“Salvage” Surgery for Primary Mediastinal Malignancies: Is it Worthwhile? Francesco Petrella, MD, Francesco Leo, MD, PhD, Giulia Veronesi, MD, Piergiorgio.

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Presentation transcript:

“Salvage” Surgery for Primary Mediastinal Malignancies: Is it Worthwhile? Francesco Petrella, MD, Francesco Leo, MD, PhD, Giulia Veronesi, MD, Piergiorgio Solli, MD, PhD, Alessandro Borri, MD, Domenico Galetta, MD, Roberto Gasparri, MD, Rosalba Lembo, PhD, Davide Radice, PhD, Paolo Scanagatta, MD, Lorenzo Spaggiari, MD, PhD Journal of Thoracic Oncology Volume 3, Issue 1, Pages 53-58 (January 2008) DOI: 10.1097/JTO.0b013e31815e6d54 Copyright © 2008 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 A, Overall 5 years Kaplan-Meier survival curve (NE: not evaluable); upper limit of confidence interval not assessable. B, Comparison between 5 years Kaplan-Meier survival curve of thymic and nonthymic groups. Journal of Thoracic Oncology 2008 3, 53-58DOI: (10.1097/JTO.0b013e31815e6d54) Copyright © 2008 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 Intraoperative views of “second-line” mediastinal resections: single surgeon personal series. A, CT scan disclosing huge thymic carcinoma after chemotherapy. B, Intraoperative view of the huge thymic carcinoma resection. Journal of Thoracic Oncology 2008 3, 53-58DOI: (10.1097/JTO.0b013e31815e6d54) Copyright © 2008 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 Vascular reconstruction after thymic resection (left innominate vein reconstructed by polytetrafluoroethylene (PTFE) prosthesis). Journal of Thoracic Oncology 2008 3, 53-58DOI: (10.1097/JTO.0b013e31815e6d54) Copyright © 2008 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 4 Atrial resection and reconstruction by polytetrafluoroethylene (PTFE) prosthesis after invasive thymoma resection. Journal of Thoracic Oncology 2008 3, 53-58DOI: (10.1097/JTO.0b013e31815e6d54) Copyright © 2008 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 5 A, CT scan disclosing left thymic carcinoma after chemotherapy. B, Intraoperative view of thymic carcinoma resection with aortic resection and prosthetic reconstruction and pulmonary artery resection and direct reconstruction. Journal of Thoracic Oncology 2008 3, 53-58DOI: (10.1097/JTO.0b013e31815e6d54) Copyright © 2008 International Association for the Study of Lung Cancer Terms and Conditions