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External radiation in the management of superior sulcus tumor
Author(s) -
Van Houtte Paul,
Maclennan Iain,
Poulter Colin,
Rubin Philip
Publication year - 1984
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19840715)54:2<223::aid-cncr2820540208>3.0.co;2-1
Subject(s) - medicine , sulcus , radiation therapy , anatomy , radiology
Thirty‐one patients with superior sulcus tumor (Pancoasťs syndrome) treated with radiation between 1967 and 1980 were reviewed. Doses ranged from 2000 to 7000 cGy delivered with a continuous schedule (23 patients) and a split course regimen (8 patients). The overall survival at 5 years was 18% (median, 17 months). Patients without bone erosion or scalene lymph node involvement (13 patients) had the best 5‐year survival rate of 40%. Local control tended to correlate with the total dose and tumor extent; doses below 5000 cGy or bone invasion were associated with a higher rate of local failure. Primary external radiation is not only useful for palliation but can also cure some patients with superior sulcus tumor.