Watanabe Yuzuru, Yonechi Atushi, Inoue Takuya, Kanno Ryuzo, Oishi Akio, Suzuki Hiroyuki
The First Department of surgery, Fukushima Medical University, Hikarigaoka, Fukushima, Japan.
Ann Thorac Cardiovasc Surg. 2013;19(5):382-5. doi: 10.5761/atcs.cr.13-00075. Epub 2013 Oct 3.
We report the case of an extremely elderly patient with long-term survival after surgical resection for lung cancer. A 93-year-old man was evaluated for an abnormal density on chest radiography. Chest computed tomography (CT) showed a nodular density of 2.5 × 2.5 cm in the left S4b segment. Lung cancer was diagnosed by bronchoscopy, and left posterolateral thoracotomy and S4 segmentectomy were performed. Group 1 lymph node dissection and sampling of the 6th lymph node were also performed. Pathological examination revealed poorly differentiated squamous cell carcinoma without any lymph node metastases. The tumor was staged as p-T1aN0M0 stage IA. No complications were encountered postoperatively, and the patient was discharged. He remains alive as of 5 years postoperatively without any recurrence.
我们报告了一例老年肺癌患者在手术切除后长期存活的病例。一名93岁男性因胸部X线检查发现异常密度影而接受评估。胸部计算机断层扫描（CT）显示左肺上叶S4b段有一个2.5×2.5 cm的结节状密度影。通过支气管镜检查诊断为肺癌，并进行了左后外侧开胸手术和S4段切除术。同时进行了第1组淋巴结清扫和第6组淋巴结采样。病理检查显示为低分化鳞状细胞癌，无任何淋巴结转移。肿瘤分期为p-T1aN0M0 IA期。术后未出现并发症，患者出院。截至术后5年，他仍然存活，无任何复发迹象。
