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The Journal of Thoracic and Cardiovascular Surgery, Vol 70, 1095-1104, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DL Paulson
Carcinomas in the superior pulmonary sulcus produce a clinical pattern
peculiar to their location. Pancoast (1932) defined tumors in this precise
location and described a characteristic group of clinical findings now
known as the Pancoast syndrome. Experience with a total of 92 patients with
primary carcinomas in the superior pulmonary sulcus treated by combined
preoperative irradiation and extended resection in 61 patients (66 per
cent) reveals 16 of 46 patients eligible surviving over 5 years (34 per
cent) and eight of 30 patients alive over 10 years (29 per cent). Stage of
nodal involvement, extent of the tumor, cell type, and pathological effects
of preoperative irradiation in the resected specimens are the important
factors in prognosis.
ARTICLES
Carcinomas in the superior pulmonary sulcus
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