{"title":"干部立体定向放射治疗后进行沙维手术的一例肺类基底细胞型鳞状细胞癌","authors":"Masato Kato, Satosi Yamamoto, Katsuo Kojima","doi":"10.2995/jacsurg.37.533","DOIUrl":null,"url":null,"abstract":"症例は73歳,男性.定期健診の胸部エックス線写真で左肺下葉に結節病変を指摘された. 胸部CTで左肺下葉に2.5 cm大の腫瘍を認め,気管支鏡検査で原発性肺癌(組織型は不明,T1cN0M0 cStageIA3)と診断された. 肺機能検査で肺胞拡散能(diffuse capacity of lung for carbon monoxide:DLCO)の低下(%DLCO-42.5%)を認め,手術のリスクが高いと判断され,定位放射線照射(48 Gy)を受けた.腫瘍は著明に縮小したが,治療終了12ヵ月後のCTで腫瘍の再増大を認めたため,胸腔鏡下左肺下葉切除+リンパ節郭清術を施行した. 術後病理検査で肺類基底細胞型扁平上皮癌と診断され,術後2年8ヵ月の現在,無再発生存中である.","PeriodicalId":498875,"journal":{"name":"The Journal of The Japanese Association for Chest Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"体幹部定位放射線治療後にサルベージ手術を行った肺類基底細胞型扁平上皮癌の1例\",\"authors\":\"Masato Kato, Satosi Yamamoto, Katsuo Kojima\",\"doi\":\"10.2995/jacsurg.37.533\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"症例は73歳,男性.定期健診の胸部エックス線写真で左肺下葉に結節病変を指摘された. 胸部CTで左肺下葉に2.5 cm大の腫瘍を認め,気管支鏡検査で原発性肺癌(組織型は不明,T1cN0M0 cStageIA3)と診断された. 肺機能検査で肺胞拡散能(diffuse capacity of lung for carbon monoxide:DLCO)の低下(%DLCO-42.5%)を認め,手術のリスクが高いと判断され,定位放射線照射(48 Gy)を受けた.腫瘍は著明に縮小したが,治療終了12ヵ月後のCTで腫瘍の再増大を認めたため,胸腔鏡下左肺下葉切除+リンパ節郭清術を施行した. 術後病理検査で肺類基底細胞型扁平上皮癌と診断され,術後2年8ヵ月の現在,無再発生存中である.\",\"PeriodicalId\":498875,\"journal\":{\"name\":\"The Journal of The Japanese Association for Chest Surgery\",\"volume\":\"22 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of The Japanese Association for Chest Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2995/jacsurg.37.533\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of The Japanese Association for Chest Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2995/jacsurg.37.533","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
病例73岁,男性。定期体检的胸部x光片显示左肺下叶有结节病变。胸部CT发现左肺下叶有2.5 cm大的肿瘤,支气管镜检查诊断为原发性肺癌(组织类型不明,t1cn0m0cstageia3)。肺功能检查显示肺泡扩散能力(diffuse capacity of lung for carbon monoxide)DLCO)降低(%DLCO - 42.5%),判断为手术风险高,接受了定位放射线照射(48gy)。虽然肿瘤明显缩小,但治疗结束12个月后的CT显示肿瘤再次增大,因此实施了胸腔镜左肺下叶切除+淋巴结切除手术。术后病理检查确诊为肺类基底细胞型鳞状细胞癌,目前已2年零8个月,处于无复发生存状态。