Tabata T, Tanita T, Ono S, Fujimura S
Department of Thoracic Surgery, Tohoku University, Japan.
Kyobu Geka. 1998 Jan;51(1):63-6.
A 69-year-old man was admitted to our hospital because of left primary lung cancer. As tumor invasion to the descending artery was suspected, preoperative endovascular ultrasonography was performed. Part of the wall lacked respiratory movement. However, the wall of the descending artery was visualized as three layers, i.e., hyper-, hypo- and hyperechoic layers by sonography, so tumor invasion to the descending artery was diagnosed as negative. Although inflammatory tumor adhesion to the descending artery was found, left upper lobectomy was safely performed. Endovascular ultrasonography was considered to be useful in marking an accurate diagnosis of tumor invasion to the descending artery.
一名69岁男性因左原发性肺癌入住我院。由于怀疑肿瘤侵犯降主动脉,术前行血管内超声检查。部分管壁缺乏呼吸运动。然而,通过超声检查,降主动脉壁可显示为三层,即高回声、低回声和高回声层,因此诊断肿瘤侵犯降主动脉为阴性。虽然发现肿瘤与降主动脉有炎性粘连,但仍安全地进行了左上叶切除术。血管内超声检查被认为有助于准确诊断肿瘤对降主动脉的侵犯。