An atypical lung carcinoid tumor resected after induction therapy with involvement of the superior sulcus region: report of a case.
This report presents a case of lung carcinoid tumor that showed a growth pattern similar to that of a superior sulcus tumor (SST). A 63-year-old man was referred to our hospital and was diagnosed to have a stage IV (T3N2M1) SST on his right side. After three cycles of induction therapy with MVP (methotrexate/vinblastine/prednisolone) and a total dose of 45 Gy radiation given to the chest lesion, the clinical stage was restaged down to IIB (T3N0M0). A salvage operation was performed (upper lobectomy plus chest wall combined resection including the first to fourth ribs) followed by targeting adjuvant brachytherapy. The results of a histologic examination of the resected specimen revealed the tumor to be an atypical carcinoid tumor.
Department of Thoracic Surgery, Kanazawa University, School of Medicine, Kanazawa, Japan.
Yasuhiko
Y
Ohta
Arinori
A
Toda
Naohiro
N
Ohta
Makoto
M
Oda
Hiroshi
H
Minato
Akitaka
A
Nonomura
Go
G
Watanabe
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001918:Brachytherapy; D002276:Carcinoid Tumor / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D018714:Radiotherapy, Adjuvant; D016879:Salvage Therapy