title: Experience of fluoroscopy-aided thoracoscopic resection of pulmonary nodule localised with Lipiodol in a child.
abstract: We report the case of a 12-year-old boy with a huge liver tumour 20 cm in diameter with multiple lung metastases. Six months after systemic chemotherapy was initiated, all tumours had disappeared with the exception of the liver tumour and a tiny lung tumour 2.5 mm in diameter. Fluoroscopy-assisted thoracoscopic resection of the pulmonary nodule was performed to evaluate whether viable tumour tissue remained in the lung lesion. Before moving the patient to the operating room, the nodule was marked by Lipiodol under CT fluoroscopic guidance with the patient under local anaesthesia. This procedure allowed correct visualisation of the area that should be resected.
authors.affiliation: Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, Japan. yamagami@koto.kpu-m.ac.jp
authors.forename: Takuji
authors.initials: T
authors.lastname: Yamagami
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Miura
authors.forename: Rika
authors.initials: R
authors.lastname: Yoshimatsu
authors.forename: Osamu
authors.initials: O
authors.lastname: Tanaka
authors.forename: Shigeru
authors.initials: S
authors.lastname: Ono
authors.forename: Tomoko
authors.initials: T
authors.lastname: Iehara
authors.forename: Hajime
authors.initials: H
authors.lastname: Hosoi
authors.forename: Tsunehiko
authors.initials: T
authors.lastname: Nishimura
mesh_terms: D002648:Child; D003287:Contrast Media; D004998:Ethiodized Oil; D005471:Fluoroscopy; D018197:Hepatoblastoma / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery*; D008297:Male; D015641:Radiography, Interventional; D003074:Solitary Pulmonary Nodule / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery*; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D003287:Contrast Media; D004998:Ethiodized Oil