An Atypical Lung Carcinoid Tumor Resected After Induction Therapy with Involvement of the Superior Sulcus Region: Report of a Case.

Autor: Ohta, Yasuhiko, Toda, Arinori, Ohta, Naohiro, Oda, Makoto, Minato, Hiroshi, Nonomura, Akitaka, Watanabe, Go
Zdroj: Surgery Today; Jul2002, Vol. 32 Issue 7, p632-634, 3p
Abstrakt: This report presents a case of lung carcinoid tumor that showed a growth pattern similar to that of a superior sulcus tumor (SST). A 63-year-old man was referred to our hospital and was diagnosed to have a stage IV (T3N2M1) SST on his right side. After three cycles of induction therapy with MVP (methotrexate/vinblastine/prednisolone) and a total dose of 45 Gy radiation given to the chest lesion, the clinical stage was restaged down to IIB (T3N0M0). A salvage operation was performed (upper lobectomy plus chest wall combined resection including the first to fourth ribs) followed by targeting adjuvant brachytherapy. The results of a histologic examination of the resected specimen revealed the tumor to be an atypical carcinoid tumor. [ABSTRACT FROM AUTHOR]
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