title: Primary adenocarcinoma of the bronchus;palliative resection with rigid bronchoscopy,followed curative pulmonary sleeve resection; report of a case.
abstract: A rare case of a patient with primary adenocarcinoma of the middle lobe bronchus that was successfully treated with rigid bronchoscopy followed by middle sleeve lobectomy is reported. The patient was a 75-year-old man who presented with low-grade fever and cough. Chest computed tomography showed obstructive pneumonia of the lower lobe and a polypoid lesion in the truncus intermedius. Middle sleeve lobectomy and mediastinal lymphadenectomy were performed following recovery of respiratory function after partial resection of the tumor with rigid bronchoscopy. There was no sign of tumor recurrence and metastasis over 32 months of follow-up. We should be aware of tracheal or bronchial tumor in patients with prolonged asthma-like symptoms. Palliative resection with rigid bronchoscopy was useful to make the correct diagnosis, evaluate the extent of the tumor, and protect the right lower lobe.
authors: Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors: Takuro
authors: T
authors: Miyazaki
authors: Naoya
authors: N
authors: Yamasaki
authors: Tomoshi
authors: T
authors: Tsuchiya
authors: Keitaro
authors: K
authors: Matsumoto
authors: Tsutomu
authors: T
authors: Tagawa
authors: Hiroko
authors: H
authors: Hayashi
authors: Takeshi
authors: T
authors: Nagayasu
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D001706:Biopsy; D001984:Bronchial Neoplasms / Q000473:pathology / Q000601:surgery*; D001999:Bronchoscopy; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D010166:Palliative Care / Q000379:methods*; D011013:Pneumonectomy; D011237:Predictive Value of Tests; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome