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Pneumothorax associated with treatment for pulmonary malignancy
Tomohiro Maniwa1, Kazuo Nakagawa, Mitsuhiro Isaka
1Division of Thoracic Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, Japan. to.maniwa@scchr.jp
Interactive Cardiovascular and Thoracic Surgery
|June 25, 2011
Summary
Pneumothorax associated with treatment for pulmonary malignancy (PATPM) is rare and often requires prolonged chest tube drainage. Surgical treatment for PATPM can be complex and should be carefully considered for select patients.
Area of Science:
- Thoracic Surgery
- Pulmonary Oncology
Background:
- Pneumothorax associated with treatment for pulmonary malignancy (PATPM) is a rare complication.
- Clinicopathological features and treatment outcomes of PATPM are not well-defined.
Purpose of the Study:
- To evaluate the clinicopathological findings and treatment outcomes of patients with PATPM.
Main Methods:
- Retrospective analysis of 41 patients diagnosed with PATPM between September 2002 and March 2009.
- Evaluation of patient demographics, treatment interventions, and survival data.
Main Results:
- Of 41 patients, 21 had primary lung cancer and 20 had metastatic lung tumors.
- 58.5% required chest tube drainage for over six days; 24% underwent surgery.
- Surgical intervention often required conversion to open thoracotomy due to adhesions or tumor progression, with two severe complications and two early deaths post-surgery.
Conclusions:
- PATPM frequently necessitates prolonged chest tube drainage and can require challenging surgical intervention.
- Careful patient selection is crucial to identify those who would benefit from surgical treatment for PATPM.
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