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Pancoast Tumors: 11-Year Single-Centre Experience.

Catarina Pereira Moita1, Catarina Figueiredo1, Zenito Cruz1

  • 1Thoracic Surgery Department - Hospital de Santa Marta, Centro Hospitalar Universitário Lisboa Central, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|January 17, 2025
PubMed
Summary

Multimodal treatment for Pancoast tumors, a type of lung apex cancer, shows promising survival outcomes. This study highlights the importance of a multidisciplinary approach for these rare thoracic malignancies.

Keywords:
Pancoast tumorShaw-PaulsonSuperior sulcus tumorSurgeryThoracotomy

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Area of Science:

  • Thoracic Oncology
  • Surgical Oncology
  • Pulmonology

Background:

  • Pancoast tumors are located at the lung apex, potentially invading the thoracic inlet.
  • These tumors can lead to a distinct clinical presentation.
  • Understanding treatment response and outcomes is crucial for patient management.

Purpose of the Study:

  • To analyze the outcomes of patients with Pancoast tumors treated with a multimodal approach.
  • To evaluate the response to neoadjuvant therapy and surgical resection.
  • To assess disease-free and overall survival rates in this patient cohort.

Main Methods:

  • Retrospective cohort study of patients with superior sulcus non-small cell lung carcinomas.
  • Single-center analysis of patients who underwent surgery between January 2011 and February 2022.
  • Review of patient demographics, tumor characteristics, treatment protocols, and survival data.

Main Results:

  • Ten patients were included, predominantly male (80%), with Stage II/III tumors (adenocarcinomas and sarcomatoid carcinomas).
  • All patients received neoadjuvant treatment followed by surgery, with en bloc resection of chest wall and brachial plexus in most cases.
  • Eighty percent achieved free surgical margins, with a mean disease-free survival of 83.9 months and mean overall survival of 115.7 months.

Conclusions:

  • Pancoast tumor survival in this cohort is positive compared to existing literature, despite the small sample size.
  • A multidisciplinary approach is emphasized for improved understanding and management.
  • Further research is necessary to validate these findings and refine treatment strategies.