Background: The complete resection is one of the most crucial requirements to achieve favorable outcomes in oncologic surgery. The apex of the lung is surrounded complicatedly by the clavicle, the first rib, the subclavian artery and vein, and the brachial plexus. Therefore, the image information especially about the infiltration of adjacent anatomic structures, facilitates the surgery in the apical lung cancer.
View Article and Find Full Text PDFCase 1: An 86-year-old man was diagnosed with large cell or squamous cell lung cancer of clinical Stage II A.He was administered nanoparticle albumin-bound paclitaxel(nab-PTX)as fourth-line chemotherapy after monochemotherapy with docetaxel, vinorelbine, and S-1.The patient continues to show complete remission at the 15 courses of nab-PTX.
View Article and Find Full Text PDFBackground: Gefitinib is known as one of the agents for treating patients with both advanced lung cancer and an epidermal growth-factor receptor mutation. In the epidermal growth-factor receptor-mutant advanced non-small-cell lung cancer population, gefitinib therapy has been associated with increased response rate, longer progression-free survival, and better quality of life compared to other anticancer drugs. However, gefitinib has to be discontinued for patients in whom adverse events occur, even if it is still effective.
View Article and Find Full Text PDFA seventies year-old woman underwent thymo-thymectomy through a median sternotomy for type B2 thymoma. Annual screening with fluorodeoxyglucose positron emission tomography (FDG-PET) and computed tomography( CT) did not show any abnormality until 3 years after surgery, when a FDG-positive lesion, 1.5 cm in diameter, was found in the top of the anterior mediastinum.
View Article and Find Full Text PDFBackground: Effective pain management is an essential component of cancer treatment as approximately 75% of all cancer patients experience excruciating nociceptive pain even at maximum safe doses of nonsteroidal anti-inflammatory drugs and/or opioids. We report a case where ritodrine hydrochloride effectively controlled refractory pain due to uterine metastases from thymic carcinoma.
Case Presentation: A 40-year-old woman presented at our hospital with chest discomfort, severe right femoral pain, and intermittent hypogastralgia.
Skin rash is one of the notorious adverse events of gefitinib as well as other epidermal growth factor receptor tyrosine kinase inhibitors. The differences of response rate and frequency of adverse events between ethnic groups are well known. Some reports demonstrated the correlation between development of rash and efficacy in Caucasian patients treated with erlotinib, gefitinib or cetuximab.
View Article and Find Full Text PDFBackground: Smoking is a cause of cancer and polycythemia. Therefore, surgeons who treat patients with cancer may also encounter patients with polycythemia. However, few cases of surgical patients with polycythemia have been reported; in particular, a surgical case involving smokers' polycythemia has never been reported.
View Article and Find Full Text PDFThe merger of malignant pleural mesothelioma and pneumothorax is rare, and it is said that a very low percentage of malignant pleural mesothelioma detected with pneumothorax is reported. Furthermore, there are few case reports in which bilateral pneumothorax was caused by malignant pleural mesothelioma. We have made a diagnosis of malignant pleural mesothelioma with left pneumothorax here, and report our experience with this rare case that complicated the right pneumothorax throughout treatment.
View Article and Find Full Text PDFA male patient in his seventies presented at our hospital with a chief complaint of an abnormal shadow on a chest scout film. We suspected non-small cell carcinoma of the right upper lobe on computed tomography (CT). The patient underwent partial resection of the right upper lobe by video-assisted thoracoscopic surgery in May 2004, frozen sections of which showed poorly differentiated squamous cell carcinoma, consistent with the tumor size 2.
View Article and Find Full Text PDFA 58-year-old man who had undergone left adrenalectomy 2 years previously for adrenocortical carcinoma was diagnosed to have a left suprarenal solid mass. Thoracoscopic transdiaphragmatic excision of the tumor was conducted under the diagnosis of isolated local recurrence of adrenal carcinoma. There were no intraoperative or postoperative complications.
View Article and Find Full Text PDFWe describe the techniques we used for treating aberrant arteries during resection of pulmonary sequestration by video-assisted thoracic surgery (VATS) in two patients. In patient 1, the aberrant artery was transected after securing six rows of staples with a knifeless vascular endostapler. In patient 2, the aberrant artery was cut after ligation with special forceps that designed by one of us (S.
View Article and Find Full Text PDFNihon Geka Gakkai Zasshi
October 2002
Video-assisted thoracic surgery (VATS) has been in widespread use since the beginning of the 1990s. The initial indications for VATS were benign lesions of the lung, pneumothorax, benign tumors, etc. However, its application was extended to resection of lung cancer.
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