A Case of Mucoepidermoid Carcinoma with Obstructive Pneumonia Removed by Bronchoscopy

  • Watanabe Tatsuaki
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Endo Chiaki
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Sakurada Akira
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Ishibashi Naoya
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Eba Shunsuke
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Notsuda Hirotsugu
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Watanabe Yui
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Suzuki Takaya
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Oishi Hisashi
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Maeda Sumiko
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Noda Masafumi
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Hoshikawa Yasushi
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Okada Yoshinori
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University
  • Kondo Takashi
    Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University

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Other Title
  • 閉塞性肺炎を伴った粘表皮癌を気管支鏡下に摘除した1例

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Abstract

Background. We report a case of mucoepidermoid tumor with obstructive pneumonia. Case. A 26-years old woman was admitted to a local hospital because of pneumonia and right lung atelectasis, which did not respond to antibiotic treatment. Bronchoscopy revealed a tumor obstructing the truncus intermedius. Histopathological examination of the tumor showed mucoepidermoid carcinoma. She was referred to our department for further treatment, including possible surgery. We removed the tumor using a high-frequency knife under bronchoscopy. Follow-up bronchoscopy a week later revealed a fibrinous mass in the truncus intermedius necessitating additional resection. After 4 days, no tumor regrowth was observed, and we administered mitomycin-C. After 7 days, we performed a right middle and lower lobectomy with lymph node dissection, and covered the bronchial stump with a pericardial fat pad flap. Her postoperative course was uneventful. Histopathological examination revealed no residual carcinoma. Conclusion. Using a high-frequency knife successfully removed an epidermoid carcinoma which had been obstructing the truncus intermedius with bronchoscopy. The patient's obstructive pneumonia improved, which enabled us to perform a subsequent right middle and lower lobectomy without any complications.

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