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Vol.40 No.2 contents | Japanese/English |
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- Case Report -
A Case of Mucoepidermoid Carcinoma Treated by Sleeve Resection of the Truncus Intermedius -A Clinical Review of 104 Reported Cases in Japanese-
Kazuhiko Suzuki1, Yuuji Mori1, Hisashi Nakata1, Tetsuro Ohnishi1, Shosaku Abe21Department of Respiratory Medicine, Hakodate Goryokaku Hospital, 2Third Department of Internal Medicine, Sapporo Medical University School of Medicine
Background: Mucoepidermoid carcinoma of the bronchus is a relatively rare tumor. We report here a case of mucoepidermoid carcinoma of the truncus intermedius which was successfully resected. We also reviewed the clinical features of 104 cases reported in the Japanese literature. Case: A 23-year-old man was admitted complaining of cough, sputum, and stridor. His chest X-ray film showed volume loss of the right middle and lower lobes. Bronchoscopy revealed a polypoid tumor which almost occluded the lumen of the truncus intermedius. Bronchoscopic biopsy yielded a diagnosis of mucoepidermoid carcinoma. Since the mucosa affected normal and there was no extra-luminal invasion of the truncus intermedius, sleeve resection of the truncus inermedius, including the tumor, with end-to-end anastomosis was performed in addition to hilar lymph node dessection. There was no involvement of lymph nodes, and the tumor was pathologically classified as pT1N0M0, stageIA. The patient has been well and free of recurrence for one year postoperatively, and bronchoscopic findings showed clear healing of the anastomotic site. Conclusion: Sleeve resection can be an effective method for local cure and preservation of postoperative respiratory function.
key words: Lung cancer, Mucoepidermoid carcinoma, Bronchial sleeve resection, Low grade malignancy, Surgery preserving lung function
Received: December 13, 1999
Accepted: January 27, 2000
JJLC 40 (2): 121-127, 2000
