title: Surgical treatment of a superior sulcus tumor in a patient with idiopathic thrombocytopenic purpura: report of a case.
abstract: We herein report a resection of a superior sulcus tumor in a patient with idiopathic thrombocytopenic purpura. A resection of the left upper lobe of the lung, left subclavian artery, and left first to third ribs, as well as a reconstruction of the left subclavian artery, were performed. Postoperative hemorrhaging was controlled due to preoperative high-dose intravenous immunoglobulin therapy and a platelet transfusion both during and following surgery. The resected tumor was diagnosed to be a pulmonary pleomorphic carcinoma, which was pathologically determined to be T3N0M0-Stage 2B. The patient remained in good condition for 20 months following the surgery; however, he eventually died due to bone metastases.
authors.affiliation: Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakajima
authors.forename: Akira
authors.initials: A
authors.lastname: Iyoda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Iizasa
authors.forename: Yukio
authors.initials: Y
authors.lastname: Saitoh
authors.forename: Kenzo
authors.initials: K
authors.lastname: Hiroshima
authors.forename: Takehiko
authors.initials: T
authors.lastname: Fujisawa
mesh_terms: D002277:Carcinoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D014057:Tomography, X-Ray Computed