大動脈壁合併切除を行ったT4肺癌の1例  [in Japanese] COMBINED RESECTION OF THE AORTA FOR LUNG CANCER INVADING THE AORTA : A CASE REPORT  [in Japanese]

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Abstract

大動脈壁浸潤を伴う59歳男性の原発性肺癌に対し,原発巣の存在する左上葉切除に加え,大動脈壁浸潤にはBio-pumpを用いた左心バイパス下で大動脈壁合併切除および人工血管置換術を施行した.病理組織学的には腫瘍と接する大動脈壁外膜浸潤以外に,その腫瘍巣より10mm離れた中膜と内膜に腫瘍細胞を認めたことより,大動脈合併切除の切除範囲は,充分広く設定すべきであると考えられた.

A 59-year-old man with lung cancer invading the descending aorta was treated with vascular surgery techniques.<br> The tumor, located in the left S<sup>1+2</sup>, had invaled the descending aorta. Under partial left heart bypass from the left atrium to the distal descending aorta using a Biomedicus Centrifugal Pump, the descending aorta and the tumor were resected en bloc. Then, the aorta was reconstructed with a coated Dacron graft.<br> Histologically, the tumor invaded the tunica adventitia of the aorta. Furthermore, tumor cells were seen in the tunica media and interna, 10mm from invasion of the tunica adventitia. The surgical line should be determinated carefully so as not to leave tumors but also to avoid overresecting the aorta.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 58(9), 2024-2027, 1997-09-25

    Japan Surgical Association

References:  8

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008530205
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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