A CASE OF PRYCE TYPE I SEQUESTRATION OF THE LUNG WITH SUPERFICIAL CANCER OF THE ESOPHAGUS
| Autor: | Shoichi Dowaki, Osamu Chino, Masaru Tsukui, Yasuo Ohtani, Takuro Saito, Hiroyasu Makuuchi, Hideo Shimada, Tomoo Tajima, Takehiko Kameya |
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| Rok vydání: | 2000 |
| Předmět: | |
| Zdroj: | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 61:648-652 |
| ISSN: | 1882-5133 1345-2843 |
| DOI: | 10.3919/jjsa.61.648 |
| Popis: | A case of pryce type I sequestration of the lung with superficial esophageal cancer is reported. A 76-year-old man was seen at the hospital because of pain at swallowing. With close examinations, superficially extending esophageal cancer of 0-IIa+IIc+IIb type with the invasion depth of sm1 of the middle intrathoracic esophagus was diagnosed. Preoperative chest x-ray film and chest CT scan revealed a tumor with calcification on the left side of the inferior mediastinum. It was diagnosed as lymph node swelling, because the patient nad a previous history of tuberculosis. Considering his advanced age and low activities, non-thoracotomic evulsion of the esophagus was performed. During operation, arterial bleeding from the tumor which was thought to be calcified lymph nodes occurred. We determined it to be abnormal vessel and sutured for hemostasis. Postoperative angiography, ventilation scan, and 3D-CT offered the definite diagnosis of Pryce I type sequestration of the lung. Pryce type I sequestration of the lung is a rare entity and so far 32 cases have been reported in Japan. This case is thought interesting in that the disease had been silent until 76 years old, was associated with superficial esophageal cancer, and was found at manipulation of the mediastinum during operation. |
| Databáze: | OpenAIRE |
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