A case of pneumonectomy for lung cancer associated with scleroderma

H. Yoshida, S. Ono, T. Sugawara, C. Endo, M. Handa, S. Suda, S. Kobayashi, Takashi Kondo, S. Fujimura

研究成果: Article

抜粋

A 60-year-old female, diagnosed as scleroderma, was referred to our hospital because of symptoms of common cold and abnormal findings on a chest X-ray. The chest X-ray and CT scan revealed a mass in the left upper field, suspected to invade left anterior chest wall. Moreover, fibrotic changes were observed in the lung field. Cytology by bronchofiberscopy showed squamous cell carcinoma. Evaluation of pulmonary function, including unilateral pulmonary artery occlusion test (UPAO), revealed possibility of lung resection. Subsequently, pneumonectomy with combined resection of left 1st rib was performed. Postoperative course was uneventful and she was discharged. She was admitted again four months after the operation with appetite loss and body weight loss. Further examinations revealed arrhythmia, renal failure, pancreatitis and liver metastasis. Her general conditions grew worse and she died five months after the operation. In conclusion, UPAO was a useful method to determine the functional lung resectability for the case with scleroderma. However, effects of surgical stress for the development of scleroderma remain to be elucidated.

元の言語English
ページ(範囲)606-609
ページ数4
ジャーナルKyobu geka. The Japanese journal of thoracic surgery
54
発行部数7
出版物ステータスPublished - 2001 7

ASJC Scopus subject areas

  • Medicine(all)

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    Yoshida, H., Ono, S., Sugawara, T., Endo, C., Handa, M., Suda, S., Kobayashi, S., Kondo, T., & Fujimura, S. (2001). A case of pneumonectomy for lung cancer associated with scleroderma. Kyobu geka. The Japanese journal of thoracic surgery, 54(7), 606-609.