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 An effective and safe surgical approach for a superior sulcus tumor: A case report.
掲載誌名 正式名:International journal of surgery case reports
巻・号・頁 37,87-89頁
著者・共著者 Soichi Oka,Kenichi Kobayashi,Hiroki Matsumiya,Masatoshi Kanayama,Shuichi Shinohara,Shinji Shinohara,Akihiro Taira,Taiji Kuwata,Masaru Takenaka,Yasuhiro Chikaishi,Ayako Hirai,Yuko Tashima,Naoko Imanishi,Koji Kuroda,Yoshinobu Ichiki,Fumihiro Tanaka
発行年月 2017
概要 INTRODUCTION: Superior sulcus tumors, frequently referred to as Pancoast tumors, are a wide range of tumors invading a section of the apical chest wall called the thoracic inlet. For this reason, a surgical approach and complete resection may be difficult to accomplish. We experienced a locally advanced superior sulcus tumor (SST) located from the anterior to posterior apex thoracic inlet and performed complete resection after definitive chemoradiation. PRESENTATION OF CASE: A 71-year-old Japanese male presented at our hospital due to left back pain and an abnormal chest computed tomography (CT) scan showing 80×70×60-mm tumor located in the left middle apex thoracic inlet. This tumor was located near the subclavian artery, and the subclavian lymph nodes were swollen. The tumor was found to be an adenocarcinoma (clinical-T3N3M0 stage IIIB). Therefore, we performed definitive chemoradiation therapy. Slight reduction in the tumor size was noted after the treatment, and the subclavian lymph nodes were not swollen. We next performed surgical resection for this SST. Regarding the surgical approaches, the anterior approach was a transmanubrial approach, and the posterior approach was a
DOI 10.1016/j.ijscr.2017.06.028
PMID 28648878