Evolución posquirúrgica de 7 sarcomas pulmonares primitivos

Corpa-Rodríguez, M.E.; Mayoralas-Alises, S.; García-Sánchez, J.; Gil-Alonso, J.L.; Díaz-Agero, P.; Casillas-Pajuelo, M.

doi:10.1157/13081253

Archivos de Bronconeumología

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Vol. 41. Issue 11.

Pages 634-637 (November 2005)

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Pages 634-637 (November 2005)

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DOI: 10.1157/13081253

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Evolución posquirúrgica de 7 sarcomas pulmonares primitivos

Postoperative Course in 7 Cases of Primary Sarcoma of the Lung

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M.E. Corpa-Rodríguez

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ctoracica.hulp@salud.madrid.org

Correspondencia: 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. España

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Abstract

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Los sarcomas primitivos pulmonares son muy raros, pero no los metastásicos. Se analizaron 7 sarcomas primaries operados en nuestro servicio entre 1985 y 2001. El diagnóstico 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 extirpó pleura parietal. Se consideró cirugía completa en 6 casos. En el estudio histológico 4 fueron fibrohistiocitomas malignos, uno angiosarcoma, uno sarcoma osteogénico y uno sarcoma indiferenciado. Las adenopatías extirpadas estaban 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 único. 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 maligno

Angiosarcoma

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

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