SURGICAL APPROACH IN T4N0M0 (VERTEBRAL INVOLVEMENT) LUNG CANCER
Journal Title: Journal of Turkish Spinal Surgery - Year 2008, Vol 19, Issue 1
Abstract
Approximately five percent of the lung cancers involve the chest wall and spine by direct extension and remain localized at the time of diagnosis. T4 lesions invading the vertebra are considered inoperable. We reviewed a new evolution in the surgical treatment of lung cancer involving the vertebra (T4N0M0) and reported preliminary results of our approach. Four patients with T4N0M0 (vertebral involvement) lung cancer underwent en bloc surgical resection of tumor at the Uludag University Faculty of Medicine between 1998 and 2002. Posterior stabilization, hemilaminectomy and osteotomy of the involved vertebral bodies below the corresponding pedicle were performed in the prone position and then in lateral position en bloc resection were completed along with the lung resection (large wedge resection or lobectomy) and involved vertebral bodies. Three of the patients died during the follow-up period at 6h, 8th and 14h postoperative months, respectively. The fourth patient is still in follow-up of 20 months. Although T4N0M0 (vertebral involvement) lung cancers are considered inoperable, lung resection with hemivertebrectomy of the involved vertebra after neoadjuvant chemotherapy and radiotherapy is an alternative treatment in this type of lung cancers.
Authors and Affiliations
Ufuk AYDINLI, Cengiz GEBİTEKİN, Sami BAYRAM, Çağatay ÖZTÖRK, Salim ERSÖZLÜ
Keywords
Related Articles
- EP ID EP676536
- DOI -
- Views 118
- Downloads 0
LUMBAR SPINE MOTION ANALYSIS İN YOUNG ADULTS
To determine the motion analysis ofthe normal lumbar spine, 61 ofthe 152 radiograps of healty young medical students in the neutral erect, active maximm flexon and maximum extensionpositions were carefully selected. Anal...
PLIF'S AND PLATES IN INSTABILITY OF THE LUMBAR SPINE
Between may 1986 and may 1989 33 patients with several types of spondylolisthesis were operated on by reduction of the slip and restoring normal disc space height with homologeous interbody plugs and fixation with pedicu...
CORRELATION OF LOMBER BACK PAIN BETWEEN DEGENERATION OF FACET JOINT
One of the most important causes of adult back pain is degeneration of the facet joints. There are some conflictive data in literature concerning the connection between degeneration of the facet joints and severity of pa...
PROF. JÜRGEN HARMS, M.D.
Prof. Jürgen Harms was borned in Darmstadt in 1944. He finished the Medical Faculty of Frankfurt. Jürgen Harms is an internationally renowned specialist in the field of spinal surgery. He has led more than 10,000 spinal...
SYMPTOMATIC VERTEBRAL HEMANGİOMAS (CASE REPORT)
Vertebral hemangiomas, in general, proceeds insidiously and asymptomaticly so they are diagnosed by chance during x-ray search for another means. Sometimes it terms out with neurologic impairment ranging from radiculopat...