Sugi K, Nawata K, Ueda K, Kaneda Y, Nawata S, Oga A, Esato K
First Department of Surgery, Yamaguchi University School of Medicine, Japan.
Surg Today. 1997;27(7):666-8. doi: 10.1007/BF02388228.
We report herein the case of a 70-year-old man in whom a chest wall implantation of adenocarcinoma of the lung at the drainage tube site was found 4 months after a right lower lobectomy with mediastinal lymph node dissection had been performed for adenocarcinoma of the right lower lobe. The lesion was successfully treated by tumor extirpation. We believe that tumor seeding to the chest wall occurred at the time of thoracotomy. To prevent such tumor seeding, the pleural cavity should be washed out routinely with a massive volume of physiological saline solution prior to closure of the chest wall.
我们在此报告一例70岁男性病例，该患者在因右下叶腺癌行右下叶切除及纵隔淋巴结清扫术后4个月，在引流管部位发现肺腺癌胸壁种植。通过肿瘤切除成功治疗了该病变。我们认为肿瘤种植至胸壁发生在开胸手术时。为防止此类肿瘤种植，在关闭胸壁之前，应常规用大量生理盐水冲洗胸腔。
