イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Salvage surgery combined with descending aorta resection for lung cancer.
掲載誌名	正式名：Surgical case reports
巻・号・頁	5(1),114-114頁
著者・共著者	Masatoshi Kanayama,Yoshinobu Ichiki,Masataka Mori,Hiroki Matsumiya,Yusuke Nabe,Akihiro Taira,Shinji Shinohara,Taiji Kuwata,Masaru Takenaka,Ayako Hirai,Naoko Imanishi,Kazue Yoneda,Eigo Ikushima,Toru Yasutsune,Yosuke Nishimura,Fumihiro Tanaka
発行年月	2019/07
概要	BACKGROUND: Recent retrospective studies have shown that salvage surgery can improve survival with acceptable adverse events, and this procedure has been adapted for lung cancer. However, there are no reports demonstrating the efficacy of salvage surgery combined with aortic resection. CASE PRESENTATION: A 73-year-old man had received definitive concurrent chemoradiotherapy (carboplatin/paclitaxel, 70 Gy) for lung cancer originated from the left upper lobe and infiltrating the thoracic aorta (cT4N1M0 stage IIIA). Although the tumor has shrunk significantly (ycT4N0M0 stage IIIA), radiation pneumonitis occurred. Due to the steroid therapy, radiation pneumonitis was relieved; however, re-enlargement of the primary tumor was observed during steroid tapering. Nonetheless, the lymphatic and distant metastases were controlled. Moreover, aortic invasion was localized to the periphery of the third branch, and the tumor was considered to be resectable. Intraoperatively, we observed macroscopic evidence of aortic invasion in the periphery of the third branch; thus, left upper lobectomy combined with descending aorta resection was performed under partial extracorporeal circulation. The patie
DOI	10.1186/s40792-019-0675-9
PMID	31332588