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Total vertebrectomy for non-small cell lung cancer.

Kuwata T, Uramoto H, Ohtomo H, Nakamura E, Tanaka F - Case Rep Oncol (2012)

Bottom Line: A 35-year-old man complained of left back pain.Chest CT revealed a tumor in S1+2 of the left lung, invading the third thoracic vertebra.In addition, the team of orthopedics performed en bloc resection of the third thoracic vertebra and parts of the left third and fourth ribs.

View Article: PubMed Central - PubMed

Affiliation: Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

ABSTRACT
We present a case who had left upper lobectomy with total vertebrectomy after arterial embolization in preparation for intraoperative bleeding. A 35-year-old man complained of left back pain. Chest CT revealed a tumor in S1+2 of the left lung, invading the third thoracic vertebra. As no nodal or distant metastasis was detected, we performed left upper lobectomy and lymph node dissection (ND2a-2) after embolization of the vessels feeding the tumor in order to reduce intraoperative bleeding. In addition, the team of orthopedics performed en bloc resection of the third thoracic vertebra and parts of the left third and fourth ribs. Histological examination of the tumor revealed pleomorphic carcinoma (pT4N0M0, stage IIIA).

No MeSH data available.


Related in: MedlinePlus

a, b CT reveals a mass in S1+2 of the left lung, invading the third thoracic vertebra (84 × 43 mm). c MRI shows that the mass destroyed the left side of the third thoracic vertebra as it adheres strongly to the left side of the third thoracic vertebra.
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Figure 1: a, b CT reveals a mass in S1+2 of the left lung, invading the third thoracic vertebra (84 × 43 mm). c MRI shows that the mass destroyed the left side of the third thoracic vertebra as it adheres strongly to the left side of the third thoracic vertebra.

Mentions: A 35-year-old Japanese man presented with a 6-month history of left back pain. Chest X-ray and CT revealed that a tumor (43 × 34 mm) in S1+2 of the left lung had invaded the third thoracic vertebra (fig. 1a, b). An MRI revealed that the tumor had invaded the third thoracic vertebra and the third rib (fig. 1c). As no nodal or distant metastasis was identified by whole-body CT and bone scintigram, we planned a primary surgery with a clinical diagnosis of lung cancer invading thoracic vertebrae (cT4N0M0, stage IIIA).


Total vertebrectomy for non-small cell lung cancer.

Kuwata T, Uramoto H, Ohtomo H, Nakamura E, Tanaka F - Case Rep Oncol (2012)

a, b CT reveals a mass in S1+2 of the left lung, invading the third thoracic vertebra (84 × 43 mm). c MRI shows that the mass destroyed the left side of the third thoracic vertebra as it adheres strongly to the left side of the third thoracic vertebra.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3376335&req=5

Figure 1: a, b CT reveals a mass in S1+2 of the left lung, invading the third thoracic vertebra (84 × 43 mm). c MRI shows that the mass destroyed the left side of the third thoracic vertebra as it adheres strongly to the left side of the third thoracic vertebra.
Mentions: A 35-year-old Japanese man presented with a 6-month history of left back pain. Chest X-ray and CT revealed that a tumor (43 × 34 mm) in S1+2 of the left lung had invaded the third thoracic vertebra (fig. 1a, b). An MRI revealed that the tumor had invaded the third thoracic vertebra and the third rib (fig. 1c). As no nodal or distant metastasis was identified by whole-body CT and bone scintigram, we planned a primary surgery with a clinical diagnosis of lung cancer invading thoracic vertebrae (cT4N0M0, stage IIIA).

Bottom Line: A 35-year-old man complained of left back pain.Chest CT revealed a tumor in S1+2 of the left lung, invading the third thoracic vertebra.In addition, the team of orthopedics performed en bloc resection of the third thoracic vertebra and parts of the left third and fourth ribs.

View Article: PubMed Central - PubMed

Affiliation: Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

ABSTRACT
We present a case who had left upper lobectomy with total vertebrectomy after arterial embolization in preparation for intraoperative bleeding. A 35-year-old man complained of left back pain. Chest CT revealed a tumor in S1+2 of the left lung, invading the third thoracic vertebra. As no nodal or distant metastasis was detected, we performed left upper lobectomy and lymph node dissection (ND2a-2) after embolization of the vessels feeding the tumor in order to reduce intraoperative bleeding. In addition, the team of orthopedics performed en bloc resection of the third thoracic vertebra and parts of the left third and fourth ribs. Histological examination of the tumor revealed pleomorphic carcinoma (pT4N0M0, stage IIIA).

No MeSH data available.


Related in: MedlinePlus