机器人辅助胸腔镜手术切除快速生长的肺梭形细胞癌：一例报告
Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report.
作者信息
Koen Akihiro, Maeda Hideyuki, Nagashima Yoji, Kanzaki Masato
机构信息
Department of Thoracic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Department of Surgical Pathology, Tokyo Women's Medical University, Tokyo, Japan.
出版信息
Surg Case Rep. 2021 Oct 10;7(1):222. doi: 10.1186/s40792-021-01305-5.
BACKGROUND
Pulmonary spindle cell carcinoma (PSCC) is an extremely rare tumor that is highly malignant and fast-growing. As chemotherapy and radiation therapy are ineffective, early surgical resection is effective for PSCC.
CASE PRESENTATION
A 70-year-old woman with rheumatoid arthritis was referred to our hospital with an abnormal shadow. Chest computed tomography revealed a 33-mm-wide lobular mass in the right upper lobe. She was diagnosed with non-small cell lung cancer by bronchoscopic smear cytology. Although staging evaluation indicated stage IIIB (T3N2M0) disease, she required continued administration of immunosuppressants and prednisolone for rheumatoid arthritis. Therefore, robot-assisted thoracoscopic surgery (RATS) right upper lobectomy followed by lymph node dissection was performed without preoperative chemotherapy and radiotherapy. Pathological findings revealed PSCC.
CONCLUSIONS
We report a very rare case of pulmonary spindle cell carcinoma, successfully resected with RATS.
背景
肺梭形细胞癌（PSCC）是一种极其罕见的肿瘤，恶性程度高且生长迅速。由于化疗和放疗无效，早期手术切除对PSCC有效。
病例介绍
一名70岁患类风湿性关节炎的女性因异常阴影被转诊至我院。胸部计算机断层扫描显示右上叶有一个33毫米宽的小叶肿块。通过支气管涂片细胞学检查，她被诊断为非小细胞肺癌。尽管分期评估表明为IIIB期（T3N2M0）疾病，但她因类风湿性关节炎需要继续使用免疫抑制剂和泼尼松龙。因此，在未进行术前化疗和放疗的情况下，实施了机器人辅助胸腔镜手术（RATS）右上叶切除术及淋巴结清扫术。病理检查结果显示为肺梭形细胞癌。
结论
我们报告了一例非常罕见的肺梭形细胞癌病例，通过机器人辅助胸腔镜手术成功切除。
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