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Surgical Approaches to Pancoast Tumors
Pancoast tumors, also defined as superior sulcus tumors, still represent a complex clinical condition requiring high technical surgical skills within more articulated multimodality treatment. The morbidity and mortality rates after Pancoast tumor treatments range from 10 to 55% and 0 to 7%, respecti...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381713/ https://www.ncbi.nlm.nih.gov/pubmed/37511781 http://dx.doi.org/10.3390/jpm13071168 |
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author | Petrella, Francesco Casiraghi, Monica Bertolaccini, Luca Spaggiari, Lorenzo |
author_facet | Petrella, Francesco Casiraghi, Monica Bertolaccini, Luca Spaggiari, Lorenzo |
author_sort | Petrella, Francesco |
collection | PubMed |
description | Pancoast tumors, also defined as superior sulcus tumors, still represent a complex clinical condition requiring high technical surgical skills within more articulated multimodality treatment. The morbidity and mortality rates after Pancoast tumor treatments range from 10 to 55% and 0 to 7%, respectively, and the 5-year survival rate has significantly improved in recent years thanks to the advancement of treatments. Although a multimodality approach combining chemotherapy, radiotherapy, and surgery allows for radical resection and effective local control in the vast majority of patients, many patients cannot receive surgical resection or complete the whole programmed therapeutic regimen. Systemic relapse, particularly cerebral recurrence, still poses a significant issue in this cohort of patients. Surgical resection still plays a pivotal role within the multimodality approach. Here, we focus on surgical approaches to both anterior and posterior Pancoast tumors: the anterior transclavicular approach (Dartevelle); the anterior transmanubrial approach (Grunenwald–Spaggiari); the anterior trap-door approach (Masaoka, Nomori); the posterior approach (Shaw–Paulson); the hemiclamshell approach; and hybrid approaches. Global clinical condition, tumor histology, and long-term perspectives should always be taken into consideration when embarking on such a demanding oncologic scenario. |
format | Online Article Text |
id | pubmed-10381713 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103817132023-07-29 Surgical Approaches to Pancoast Tumors Petrella, Francesco Casiraghi, Monica Bertolaccini, Luca Spaggiari, Lorenzo J Pers Med Review Pancoast tumors, also defined as superior sulcus tumors, still represent a complex clinical condition requiring high technical surgical skills within more articulated multimodality treatment. The morbidity and mortality rates after Pancoast tumor treatments range from 10 to 55% and 0 to 7%, respectively, and the 5-year survival rate has significantly improved in recent years thanks to the advancement of treatments. Although a multimodality approach combining chemotherapy, radiotherapy, and surgery allows for radical resection and effective local control in the vast majority of patients, many patients cannot receive surgical resection or complete the whole programmed therapeutic regimen. Systemic relapse, particularly cerebral recurrence, still poses a significant issue in this cohort of patients. Surgical resection still plays a pivotal role within the multimodality approach. Here, we focus on surgical approaches to both anterior and posterior Pancoast tumors: the anterior transclavicular approach (Dartevelle); the anterior transmanubrial approach (Grunenwald–Spaggiari); the anterior trap-door approach (Masaoka, Nomori); the posterior approach (Shaw–Paulson); the hemiclamshell approach; and hybrid approaches. Global clinical condition, tumor histology, and long-term perspectives should always be taken into consideration when embarking on such a demanding oncologic scenario. MDPI 2023-07-21 /pmc/articles/PMC10381713/ /pubmed/37511781 http://dx.doi.org/10.3390/jpm13071168 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Petrella, Francesco Casiraghi, Monica Bertolaccini, Luca Spaggiari, Lorenzo Surgical Approaches to Pancoast Tumors |
title | Surgical Approaches to Pancoast Tumors |
title_full | Surgical Approaches to Pancoast Tumors |
title_fullStr | Surgical Approaches to Pancoast Tumors |
title_full_unstemmed | Surgical Approaches to Pancoast Tumors |
title_short | Surgical Approaches to Pancoast Tumors |
title_sort | surgical approaches to pancoast tumors |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381713/ https://www.ncbi.nlm.nih.gov/pubmed/37511781 http://dx.doi.org/10.3390/jpm13071168 |
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