Three-stage approach to resection of left pancoast tumour with spinal and major vessel involvement

Alison M Wallace; George D Oreopoulos; Yoga R Rampersaud; Thomas K Waddell

doi:10.1093/jscr/rjaa384

Three-stage approach to resection of left pancoast tumour with spinal and major vessel involvement

J Surg Case Rep. 2020 Dec 14;2020(12):rjaa384. doi: 10.1093/jscr/rjaa384. eCollection 2020 Dec.

Authors

Alison M Wallace¹, George D Oreopoulos², Yoga R Rampersaud³, Thomas K Waddell¹

Affiliations

¹ Division of Thoracic Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
² Department of Vascular and Endovascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada.
³ Department of Orthopedics, University Health Network, Toronto Western Hospital, Toronto, Ontario, Canada.

Abstract

Here we describe the successful outcome of a complex and challenging resection of a left-sided pancoast tumour involving the left subclavian artery and vertebral bodies. The resection was performed following neoadjuvant chemoradiotherapy in a multi-staged fashion involving multiple teams including thoracic surgery, plastic surgery, neurosurgery and vascular surgery. Each operation was less than 6 h, without complication, and the patient was discharged within 1 week of each procedure. This case report highlights the importance of multidisciplinary team collaboration and planning in order to achieve a successful oncologic outcome and a good quality of life following treatment of these challenging tumours. The patient had a good functional outcome and no evidence of recurrence 1.5 years later.

Keywords: lung cancer; pancoast tumor; thoracic surgery.

Publication types

Case Reports