Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report
Abstract Background Pulmonary spindle cell carcinoma (PSCC) is an extremely rare tumor that is highly malignant and fast-growing. As chemotherapy and radiation therapy are ineffective, early surgical resection is effective for PSCC. Case presentation A 70-year-old woman with rheumatoid arthritis was...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2021-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01305-5 |
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| author | Akihiro Koen Hideyuki Maeda Yoji Nagashima Masato Kanzaki |
| author_facet | Akihiro Koen Hideyuki Maeda Yoji Nagashima Masato Kanzaki |
| author_sort | Akihiro Koen |
| collection | DOAJ |
| description | Abstract Background Pulmonary spindle cell carcinoma (PSCC) is an extremely rare tumor that is highly malignant and fast-growing. As chemotherapy and radiation therapy are ineffective, early surgical resection is effective for PSCC. Case presentation A 70-year-old woman with rheumatoid arthritis was referred to our hospital with an abnormal shadow. Chest computed tomography revealed a 33-mm-wide lobular mass in the right upper lobe. She was diagnosed with non-small cell lung cancer by bronchoscopic smear cytology. Although staging evaluation indicated stage IIIB (T3N2M0) disease, she required continued administration of immunosuppressants and prednisolone for rheumatoid arthritis. Therefore, robot-assisted thoracoscopic surgery (RATS) right upper lobectomy followed by lymph node dissection was performed without preoperative chemotherapy and radiotherapy. Pathological findings revealed PSCC. Conclusions We report a very rare case of pulmonary spindle cell carcinoma, successfully resected with RATS. |
| format | Article |
| id | doaj-art-6a225dfa655a4bceb7a99da95533fcd5 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-6a225dfa655a4bceb7a99da95533fcd52025-08-20T02:52:03ZengJapan Surgical SocietySurgical Case Reports2198-77932021-10-01711510.1186/s40792-021-01305-5Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case reportAkihiro Koen0Hideyuki Maeda1Yoji Nagashima2Masato Kanzaki3Department of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Surgical Pathology, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityAbstract Background Pulmonary spindle cell carcinoma (PSCC) is an extremely rare tumor that is highly malignant and fast-growing. As chemotherapy and radiation therapy are ineffective, early surgical resection is effective for PSCC. Case presentation A 70-year-old woman with rheumatoid arthritis was referred to our hospital with an abnormal shadow. Chest computed tomography revealed a 33-mm-wide lobular mass in the right upper lobe. She was diagnosed with non-small cell lung cancer by bronchoscopic smear cytology. Although staging evaluation indicated stage IIIB (T3N2M0) disease, she required continued administration of immunosuppressants and prednisolone for rheumatoid arthritis. Therefore, robot-assisted thoracoscopic surgery (RATS) right upper lobectomy followed by lymph node dissection was performed without preoperative chemotherapy and radiotherapy. Pathological findings revealed PSCC. Conclusions We report a very rare case of pulmonary spindle cell carcinoma, successfully resected with RATS.https://doi.org/10.1186/s40792-021-01305-5Lung cancerSpindle cell carcinomaRobot-assisted thoracoscopic surgeryLymph node dissection |
| spellingShingle | Akihiro Koen Hideyuki Maeda Yoji Nagashima Masato Kanzaki Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report Surgical Case Reports Lung cancer Spindle cell carcinoma Robot-assisted thoracoscopic surgery Lymph node dissection |
| title | Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report |
| title_full | Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report |
| title_fullStr | Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report |
| title_full_unstemmed | Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report |
| title_short | Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report |
| title_sort | surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot assisted thoracoscopic surgery a case report |
| topic | Lung cancer Spindle cell carcinoma Robot-assisted thoracoscopic surgery Lymph node dissection |
| url | https://doi.org/10.1186/s40792-021-01305-5 |
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