast Tumor with Unusual Presentation.

J Brachial Plex Peripher Nerve Inj 2015 Dec 2;10(1):e53-e56. Epub 2015 May 2.

Department of Neurology, Kaiser Franz Josef-Hospital, Ludwig Boltzmann-Institute of Neurooncology, Vienna, Austria.

Introduction:  The Pancoast syndrome (PS) has been termed after Henry Pancoast. Its neurologic core symptoms include pain, radicular sensory and motor syndromes, and Horner syndrome. A PS is often the presenting sign of lung cancer and bears a grim prognosis. Read More

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http://dx.doi.org/10.1055/s-0035-1551654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023079PMC
December 2015
22 Reads

The "cut-in patch-out" technique for Pancoast tumor resections results in postoperative pain reduction: a case control study.

J Cardiothorac Surg 2014 Sep 30;9:163. Epub 2014 Sep 30.

Division of Cardiothoracic Surgery, Department of Surgery, Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN, USA.

Background: Since 2001 we have utilized a novel surgical approach for Pancoast tumors in which lobectomy and mediastinal lymph node dissection are performed directly though the chest wall defect. The defect is then patched at the completion of the procedure ("cut-in patch-out") thereby avoiding a separate thoracotomy with rib spreading. We undertook a study to compare outcomes of this novel "cut-in patch-out" technique with traditional thoracotomy for patients with Pancoast tumors. Read More

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http://dx.doi.org/10.1186/s13019-014-0163-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4180969PMC
September 2014
60 Reads

Therapeutic modalities for Pancoast tumors.

J Thorac Dis 2014 Mar;6 Suppl 1:S180-93

1 Department of Cardiothoracic Surgery, Patras University School of Medicine, Patra, Greece ; 2 Department of Thoracic Surgery, Metaxa Cancer Hospital, Piraeus, Greece ; 3 Cardiothoracic Surgery Department, "Saint Luke" Private Clinic of Health Excellence, Thessaloniki, Panorama, Greece ; 4 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 5 Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 6 Internal Medicine Department, "Theagenio" Cancer Hospital, Thessaloniki, Greece ; 7 Cardiothoracic Surgery Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 8 Anesthesiology Department, University of Larisa, Larisa, Greece ; 9 Anesthesiology Department, "Saint Luke" Private Clinic of Health Excellence, Thessaloniki, Panorama, Greece.

A Pancoast tumor, also called a pulmonary sulcus tumor or superior sulcus tumor, is a tumor of the pulmonary apex. It is a type of lung cancer defined primarily by its location situated at the top end of either the right or left lung. It typically spreads to nearby tissues such as the ribs and vertebrae. Read More

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http://dx.doi.org/10.3978/j.issn.2072-1439.2013.12.31DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966148PMC
March 2014
28 Reads
32 Citations

Pancoast tumors: characteristics and preoperative assessment.

J Thorac Dis 2014 Mar;6 Suppl 1:S108-15

1 Department of Cardiothoracic Surgery, Patras University School of Medicine, 2 Department of Thoracic Surgery, Metaxa Cancer Hospital, Piraeus Greece ; 3 Cardiothoracic Surgery Department, "Saint Luke" Private Clinic of Health Excellence, Thessaloniki, Panorama, Greece ; 4 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 5 Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 6 Internal Medicine Department, "Theagenio" Cancer Hospital, Thessaloniki, Greece ; 7 Oncology Department, "Saint Luke" Private Clinic of Health Excellence, Thessaloniki, Panorama, Greece ; 8 Cardiothoracic Surgery Department, University of Ioannina, Ioannina, Greece ; 9 Cardiothoracic Surgery Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Superior sulcus tumors (SSTs), or as otherwise known Pancoast tumors, make up a clinically unique and challenging subset of non-small cell carcinoma of the lung (NSCLC). Although the outcome of patients with this disease has traditionally been poor, recent developments have contributed to a significant improvement in prognosis of SST patients. The combination of severe and unrelenting shoulder and arm pain along the distribution of the eighth cervical and first and second thoracic nerve trunks, Horner's syndrome (ptosis, miosis, and anhidrosis) and atrophy of the intrinsic hand muscles comprises a clinical entity named as "Pancoast-Tobias syndrome". Read More

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http://dx.doi.org/10.3978/j.issn.2072-1439.2013.12.29DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966151PMC
March 2014
45 Reads
34 Citations

Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment.

J Thorac Dis 2013 Sep;5 Suppl 4:S342-58

Department of Cardiothoracic Surgery, AHEPA University Hospital, Aristotle University Medical School, Thessaloniki, Greece;

Pancoast tumors account for less than 5% of all bronchogenic carcinomas. These tumors are located in the apex of the lung and involve through tissue contiguity the apical chest wall and/or the structures of the thoracic inlet. The tumors become clinically evident with the characteristic symptoms of the "Pancoast-Tobias syndrome" which includes Claude-Bernard-Horner syndrome, severe pain in the shoulder radiating toward the axilla and/or scapula and along the ulnar distribution of the upper arm, atrophy of hand and arm muscles and obstruction of the subclavian vein resulting in edema of the upper arm. Read More

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http://dx.doi.org/10.3978/j.issn.2072-1439.2013.04.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791502PMC
September 2013
33 Reads

Management of tumors involving the chest wall including pancoast tumors and tumors invading the spine.

Thorac Surg Clin 2013 Aug 16;23(3):313-25. Epub 2013 Jul 16.

Division of Thoracic Surgery, Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), Laval University, 2725 chemin Sainte-Foy, L-3540, Quebec City, Quebec G1V 4G5, Canada.

Bronchogenic carcinomas involving the chest wall include tumors invading the ribs and spine, as well as Pancoast tumors. In the past, such neoplasms were considered to be incurable, but with new multimodality regimens, including induction chemoradiation followed by surgery, they can now be completely resected and patients can benefit from prolonged survival. The most important prognostic factors are the completeness of resection and the pathologic nodal status. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2013.05.001DOI Listing
August 2013
34 Reads

[Surgical treatment for Pancoast tumor].

Nihon Geka Gakkai Zasshi 2013 Jul;114(4):186-91

Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.

Pancoast tumor has been considered to be associated with a poor prognosis in the presence of severe chest pain and brachial and/or antebrachial pain because of brachial plexus infiltration. However, the treatment outcome was markedly improved by the introduction of trimodality therapy comprising advanced surgical resection, chemotherapy, and radiotherapy. Surgical resection after preoperative concurrent chemoradiotherapy has now been established as the standard treatment strategy. Read More

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July 2013
14 Reads

Pancoast tumor: a modern perspective on an old problem.

Curr Opin Pulm Med 2013 Jul;19(4):340-3

Hofstra North Shore-LIJ School of Medicine, Great Neck, New York 11021, USA.

Purpose Of Review: Pancoast tumors, also known as superior sulcus tumors, to this day remain a complex and challenging condition. This review will explore the evolution of the treatment of these tumors over the better part of a century. It will illustrate how with a multidisciplinary approach and the use of trimodality therapy this entity has evolved from a universally fatal disease to one that is treatable with outcomes similar to those of other stage-matched nonsmall cell lung cancers. Read More

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https://insights.ovid.com/crossref?an=00063198-201307000-000
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http://dx.doi.org/10.1097/MCP.0b013e3283621b31DOI Listing
July 2013
6 Reads

Brachial plexopathy.

Ann Indian Acad Neurol 2013 Jan;16(1):12-8

Department of Neurology, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.

Brachial plexus injury can occur as a result of trauma, inflammation or malignancies, and associated complications. The current topic is concerned with various forms of brachial plexopathy, its clinical features, pathophysiology, imaging findings, and management. Idiopathic brachial neuritis (IBN), often preceded with antecedent events such as infection, commonly present with abruptonset painful asymmetric upper limb weakness with associated wasting around the shoulder girdle and arm muscles. Read More

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http://dx.doi.org/10.4103/0972-2327.107675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3644772PMC
January 2013
25 Reads

Special treatment issues in non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.

Chest 2013 May;143(5 Suppl):e369S-e399S

Department of Thoracic and Cardiovascular Surgery, University of Virginia, Charlottesville, VA. Electronic address:

Background: This guideline updates the second edition and addresses patients with particular forms of non-small cell lung cancer that require special considerations, including Pancoast tumors, T4 N0,1 M0 tumors, additional nodules in the same lobe (T3), ipsilateral different lobe (T4) or contralateral lung (M1a), synchronous and metachronous second primary lung cancers, solitary brain and adrenal metastases, and chest wall involvement.

Methods: The nature of these special clinical cases is such that in most cases, meta-analyses or large prospective studies of patients are not available. To ensure that these guidelines were supported by the most current data available, publications appropriate to the topics covered in this article were obtained by performing a literature search of the MEDLINE computerized database. Read More

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http://dx.doi.org/10.1378/chest.12-2362DOI Listing
May 2013
40 Reads

[Pitfalls of operation for superior sulcus tumor (Pancoast tumor)].

Authors:
Norihiko Ikeda

Nihon Geka Gakkai Zasshi 2013 Mar;114(2):114-6

Department of Surgery, Tokyo Medical University, Tokyo, Japan.

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March 2013
23 Reads

[Video-assisted thoracoscopic surgery lobectomy: expanding indications based on the optimization of surgical techniques].

Sichuan Da Xue Xue Bao Yi Xue Ban 2013 Jan;44(1):104-8

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.

Video-assisted thoracoscopic surgery (VATS) lobectomy is a less invasive procedure when compared with the traditional thoracotomy. With the development of operative techniques, VATS lobectomy has become a definite procedure for stage I and some stage II a lung cancer. However, it is still controversial due to operative difficulty whether it is feasible to perform thoracoscopic surgery in anatomic pulmonary segmentectomy, bronchial sleeve lobectomy, bronchial and arterial sleeve lobectomy, large tumor (> 5 cm), pneumonectomy and resection of Pancoast tumor. Read More

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January 2013
11 Reads

Survival after extended resection for mediastinal advanced lung cancer: lessons learned on 167 consecutive cases.

Ann Thorac Surg 2013 May 6;95(5):1717-25. Epub 2013 Apr 6.

Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy.

Background: Extended resections (ER) for lung cancer may improve survival in selected patients. However, analysis on large series is still lacking. We reviewed our experience to identify prognostic factors useful for patient selection. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2013.01.088DOI Listing
May 2013
18 Reads

Extensive resections: pancoast tumors, chest wall resections, en bloc vascular resections.

Surg Oncol Clin N Am 2011 Oct;20(4):733-56

Department of Thoracic Surgery, Sant'Andrea Hospital, University LaSapienza, Via di Grottarossa 1035, 00189 Rome, Italy.

Infiltration by lung tumor of adjacent anatomic structures including major vessels, main bronchi, and chest wall not only influences the oncologic severity of the disease but also increases the technical complexity of surgery, requiring extended resections and demanding reconstructive procedures. Completeness of resection represents in every case one of the main factors influencing the long-term outcome of patients. Technical and oncologic aspects of extended operations, including resection of Pancoast tumors and chest wall, bronchovascular sleeve resections, and en bloc resections of major thoracic vessels, are reported in this article. Read More

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http://dx.doi.org/10.1016/j.soc.2011.07.007DOI Listing
October 2011
9 Reads

[Chest wall surgery].

Arch Bronconeumol 2011 ;47 Suppl 3:15-24

Servicio de Cirugía Torácica, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España.

Despite the numerous differences among the distinct diseases of the chest wall, the surgery of this area shows certain common features. Treatment has progressively changed in the last few years due to advances in diagnostic techniques, minimally invasive procedures and reconstruction materials, and especially due to the multidisciplinary management of many diseases. Nuss' minimally invasive correction of pectus excavatum has gained devotees, although open approaches are performed with increasingly small incisions, almost comparable to the lateral incisions in Nuss' technique. Read More

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http://dx.doi.org/10.1016/S0300-2896(11)70024-2DOI Listing
August 2011
39 Reads

Routine use of staging thoracoscopy for pancoast tumors without overt radiographic chest wall invasion.

Surg Laparosc Endosc Percutan Tech 2011 Apr;21(2):111-5

Division of Thoracic and Esophageal Surgery, Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.

A retrospective review was performed of all patients with upper lobe non-small cell lung cancers to assess the use of thoracoscopy in determining chest wall invasion in patients with lung cancers abutting the first rib, but without overt radiographic invasion. Of the 12 patients with tumors abutting the first rib without overt radiographic invasion, thoracoscopy was able to correctly determine chest wall invasion in 8 patients. There was no significant morbidity related to thoracoscopy. Read More

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http://dx.doi.org/10.1097/SLE.0b013e31821a3cb0DOI Listing
April 2011
25 Reads

Versatility of a mini-trapdoor incision in upper mediastinal exposure.

Ann Thorac Surg 2011 Mar;91(3):938-40

David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, California, USA.

Exposure of the upper mediastinum and thoracic outlet can pose major surgical challenges. We report our application of a previously described mini-trapdoor incision to a variety of surgical problems involving the upper mediastinum and thoracic outlet, including subclavian vein thrombosis, penetrating subclavian artery injury, debridement of subjacent chest wall infection, lymph node excision, and Pancoast tumor resection. This versatile approach provides excellent structural visualization while obviating clavicular resection or sternoclavicular joint disruption, or both. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2010.08.052DOI Listing
March 2011
11 Reads

Bone single photon emission computed tomography (SPECT) in a patient with Pancoast tumor: a case report.

Sao Paulo Med J 2010 Jul;128(4):239-43

Department of Nuclear Medicine, Golestan University of Medical Sciences, Gorgan, Iran.

Context: Non-small cell lung carcinomas (NSCLCs) of the superior sulcus are considered to be the most challenging type of malignant thoracic disease. In this disease, neoplasms originating mostly from the extreme apex of the lung expand to the chest wall and thoracic inlet structures. Multiple imaging procedures have been applied to identify tumors and to stage and predict tumor resectability in surgical operations. Read More

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http://dx.doi.org/10.1590/s1516-31802010000400013DOI Listing
July 2010
15 Reads

Treatment of pancoast tumors from the surgeons prospective: re-appraisal of the anterior-manubrial sternal approach.

J Cardiothorac Surg 2010 Nov 4;5:102. Epub 2010 Nov 4.

Cardiothoracic Dept, Royal Victoria Hospital, Belfast, Northern Ireland.

Pancoast tumours are now amenable to multimodality treatment with an acceptable survival. This is because trimodality treatment improves tumor sterilization and hence outcome. Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection. Read More

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http://cardiothoracicsurgery.biomedcentral.com/articles/10.1
Publisher Site
http://dx.doi.org/10.1186/1749-8090-5-102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992054PMC
November 2010
7 Reads