Kobayashi Satoru, Inoue Takashi, Araki Osamu, Karube Yoko, Hayama Makio, Tamura Motohiko, Oyaizu Takeshi, Chida Masayuki
Department of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.
Kyobu Geka. 2011 Jun;64(6):479-82.
An 85-year-old male with superior sulcus tumor was referred to our hospital complaining right brachial pain and omalgia. Chest computed tomography showed right apical lung tumor involving the 1st rib, and bronchoscopy established a diagnosis of squamous cell carcinoma, cT3NOM0. After concurrent chemoradiotherapy [cisplatin (CDDP) + 60 Gy], functional examination indicated him to be tolerable to lobectomy, and he underwent right upper lobectomy + chest wall resection (1st-3rd ribs) + lymph-node dissection. Pathological examination revealed that the effect of chemoradiotherapy was Ef. 3. The postoperative course was uneventful. He is free from recurrence for 7 years after the surgery.
