HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Dov Weissberg Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Weissberg, D. Search for Related Content PubMed PubMed Citation Articles by Weissberg, D. Related Collections Lung - cancer Diaphragm

J Thorac Cardiovasc Surg 2001;121:821
© 2001 The American Association for Thoracic Surgery

Letters to the Editor

Resection of lung cancer invading the diaphragm

Tel Aviv University, Sackler School of Medicine, E. Wolfson Medical Center, Holon 58100, Israel

To the Editor:

I enjoyed reading the communication by Riquet and colleagues ¹ on resection of lung cancer invading the diaphragm. Obviously, no one surgeon can accumulate more than minimal experience with this rare entity, and my own includes just one patient, albeit an unusual and interesting one.

In 1976, a 53-year-old man, a heavy smoker, was referred to me because of squamous cell carcinoma in the lower lobe of the left lung, with central necrosis. At mediastinoscopy, no metastases were found. At thoracotomy, the tumor, 6 cm in diameter, was found at the base of the left lung, penetrating the posterior part of the diaphragm and spleen (T3 N0 M0, stage III). Left lower lobectomy was performed, including in the specimen a portion of the diaphragm and the spleen. The diaphragm was closed with a patch of polypropylene (Marlex) mesh. The postoperative course was uneventful, with full expansion of the remaining lung. The patient refused any additional treatment and continued to smoke heavily. He lived for another 17 years and died at the age of 70 years of sarcoma of the right lung, without recurrence of the original tumor. He was included in our earlier publication, ² as case 7. At that time, his follow-up was 53 months.

I commend the authors on their diligence in collecting this considerable series of 68 patients in 17 different medical centers and their remarkable contribution.

12/8/113171doi:10.1067/mtc.2001.113171

References

1. Riquet M, Porte H, Chapelier A, Brichon P-Y, Bernard A, Dujon A, et al. Resection of lung cancer invading the diaphragm. J Thorac Cardiovasc Surg 2000;120:417-8.[Free Full Text]
   
2. Weissberg D. Extended resections of locally advanced stage III lung cancer. Thorac Cardiovasc Surg 1981;29:238-41.[Medline]
   

This article has been cited by other articles:

				A. Bini, M. Grazia, F. Petrella, and R. Bazzocchi Pulmonary infiltration from retroperitoneal carcinoma requiring diaphragm, chest wall and lung resection after thoracoabdominal access Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 168 - 170. [Abstract] [Full Text] [PDF]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Dov Weissberg Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Weissberg, D. Search for Related Content PubMed PubMed Citation Articles by Weissberg, D. Related Collections Lung - cancer Diaphragm