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Management of Tumor Adherent to the Vertebral Column by Tom R. DeMeester; Mario Albertucci; Peter J. Dawson; Steven M. Montner is a Medicine article available to read on EtoBox.

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## Management of tumor adherent to the vertebral column Twelve patients with non-small cell hmg cancer had tumors that were adherent to the vertebral column and ctinicaUy Sltipected of invading thebone. AU were free of mediastinalnode involvement as assessed by pretreatment mediastinoscopy. AU received 3000 rads of preoperative radiation followed by en bloc resection of the hmg and a tangential portion of the involved vertebral bodies. A complete mediastinal Iympbadenectomy was also performed.Three patients had true Pancoast's syndromeandin theremaining nine the tumor was located aboveT6 with the majority in the apex of the chest Resectability was based on the absence of tumor extemion into the costotransverse foramen and the extent of vertebral body involvement Detailed studies of the decalcified surgical specimenshow that the tumor extended into the cortex in two patients, periosteumin six, parietal in three, andup to thevisceralpleura in one.Six patients are alive after I to 11 years (four beyond 5 years) without evidence of recurrent tumor andarthritic pain. The overall 5-and to-year survival rate (Kaplan-Meier method) was 42%. In patients with tumors adherent to the vertebral

Who reads Management of Tumor Adherent to the Vertebral Column?

Author

Tom R. DeMeester; Mario Albertucci; Peter J. Dawson; Steven M. Montner

Publisher

CTSNet; American Association for Thoracic Surgery; Mosby Inc.; Elsevier BV; Publons (ISSN 1097-685X)

Published

1989

Language

EN

Field

Medicine (Health Sciences)