V-082SUPERIOR SULCUS TUMOUR RECURRED AFTER DEFINITIVE CHEMORADIOTHERAPY SUCCESSFULLY RESECTED WITH TRANSMANUBRIAL AND PAULSON APPROACH

Resection of Superior Sulcus Tumor by a Combined Transmanubrial—Paulson Approach

A 75-year-old man complained of pain and swelling of the right shoulder for 2 months. Plain chest radiography revealed a mass in the right upper lung field and dissolution of several ribs. Bronchoscopic brush cytology showed class V squamous cell carcinoma. The patient was diagnosed with clinical stage IIIA (cT4N0M0) lung cancer. After induction chemoradiotherapy, right upper lobectomy was perf...

Transmanubrial approach with video-assisted thoracoscopic surgery for left superior sulcus tumour with dense adhesion after replacement of descending thoracic aorta.

There are various surgical approaches to superior sulcus tumours according to the location of the tumour. The chief difficulties in the operation are broadening of the operative field and adhesiolysis. This study presents the case of surgical treatment of superior sulcus tumour following chemoradiation therapy with dense pleural adhesion due to a history of graft replacement of the descending t...

Superior Sulcus Tumour with some Emphasis on the Anterior Approach

Superior sulcus tumours are rarely encountered in clinical practice, representing < 5% of all bronchogenic carcinomas [1, 2]. In 1932, Pancoast [3] published his classic article in which he reported four patients who had a similar presentation including pain in the shoulder and arm, weakness and wasting of the muscles of the hand, and ipsilateral Horner syndrome together with a lesion situated ...

Combined operative technique with anterior surgical approach and video-assisted thoracoscopic surgical lobectomy for anterior superior sulcus tumours.

Video-assisted thoracoscopic surgery (VATS) has been widely used, but surgical resections of superior sulcus tumours remain challenging because of their anatomical location. For such cases, less-invasive procedures, such as the anterior transcervical-thoracic and transmanubrial approaches, have been widely performed because of their excellent visualization of the subclavian vessels. Recently, a...

Adopting postoperative chemoradiotherapy in resected gastric cancer.