title: Pulmonary resection for lung cancer with impaired pulmonary function due to severe spinal deformity: report of a case.
abstract: A 58-year-old man underwent surgery for the treatment of lung adenocarcinoma at our hospital. He had a history of spinal caries at the age of 3 and frequent recurrent asthma-like symptoms thereafter. Chest plain radiography revealed an irregularly shaped mass in the left hilum and a thoracic cage severely deformed by kyphosis. A pulmonary function test demonstrated a severe restrictive ventilation pattern. He underwent a left upper lobectomy without mediastinal dissection. His asthma-like symptoms were exacerbated by difficulty in expectoration of sputum for several days after surgery, but the symptoms disappeared without any medical care. Dyspnea, hemoptysis, and intrathoracic hemorrhage were observed on the 8th postoperative day. Computed tomography revealed torsion of the residual left lower lobe, but the symptoms spontaneously disappeared in a week. The patient had complained of frequent coughing and mild dyspnea on exertion for years, but his quality of life was unchanged after the lobectomy. Bone metastasis was detected 3 years after the surgery, and the patient then underwent chemotherapy. However, he died of the disease 4 years 2 months after the surgery.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kansai Rosai Hospital, 3-1-69 Inabaso, Amagasaki, Hyogo, 650-8511, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwata
authors.forename: Noritoshi
authors.initials: N
authors.lastname: Nishiyama
authors.forename: Koshi
authors.initials: K
authors.lastname: Nagano
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Izumi
authors.forename: Takuma
authors.initials: T
authors.lastname: Tsukioka
authors.forename: Keikoh
authors.initials: K
authors.lastname: Tei
authors.forename: Shoji
authors.initials: S
authors.lastname: Hanada
authors.forename: Kiyotoshi
authors.initials: K
authors.lastname: Inoue
authors.forename: Masahide
authors.initials: M
authors.lastname: Kaji
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D017809:Fatal Outcome; D006801:Humans; D007738:Kyphosis / Q000150:complications*; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D012129:Respiratory Function Tests