title: Extended resection of non-small cell lung cancer invading the left atrium, is it worth the risk?
abstract: Only few reports of surgical approach to T4 lung carcinoma invading the heart have been reported in the medical literature. It is also controversial if such cancer should be treated by surgery. The aim of this review is to assess the current risk/benefit ratio of the surgical management of non-small cell lung cancer (NSCLC) invading the left atrium, especially in the light of a multidisciplinary approach. We also expose our surgical experience and the procedure we have developed in order to increase our rate of complete resection as this criterion appears to be mandatory as well as patients' nodal status in order to increase life expectancy.
authors.affiliation: Department of Thoracic Surgery, Jean Perrin Comprehensive Cancer Center, 58 rue Montalembert, 63000 Clermont-Ferrand, France. geraud.galvaing@cjp.fr.
authors.forename: Geraud
authors.initials: G
authors.lastname: Galvaing
authors.affiliation: Department of Thoracic Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Jean Baptiste
authors.initials: JB
authors.lastname: Chadeyras
authors.affiliation: Department of Pneumology, Gabriel Montpied University Hospital, Clermont-Ferrand, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Merle
authors.affiliation: Department of Thoracic Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Marie M
authors.initials: MM
authors.lastname: Tardy
authors.affiliation: Department of Thoracic Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Adel
authors.initials: A
authors.lastname: Naamee
authors.affiliation: Department of Thoracic Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Bailly
authors.affiliation: Department of Thoracic Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France; Department of Anatomy, College of Medicine, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Filaire
mesh_terms: D002289:Carcinoma, Non-Small-Cell Lung / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D018579:Patient Selection; D011013:Pneumonectomy / Q000009:adverse effects / Q000401:mortality; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Left atrium; T4; extended resection