title: [Successful resection of endotracheal metastatic lung cancer using percutaneous cardiopulmonary support system: a case report].
abstract: We experienced a rare case of endotracheal metastasis derived from squamous cell lung cancer. The patient was 56 year-old male whose primary lung cancer of the left upper lobe was completely resected. Pathological diagnosis indicated stage IIB and he underwent two cycles of chemotherapy with CDDP + VDS. He had been asymptomatic thereafter, however, two years postoperative chest CT revealed a nodular lesion of the anterior carinal wall. Bronchofiberoptic examination showed same as CT finding and its brushing cytology confirmed squamous cell carcinoma. WE successfully resected his endotracheal metastatic lesion and reconstructed by direct sutures assisted by PCPS (Percutaneous Cardiopulmonary Support System). His postoperative course was uneventful. Majority of the reported cases of endotracheal metastases were treated conservatively as radiation, laser and/or chemotherapy. We conclude that PCPS is useful device for surgical management for selected cases.
authors.affiliation: Division of Thoracic Surgery, Respiratory Disease Center Nagaoka Central General Hospital, Niigata, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ishiyama
authors.forename: T
authors.initials: T
authors.lastname: Aoyama
authors.forename: H
authors.initials: H
authors.lastname: Hirahara
authors.forename: A
authors.initials: A
authors.lastname: Iwashima
authors.forename: H
authors.initials: H
authors.lastname: Tsukada
authors.forename: T
authors.initials: T
authors.lastname: Souma
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000556:secondary* / Q000601:surgery*; D016896:Treatment Outcome