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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Unlike lung metastases of extrapulmonary sarcomas&#44; primary sarcoma of the lung is very rare&#46; We analyzed 7 primary sarcomas treated surgically in Hospital Universitario La Paz&#44; Madrid&#44; Spain between 1985 and 2001&#46; Preoperative histologic diagnosis was correct for 2 patients&#46; Surgery was performed in all 7 patients&#46; Resection was extended to the left atrium in 1 patient&#44; to the chest wall in another&#44; and the parietal pleura were removed from 2 others&#46; Surgical resection was considered complete in 6 cases&#46; Histology revealed 4 cases of malignant fibrous histiocytoma&#44; 1 angiosarcoma&#44; 1 osteogenic sarcoma&#44; and 1 undifferentiated sarcoma&#46; Enlarged lymph nodes removed during surgery were tumor free&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Three patients received complementary treatment&#46; The 3 longest-surviving patients were treated with surgery alone&#59; at the end of the study&#44; these patients remained alive 16&#44; 9&#44; and 4 years after surgery&#46; One patient has a recurrent lymph node tumor in a single lung&#46; Three patients died within 1 year and another died 24 months after surgery&#46; In conclusion&#44; surgical treatment of primary sarcoma of the lung can achieve good survival&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Los sarcomas primitivos pulmonares son muy raros&#44; pero no los metast&#225;sicos&#46; Se analizaron 7 sarcomas primarios operados en nuestro servicio entre 1985 y 2001&#46; El diagn&#243;sti-co histol&#243;gico preoperatorio fue correcto en 2 pacientes&#46; Se realiz&#243; cirug&#237;a en todos&#46; En uno se ampli&#243; la resecci&#243;n a aur&#237;cula izquierda&#44; en otro a pared tor&#225;cica y en otros 2 se ex-tirp&#243; pleura parietal&#46; Se consider&#243; cirug&#237;a completa en 6 ca-sos&#46; En el estudio histol&#243;gico 4 fueron fibrohistiocitomas malignos&#44; uno angiosarcoma&#44; uno sarcoma osteog&#233;nico y uno sarcoma indiferenciado&#46; Las adenopat&#237;as extirpadas es-taban libres de tumor&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se hizo tratamiento complementario en 3 pacientes&#46; En los 3 de mayor supervivencia se realiz&#243; s&#243;lo cirug&#237;a&#44; con un seguimiento de 16&#44; 9 y 4 a&#241;os&#44; respectivamente&#46; Uno tiene actualmente una recidiva tumoral nodular en pulm&#243;n &#252;nico&#46; En cuanto a los fallecidos&#44; 3 murieron antes de un a&#241;o y otro despu&#233;s de 24 meses de evoluci&#243;n&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En conclusi&#243;n&#44; la cirug&#237;a en los sarcomas pulmonares primitivos puede conseguir una elevada supervivencia&#46;</p>"
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              "etiqueta" => "1"
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                    0 => array:2 [
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N Martini"
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                            2 => "EJ Beattie Jr"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1971"
                        "volumen" => "61"
                        "paginaInicial" => "33"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5107483"
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                          ]
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              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchopulmonary leiomyosarcoma and fibrosarcoma&#46; A study of 32 cases and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "JG Guecion"
                            1 => "SH Rosen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1972"
                        "volumen" => "30"
                        "paginaInicial" => "836"
                        "paginaFinal" => "847"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5075364"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                ]
              ]
            ]
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                      "titulo" => "Primary sarcomas and lymphomas of lung"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:2 [
                            0 => "PM McCormack"
                            1 => "N Martini"
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                        ]
                      ]
                    ]
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                      "LibroEditado" => array:3 [
                        "serieVolumen" => "Vol&#46; 5"
                        "serieTitulo" => "International trends in general thoracic surgery"
                        "serieFecha" => "1988"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Primary sarcoma of the lung&#58; a clinical study with long-term follow-up"
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                          "autores" => array:3 [
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                            1 => "JS Mulder"
                            2 => "S Wagenaar"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1994"
                        "volumen" => "58"
                        "paginaInicial" => "1151"
                        "paginaFinal" => "1155"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Primary malignant fibrous histiocytoma of the lung&#46; A clinicopathologic and ultrastructural study of five cases"
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                            2 => "J Linder"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1984"
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                        "paginaInicial" => "1124"
                        "paginaFinal" => "1130"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6318959"
                            "web" => "Medline"
                          ]
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                      "titulo" => "Malignant fibrous histiocytoma of the lung"
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                        0 => array:2 [
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                          "autores" => array:6 [
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                            1 => "JK Camoriano"
                            2 => "JA Culligan"
                            3 => "LH Weiland"
                            4 => "MD Allen"
                            5 => "JR Pluth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
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                        "paginaInicial" => "2492"
                        "paginaFinal" => "2497"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                      "titulo" => "Prognostic factors and result after surgical treatment of primary sarcomas of the lung"
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                          "autores" => array:6 [
                            0 => "JF R&#233;gnard"
                            1 => "P Icard"
                            2 => "L Guibert"
                            3 => "VT de Montpreville"
                            4 => "P Magdeleinat"
                            5 => "P Levasseur"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1999"
                        "volumen" => "68"
                        "paginaInicial" => "227"
                        "paginaFinal" => "231"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10421146"
                            "web" => "Medline"
                          ]
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                  ]
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                0 => array:2 [
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                    0 => array:2 [
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                        0 => array:2 [
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                          "autores" => array:3 [
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                            2 => "AR Gibbs"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Histopathology"
                        "fecha" => "1996"
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                        "paginaInicial" => "29"
                        "paginaFinal" => "36"
                        "link" => array:1 [
                          0 => array:2 [
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                            5 => "A Wurtz"
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                        ]
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                    ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cardiothorac Surg"
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Journal Information
Vol. 41. Issue 11.
Pages 634-637 (November 2005)
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Vol. 41. Issue 11.
Pages 634-637 (November 2005)
Case Reports
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Postoperative Course in 7 Cases of Primary Sarcoma of the Lung
Visits
3879
M.E. Corpa-Rodríguez
Corresponding author
ctoracica.hulp@salud.madrid.org

Correspondence: Dra. M.E. Corpa-Rodríguez. Servicio de Cirugía Torácica. Hospital Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid. España
, S. Mayoralas-Alises, J. García-Sánchez, J.L. Gil-Alonso, P. Díaz-Agero, M. Casillas-Pajuelo
Servicio de Cirugía Torácica, Hospital Universitario La Paz, Madrid, Spain
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Unlike lung metastases of extrapulmonary sarcomas, primary sarcoma of the lung is very rare. We analyzed 7 primary sarcomas treated surgically in Hospital Universitario La Paz, Madrid, Spain between 1985 and 2001. Preoperative histologic diagnosis was correct for 2 patients. Surgery was performed in all 7 patients. Resection was extended to the left atrium in 1 patient, to the chest wall in another, and the parietal pleura were removed from 2 others. Surgical resection was considered complete in 6 cases. Histology revealed 4 cases of malignant fibrous histiocytoma, 1 angiosarcoma, 1 osteogenic sarcoma, and 1 undifferentiated sarcoma. Enlarged lymph nodes removed during surgery were tumor free.

Three patients received complementary treatment. The 3 longest-surviving patients were treated with surgery alone; at the end of the study, these patients remained alive 16, 9, and 4 years after surgery. One patient has a recurrent lymph node tumor in a single lung. Three patients died within 1 year and another died 24 months after surgery. In conclusion, surgical treatment of primary sarcoma of the lung can achieve good survival.

Key Words:
Lung sarcoma
Malignant fibrous histiocytoma
Angiosarcoma

Los sarcomas primitivos pulmonares son muy raros, pero no los metastásicos. Se analizaron 7 sarcomas primarios operados en nuestro servicio entre 1985 y 2001. El diagnósti-co histológico preoperatorio fue correcto en 2 pacientes. Se realizó cirugía en todos. En uno se amplió la resección a aurícula izquierda, en otro a pared torácica y en otros 2 se ex-tirpó pleura parietal. Se consideró cirugía completa en 6 ca-sos. En el estudio histológico 4 fueron fibrohistiocitomas malignos, uno angiosarcoma, uno sarcoma osteogénico y uno sarcoma indiferenciado. Las adenopatías extirpadas es-taban libres de tumor.

Se hizo tratamiento complementario en 3 pacientes. En los 3 de mayor supervivencia se realizó sólo cirugía, con un seguimiento de 16, 9 y 4 años, respectivamente. Uno tiene actualmente una recidiva tumoral nodular en pulmón ünico. En cuanto a los fallecidos, 3 murieron antes de un año y otro después de 24 meses de evolución.

En conclusión, la cirugía en los sarcomas pulmonares primitivos puede conseguir una elevada supervivencia.

Palabras clave:
Sarcomas pulmonares
Fibrohistiocitoma malig-no
Angiosarcoma
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REFERENCES
[1]
N Martini, SI Hadju, EJ Beattie Jr.
Primary sarcoma of the lung.
J Thorac Cardiovasc Surg, 61 (1971), pp. 33-38
[2]
JG Guecion, SH Rosen.
Bronchopulmonary leiomyosarcoma and fibrosarcoma. A study of 32 cases and review of the literature.
Cancer, 30 (1972), pp. 836-847
[3]
Robison PG, Shields TW. Uncommon primary malignant tumors of the lung. In: Shields TW, Locicero J III, Ponn RB, editors. General thoracic surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; p. 1533-53.
[5]
PM McCormack, N Martini.
Primary sarcomas and lymphomas of lung.
[6]
JP Janssen, JS Mulder, S Wagenaar, et al.
Primary sarcoma of the lung: a clinical study with long-term follow-up.
Ann Thorac Surg, 58 (1994), pp. 1151-1155
[7]
JT Lee, JD Shelburne, J Linder.
Primary malignant fibrous histiocytoma of the lung. A clinicopathologic and ultrastructural study of five cases.
Cancer, 53 (1984), pp. 1124-1130
[8]
MY Halyard, JK Camoriano, JA Culligan, LH Weiland, MD Allen, JR Pluth, et al.
Malignant fibrous histiocytoma of the lung.
Cancer, 78 (1996), pp. 2492-2497
[9]
JF Régnard, P Icard, L Guibert, VT de Montpreville, P Magdeleinat, P Levasseur.
Prognostic factors and result after surgical treatment of primary sarcomas of the lung.
Ann Thorac Surg, 68 (1999), pp. 227-231
[10]
RL Attanoos, MACA Appleton, AR Gibbs.
Primary sarcomas of the lung: a clinicopathological and immunohistochemical study of 15 cases.
Histopathology, 29 (1996), pp. 29-36
[11]
HL Porte, DG Metois, X Leroy, M Conti, B Gosselin, A Wurtz.
Surgical treatment of primary sarcoma of the lung.
Eur J Cardiothorac Surg, 18 (2000), pp. 136-142
[12]
EA Bacha, CD Wright, HC Grillo, JC Wain, Moncure A, SB Keel, et al.
Surgical treatment of primary pulmonary sarcomas.
Eur J Cardiothorac Surg, 15 (1999), pp. 456-460
[13]
A Ríos Zambundio, MJ Roca Calvo, LA Polo García.
Fibrohistiocitoma maligno de pulmón variedad estoriforme.
Arch Bronconeumol, 39 (2003), pp. 431-432
[14]
Burt M, Zakowski M. Rare primary malignant neoplasms. In: Pearson FG, Deslauriers J, Ginsberg RJ, Hiebert CA, McKneally MF, Urschel HC Jr, editors. Thoracic surgery. p. 807-26.
Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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