Sundaresan N, Hilaris B S, Martini N
St. Lukes/Roosevelt Hospital Center, New York, NY.
J Clin Oncol. 1987 Nov;5(11):1739-45. doi: 10.1200/JCO.1987.5.11.1739.
Thirty patients with superior sulcus carcinoma were prospectively evaluated over an 18-month period. All patients underwent complete neuroradiological evaluation by computed tomography (CT) and myelography. Prior to operation, brachial plexopathy was noted in 20 patients (67%), and invasion of the spine in eight (27%). Using a team approach, gross total resection of tumor was achieved in 17 of 26 patients (65%) undergoing thoracotomy. There was no operative mortality. The use of a team approach allows extended surgical resection, especially when the spine is involved. In patients presenting with brachial plexopathy or cord compression, de novo surgery before radiation may provide better long-term palliation and pain relief.
在18个月的时间里，对30例肺上沟癌患者进行了前瞻性评估。所有患者均通过计算机断层扫描（CT）和脊髓造影进行了完整的神经放射学评估。术前，20例患者（67%）出现臂丛神经病变，8例（27%）出现脊柱侵犯。采用团队协作方法，26例接受开胸手术的患者中有17例（65%）实现了肿瘤的大体全切。无手术死亡病例。团队协作方法的应用允许进行扩大性手术切除，尤其是在脊柱受累时。对于出现臂丛神经病变或脊髓受压的患者，放疗前进行初次手术可能会提供更好的长期姑息治疗和疼痛缓解效果。
