Pancoasťs Tumour Object of Multidisciplinarity. An Originál Case

Background: Recent literature describes a Pancoasťs tumour as an object of interdisciplinarity. The authors presents a specific situation in which a patient with a subclavian-brachial venous bypass was successfully operated after preoperative radiochemotherapy by surgical multidisciplinary co-operation.

Aims: Presentation of teamwork is a main aim of this article

Methods: A special case is described, in which the situation was complicated due to the fact that the patient had a vessels trauma five years before with a subclavian-brachial venous reconstruction in the region of Pancoasťs tumour. 52 year-old patient with Pancoasťs adenocarcinoma was preope-ratively treated with radiochemotherapy and later, after restaging, radically operated in a situation of regression of the tumour.

Results: Using combination of cervical and thoracotomical approach with the help of vascular and orthopaedic surgeon we realized RO resection. We provided upper lobectomywith resection of 1^st ribs and radical lymphnodes dissection. After this RO surgery any following additional therapy was not necessary.

Conclusions: Pancoastic tumour in an object of teamwork between non surgical disciplines and surgery. In specific situations it can be an object of co-operation between surgical specialisations-thoracic, vascular and orthopaedic surgery.