Three-stage approach to resection of left pancoast tumour with spinal and major vessel involvement.

lung cancer pancoast tumor thoracic surgery

Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 28 07 2020
accepted: 24 08 2020
entrez: 21 12 2020
pubmed: 22 12 2020
medline: 22 12 2020
Statut: epublish

Résumé

Here we describe the successful outcome of a complex and challenging resection of a left-sided pancoast tumour involving the left subclavian artery and vertebral bodies. The resection was performed following neoadjuvant chemoradiotherapy in a multi-staged fashion involving multiple teams including thoracic surgery, plastic surgery, neurosurgery and vascular surgery. Each operation was less than 6 h, without complication, and the patient was discharged within 1 week of each procedure. This case report highlights the importance of multidisciplinary team collaboration and planning in order to achieve a successful oncologic outcome and a good quality of life following treatment of these challenging tumours. The patient had a good functional outcome and no evidence of recurrence 1.5 years later.

Identifiants

pubmed: 33343859
doi: 10.1093/jscr/rjaa384
pii: rjaa384
pmc: PMC7734867
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjaa384

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.

Références

Ann Thorac Surg. 2002 May;73(5):1541-4
pubmed: 12022546
Chest. 2003 Sep;124(3):996-1003
pubmed: 12970029
J Thorac Cardiovasc Surg. 2005 Jun;129(6):1250-7
pubmed: 15942564
N Engl J Med. 2018 Dec 13;379(24):2342-2350
pubmed: 30280658

Auteurs

Alison M Wallace (AM)

Division of Thoracic Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.

George D Oreopoulos (GD)

Department of Vascular and Endovascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada.

Yoga R Rampersaud (YR)

Department of Orthopedics, University Health Network, Toronto Western Hospital, Toronto, Ontario, Canada.

Thomas K Waddell (TK)

Division of Thoracic Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.

Classifications MeSH