Characteristics associated with complete surgical resection of primary malignant mediastinal tumors

Detalhes bibliográficos
Autor(a) principal: Gross,Jefferson Luiz
Data de Publicação: 2009
Outros Autores: Rosalino,Ulisses Augusto Correia, Younes,Riad Naim, Haddad,Fábio José, Silva,Rodrigo Afonso da, Rocha,Antonio Bomfim Marçal Avertano
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Pneumologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000900003
Resumo: OBJECTIVE: To identify preoperative characteristics associated with complete surgical resection of primary malignant mediastinal tumors. METHODS: Between 1996 and 2006, 42 patients with primary malignant mediastinal tumors were submitted to surgery with curative intent at a single facility. Patient charts were reviewed in order to collect data related to demographics, clinical manifestation, characteristics of mediastinal tumors and imaging aspects of invasiveness. RESULTS: The surgical resection was considered complete in 69.1% of the patients. Cases of incomplete resection were attributed to invasion of the following structures: large blood vessels (4 cases); the superior vena cava (3 cases); the heart (2 cases); the lung and chest wall (3cases); and the trachea (1 case). Overall survival was significantly better among the patients submitted to complete surgical resection than among those submitted to incomplete resection. The frequency of incomplete resection was significantly higher in cases in which the tumor had invaded organs other than the lung (as identified through imaging studies) than in those in which it was restricted to the lung (47.6% vs. 14.3%; p = 0.04). None of the other preoperative characteristics analyzed were found to be associated with complete resection. CONCLUSIONS: Preoperative radiological evidence of invasion of organs other than the lung is associated with the incomplete surgical resection of primary malignant mediastinal tumors.
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spelling Characteristics associated with complete surgical resection of primary malignant mediastinal tumorsThoracic surgerySurvival rateMediastinal neoplasmsDiagnostic imagingOBJECTIVE: To identify preoperative characteristics associated with complete surgical resection of primary malignant mediastinal tumors. METHODS: Between 1996 and 2006, 42 patients with primary malignant mediastinal tumors were submitted to surgery with curative intent at a single facility. Patient charts were reviewed in order to collect data related to demographics, clinical manifestation, characteristics of mediastinal tumors and imaging aspects of invasiveness. RESULTS: The surgical resection was considered complete in 69.1% of the patients. Cases of incomplete resection were attributed to invasion of the following structures: large blood vessels (4 cases); the superior vena cava (3 cases); the heart (2 cases); the lung and chest wall (3cases); and the trachea (1 case). Overall survival was significantly better among the patients submitted to complete surgical resection than among those submitted to incomplete resection. The frequency of incomplete resection was significantly higher in cases in which the tumor had invaded organs other than the lung (as identified through imaging studies) than in those in which it was restricted to the lung (47.6% vs. 14.3%; p = 0.04). None of the other preoperative characteristics analyzed were found to be associated with complete resection. CONCLUSIONS: Preoperative radiological evidence of invasion of organs other than the lung is associated with the incomplete surgical resection of primary malignant mediastinal tumors.Sociedade Brasileira de Pneumologia e Tisiologia2009-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000900003Jornal Brasileiro de Pneumologia v.35 n.9 2009reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.1590/S1806-37132009000900003info:eu-repo/semantics/openAccessGross,Jefferson LuizRosalino,Ulisses Augusto CorreiaYounes,Riad NaimHaddad,Fábio JoséSilva,Rodrigo Afonso daRocha,Antonio Bomfim Marçal Avertanoeng2009-10-06T00:00:00Zoai:scielo:S1806-37132009000900003Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2009-10-06T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false
dc.title.none.fl_str_mv Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
title Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
spellingShingle Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
Gross,Jefferson Luiz
Thoracic surgery
Survival rate
Mediastinal neoplasms
Diagnostic imaging
title_short Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
title_full Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
title_fullStr Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
title_full_unstemmed Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
title_sort Characteristics associated with complete surgical resection of primary malignant mediastinal tumors
author Gross,Jefferson Luiz
author_facet Gross,Jefferson Luiz
Rosalino,Ulisses Augusto Correia
Younes,Riad Naim
Haddad,Fábio José
Silva,Rodrigo Afonso da
Rocha,Antonio Bomfim Marçal Avertano
author_role author
author2 Rosalino,Ulisses Augusto Correia
Younes,Riad Naim
Haddad,Fábio José
Silva,Rodrigo Afonso da
Rocha,Antonio Bomfim Marçal Avertano
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Gross,Jefferson Luiz
Rosalino,Ulisses Augusto Correia
Younes,Riad Naim
Haddad,Fábio José
Silva,Rodrigo Afonso da
Rocha,Antonio Bomfim Marçal Avertano
dc.subject.por.fl_str_mv Thoracic surgery
Survival rate
Mediastinal neoplasms
Diagnostic imaging
topic Thoracic surgery
Survival rate
Mediastinal neoplasms
Diagnostic imaging
description OBJECTIVE: To identify preoperative characteristics associated with complete surgical resection of primary malignant mediastinal tumors. METHODS: Between 1996 and 2006, 42 patients with primary malignant mediastinal tumors were submitted to surgery with curative intent at a single facility. Patient charts were reviewed in order to collect data related to demographics, clinical manifestation, characteristics of mediastinal tumors and imaging aspects of invasiveness. RESULTS: The surgical resection was considered complete in 69.1% of the patients. Cases of incomplete resection were attributed to invasion of the following structures: large blood vessels (4 cases); the superior vena cava (3 cases); the heart (2 cases); the lung and chest wall (3cases); and the trachea (1 case). Overall survival was significantly better among the patients submitted to complete surgical resection than among those submitted to incomplete resection. The frequency of incomplete resection was significantly higher in cases in which the tumor had invaded organs other than the lung (as identified through imaging studies) than in those in which it was restricted to the lung (47.6% vs. 14.3%; p = 0.04). None of the other preoperative characteristics analyzed were found to be associated with complete resection. CONCLUSIONS: Preoperative radiological evidence of invasion of organs other than the lung is associated with the incomplete surgical resection of primary malignant mediastinal tumors.
publishDate 2009
dc.date.none.fl_str_mv 2009-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000900003
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000900003
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1806-37132009000900003
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
dc.source.none.fl_str_mv Jornal Brasileiro de Pneumologia v.35 n.9 2009
reponame:Jornal Brasileiro de Pneumologia (Online)
instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
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reponame_str Jornal Brasileiro de Pneumologia (Online)
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repository.name.fl_str_mv Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
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