Management of tumors involving the chest wall including pancoast tumors and tumors invading the spine.
Bronchogenic carcinomas involving the chest wall include tumors invading the ribs and spine, as well as Pancoast tumors. In the past, such neoplasms were considered to be incurable, but with new multimodality regimens, including induction chemoradiation followed by surgery, they can now be completely resected and patients can benefit from prolonged survival. The most important prognostic factors are the completeness of resection and the pathologic nodal status.
Division of Thoracic Surgery, Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), Laval University, 2725 chemin Sainte-Foy, L-3540, Quebec City, Quebec G1V 4G5, Canada. jean.deslauriers@chg.ulaval.ca
Jean
J
Deslauriers
François
F
Tronc
Dalilah
D
Fortin
D002283:Carcinoma, Bronchogenic / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010178:Pancoast Syndrome / Q000601:surgery; D011379:Prognosis; D013125:Spinal Neoplasms / Q000556:secondary / Q000601:surgery*; D013131:Spine / Q000473:pathology / Q000601:surgery; D016019:Survival Analysis; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery*
Chest wall invasion; En-bloc resection; Lung cancer; Pancoast tumor