Katsumata Hiroshi, Tabata Toshiharu, Minowa Muneo, Fukaya Ken, Fujimura Shigefumi, Murakami Kazuhiro
Department of Thoracic Surgery, Tohoku Pharmaceutical University Hospital, Sendai, Japan.
Kyobu Geka. 2014 Jun;67(6):452-5.
A 68-years-old male patient had been diagnosed as having bronchial carcinoid in B2 and right upper lobectomy with systematic hiler and mediastinal lymphadenectomy had been performed in 1996. Pathological diagnosis was a typical carcinoid (pT1aN0M0, stage I A). In 2004, 4 tumors were found in the trachea, right bronchial stump, right main bronchi and right B6 orfice. These were diagnosed as typical carcinoids by pathology. In 2005 argon plasma coagration was performed.In 2013, a localized recurrence was found in the right S6 by chest computed tomography (CT). The segmentectomy of the right S6 was performed. Even after radical operation for typical carcinoids, we should conduct long-term observation.
一名68岁男性患者于1996年被诊断为B2期支气管类癌,并接受了右上叶切除术及系统性肺门和纵隔淋巴结清扫术。病理诊断为典型类癌(pT1aN0M0,ⅠA期)。2004年,在气管、右支气管残端、右主支气管和右B6开口处发现4个肿瘤。经病理诊断为典型类癌。2005年进行了氩等离子体凝固治疗。2013年,胸部计算机断层扫描(CT)发现右S6有局部复发。遂行右S6段切除术。即使对于典型类癌进行了根治性手术,我们仍应进行长期观察。