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  • Pancoastov tumor = Pancoast tumor
    Strojan, Primož ; Debevec, Miha, 1938- ; Kovač, Viljem
    Background. Pancoast tumor (PT) - called also superior sulcus tumor - is a tumor situated in the apex of the lung, dorsally in the costovertebral sulcus,at a level between the first and the fort rib. ... Spread of the tumor intothe structures found in this part of the thorax causing pain and Horner's syndrome. Combined modality treatment with preoperative radiotherapy and en bloc resectionof the tumor and thoracic wall has been found as a method to yield the best results. Owing to late diagnosis a majority of patients only receive radiotherapy, usually with palliative intent.It is indisputable that radiotherapy contributes to an effective pain control, which improves considerably the quality of patient's survival. Methods. The article is concerned with symptoms, diagnostics, pathology, classification, therapy and prognosis of PT, as well as with the analysis of 48 patients with PT treated at the Institute of Oncology in Ljubljana in the period between the years 1981-1994. Conclusions. PT is a rare type of cancer - it represents only 0.5% of all lung cancers in Slovenia. The course ofdisease is relatively slow. The diagnosis based onX-ray imaging of the lung (including CT and MRI). The best survival rates are obtained by combination of preoperative radiotherapy and surgery. Radiotherapy has an important role in pain relief.
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - slovenski
    COBISS.SI-ID - 7904473