Efficacy of CT-guided localization followed by video-assisted thoracoscopic surgery in children with tiny pulmonary nodules
| Autor: | Masahiro Zenitani, Takehisa Ueno, Osamu Honda, Takaharu Oue, Satoshi Umeda, Shuichiro Uehara, Hiroomi Okuyama, Taku Yamamichi, Kengo Nakahata, Keigo Nara, Souji Ibuka |
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| Rok vydání: | 2016 |
| Předmět: |
Hepatoblastoma
medicine.medical_specialty Solitary pulmonary nodule Metastatic lesions business.industry medicine.medical_treatment Ct guidance Wilms' tumor General Medicine medicine.disease 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Video-assisted thoracoscopic surgery medicine Osteosarcoma Femur Radiology business |
| Zdroj: | Asian Journal of Endoscopic Surgery. 9:328-331 |
| ISSN: | 1758-5902 |
| DOI: | 10.1111/ases.12297 |
| Popis: | CT-guided localization followed by video-assisted thoracoscopic surgery was performed in three children with pulmonary nodules less than 5 mm in diameter. The patients' respective primary diagnoses were Wilms tumor, hepatoblastoma, and osteosarcoma of the femur. The pulmonary nodules were marked preoperatively by a percutaneously placed hook-wire or dye under CT guidance. Although none of the nodules was grossly detected during the operation, they were correctly resected under the guidance of the hook-wire wound or dye. A histological assessment revealed viable metastatic lesions in the case of hepatoblastoma, completely necrotic lesions in the case of Wilms tumor, and inflammatory nodules in the case of osteosarcoma. CT-guided localization followed by video-assisted thoracoscopic surgery appears to be a beneficial procedure in children with tiny pulmonary nodules. |
| Databáze: | OpenAIRE |
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