Iwasaki A, Yamamoto S, Yoshinaga Y, Shirakusa T
Department of Second Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.
Kyobu Geka. 2006 Jan;59(1):53-60.
The rarity of the superior sulcus tumor has led to varying treatment techniques. Generally, radiation therapy followed by surgery has been used. En bloc resection combined with lobectomy and nodal dissection remains standard therapy. The unique location of this tumor, surgical approach thought to be important. Involvement of the anterior areas such as subclavian vessels can be resected by anterior transcervical approach, and vertebral body or brachial plexus through the classic Shaw Paulson approach. Preoperative computed tomography (CT) or magnetic resonance imaging (MRI) is beneficial to the evaluation of the vessels, nerves, and surgical planning. Recent studies showed that induction concurrent chemoradiation therapy improved the resectability and curability. This article reviews the treatment of superior sulcus tumor.
肺上沟瘤的罕见性导致了多种治疗技术。一般来说，采用先放疗后手术的方法。整块切除联合肺叶切除术和淋巴结清扫术仍然是标准治疗方法。由于该肿瘤位置独特，手术入路被认为很重要。锁骨下血管等前部区域受累时可通过前颈部入路切除，而椎体或臂丛神经受累时则通过经典的肖-保尔森入路切除。术前计算机断层扫描（CT）或磁共振成像（MRI）有助于评估血管、神经及进行手术规划。最近的研究表明，诱导同步放化疗可提高可切除性和治愈率。本文综述了肺上沟瘤的治疗。
