Inoue N, Yamada A, Koshino T, Abe T
Department of Thoracic and Cardiovascular Surgery, Sapporo General Hospital of Hokkaido Railway Company, Japan.
Kyobu Geka. 1998 Sep;51(10):875-8.
A case who had surgical treatment for small-sized peripheral lung cancer diagnosed by thoracoscopic biopsy was reported. A 66-year-old female was admitted to our hospital because of evaluation of an abnormal shadow on chest X-ray. Chest CT showed that the tumor about 7 mm in diameter was situated in right S1b and suspected to be malignant. Transbronchial lung biopsy and brushing showed no malignancy. The tumor was finally diagnosed to be well-differentiated adenocarcinoma by thoracoscopic lung biopsy. Following this procedure, right upper lobectomy and lymph node dissection (R2a) were performed through postero-lateral thoracotomy at one stage. Pathological diagnosis showed that the tumor was well-differentiated papillary adenocarcinoma and pathological TNM classification was T1N0M0. The postoperative course was uneventful and the patient is now doing well with no relapse at 1 year 2 months after the operation.
报告了1例经胸腔镜活检诊断为小周围型肺癌并接受手术治疗的病例。一名66岁女性因胸部X线检查发现异常阴影而入院。胸部CT显示，直径约7mm的肿瘤位于右肺上叶S1b段，怀疑为恶性。经支气管肺活检及刷检未发现恶性肿瘤。最终经胸腔镜肺活检诊断为高分化腺癌。在此手术后，通过后外侧开胸一期行右上叶切除及淋巴结清扫（R2a）。病理诊断显示肿瘤为高分化乳头状腺癌，病理TNM分期为T1N0M0。术后病程顺利，患者术后1年2个月情况良好，无复发。
