Superior Sulcus Tumors: Do They Really Exist?
| Autor: | Joaquin Jose Pac-Ferrer, Anne Sigal-Cinqualbre, Paul Van Schil, Philippe Dartevelle |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Thorax
Pulmonary and Respiratory Medicine Rib cage Lung Lung Neoplasms business.industry Fifth Pharyngeal Pouch Pancoast Syndrome Anatomy Sulcus Apex (geometry) medicine.anatomical_structure Oncology medicine.artery Thoracic Oncology Carcinoma Non-Small-Cell Lung medicine Humans Human medicine business Subclavian artery |
| Zdroj: | Journal of thoracic oncology |
| ISSN: | 1556-0864 |
| DOI: | 10.1097/jto.0b013e318250edb2 |
| Popis: | Superior sulcus tumors are a particular entity in thoracic oncology and surgery. These malignant tumors arise in the apical segment of the upper lobes, are locally aggressive, and tend to invade the main anatomical structures around the first rib. When associated with symptoms of neurological involvement they are called Pancoast–Tobias tumors after those physicians who, for the first time, drew attention to the association of shoulder and arm symptoms and tumors arising in the apex of the chest. 1,2 Pancoast introduced the term “superior sulcus” and he presumably referred to the groove of the subclavian artery in the pleural cuff that represents the limit between the thorax and subclavian vessels with surrounding structures. 1 He suggested that a remnant of the fifth pharyngeal pouch was at the origin of the tumor. The same year, however, Tobias described the true origin as being from the lung apex. 2 But what exactly is the superior sulcus of the lung from a purely anatomical or radio logical point of view? Two major textbooks of anatomy have no mention of a superior sulcus at the apex of the lung. 3,4 Anatomically, in the groove of the subclavian artery is the “fossette sus- et retropleurale de Sebileau,” named after the French anatomist who first described it, which contains the stellate or cervicothoracic ganglia ( |
| Databáze: | OpenAIRE |
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