[A clinical study on superior sulcus tumors].
Twenty nine patients with superior sulcus tumors (26 men and 3 women) were studied. The incidence was 2.1% of 1350 patients with lung cancer. The mean age was 66.2 years, and 27 patients (93.1%) had a history of smoking (B.I. = 1193.7). There were 10 adenocarcinomas, 9 squamous cell carcinomas, 5 large cell carcinomas 4 small cell carcinomas, and 1 that could not be classified. Fifteen patients (51.7%) had Stage IV disease on admission. Eight patients (27.6%) presented with symptoms outside the chest. Pancoast syndrome was recognized in 9 patients (31.0%). In 15 patients (51.7%) the diagnosis was made by transbronchial biopsy and in 10 patients (34.5%) it was made by echoguided needle biopsy. Tumors were located in a posterior lesion in 13 patients (44.8%). Twenty patients were given radiation therapy. Clinical staging, irradiation, and surgical treatment were related to the length of survival. The median survival time was 7 months.
Kobara
Y
Y
Department of Pulmonary Medicine, Jichi Medical School, Tochigi, Japan.
Ishii
Y
Y
Kitamura
S
S
D000230:Adenocarcinoma; D000368:Aged; D000369:Aged, 80 and over; D002289:Carcinoma, Non-Small-Cell Lung; D018288:Carcinoma, Small Cell; D002294:Carcinoma, Squamous Cell; D005260:Female; D006801:Humans; D008175:Lung Neoplasms; D008297:Male; D008875:Middle Aged