Primary lung tumors invading the chest wall
Objective: Lung cancer remains the leading cause of cancer deaths worldwide. The surgical approach to locally advanced non-small cell lung cancer (NSCLC) goes beyond the classical approach and requires a multidisciplinary approach both preoperatively and postoperatively. In addition to the tumor siz...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Rabia Yılmaz
2023-01-01
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| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2786002 |
| _version_ | 1827980291590848512 |
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| author | Nurettin Karaoglanoglu İlknur Aytekin Çelik Kubilay İnan Merve Şengül İnan |
| author_facet | Nurettin Karaoglanoglu İlknur Aytekin Çelik Kubilay İnan Merve Şengül İnan |
| author_sort | Nurettin Karaoglanoglu |
| collection | DOAJ |
| description | Objective:
Lung cancer remains the leading cause of cancer deaths worldwide. The surgical approach to locally advanced non-small cell lung cancer (NSCLC) goes beyond the classical approach and requires a multidisciplinary approach both preoperatively and postoperatively. In addition to the tumor size, the location of T3 tumors affects the extent of the surgery.
Materials and Methods:
Patients who underwent lung resection for cancer between March 2019 and October 2022 were retrospectively reviewed. Patients who underwent chest wall resection were evaluated in terms of age, gender, pathology, type of operation, survival, recurrence, complications, receipt of preoperative chemotherapy, tumor node metastasis (TNM) stage, whether or not mediastinoscopy was performed, STAS (The spread through air spaces) positivity, visceral pleural invasion, parietal pleural invasion, lymphovascular invasion, perineural invasion, and alveolar/bronchial wall invasion.
Results:
Thoracic wall resection was performed in nine patients with locally advanced NSCLC. The use of prolene mesh was required in eight patients. All patients complained of pain in the thoracic wall in the preoperative period. Postoperative pathology results showed STAS positivity in four patients; alveolar/bronchial wall invasion in four; and visceral, parietal, pleural, and lymphovascular invasion in seven. The mean survival of the patients was 24.20 months (0.63–39). No patient developed recurrence during the follow-up period.
Conclusion:
Chest wall resection and reconstruction for lung cancer is a surgical treatment method that should be performed without violating respiratory physiology and by using a small amount/number of synthetic materials. |
| first_indexed | 2024-04-09T21:51:01Z |
| format | Article |
| id | doaj.art-c400a1b1510e4ff599460c944bb73168 |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:51:01Z |
| publishDate | 2023-01-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-c400a1b1510e4ff599460c944bb731682023-03-24T19:43:21ZengRabia YılmazJournal of Contemporary Medicine2667-71802023-01-0113113513910.16899/jcm.12080111809Primary lung tumors invading the chest wallNurettin Karaoglanoglu0İlknur Aytekin Çelik1Kubilay İnan2Merve Şengül İnan3ANKARA YILDIRIM BEYAZIT ÜNİVERSİTESİANKARA YILDIRIM BEYAZIT UNIVERSITYANKARA BİLKENT CİTY HOSPİTALUNIVERSITY OF HEALTH SCIENCES, GÜLHANE SCHOOL OF MEDICINE, GÜLHANE MEDICINE PR. (ANKARA)Objective: Lung cancer remains the leading cause of cancer deaths worldwide. The surgical approach to locally advanced non-small cell lung cancer (NSCLC) goes beyond the classical approach and requires a multidisciplinary approach both preoperatively and postoperatively. In addition to the tumor size, the location of T3 tumors affects the extent of the surgery. Materials and Methods: Patients who underwent lung resection for cancer between March 2019 and October 2022 were retrospectively reviewed. Patients who underwent chest wall resection were evaluated in terms of age, gender, pathology, type of operation, survival, recurrence, complications, receipt of preoperative chemotherapy, tumor node metastasis (TNM) stage, whether or not mediastinoscopy was performed, STAS (The spread through air spaces) positivity, visceral pleural invasion, parietal pleural invasion, lymphovascular invasion, perineural invasion, and alveolar/bronchial wall invasion. Results: Thoracic wall resection was performed in nine patients with locally advanced NSCLC. The use of prolene mesh was required in eight patients. All patients complained of pain in the thoracic wall in the preoperative period. Postoperative pathology results showed STAS positivity in four patients; alveolar/bronchial wall invasion in four; and visceral, parietal, pleural, and lymphovascular invasion in seven. The mean survival of the patients was 24.20 months (0.63–39). No patient developed recurrence during the follow-up period. Conclusion: Chest wall resection and reconstruction for lung cancer is a surgical treatment method that should be performed without violating respiratory physiology and by using a small amount/number of synthetic materials.https://dergipark.org.tr/tr/download/article-file/2786002lungthoracic surgerycancerthoracic wallakciğergöğüs cerrahisikansertoraks duvarı |
| spellingShingle | Nurettin Karaoglanoglu İlknur Aytekin Çelik Kubilay İnan Merve Şengül İnan Primary lung tumors invading the chest wall Journal of Contemporary Medicine lung thoracic surgery cancer thoracic wall akciğer göğüs cerrahisi kanser toraks duvarı |
| title | Primary lung tumors invading the chest wall |
| title_full | Primary lung tumors invading the chest wall |
| title_fullStr | Primary lung tumors invading the chest wall |
| title_full_unstemmed | Primary lung tumors invading the chest wall |
| title_short | Primary lung tumors invading the chest wall |
| title_sort | primary lung tumors invading the chest wall |
| topic | lung thoracic surgery cancer thoracic wall akciğer göğüs cerrahisi kanser toraks duvarı |
| url | https://dergipark.org.tr/tr/download/article-file/2786002 |
| work_keys_str_mv | AT nurettinkaraoglanoglu primarylungtumorsinvadingthechestwall AT ilknuraytekincelik primarylungtumorsinvadingthechestwall AT kubilayinan primarylungtumorsinvadingthechestwall AT mervesengulinan primarylungtumorsinvadingthechestwall |