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Tumor Relapse After Thoracic Surgery?

Tumor Relapse After Thoracic Surgery? IMAGE OF THE MONTH Tumor Relapse After Thoracic Surgery? Marie-Eve Garcia, MD,*† Pascale Tomasini, MD,*† Pascal Thomas, MD, PhD,‡, Laurent Greillier, MD,*† Fabrice Barlesi, MD, PhD*† XXX arly stage non–small-cell lung cancer treatment relies Eon radical surgery, which radically improves the progno- sis. However, pulmonary resections lead to complications. Prolonged air leaks are one of the most frequent. By the way, different techniques have been developed to prevent prolonged air leaks: fibrin glue, synthetic polymers, and bovine pericardium. FOREseal bioabsorbable sleeve for lung staple-line reinforcement is now widely used, following the results of a phase II multicentric study. Follow-up of operated early stages non–small-cell lung cancer patients is usually based on computed tomog- raphy (CT) scan images that might sometimes surpris- ingly evolve after surgery with a sleeve for staple-line reinforcement. For example is a 72-year-old man followed in our department after left lower lobectomy associated with lymphadenectomy for a pT2aN1M0 squamous cell carci- noma. The follow-up CT performed after adjuvant carbo- platin and paclitaxel based chemotherapy was negative. However, 4 years after diagnosis, a left infrahilar lesion appeared close to the resected area (Fig. 1). A positron emis- sion tomography CT was performed, showing a hyperme- tabolism of this lesion (SUV 3.5 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Thoracic Oncology Wolters Kluwer Health

Tumor Relapse After Thoracic Surgery?

Barlesi, Fabrice
Journal of Thoracic Oncology , Volume 10 (2) – Feb 1, 2015
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Copyright
Copyright © 2014 by the International Association for the Study of Lung Cancer
ISSN
1556-0864
DOI
10.1097/JTO.0000000000000333
pmid
25611231
Publisher site
See Article on Publisher Site

Abstract

IMAGE OF THE MONTH Tumor Relapse After Thoracic Surgery? Marie-Eve Garcia, MD,*† Pascale Tomasini, MD,*† Pascal Thomas, MD, PhD,‡, Laurent Greillier, MD,*† Fabrice Barlesi, MD, PhD*† XXX arly stage non–small-cell lung cancer treatment relies Eon radical surgery, which radically improves the progno- sis. However, pulmonary resections lead to complications. Prolonged air leaks are one of the most frequent. By the way, different techniques have been developed to prevent prolonged air leaks: fibrin glue, synthetic polymers, and bovine pericardium. FOREseal bioabsorbable sleeve for lung staple-line reinforcement is now widely used, following the results of a phase II multicentric study. Follow-up of operated early stages non–small-cell lung cancer patients is usually based on computed tomog- raphy (CT) scan images that might sometimes surpris- ingly evolve after surgery with a sleeve for staple-line reinforcement. For example is a 72-year-old man followed in our department after left lower lobectomy associated with lymphadenectomy for a pT2aN1M0 squamous cell carci- noma. The follow-up CT performed after adjuvant carbo- platin and paclitaxel based chemotherapy was negative. However, 4 years after diagnosis, a left infrahilar lesion appeared close to the resected area (Fig. 1). A positron emis- sion tomography CT was performed, showing a hyperme- tabolism of this lesion (SUV 3.5

Journal

Journal of Thoracic Oncology – Wolters Kluwer Health

Published: Feb 1, 2015

References

  • Prolonged air leak following radical upper lobectomy: an analysis of incidence and possible risk factors
    Abolhoda
  • A new bioabsorbable sleeve for lung staple-line reinforcement (FOREseal): report of a three-center phase II clinical trial
    Thomas
  • Randomized controlled trial of a synthetic sealant for preventing alveolar air leaks after lobectomy
    Porte
  • Pseudo tumors of the lung after lung volume reduction surgery
    Oey
  • Pseudotumor associated with polytetrafluoroethylene sleeves
    Fernández