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    188宝金博页面版: Bilateral Endobronchial Metastasis in Postoperative Stage I Pulmonary Adenocarcinoma

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    内容提示： Diagnostic and Therapeutic Endoscopy, Vol. 6, pp. 141-145Reprints available directly from the publisherPhotocopying permitted by license only(C) 2000 OPA (Overseas Publishers Association) N.V.Published by license underthe Harwood Academic Publishers imprint,part of The Gordon and Breach Publishing Group.Printed in Malaysia.A Case ReportBilateral Endobronchial Metastasis in PostoperativeStage I Pulmonary AdenocarcinomaMASATO KANZAKI*, TAKAMASA ONUKI, TAKAYUKI TATEBAYASHI, KUNIHIRO OYAMA,MASAHIDE MURASUGI an...

    文档格式：PDF | 页数：5 | 浏览次数：199 | 上传日期：2017-09-03 10:19:54 | 文档星级：
    Diagnostic and Therapeutic Endoscopy, Vol. 6, pp. 141-145Reprints available directly from the publisherPhotocopying permitted by license only(C) 2000 OPA (Overseas Publishers Association) N.V.Published by license underthe Harwood Academic Publishers imprint,part of The Gordon and Breach Publishing Group.Printed in Malaysia.A Case ReportBilateral Endobronchial Metastasis in PostoperativeStage I Pulmonary AdenocarcinomaMASATO KANZAKI*, TAKAMASA ONUKI, TAKAYUKI TATEBAYASHI, KUNIHIRO OYAMA,MASAHIDE MURASUGI and SUMIO NITTADepartment of Surgery I, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan(Received 24 May 1999," Revised 25 November 1999," In final form 27 December 1999)We reported a case of bilateral endobronchial metastasis in postoperative synchronousadenocarcinoma. Twenty months ago, a 63-year-old man underwent combined operation.Biopsy was performed, histological diagnosis of pulmonary adenocarcinoma. When surgery isnot indicated because the patient has decreased pulmonary function and contralateralmetastatic lesions, the Nd-YAG laser has been used to treat focal malignancy of the tracheaand mainstem bronchi, and the laser has been effective, especially in patients with inoperablelesions.Keywords." Endobronchial metastasis, Neodymium-yttrium aluminum-garne laser(Nd-YAG laser), Pulmonary adenocarcinoma, Synchronous adenocarcinomaBilateral endobronchial metastasis is rare. Post-operative endobronchial metastasis is occasionallyreported, even when the bronchial stump is notinvaded by lung cancer and the lesions are com-pletely excised pathologically. Surgical treatmentwas not indicated in our patient, who had multiplemetastases. Laser procedures were used to openobstructed airways.CASE REPORTA 63-year-old man was admitted to the hospital.Twenty months before he had been referred to usbecause an abnormal shadow had been observedin the right lower lung field during a preoperativeexamination for adenocarcinoma of the stomach,lung cancer was diagnosed because adenocarci-noma cells were detected by brushing cytology witha bronchofiberscope. Both of the patient’s cancerswere early stage tubular adenocarcinomas. Thegastric cancer was localized in the submucosa. Thepulmonary adenocarcinoma was not associatedwith enlarged mediastinal lymph nodes on com-puted tomography of the chest. We made adiagnosis of double primary cancer based on thepatient’s clinical course and pathological findings.*Corresponding author. Tel.: +81 3 3353 8111, ext. 31125. Fax: /81 3 52697333.141

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