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胸壁肿瘤的治疗,包括臂丛神经上肿瘤和侵犯脊柱的肿瘤。

Management of tumors involving the chest wall including pancoast tumors and tumors invading the spine.

机构信息

Division of Thoracic Surgery, Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), Laval University, 2725 chemin Sainte-Foy, L-3540, Quebec City, Quebec G1V 4G5, Canada.

出版信息

Thorac Surg Clin. 2013 Aug;23(3):313-25. doi: 10.1016/j.thorsurg.2013.05.001. Epub 2013 Jul 16.

DOI:10.1016/j.thorsurg.2013.05.001
PMID:23931015
Abstract

Bronchogenic carcinomas involving the chest wall include tumors invading the ribs and spine, as well as Pancoast tumors. In the past, such neoplasms were considered to be incurable, but with new multimodality regimens, including induction chemoradiation followed by surgery, they can now be completely resected and patients can benefit from prolonged survival. The most important prognostic factors are the completeness of resection and the pathologic nodal status.

摘要

胸壁支气管源性癌包括侵犯肋骨和脊柱的肿瘤以及 Pancoast 肿瘤。过去,此类肿瘤被认为是无法治愈的,但随着新的多模式治疗方案的出现,包括诱导放化疗后手术,现在可以完全切除这些肿瘤,患者可以从延长的生存中获益。最重要的预后因素是切除的完整性和病理淋巴结状态。

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