title: Extended sleeve pulmonary resection in a patient with synchronous triple bronchogenic squamous cell carcinoma.
abstract: A 58-year-old male was admitted to our hospital for evaluation of bloody sputum. He was diagnosed as having synchronous triple bronchogenic squamous cell carcinomas in the right upper lobe, from the right B(6) segmental bronchus to the intermediate trunk and the middle lobar bronchus, and in the spur of the left B(1+2)/B(3) segmental bronchus. He underwent sleeve resection of the right upper lobe, right middle lobe, and right S(6) segment, with an anastomosis between the right main and right basal bronchi. This was followed by YAG-laser treatment and external irradiation for the left tumour and the residual right tumour. Postoperatively, chest X-ray revealed adequate expansion of the right basal segment, and pulmonary function testing showed satisfactory results. Recurrence was not detected during an initial 6-month period, however careful follow-up is required.
authors.affiliation: Department of Thoracic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa 920-0293, Japan. sagawam@kanazawa-med.ac.jp
authors.forename: Motoyasu
authors.initials: M
authors.lastname: Sagawa
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Aikawa
authors.forename: Katsuo
authors.initials: K
authors.lastname: Usuda
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Machida
authors.forename: Makoto
authors.initials: M
authors.lastname: Tanaka
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Ueno
authors.forename: Yoshimichi
authors.initials: Y
authors.lastname: Ueda
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sakuma
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*