[A case of pulmonary carcinoma removed safely from SVC by using CUSA].
A 50-year-old man, who had his medical history of right pulmonary tuberculosis, was pointed out an abnormal shadow in the right upper mediastinum on the chest X-ray. Chest CT scan demonstrated a large tumor mass that was suspected to make partial invasions upon the great vessels (SVC and right PA). We could perform a safety removal of the tumor from the great vessels without perforation of vessels by using CUSA. The output of CUSA was set up 20-30% of the maximum (amplitude; 60-90 microns). The tumor came from rS2 and rS3 and was large cell carcinoma. Nevertheless taking a time, CUSA is a useful device for a bleeding-less tumor removal.
Takahashi
N
N
Department of Thoracic Surgery, Hokkaido Tomakomai Hospital, Tomakomai, Japan.
Tsunematsu
K
K
Sugawara
H
H
Ohkubo
T
T
Takahashi
M
M
Abe
T
T
D018287:Carcinoma, Large Cell / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D013396:Suction / Q000295:instrumentation*; D019043:Vascular Neoplasms / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000295:instrumentation*; D014683:Vena Cava, Superior / Q000473:pathology / Q000601:surgery*