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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 Angiography shows that the vessels feeding the tumor were the first, second, and third intercostal arteries. b The vessels were embolized with gelform particles. Moreover, the first and second left intercostal artery branch to the vertebra was set in vortex coils and, in order to mark up, the right intercostal artery was set in vortex coils.
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Figure 2: a Angiography shows that the vessels feeding the tumor were the first, second, and third intercostal arteries. b The vessels were embolized with gelform particles. Moreover, the first and second left intercostal artery branch to the vertebra was set in vortex coils and, in order to mark up, the right intercostal artery was set in vortex coils.

Mentions: To prevent massive bleeding during resection of the tumor with vertebral invasion, arterial embolization was performed prior to surgery, and the first, second, and third intercostal arteries feeding the tumor (fig. 2a, b) were embolized with gelform particles. We performed a complete resection consisting of left upper lobe lobectomy and lymph node resection (ND2a-2), partial resection of the second and third ribs, and total en bloc spondylectomy of the third thoracic vertebra.


Total vertebrectomy for non-small cell lung cancer.

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

a Angiography shows that the vessels feeding the tumor were the first, second, and third intercostal arteries. b The vessels were embolized with gelform particles. Moreover, the first and second left intercostal artery branch to the vertebra was set in vortex coils and, in order to mark up, the right intercostal artery was set in vortex coils.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: a Angiography shows that the vessels feeding the tumor were the first, second, and third intercostal arteries. b The vessels were embolized with gelform particles. Moreover, the first and second left intercostal artery branch to the vertebra was set in vortex coils and, in order to mark up, the right intercostal artery was set in vortex coils.
Mentions: To prevent massive bleeding during resection of the tumor with vertebral invasion, arterial embolization was performed prior to surgery, and the first, second, and third intercostal arteries feeding the tumor (fig. 2a, b) were embolized with gelform particles. We performed a complete resection consisting of left upper lobe lobectomy and lymph node resection (ND2a-2), partial resection of the second and third ribs, and total en bloc spondylectomy of the third thoracic vertebra.

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