title: Completely resected superior sulcus tumor and vascular reconstruction of vertebral and subclavian arteries.
abstract: A 62-year-old man was pointed out the superior sulcus tumor of the left lung invading to the subclavian artery and the vertebral artery. Bronchoscopic brushing cytology of the tumor showed Class V large cell carcinoma. The patient was diagnosed as clinical stage IIIA(cT4N0M0). After concurrent chemoradiotherapy, we performed left-upper lobectomy and reconstructions of left subclavian and vertebral arteries through modified transmanubrial approach. Surgeons of three different departments took part in the operation. Cooperative works were the key for the complete resection of such an advanced superior sulcus tumor.
authors.affiliation: Department of Thoracic Surgery, Tohoku University Hospital, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan. naoya1484@idac.tohoku.ac.jp
authors.forename: Naoya
authors.initials: N
authors.lastname: Ishibashi
authors.forename: Chiaki
authors.initials: C
authors.lastname: Endo
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Hoshikawa
authors.forename: Masafumi
authors.initials: M
authors.lastname: Noda
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Saiki
authors.forename: Naotaka
authors.initials: N
authors.lastname: Motoyoshi
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Okada
authors.forename: Takashi
authors.initials: T
authors.lastname: Kondo
mesh_terms: D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010178:Pancoast Syndrome / Q000175:diagnosis / Q000628:therapy*; D013348:Subclavian Artery / Q000601:surgery*; D014711:Vertebral Artery / Q000601:surgery*