ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Pascal Thomas
Alain J. Wurtz
Marcel Dahan
Marc Riquet
Antoine Dujon
Roger Giudicelli
Pierre Fuentes
Jacques F. Azorin
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Martinod, E.
Right arrow Articles by Azorin, J. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Martinod, E.
Right arrow Articles by Azorin, J. F.
Related Collections
Right arrow Lung - cancer
Right arrowRelated Article

Ann Thorac Surg 2002;73:1534-1539
© 2002 The Society of Thoracic Surgeons

Original article: general thoracic

Management of superior sulcus tumors: experience with 139 cases treated by surgical resection

Emmanuel Martinod, MD*a, Alexandre D’Audiffret, MDa, Pascal Thomas, MDb, Alain J. Wurtz, MDc, Marcel Dahan, MDd, Marc Riquet, MDe, Antoine Dujon, MDf, René Jancovici, MDg, Roger Giudicelli, MDb, Pierre Fuentes, MDb, Jacques F. Azorin, MDa

a Department of Thoracic and Vascular Surgery, Hôpital Avicenne, Bobigny, France
b Department of General Thoracic Surgery, Hôpital Sainte-Marguerite, Marseille, France
c Department of General Thoracic Surgery, Hôpital Calmette, Lille, France
d Department of General Thoracic Surgery, Hôpital Purpan, Toulouse, France
e Department of General Thoracic Surgery, Hôpital Européen Georges Pompidou, Paris, France
f Department of General Thoracic Surgery, Clinique des Cèdres, Bois-Guillaume, France
g Department of General Thoracic Surgery, Hôpital Militaire Percy, Clamart, France

Accepted for publication December 28, 2001.

* Address reprint requests to Dr Martinod, Service de Chirurgie Thoracique et Vasculaire, Hôpital Avicenne, 125 Route de Stalingrad, 93000 Bobigny, France
e-mail: emartinod{at}wanadoo.fr

Background. The management of non-small cell carcinomas of the lung involving the superior sulcus remains controversial. The goal of this retrospective study was to evaluate the role of surgery, radiotherapy, and chemotherapy for the treatment of superior sulcus tumors, to define the best surgical approach for radical resection, and to identify factors influencing long-term survival.

Methods. Between 1983 and 1999, 139 patients underwent surgical resection of superior sulcus tumors in seven thoracic surgery centers. According to the classification of the American Joint Committee, 51.1% of cancers were stage IIB, 13.7% stage IIIA, 32.4% stage IIIB, and 2.9% stage IV.

Results. The resections were performed with 74.1% using the posterior approach and 25.9% using an anterior approach. A lobectomy was accomplished in 69.8% of the cases and a wedge resection in 22.3%. Resection of a segment of vertebrae or subclavian artery was performed, respectively, in 19.4% and 18% of the cases. Resection was complete in 81.3% of cancers. The overall 5-year survival rate was 35%. Preoperative radiotherapy improved 5-year survival for stages IIB–IIIA. Surgical approach, postoperative radiotherapy, or chemotherapy did not change survival.

Conclusions. The optimal treatment for superior sulcus tumors is complete surgical resection. The surgical approach (anterior/posterior) did not influence the 5-year survival rate. Preoperative radiotherapy should be recommended to improve outcome of patients with a superior sulcus tumor.


Related Article

Invited commentary
David M. Shahian
Ann. Thorac. Surg. 2002 73: 1539-1540. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
B. Yildizeli, P. G. Dartevelle, E. Fadel, S. Mussot, and A. Chapelier
Results of primary surgery with T4 non-small cell lung cancer during a 25-year period in a single center: the benefit is worth the risk.
Ann. Thorac. Surg., October 1, 2008; 86(4): 1065 - 1075.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
J. F. Bruzzi, R. Komaki, G. L. Walsh, M. T. Truong, G. W. Gladish, R. F. Munden, and J. J. Erasmus
Imaging of Non-Small Cell Lung Cancer of the Superior Sulcus: Part 1: Anatomy, Clinical Manifestations, and Management
RadioGraphics, March 1, 2008; 28(2): 551 - 560.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
H. Kunitoh, H. Kato, M. Tsuboi, T. Shibata, H. Asamura, Y. Ichonose, N. Katakami, K. Nagai, T. Mitsudomi, A. Matsumura, et al.
Phase II Trial of Preoperative Chemoradiotherapy Followed by Surgical Resection in Patients With Superior Sulcus Non-Small-Cell Lung Cancers: Report of Japan Clinical Oncology Group Trial 9806
J. Clin. Oncol., February 1, 2008; 26(4): 644 - 649.
[Abstract] [Full Text] [PDF]

Home page
 MMCTSHome page
L. Spaggiari, M. D'Aiuto, G. Veronesi, F. Leo, P. Solli, M. Elena Leon, R. Gasparri, D. Galetta, F. Petrella, A. Borri, et al.
Anterior approach for Pancoast tumor resection
MMCTS, October 18, 2007; 2007(1018): 1776.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
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]

Home page
 The OncologistHome page
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]

Home page
 Eur. J. Cardiothorac. Surg.Home page
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]

Home page
 ChestHome page
M. Alifano, M. D'Aiuto, P. Magdeleinat, E. Poupardin, A. Chafik, S. Strano, and J. F. Regnard
Surgical Treatment of Superior Sulcus Tumors: Results and Prognostic Factors
Chest, September 1, 2003; 124(3): 996 - 1003.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. C. Detterbeck
Changes in the treatment of Pancoast tumors
Ann. Thorac. Surg., June 1, 2003; 75(6): 1990 - 1997.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. Spaggiari
Anterior approach versus posterior approach in apical chest tumor: surgeon's choice or oncological need?
Ann. Thorac. Surg., February 1, 2003; 75(2): 633 - 634.
[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
Copyright © 2002 by The Society of Thoracic Surgeons.