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

Parissis H, Young V - J Cardiothorac Surg (2010)

Bottom Line: Pancoast tumours are now amenable to multimodality treatment with an acceptable survival.Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels.We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiothoracic Dept, Royal Victoria Hospital, Belfast, Northern Ireland. hparissis@yahoo.co.uk

ABSTRACT
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.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels. We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

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CXR, CT Chest imaging, MRI and bone scan of a Pancoast tumor of a 47 yrs old female, Ex smoker (25 cigs per day up to 13 years ago). Six weeks history of shoulder pain radiating to the median aspect of the right arm. CXR mass at apex of right chest. Percutanteous Biopsy NSCLC. PMH: Hysterectomy for Ca cervix 1996 - no evidence of recurrence. Clinical examination fullness in right supra-clavicular fossa
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Figure 1: CXR, CT Chest imaging, MRI and bone scan of a Pancoast tumor of a 47 yrs old female, Ex smoker (25 cigs per day up to 13 years ago). Six weeks history of shoulder pain radiating to the median aspect of the right arm. CXR mass at apex of right chest. Percutanteous Biopsy NSCLC. PMH: Hysterectomy for Ca cervix 1996 - no evidence of recurrence. Clinical examination fullness in right supra-clavicular fossa

Mentions: We would facilitate a case like the one presented in Figure 1 by using an Anterior-manubrial-sternal approach for access.


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

Parissis H, Young V - J Cardiothorac Surg (2010)

CXR, CT Chest imaging, MRI and bone scan of a Pancoast tumor of a 47 yrs old female, Ex smoker (25 cigs per day up to 13 years ago). Six weeks history of shoulder pain radiating to the median aspect of the right arm. CXR mass at apex of right chest. Percutanteous Biopsy NSCLC. PMH: Hysterectomy for Ca cervix 1996 - no evidence of recurrence. Clinical examination fullness in right supra-clavicular fossa
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992054&req=5

Figure 1: CXR, CT Chest imaging, MRI and bone scan of a Pancoast tumor of a 47 yrs old female, Ex smoker (25 cigs per day up to 13 years ago). Six weeks history of shoulder pain radiating to the median aspect of the right arm. CXR mass at apex of right chest. Percutanteous Biopsy NSCLC. PMH: Hysterectomy for Ca cervix 1996 - no evidence of recurrence. Clinical examination fullness in right supra-clavicular fossa
Mentions: We would facilitate a case like the one presented in Figure 1 by using an Anterior-manubrial-sternal approach for access.

Bottom Line: Pancoast tumours are now amenable to multimodality treatment with an acceptable survival.Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels.We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiothoracic Dept, Royal Victoria Hospital, Belfast, Northern Ireland. hparissis@yahoo.co.uk

ABSTRACT
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.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels. We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

Show MeSH
Related in: MedlinePlus