[Surgical treatment of primary pleural tumours in our department].
OBJECTIVE
The authors analyzed the results and outcome of surgical treatment of primary pleural tumors in patients treated in the last 11 years.


METHODS
31 operations were performed for primary pleural tumors in 25 patients (17 males, 8 females). The tumors were classified into the following groups: benign local fibrous tumors (benign LFTP; n = 15), recurrent malignant fibrous tumors (recurrent malignant LFTP; n = 2) and malignant mesotheliomas (MPM; n = 12). 40% of patients with MPM were exposed to asbestos. Complete resections of benign LFTPs were performed, with additional resection of the chest wall and lobectomy in two cases. Completion pneumonectomy and lobectomy were done in recurrent malignant LFTP cases. Five biopsies and pleurodesis, and one open decortication were performed. In four cases, after the biopsy, two pleurectomies and decortications (P/D) and two pleuropneumonectomies (PPN)/extra-pleural pneumonectomies (EPP) were carried out.


RESULTS
There was no operative mortality. Pathological examination revealed seven epithelial, two sarcomatous and one biphasic malignant mesotheliomas. Survival was one (currently alive) and 49 months after malignant recurrent LFTP. Survival in MPM cases was 9,7 months (3-17) without resection and 17,3 months (5 (currently alive) - 29) in P/D or PPN (EPP) cases.


CONCLUSIONS
The PPN (EPP) and P/D are safe procedures providing relatively good survival when it is done as part of complete oncological treatment. In cases of recurrent LFTP, anatomical resections recommended with completion pneumonectomy or lobectomy.
Németh
Tibor
T
Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Pécsi u. 6.
Furák
József
J
Wolfárd
Antal
A
Géczi
Tibor
T
Tiszlavicz
László
L
Lázár
György
G
D000368:Aged; D001706:Biopsy; D002277:Carcinoma / Q000601:surgery; D005260:Female; D006801:Humans; D006814:Hungary; D008297:Male; D008654:Mesothelioma / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D010997:Pleural Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018700:Pleurodesis; D011013:Pneumonectomy; D012189:Retrospective Studies; D012509:Sarcoma / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome