Lymph node metastases in a pedicled pericardial fat pad flap.
Routine use of pedicled thymus or pericardial fat pad flap for prophylactic bronchial stump coverage in neoadjuvant treated non-small cell lung cancer (NSCLC) is challenged by the observation of synchronous lymph node metastases to the flap. As a consequence, we suggest local muscle flaps, and histological examination of the pericardial fat pad.
Witte
Biruta
B
Department of Thoracic Surgery, Katholisches Klinikum Koblenz, Koblenz, Germany. b.witte@kk-koblenz.de
Hürtgen
Martin
M
D001707:Biopsy, Needle; D001980:Bronchi / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D008197:Lymph Node Excision / Q000379:methods; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D010496:Pericardium / Q000637:transplantation; D011013:Pneumonectomy / Q000379:methods; D018570:Risk Assessment; D013524:Surgical Flaps / Q000473:pathology*; D016896:Treatment Outcome