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J Thorac Cardiovasc Surg 2002;123:184-185
© 2002 The American Association for Thoracic Surgery

Brief Communications

Extrapleural pneumonectomy for lung cancer with carcinomatous pleuritis

From the Division of Thoracic Surgery, Tochigi Cancer Center, Utsunomiya, Tochigi, Japan.

This study was supported in part by a grant-in-aid for cancer research from the Ministry of Health, Labour and Welfare, Japan.

Received for publication May 14, 2001. Accepted for publication June 18, 2001. Address for reprints: Kohei Yokoi, MD, Division of Thoracic Surgery, Tochigi Cancer Center, 4-9-13 Yohnan, Utsunomiya, Tochigi 320-0834, Japan (E-mail: kyokoi@tcc.pref.tochigi.jp).

Carcinomatous pleuritis in patients with lung cancer is usually found to accompany frank malignant pleural effusion and is associated with short-term survival. ¹ However, this condition is sometimes discovered, with or without a small amount of pleural effusion, at thoracotomy in patients with resectable non–small cell lung cancer. The incidence is reported as 3.2%, ² and in such patients surgical treatment has been applied in some institutions, with long-term survival in selected cases. We report here the results of extrapleural pneumonectomy for patients with lung cancer with carcinomatous pleuritis and discuss surgical treatment for this disease.

View larger version (94K): [in this window] [in a new window]   Dr Yokoi

Between January 1988 and December 1999, a total of 602 patients underwent exploration for the resection of primary lung cancer at our hospital. Among the patients, 11 (1.7%) underwent an extrapleural pneumonectomy with lymph node dissection because of carcinomatous pleuritis. Extrapleural pneumonectomy was performed in patients who had pleural disseminated tumors with or without a minimal effusion (<300 mL) and an adequate cardiopulmonary reserve. Patients with massive malignant pleural effusions were excluded from surgical candidacy. All the patients gave written informed consent for the operation. The details . . . [Full Text of this Article]

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