Guo Hongbo, Jing Wang, Chen Feng, Li Hui, Sun Jian, Li Bobo
Department of Thoracic Surgery, Shandong Cancer Hospital, Jinan 250117, China.
Department of Oncology, Shandong Cancer Hospital, Jinan 250117, China.
J Thorac Dis. 2018 Jul;10(7):4498-4501. doi: 10.21037/jtd.2018.04.28.
A 59-year-old man had a persistent cough for 6 weeks. After admission, the contrast-enhanced chest CT revealed a 7 cm × 6 cm × 6 cm tumor in diameter at the right upper lobe. Flexible bronchoscopy detected a neoplasm at the orifice to the anterior segmental bronchus of the right upper lobe. The biopsy revealed as adenocarcinoma. Preoperative imaging studies defined the disease as stage IIb-IIIa (T3N0-1M0) non-small cell lung cancer (NSCLC). Other preoperative workup confirmed the patient was operable, and a uniportal video-assisted thoracic surgery (VATS) right upper lobectomy with systematic lymph node dissection was performed. The final pathological result showed a pT3N2M0 (IIIa) adenocarcinoma.
一名59岁男性持续咳嗽6周。入院后，胸部增强CT显示右上叶有一个直径7 cm×6 cm×6 cm的肿瘤。纤维支气管镜检查发现右上叶前段支气管开口处有一新生物。活检显示为腺癌。术前影像学检查将该疾病定义为IIb-IIIa期（T3N0-1M0）非小细胞肺癌（NSCLC）。其他术前检查证实患者可进行手术，遂行单孔电视辅助胸腔镜手术（VATS）右上叶切除术并进行系统性淋巴结清扫。最终病理结果显示为pT3N2M0（IIIa期）腺癌。
