Risks of segmentectomy for interstitial pneumonia with diffuse pulmonary ossification.

IF 2.3 3区 医学 Q3 ONCOLOGY Thoracic Cancer Pub Date : 2024-10-01 Epub Date: 2024-09-02 DOI:10.1111/1759-7714.15431
Karin Shimada, Satoshi Takamori, Marina Nakatsuka, Makoto Endoh
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Abstract

An 84-year-old man with a history of progressive interstitial pneumonia presented to our department with lung cancer (cT2aN0M0-IB) in right S6. Moreover, computed tomography revealed progressive diffuse pulmonary ossification in the bilateral lower pulmonary lobes. S6 segmentectomy was performed via video-assisted thoracoscopic surgery. It was difficult to divide the intersegmental plane using a stapler because of severe fibrosis and pulmonary ossification with bone marrow formation. Pulmonary ossification may be an important finding for surgical planning because of severe fibrosis or inflammation associated with severe lung condition. We suggest that the surgical indications and approaches for such cases should be reconsidered because pulmonary ossification can be associated with severe lung conditions.

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分段切除术治疗间质性肺炎伴弥漫性肺骨化的风险。
一名 84 岁的男性患者因右侧 S6 肺癌(cT2aN0M0-IB)来我院就诊,他曾有进行性间质性肺炎病史。此外,计算机断层扫描显示双侧肺下叶有进行性弥漫性肺骨化。通过视频辅助胸腔镜手术进行了S6段切除术。由于严重的纤维化和伴有骨髓形成的肺骨化,使用订书机分割肺段间平面非常困难。肺骨化可能是手术规划的一个重要发现,因为严重的肺部纤维化或炎症与严重的肺部状况有关。我们建议重新考虑此类病例的手术适应症和方法,因为肺骨化可能与严重的肺部状况有关。
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来源期刊
Thoracic Cancer
Thoracic Cancer ONCOLOGY-RESPIRATORY SYSTEM
CiteScore
5.20
自引率
3.40%
发文量
439
审稿时长
2 months
期刊介绍: Thoracic Cancer aims to facilitate international collaboration and exchange of comprehensive and cutting-edge information on basic, translational, and applied clinical research in lung cancer, esophageal cancer, mediastinal cancer, breast cancer and other thoracic malignancies. Prevention, treatment and research relevant to Asia-Pacific is a focus area, but submissions from all regions are welcomed. The editors encourage contributions relevant to prevention, general thoracic surgery, medical oncology, radiology, radiation medicine, pathology, basic cancer research, as well as epidemiological and translational studies in thoracic cancer. Thoracic Cancer is the official publication of the Chinese Society of Lung Cancer, International Chinese Society of Thoracic Surgery and is endorsed by the Korean Association for the Study of Lung Cancer and the Hong Kong Cancer Therapy Society. The Journal publishes a range of article types including: Editorials, Invited Reviews, Mini Reviews, Original Articles, Clinical Guidelines, Technological Notes, Imaging in thoracic cancer, Meeting Reports, Case Reports, Letters to the Editor, Commentaries, and Brief Reports.
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