Lobectomy for indeterminate lung tumors with a strong suspicion of lung cancer.
Wedge resection for tissue diagnosis of indeterminate lung tumors that is strongly suspected of being lung cancer, is sometimes difficult, and lobectomy, followed by a thorough pathological examination, is required. In the present report, four cases are presented, and the following indications, which have never been discussed before, are recommended for lobectomy without a pre-resectional diagnosis. First, where larger tumors are involved, and lobectomy is expected to result in a more favorable patient status and second, where the lesions are deeply located near major pulmonary vessels, or the patient is not a candidate for wedge resection or segmental resection. In each case, tolerance to surgery and detailed, informed consent for potentially complete resection are mandatory.
Department Thoracic Surgery, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan. m1364552@msic.med.osaka-cu.ac.jp
Noritoshi
N
Nishiyama
Koshi
K
Nagano
Nobuhiro
N
Izumi
Keiko
K
Tei
Shoji
S
Hanada
Hiroaki
H
Komatsu
Shigefumi
S
Suehiro
D000368:Aged; D014408:Biomarkers, Tumor / Q000097:blood; D001706:Biopsy; D002277:Carcinoma / Q000097:blood / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000097:blood / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011013:Pneumonectomy / Q000379:methods; D011237:Predictive Value of Tests; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D047368:Tumor Burden
D014408:Biomarkers, Tumor