title: [Postoperative course in 7 cases of primary sarcoma of the lung].
abstract: Unlike lung metastases of extrapulmonary sarcomas, primary sarcoma of the lung is very rare. We analyzed 7 primary sarcomas treated surgically in Hospital Universitario La Paz, Madrid, Spain between 1985 and 2001. Preoperative histologic diagnosis was correct for 2 patients. Surgery was performed in all 7 patients. Resection was extended to the left atrium in 1 patient, to the chest wall in another, and the parietal pleura were removed from 2 others. Surgical resection was considered complete in 6 cases. Histology revealed 4 cases of malignant fibrous histiocytoma, 1 angiosarcoma, 1 osteogenic sarcoma, and 1 undifferentiated sarcoma. Enlarged lymph nodes removed during surgery were tumor free. Three patients received complementary treatment. The 3 longest-surviving patients were treated with surgery alone; at the end of the study, these patients remained alive 16, 9, and 4 years after surgery. One patient has a recurrent lymph node tumor in a single lung. Three patients died within 1 year and another died 24 months after surgery. In conclusion, surgical treatment of primary sarcoma of the lung can achieve good survival.
authors.affiliation: Servicio de Cirugía Torácica, Hospital Universitario La Paz, Madrid, Spain. ctoracica.hulp@salud.madrid.org
authors.forename: M E
authors.initials: ME
authors.lastname: Corpa-Rodríguez
authors.forename: S
authors.initials: S
authors.lastname: Mayoralas-Alises
authors.forename: J
authors.initials: J
authors.lastname: García-Sánchez
authors.forename: J L
authors.initials: JL
authors.lastname: Gil-Alonso
authors.forename: P
authors.initials: P
authors.lastname: Díaz-Agero
authors.forename: M
authors.initials: M
authors.lastname: Casillas-Pajuelo
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012509:Sarcoma / Q000601:surgery*