A Case of Hilar Type Early Squamous Cell Carcinoma Treated by Bronchoplasty Without Lung Resection.

概要

論文の詳細を見る
Background. Bronchial sleeve resection and plasty techniques have been well established as routineprocedures to avoid unnecessary removal of lung tissues. However, bronchoplasty without lung resection is still anuncommon alternative in the surgical treatment of early lung cancer. We report a case of early squamous cell carcinomatreated by bronchoplasty without lung resection. Case. A 69-year-old man was admitted with bloody sputum. Althoughhis chest X-ray was normal, bronchoscopy revealed a polyp, approximately 1 cm in diameter, at the bifurcation of theright upper lobe bronchus and truncus intermedius. Biopsy yielded a diagnosis of squamous cell carcinoma. Chest CTshowed no detectable invasion beyond the bronchial wall, or lymph node metastases. We employed bronchial sleeve resectionand a telescope-like anastomosis technique, and the tumor was removed without lung resection. No tumor cellswere detected on the cut surface of the right main, upper lobe bronchus and truncus intermedius. Postoperative lungfunction tests at 3 months showed no decrease in spirometory, lung volume or diffusion capacity. Conclusion. Selectedcases of early squamous cell carcinoma of the lung can be treated with good results by bronchoplasty withoutlung resection.
特定非営利活動法人日本肺癌学会の論文