Total vertebrectomy for en bloc resection of lung cancer invading the spine

Grunenwald, Dominique; Mazel, Christian; Girard, Philippe; Berthiot, G; Dromer, Christian; Baldeyrou, P

doi:10.1016/0003-4975(95)01099-8

Cited by 90 publications

(45 citation statements)

References 6 publications

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“…Vertebral involvement has long been considered an insurmountable obstacle to curative resection [7,8], but recent progress in spinal surgery has opened new possibilities [28]. Two-stage surgery, after arteriographic visualization and possibly embolization, allows en bloc partial or complete resection of the vertebral body (or bodies) together with the lung resection needed.…”

Section: Subgroup 2: "Mediastinal" T4mentioning

confidence: 99%

“…A sleeve resection is possible in patients with tumors situated on the tracheal carina or the lower wall of the trachea, if the tumors are not too extended [26]. Some cases of tumors invading vertebral bodies can be resected by en bloc procedure including partial or total vertebrectomy [28,29]. Tumors invading the implantation of pulmonary veins in the left atrium are resectable by lateral clamping and direct suture of the atrial wall.…”

Section: The Field Of Surgery: Criteria Of Resectabilitymentioning

confidence: 99%

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Surgery for advanced stage lung cancer

Grunenwald

2000

Sem. Surg. Onc.

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Section: Subgroup 2: "Mediastinal" T4mentioning

confidence: 99%

Section: The Field Of Surgery: Criteria Of Resectabilitymentioning

confidence: 99%

Surgery for advanced stage lung cancer

Grunenwald

2000

Sem. Surg. Onc.

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“…3 The most frequently described surgical approaches in the treatment of mediastinic lesions invading the vertebrae are anterior or double approaches (anterior and posterior) in one or two sessions. [17][18][19][20] In the presented case, the surgical treatment was performed in one session, with the patient prone. The posterolateral approach allowed complete removal of the lesion with anterior and posterior monolateral stabilization.…”

Section: Differential Diagnosismentioning

confidence: 99%

Thoracic extradural paragangliomas: a case report and review of the literature

et al. 2005

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Case report: A 43-year-old woman with a thoracic lesion extending into the extradural space along four levels, T 1 -T 4 , presented with sudden spastic incomplete paraplegia and paresthesia at the lower limbs. Results: The neoplasm was surgically resected 'en bloc' and histological findings corresponded to paraganglioma. One year after surgery, the patient was walking without assistance, a T 3 -T 4 hypoesthesia was still present and an magnetic resonance imaging (MRI) study showed no signs of focal recurrence. Conclusions: The imaging features of thoracic paragangliomas may be misleading and an advanced malignant lesion could be primarily suspected; thus, a histological study is always needed. Total resection is the gold standard therapy. Owing to the risk of recurrence or multicentric growth, follow-up must be prolonged and accurate.

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“…Surgery consists of a posteriolateral [18][19][20] approach, an anterior transclavicular [21,22] approach, partial sternotomy [23], and finally a combined vertebrectomy and reconstruction combined with chest wall reconstruction when the vertebral body is involved [24][25][26]. Vascular involvement and vertebral body involvement have historically been contraindications to surgical intervention; however, with advances in surgical techniques and better preoperative staging, tumors that were deemed unresectable may now undergo resection.…”

Section: Treatmentmentioning

confidence: 99%

Superior Sulcus Tumors: A Mini-Review

Archie¹,

Thomas

2004

The Oncologist

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The management and outcome for superior sulcus tumors have remained unchanged for 40 years. The rarity of these tumors has led to varying treatment techniques spanning decades, from which no solid conclusions can be drawn. Recent advances in combined-modality therapy have offered the first inkling that a paradigm shift is on the horizon. Here, we review the history and new advances in treating this challenging pulmonary neoplasm. The Oncologist 2004;9:550-555 The Oncologist 2004;9:550-555 www.TheOncologist.com Antonio, 7703 Floyd Curl Dr., San Antonio, Texas 78229, USA. Telephone: 210-616-5684; Fax: 210-949-5085; e-mail: cthomas@ctrc.net; Website: http://www.uthscsa.edu/radiationoncology Received January 27, 2004; accepted for publication May 10, 2004. ©AlphaMed Press 1083-7159/2004 In 1924, Pancoast [1] reported the clinical and radiographic findings associated with superior sulcus tumors. He initially thought that these tumors arose from epithelial rest cells from the fifth brachial cleft. Eight years later, Tobias [2] and Pancoast [3] simultaneously, correctly recognized that bronchogenic carcinoma was the primary cause of this syndrome. Correspondence: Charles R. Thomas Jr., M.D., Department of Radiation Oncology, University of Texas Health Science Center at San HISTORYSuperior sulcus tumors usually arise in the apex of the lung and may invade the second and third ribs, the brachial plexus, the subclavian vessels, the stellate ganglion, and adjacent vertebral bodies [4]. Pancoast syndrome is characterized by pain, which may arise in the shoulder or chest wall or radiate to the neck. Pain characteristically radiates to the ulnar surface of the hand. Horner's syndrome, which is composed of ptosis, meiosis, and anhydrosis, results from invasion of the paravertebral sympathetic chain. Weakness and atrophy of the hand and parasthesias are a common clinical finding resulting from invasion into the C8 and T1 roots of the brachial plexus. More infrequent manifestations include supraclavicular adenopathy, superior vena cava syndrome, and involvement of the phrenic or laryngeal nerves [5].Prior to the 1950s, superior sulcus tumors were uniformly fatal. Chardack and MacCallum [6] reported the The Oncologist ® Lung Cancer LEARNING OBJECTIVESAfter completing this course, the reader will be able to:1. Describe the diagnostic work-up for superior sulcus (Pancoast) tumors of the lung.2. List the major prognostic factors pertaining to outcome in patients with superior sulcus (Pancoast) tumors.3. Discuss the recent (SWOG 94-16) and current (SWOG-0220) intergroup trials for superior sulcus (Pancoast) tumors.Access and take the CME test online and receive 1 hour of AMA PRA category 1 credit at CME.TheOncologist.com CME CME by guest on May 9, 2018 http://theoncologist.alphamedpress.org/ Downloaded fromThis material is protected by U.S. Copyright law.Unauthorized reproduction is prohibited. For reprints contact: Reprints@AlphaMedPress.com first successful treatment with resection followed by postoperative radiation...

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Total vertebrectomy for en bloc resection of lung cancer invading the spine

Cited by 90 publications

References 6 publications

Surgery for advanced stage lung cancer

Surgery for advanced stage lung cancer

Thoracic extradural paragangliomas: a case report and review of the literature

Superior Sulcus Tumors: A Mini-Review

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