Background/aim: The outcomes of lung cancer treatment have improved over time. However, in contrast to other treatments, the clinical outcomes of salvage surgery are seldom reported because the follow-up periods after salvage surgery are short.
Patients And Methods: We conducted a comprehensive study involving consecutive patients who underwent salvage surgery at two different institutions.
Background: Bronchiolar adenoma/ciliated muconodular papillary tumor (BA/CMPT) is listed in the World Health Organization (WHO) Classification 5th edition as a rare benign tumor with papillary growth of ciliary, goblet, and basal cells.
Case Presentation: The patient was a 67-year-old female in whom a nodular shadow of 20 mm in diameter in the right lower lobe S10 center was found in chest computed tomography (CT) for examination of dorsal pain. Positron emission tomography/computed tomography (PET-CT) showed the accumulation of F-fluorodeoxyglucose (FDG) with a standardized uptake value (SUV) of 13.
Ann Thorac Cardiovasc Surg
February 2021
Objectives: To determine the outcomes and prognostic factors associated with pulmonary resection of pulmonary pleomorphic carcinoma (PPC).
Methods: During 2008-2017, 17 patients underwent pulmonary resection for primary PPC at the Saitama Cancer Center, Japan. We investigated clinicopathological characteristics and outcomes of these cases.
Gen Thorac Cardiovasc Surg
December 2020
In accessory diaphragm, a rare congenital anomaly, the hemithorax is divided into two compartments by a fibromuscular membrane. Herein, we report the case of a 34-year-old woman with an accessory diaphragm who underwent two lung resections for suspected lung metastasis following surgery for cervical cancer 3 years ago. She was asymptomatic; no pulmonary infection history.
View Article and Find Full Text PDFThe lingular pulmonary artery is known for being frequently subjected to bifurcation anomalies, thus asserting the importance of performing three-dimensional computed tomography angiography before lung surgery for safety reasons. We report a case of branching anomaly of the left ventrobasal and laterobasal arteries, which instead of branching from the interlobar artery, branched as a common trunk from the mediastinal lingular artery. A 68-year-old man with diagnosis of rectal cancer lung metastasis in the ventral segment of left upper lobe (S3) presented branching anomaly of the pulmonary artery, which was detected by a preoperative three-dimensional computed tomography angiography.
View Article and Find Full Text PDFIntroduction: Sclerosing thymoma (ST) is an extremely rare disease with less than 20 cases ever been described. Here, we present a case of sclerosing thymoma that was followed up as mediastinal goiter for eight years.
Presentation Of Case: A 77-year-old man was presented with a superior mediastinal tumor.
Introduction: Mixed squamous cell and glandular papilloma (MSGP) of the lung is rare neoplasm, only 19 cases previously reported in Japan. MSGP is one of three separate categories of solitary endobronchial papillomas, which account for less than 0.5 % of all lung tumors.
View Article and Find Full Text PDFBackground: Generally, primary pulmonary pleomorphic carcinoma is resistant to treatment and has a poor prognosis. We report a case of resected primary pulmonary pleomorphic carcinoma with long-term survival after multidisciplinary treatment.
Case Presentation: A 74-year-old man with a history of emphysema, pneumoconiosis, and chronic bronchitis presented with left lung nodule and left adrenal tumor based on computed tomography.
Ann Thorac Cardiovasc Surg
April 2020
Introduction: Primary leiomyosarcomas (LMS) of the mediastinum are extremely rare malignant mesenchymal tumors developing from soft tissues or great vessels. We present a case of a primary leiomyosarcoma of the middle mediastinum in which long-term survival was achieved.
Case Report: A 77-year-old man presented to us for examination with an extrapleural sign in his upper mediastinum on chest X-ray.
Ann Thorac Cardiovasc Surg
August 2017
Purpose: Although the number of surgeries performed for pulmonary metastasis of head and neck cancer has been increasing, there have been few reports of the surgical effectiveness. We collected the data of surgeries performed in our facility in order to discuss the surgical performance and indication.
Methods: We retrospectively examined the prognosis and predictors for 58 patients with pulmonary metastasis of head and neck cancer who underwent a surgery in our facility during the 15-year period, from January 2000 to December 2015.
After the development of EGFR tyrosine kinase inhibitors (TKIs), genetic testing of EGFR became required for effective treatment of lung cancer. Initially, the testing was conducted separately for each mutated region. However, many EGFR mutations have since been identified that determine the efficacy of EGFR-TKIs.
View Article and Find Full Text PDFIntroduction: Recently, the opportunity to encounter lung metastasis from choriocarcinoma has become very rare for thoracic surgeons, since chemotherapy works very well and the operative indications for lung metastasis are limited.
Presentation Of Case: A 45-year-old woman with a past history of hydatidiform mole six years previously was found to have a nodulous chest shadow in the right middle lung field on a chest radiography. She was also suspected of having an ovarian tumor and underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy.
Background: There have, so far, been few previous reports concerning the use of salvage surgery in small number of patients with primary lung cancer and there are no reports currently available regarding salvage surgery compared to other treatments.
Patients And Methods: The postoperative complications and long-term survival of patients with non-small cell lung cancer (NSCLC) who received salvage surgery compared to induction chemotherapy followed by surgery from 2000 and 2013, were evaluated.
Results: During the study period, 1,847 consecutive patients with lung cancer underwent pulmonary resection at our Institution.
Introduction: Bronchoplasty is performed for both curability and preservation of the pulmonary function.
Case Presentation: We herein report the findings of a 65-year old female patient who was admitted to our hospital to undergo surgical treatment for lung cancer. We successfully performed left upper lobe double sleeve lobectomy and reconstructed the site through bronchoplasty with double barrel (B6 + basal bronchus) anastomosis using inner ligation in a given location.
Introduction: Malignant Peripheral Nerve Sheath Tumor is a rare type of soft tissue malignant tumor that occurs in only 5% of cases. It tends to occur in the arms and legs and trunk of the body, with mediastinal occurrence in only a few cases. Among mediastinal tumors, only 18.
View Article and Find Full Text PDFIn thoracic surgery, we occasionally encounter vessel anomalies. We herein report an extremely rare surgical case with the absence of the azygos vein. Mediastinal vascular abnormalities are said to be rare.
View Article and Find Full Text PDFAnn Med Surg (Lond)
March 2016
Recent new drugs, such as bevacizumab (Bev), also result in a remarkable response. However, the safety of major lung resection after the use of Bev remains controversial. Is it really dangerous to perform major lung resection after the use of Bev for a lung tumor? In this report, we describe two patients who underwent surgery safely without fragile pathological findings of the vessels.
View Article and Find Full Text PDFBackground: The information regarding the optimal treatment of locally advanced lung tumor for achieving a cure remains limited. This is particularly true for an accurate diagnosis of tumor invasion of adjacent structures, especially the aorta.
Patients And Methods: Between June 2014 and January 2016, 505 consecutive patients with chest disease underwent surgery at our Institution.
Background: The development of a bronchopleural fistula (BPF) is the most serious postoperative complication of thoracic surgery. All surgical techniques that have been reported as preventive measures against BPF have disadvantages.
Patients And Methods: We herein introduce a new technique (Yatsuhashi method) for covering the bronchial stump after right lower lobectomy using isolated pericardial fat tissue (PFT).
In thoracic surgery, anatomic variations of pulmonary artery increase the risks for vessel injury and critical mistakes during pulmonary artery resection. We report a case of lung cancer with an extremely rare branch, a mediastinal A7 pulmonary artery. Some case reports of the mediastinal pulmonary artery exist until now.
View Article and Find Full Text PDFA 63-year-old woman attended our hospital after diagnosis of a solitary pulmonary metastasis from a distal bile duct carcinoma. She had undergone a subtotal stomach-preserving pancreaticoduodenectomy 1 year 9 months prior to the current presentation. She was treated with right thoracoscopic pulmonary partial resection.
View Article and Find Full Text PDFIntroduction: Surgery for locally advanced lung cancer is carried out following chemoradiotherapy. However, there are no reports clarifying what the effects on the subsequent prognosis are when surgery is carried out in cases with radiation pneumonitis. In this paper, we report on 2 cases of non-small cell lung cancer with Grade 2 radiation pneumonitis after induction chemoradiotherapy, in which we were able to safely perform radical surgery subsequent to the treatment for pneumonia.
View Article and Find Full Text PDFIntroduction: When considering treatment for pulmonary cancer complicated by interstitial pneumonia, the greatest problem is acute exacerbation. We report two cases of pulmonary cancer complicated by interstitial pneumonia in which multiple intrapulmonary lymph nodes were noted.
Case Presentations: Cases 1 and 2 were 76- and 62-year-old males, respectively.