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Surgery for lung cancer invading the mediastinum
Journal article   Open access

Surgery for lung cancer invading the mediastinum

Adnan M. Al-Ayoubi and Raja M. Flores
Journal of thoracic disease, Vol.8(Suppl 11), pp.S889-S894
11/01/2016
DOI: 10.21037/jtd.2016.06.71
PMCID: PMC5124591
PMID: 27942411
url
https://europepmc.org/articles/pmc5124591View
Published (Version of record) Open Access

Abstract

Lung cancer infiltrating the mediastinum is a subset of locally advanced lung tumors for which surgery is not routinely offered. Radical operations that involve removal of adjacent mediastinal structures to obtain free margins may provide a realistic cure. Such extended resections are typically reserved to highly motivated patients seeking more aggressive management, and are only offered following complete evaluation on a case-by-case basis. Positive prognosis depends on complete R0 resection and lack of mediastinal nodal metastases. Careful and exhaustive preoperative planning as well as surgical expertise cannot be overemphasized for successful surgical outcomes. Here we provide a brief summary of the literature as well as our own experience managing these rare and sometimes challenging surgeries.
Life Sciences & Biomedicine Respiratory System Science & Technology

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