Hasumi T, Handa M, Usuda K, Takahashi S, Satoh N, Kondo T, Fujimura S
Department of Surgery, Sendai Kosei Hospital, Sendai, Japan.
Kyobu Geka. 2000 Apr;53(4):341-4.
A 47-year-old male, a heavy smoker, was referred to our hospital after Class IV was detected by screening of sputum cytology. His chest X-ray film showed no abnormalities, but bronchoscopy revealed a small nodular lesion at the orifice of right B2. Squamous cell carcinoma was diagnosed by transbronchial biopsy. The clinical stage was I (T1N0M0), and S2 sleeve segmentectomy with lymph node dissection (R 2 b) was performed. The pathological stage was I (T1N0M0), and it was confirmed as early hilar lung cancer. There were no post operative complications and he is well without any evidence of recurrence 5 months after surgery. It may well be considered that this segmental bronchoplastic procedure is useful for cases with early stage squamous cell carcinoma of the segmental bronchus to preserve pulmonary function.
一名47岁男性，重度吸烟者，痰细胞学筛查发现IV级病变后转诊至我院。他的胸部X光片未见异常，但支气管镜检查发现右B2开口处有一个小结节性病变。经支气管活检诊断为鳞状细胞癌。临床分期为I期（T1N0M0），行S2袖状段切除术加淋巴结清扫术（R 2 b）。病理分期为I期（T1N0M0），确诊为早期肺门肺癌。术后无并发症，术后5个月恢复良好，无复发迹象。可以认为，这种节段性支气管成形术对早期节段性支气管鳞状细胞癌病例保留肺功能是有用的。
