title: Combined resection and adjuvant therapy improves prognosis of sarcomas of the pulmonary trunk.
abstract: BACKGROUND
  Diagnosis of pulmonary artery sarcoma is difficult and frequently delayed owing to the insidious, non-specific nature of the symptoms. We present our experience with surgery for this rare disease.
  
  
  METHODS
  Between 1995 and 1998, four patients underwent surgery for pulmonary trunk sarcomas. They presented with similar symptoms and were initially treated for thromboembolic disease of the lung. Preoperative diagnosis was established using computer tomography and echocardiography. Postoperatively, two patients received radiotherapy and one combined radio-/chemotherapy.
  
  
  RESULTS
  One patient underwent thrombendarteriectomy of the trunk with adjuvant radiotherapy and remains tumor-free after three years and one showed complete regression of metastases after chemotherapy and remains well after more than one year. The other two patients died within two months of surgery, one due to a tumor mass in the inferior caval vein and the other because of cerebral metastases.
  
  
  CONCLUSIONS
  According to the literature, mean survival rate is 1.5 months without resection and 10 months with resection, with survival up to four years following combined resection and adjuvant therapy. Our findings are in agreement with this.
authors.affiliation: Cardiovascular Surgery Clinic, Triemli Hospital and University Hospital, Zurich, Switzerland. genoni@triemli.stzh.ch
authors.forename: M
authors.initials: M
authors.lastname: Genoni
authors.forename: A M
authors.initials: AM
authors.lastname: Biraima
authors.forename: B
authors.initials: B
authors.lastname: Bode
authors.forename: A C
authors.initials: AC
authors.lastname: Shan
authors.forename: M B
authors.initials: MB
authors.lastname: Wilkler
authors.forename: M I
authors.initials: MI
authors.lastname: Turina
mesh_terms: D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004452:Echocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D012509:Sarcoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery