Surgical treatment of Pancoast tumor : Remmen HJ, Lacquet LK, Van Son JAM, Morshuis WJ, Cox AL. Dept. of Thoracic/Cardiac Surgery, University Hospital St. Radboud, Postbox 9101, 6500 HB Nijmegen. J Cardiovasc Surg 1993;34:157–61

Abstract

The treatment of superior pulmonary sulcus (Pancoast) tumor is not uniform and is still discussed. Literature data and our retrospective study are presented. Fourteen patients were operated for a Pancoast tumor. Nine patients underwent mediastinoscopy followed by preoperative radiotherapy. Five patients received adjuvant radiotherapy after incomplete resection. Five patients who did not have preoperative radiotherapy, received postoperative irradiation. All three patients who survived five years or more, had preoperative radiotherapy and two of them underwent a complete resection. Literature data are discussed and emphasis is laid on the importance of preoperative staging, including mediastinoscopy, preoperative radiotherapy and complete "en bloc" resection.