| A 65yr
old patient who has smoked 2 packs cigarettes
a day for 35 years.
CT: solitary pulmonary nodule of 1.7 x 1.6 x
1.5 cm situated peripherally in the left lung
parenchyma that appears umbilicated to the visceral
pleura.
An atypical resection was performed by video-assisted
bronchoscopy, the anatomical pathology results
found it to be squamous cell carcinoma of lung.
No extension of the tumour to the pleura was
seen and there was no lymph node invasion or
adenopathy.
Discussion: Atypical resection using video-assisted
bronchoscopy is an excellent option to consider
in a case such as this, in which the lesion is
easily accessible by bronchoscopic surgery. The
sensitivity and specificity of this diagnostic
technique is notably superior to transbronchial
puncture and because of this, a lung carcinoma
without metastasis or invasion of the adjacent
pleura (stage I), would be suited to this kind
of resection and this constitute a therapeutic
procedure.
Authors:
Jorge Aso Vizán
Facultad de Medicina. Universidad de Zaragoza.
Francisco Regueiro Mira.
Servicio de Cirugía Torácica. Hospital
Clínico Universitario “Lozano Blesa” Zaragoza
Translation: Kelly
Watt |
